대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

중환자 간호단위의 환자분류군별 간호원가 산정연구

Estimation of Nursing Costs by a Patient Classification System(PCS) in ICU

  • 성영희 (성균관대학교 의과대학 삼성병원 임상간호학교실) ;
  • 송미숙 (아주대학교 간호대학) ;
  • 박정호 (서울대학교 간호대학)
  • Sung, Young-Hee (Department of Nursing, Samung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Song, Mi-Sook (College of Nursing Science, Ajou University) ;
  • Park, Jung-Ho (Emeritus of Seoul National University)
  • 발행 : 2007.04.30
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초록

Purpose: The objective of our study was to figure out costs of nursing services in ICU based on the PCS in order to determine an appropriate nursing fee schedule. Method: Data was collected from 2 hospitals from April 15-16 to April 22-23, 2003. The costs of nursing services in the ICU were analyzed by nursing time based on the nursing intensity. The inpatients in the ICU were classified by a PCS tool developed by the Korean Clinical Nurses Association(2000). Results: The distribution of patients by PCS in the ICU ranged from class IV to Class VI. The higher PCS in ICU consumed more nursing time. As a result, the higher nursing intensity, the more the daily average nursing costs in the ICU. Conclusion: Our study provides evidence to refine the current nursing fee schedule that does not differentiate from the volume of nursing services based on nursing time. We strongly recommend that the current reimbursement system for nursing services should be applied not only to the general nursing units but also to the ICU or other special nursing units.

키워드

참고문헌

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