Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
권호 표지
DOI QR코드

DOI QR Code

Changing Trend in Grade of Nursing Management Fee by Hospital Characteristics: 2008-2010

의료기관 특성에 따른 간호등급 변화 추이: 2008~2010년

  • Received : 2010.09.30
  • Accepted : 2010.10.26
  • Published : 2010.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was aimed to examine changes of hospital nurse staffing by hospital characteristics during 2008-2010. Methods: The study sample included 44 tertiary hospitals, 226 general hospitals, and 532 non-general hospitals that were operating during 2008-2010. Grade of nursing management fee was categorized from Grade 1(highest) to 6 (lowest) in tertiary hospitals, l or Grade 7 in general hospitals and non-general hospitals based on the nurse-to-bed ratio. For data analysis, ${\chi}^2$ and GEE were conducted. Results: For three years, the number of tertiary hospitals below Grade 2 were increased from 8 to 12, the number of those above Grade 4 were decreased from 15 to 6. The number of general hospitals above Grade 6 decreased from 123 to 86. Tertiary hospitals and general hospitals had more possibilities to improve nurse staffing grade than general hospital (OR 79.69, 95% CI 50.77~125.09, OR 11.25, 95% CI 8.15~15.53, respectively). Greater likelihood of improvement in grade of nursing management fee was found in university hospital or hospitals with 300 or more beds than other types of hospitals. Conclusion: Differentiating nurse staffing system by hospital type and increasing financial incentives according to the grades are needed to improve hospital nurse staffing.

Keywords

References

  1. 건강보험심사평가원(2009). 요양병원 수가 실무교육자료 (발간 등록번호 E61-2009-114). 서울: 저자.
  2. 고수경, 김한성, 송기민, 박다진, 박춘선, 황정해 등(2006). 의료기관 종별 구분 개선에 따른 의료기관 종별 인정.평가 기준 개발 (발간등록번호 F52-2006-01). 서울: 건강보 험심사평가원.
  3. 김명애, 박광옥, 유선주, 김문진, 김을순(2009). 중소병원 간호 활성화를 위한 현황조사 연구. 임상간호연구, 15(1), 149-165.
  4. 김선영(2010. 9. 20). 돌고 도는 악순환 구조 간호인력난 해법은. 데일리메디. 2010. 10. 1. http://www.dailymedi. com/news/opdb/index.php에서 인출
  5. 김윤미, 박희옥, 함은옥(2010). 요양병원의 간호등급에 영향을 미치는 요인. 미출판 원고.
  6. 김윤미, 조성현, 전경자, 고수경(2007). 의료기관과 시장특성이 간호사 확보수준에 미치는 영향. 보건행정학회지, 17(2), 68-90.
  7. 박대진(2010. 5. 27). 내년부터 간병서비스 건강보험 제도권 진입. 데일리메디. 2010. 9. 10. http://www.dailymedi. com/news/opdb/index.php에서 인출.
  8. 박형근(2010. 1. 7). 병원 산업, 10년을 회고하고 10년을 전망 한다. 건강정책웹진, healthy sphere 신년호. 2010. 9. 5. http://hpforum.or.kr/에서 인출.
  9. 병원상세정보(2008. 5. 1). 건강보험심사평가원. 2008. 6. 30. http://www.hira.or.kr/rdc_hospsearch.hospsearch.do ?method=hospital&pgmid=HIRAA020101000000에서 인출.
  10. 병원상세정보(2009. 5. 1). 건강보험심사평가원. 2009. 6. 30. http://www.hira.or.kr/rdc_hospsearch.hospsearch.do ?method=hospital&pgmid=HIRAA020101000000에서 인출.
  11. 병원상세정보(2010. 5. 1). 건강보험심사평가원. 2010. 6. 30. http://www.hira.or.kr/rdc_hospsearch.hospsearch.do ?method=hospital&pgmid=HIRAA020101000000에서 인출.
  12. 보건복지가족부(2008. 2. 1). 7등급 입원료 차등화 관련 참고 사항. 고시 제2008-122호. 서울: 저자.
  13. 보건복지가족부(2009. 6. 29). 요양급여의 적용기준 및 방법에 관한 세부사항 중 개정. 고시 제2009-122호. 서울: 저 자.
  14. 안창욱(2010. 8. 27). 수가 가산 요양병원 급증. 구조조정 실패하나. 메디게이트뉴스. 2010. 9. 9. http://www.medigate news.com/users/News/newsView.html에서 인출.
  15. 유선주, 최윤경, 김후정, 박보현, 장현숙, 박종애(2006). 보건 의료서비스 일자리 창출을 위한 입원서비스 제공 모형 개발(정책-보건의료-2006-99). 서울: 한국보건산업진흥원.
  16. 이용균(2008. 7). 간호사인력 수요공급 현황과 대책방안. 대한병원협회 정책토론회 자료집. 서울: 대한병원협회.
  17. 일본 노동후생성(2006). 평성18년 진료보수 개정의 개요. 동경: 노동후생성.
  18. 정규숙, 김보배(2010. 9. 14). 간호관리료 현실화 시급. 간호사 신문. 2010. 9. 21. http://www.nursenews.co.kr/Article/ ArticleDetai/View.asp에서 인출.
  19. 조성현, 전경자, 김윤미, 박보현(2008). 입원환자 간호관리료 차등제 도입이후 간호사 확보수준의 변화. 간호행정학회지, 14(2), 167-175.
  20. Agency for Healthcare Research and Quality (2007). Nurse staffing and quality of patient care. Evidence Report/Technology Assessment (Publication No. 07 -E005). Minneapolis: Author.
  21. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H., et al. (2001). Nurses' reports on hospital care in five countries. Health Affairs, 20(3), 43-53. https://doi.org/10.1377/hlthaff.20.3.43
  22. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. The Journal of the American Meidcal Association, 288(16), 1987-1993. https://doi.org/10.1001/jama.288.16.1987
  23. Buchan, J. (2004). A Certain Ratio? Minimum staffing ratios in nursing: A report for the Royal college of nursing. London
  24. Cho, S. H., Ketefian, S., Barkauskas, V. H., & Smith, D. G. (2003). The effects of nurse staffing on adverse events, morbidity, mortality and medical costs.Nursing Research, 52(2), 71-79. https://doi.org/10.1097/00006199-200303000-00003
  25. Grillo-Peck, A. M., & Risner, P. B. (1995). The effect of a partnership model on quality and length of stay. Nursing Economics, 13(6), 367-372, 374.
  26. Mark, B. A., Salyer, J., & Wan, T. T. H. (2000). Market, hospital, and nursing unit characteristics as predictors of nursing unit skill mix: A contextual analysis. The Journal of Nursing Administration, 30(11), 552-560. https://doi.org/10.1097/00005110-200011000-00011
  27. Mark, B. A., Salyer, J., & Wan, T. T. H. (2003). Professional nursing practice: Impact on organizational and patient outcomes. The Journal of Nursing Administration, 33(4), 224-234. https://doi.org/10.1097/00005110-200304000-00008
  28. Needleman, J., Buerhaus, P. I., Mattke, S., Stewart, M., & Zelevinsky, K. (2001). Nurse staffing and patient outcomes in hospitals(Contact No. 230-99-0021). Boston: US Department of Health and Human Services.
  29. Organization for Economic Cooperation and Development (2008). Statistics and indicators for 30 countries. OECD Health Data 2008. Paris: Author.
  30. Potter, P., Barr, N., McSweeney, M., & Sledge, J. (2003). Identifying nurse staffing and patient outcome relationships: A guide for change in care delivery. Nursing Economics, 21(4), 158-166.
  31. Rothberg, M. B., Abraham, I., Lindenauer, P. K., & Rose, D. N. (2005). Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Medical Care, 43(8), 785-791. https://doi.org/10.1097/01.mlr.0000170408.35854.fa
  32. Simoens, S., Villeneuve, M., & Hurst, J. (2005). Tackling Nurse Shortages in OECD Countries (OECD Health Working Papers No. 19). Paris: OECD.
  33. Wisconsin Organization of Nurse Executives(WONE). (2005). Guiding principles in determining appropriate nurse staffing: Standards of practice for acute care in the state of Wisconsin. Retrieved October 2, 2010, from https://www.w-one.org/ uploads/NurseStaffing_WONE_2005.pdf.