가정 호스피스 간호 수가 개발 = A Study on Estimating the Nursing Cost of Home Hospice Care

다국어 초록 (Multilingual Abstract)

Purpose: Hospice care represents all meaningful aspects of physical, mental and economical status of the end stage patients. The purpose of this study was to estimate the cost of home-based hospice care. Method: Fifteen nurses participated in counting an hour for requirement and home visit data of 50 end stage patients were analyzed. The method of to estimate the cost of home-based hospice care was three ways. Result: In case, including traffic expense, Singles fixed fee per visit via direct inquiry was 112,970 won but in case, excluding traffic expenses, was 86,036 won and traffic expenses per visit was 26,934 won. Final cost of home-based hospice care integrated the fixed fee per the needed time for visit and fee-for services. The fixed fee per 30 minutes was 35,251 won and 60 minutes was 46,595 won and 90 minutes was 57,939 won. We included pain management and the management of emergency and bereavement care among fee-for services. Conclusion: The cost of hospice care should be establish for not only patient but the living spouse, families, and children of the dying and for anyone else affected by any patient's death.

참고문헌 (Reference)

1 박정호, "효율적인 한국형 가정간호 사업소 운형모형 개발" 보건복지부 2000

2 이수정, "활동분석기준 가정간호 원가 산정" 34 (34): 1117-1128, 2004

3 이용흥, "호스피스 관련 입법 및 정부대책" 19-27, 2002

4 배영란, "호스피스 간호 역할에 대한 임상간호사의 지각 및 수행과 호스피스 환자의 기대 및 만족정도" 이화여자대학교 2000

5 이상욱, "한국형 호스피스 수가개발에 관한 연구" 보건복지부/관동대학교 2004

6 박경호, "한국 호스피스의 발전방향" 190-193, 2000

7 박찬형, "일본과 대만의 호스피스 완화의료제도 현황조사 출장결과 보고서" 보건복지부/ 건강증진국 2002

8 한국보건산업진흥원, "의료기관 가정간호서비스 실태분석" 보건복지부 2002

9 박정호, "상대가치를 이용한 간호행위별 간호원가 산정" 대한간호협회 1999

10 용진선, "병원중심 가정간호중재 분석" 12 (12): 606-618, 2000

11 황나미, "병원중심 가정간호사업모형개발및 제도화방안" 보건복지부/한국보건사회연구원 1999

12 이태화, "말기 폐암환자를 대상을 한 가정호스피스와 병원입원치료의 비교" 30 (30): 1045-1054, 2000

13 김준석, "국내외 호스피스ㆍ완화의료의 현주소와 전망" 67 (67): 327-329, 2004

14 정경희, "공적노인요양보장제도 평가 판정 체계및 급여수가개발" 보건복지부/장기요양기획단 2005

15 Bodenheimer, T. S., "Understanding Health Policy.A Clinical Approach(3rd ed)" Lange Medical Books/MaGraw-Hill 2002

16 Davies, B., "The impact on families of a children's hospice program" 19 (19): 15-26, 2003

17 Kovner,C, "Public health nursing costs in home care" 6 (6): 3-7, 1989

18 Finkler, S, "Financial management for nurse managers and executives" Saunders Company 1993

19 Kawagoe,H, "Death Education in Home Hospice Care in Japan" 16 (16): 37-45, 2000

20 Grande, G. E., "Caregiver Bereavement Outcome: Relationship with hospice at Home, Satisfaction with Care, and Home Death" 20 (20): 69-77, 2004

21 Davies, B., "Addressing spirituality in pediatric hospice and palliative care" 18 (18): 59-67, 2002