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    광주·전남지역 요양병원 간호사의 포괄수가제에 대한 인식 및 적용 후 간호업무 변화 = Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG

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    https://www.riss.kr/link?id=A60159995

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose: The purpose of this study was to examine nurses' cognition of the diagnosis related group (DRG) in long-term care hospitals and changes in nursing care after application of the DRG system. Method: This study was a descriptive survey involving 161 nurses working in 12 long-term care hospitals located in Gwangju city and Chonnam area. Data were analyzed using the SPSS 18.0 version program. Data analyses utilized descriptive test, chi-square test, Fisher’s exact probability test, t–test, and one-way ANOVA. Result: There was no change in cognition of DRG in 55.3% of the nurses, and 26.1% takes to ‘change positively'. More than half of the respondents (57.8%) agreed to the application of DRG. After application of DRG, the nurses responded ‘there were changes in nursing care' in 23 of the 25 care items. Two items had an increase in nursing care. Conclusions: No distinct changes in nursing care were evident after DRG application. Therefore, there is need to provide education programs related to DRG for nurse in long-term care hospitals.
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    Purpose: The purpose of this study was to examine nurses' cognition of the diagnosis related group (DRG) in long-term care hospitals and changes in nursing care after application of the DRG system. Method: This study was a descriptive survey involving...

    Purpose: The purpose of this study was to examine nurses' cognition of the diagnosis related group (DRG) in long-term care hospitals and changes in nursing care after application of the DRG system. Method: This study was a descriptive survey involving 161 nurses working in 12 long-term care hospitals located in Gwangju city and Chonnam area. Data were analyzed using the SPSS 18.0 version program. Data analyses utilized descriptive test, chi-square test, Fisher’s exact probability test, t–test, and one-way ANOVA. Result: There was no change in cognition of DRG in 55.3% of the nurses, and 26.1% takes to ‘change positively'. More than half of the respondents (57.8%) agreed to the application of DRG. After application of DRG, the nurses responded ‘there were changes in nursing care' in 23 of the 25 care items. Two items had an increase in nursing care. Conclusions: No distinct changes in nursing care were evident after DRG application. Therefore, there is need to provide education programs related to DRG for nurse in long-term care hospitals.

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    참고문헌 (Reference)

    1 김영배, "요양병원형수가제 전환에 대한 요양병원의 평가 및 개선방안 연구" 보건의료산업학회 5 (5): 105-117, 2011

    2 심미라, "요양병원 간호사와 간호조무사의 직무만족과 자존감 및 간호업무성과에 관한 연구" 간호행정학회 16 (16): 446-454, 2010

    3 Prison, M., "What can we learn from international comparisons of costs by DRG?" The European Journal of Health Economics, in Press 2012

    4 Trocchi, P., "Thyroid cancer surgery in Germany: Ananalysis of the nationwide DRG statistics 2005-2006" 397 (397): 421-428, 2012

    5 Korea Association of Geriatric Hospital, "The job guidebook of long-term care hospitals" Innosolution 2010

    6 Tschannen, D., "The impact of nurse/physician collaboration on patient length of stay" 17 (17): 796-803, 2009

    7 Lotter, O., "Reimbursement of burnsby DRG in four European countries : an analysis" 37 (37): 1109-1116, 2011

    8 Woo, J. H., "Recognition on outcomes and change in nursing service after application of diagnosis related group system in long term care hospitals" Inha University 2008

    9 송정국, "Participation Determinants in the DRG Payment System of Obstetrics and Gynecology Clinics in South Korea" 대한예방의학회 43 (43): 117-124, 2010

    10 Rosenstein, A. H., "Medicare's value-based payment initiatives: Impact onand implications for improving physician documentation andcoding" 24 (24): 250-258, 2009

    1 김영배, "요양병원형수가제 전환에 대한 요양병원의 평가 및 개선방안 연구" 보건의료산업학회 5 (5): 105-117, 2011

    2 심미라, "요양병원 간호사와 간호조무사의 직무만족과 자존감 및 간호업무성과에 관한 연구" 간호행정학회 16 (16): 446-454, 2010

    3 Prison, M., "What can we learn from international comparisons of costs by DRG?" The European Journal of Health Economics, in Press 2012

    4 Trocchi, P., "Thyroid cancer surgery in Germany: Ananalysis of the nationwide DRG statistics 2005-2006" 397 (397): 421-428, 2012

    5 Korea Association of Geriatric Hospital, "The job guidebook of long-term care hospitals" Innosolution 2010

    6 Tschannen, D., "The impact of nurse/physician collaboration on patient length of stay" 17 (17): 796-803, 2009

    7 Lotter, O., "Reimbursement of burnsby DRG in four European countries : an analysis" 37 (37): 1109-1116, 2011

    8 Woo, J. H., "Recognition on outcomes and change in nursing service after application of diagnosis related group system in long term care hospitals" Inha University 2008

    9 송정국, "Participation Determinants in the DRG Payment System of Obstetrics and Gynecology Clinics in South Korea" 대한예방의학회 43 (43): 117-124, 2010

    10 Rosenstein, A. H., "Medicare's value-based payment initiatives: Impact onand implications for improving physician documentation andcoding" 24 (24): 250-258, 2009

    11 Ministry of Health & Welfare, "Medical insurance fee of long-term care hospitals"

    12 Kim, J. H., "Long-term care hospital optimal payment is different from system according to ADL"

    13 Ryu, J. H., "Korean Medical Association, the opposite opinions in notice of legislation about obligation of 7 DRG"

    14 Cleverley, W. O., "Is there a cost associated with higher quality?" 65 (65): 96-102, 2011

    15 Heer, I. M., "Hospital treatment-Is it affordable? A structured cost analysis of vaginal deliveries and planned caesarean sections" 14 (14): 502-506, 2009

    16 Hamada, H., "Effects of the per diem prospective payment system with DRG-like grouping system(DPC/PDPS)on resource usage and healthcare quality in Japan" Health Policy, in Press 2012

    17 Health Insurance Review & Assessment Service, "Data related to job of DRG(BK6-2011)" Health Insurance Review & Assessment Service 2011

    18 Lee, S. J., "DRG-based prospective payment system on the view of clinician" 43 (43): 506-510, 2000

    19 손창우, "DRG 지불제도가 재원일수와 퇴원 후 외래방문일수에 미치는 영향: 2004-2007년도 제왕절개술을 중심으로" 대한예방의학회 44 (44): 48-55, 2011

    20 Kim, M. S., "Customers' dissatisfaction on hospital service-Focused on a tertiary medical center-" Yonsei University 2006

    21 Seo, H. G., "An investigation and a study on the degree of understanding of the nurses in some general hospitals on the payment system of medical examination and treatment fee" Kyunghee University 2000

    22 Department of Health Policy and Management, "A survey on opinions on the DRG reimbursement system" Ministry of Health & Welfare 2000

    23 Kang, S. Y., "A study on the professional self-concept of nurses working in the geriatric hospitals" Soonchunhyang University 2010

    24 Kim, E. S., "A study on the attitude of long-term care hospital nurses to elderly people and job satisfaction" Daegu Haany University 2009

    25 Ponqpirul, K., "A qualitative study of DRG coding practice inhospitals under the Thai universal coverage scheme" 11 : 71-, 2011

    26 Health Insurance Review & Assessment Service, "3rd year follow-up evaluation of long-term care hospitals"

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    연월일 이력구분 이력상세 등재구분
    2020 평가 계속평가 신청대상 (등재유지)
    2015-01-01 등재 우수등재학술지 선정 (계속평가)
    2013-12-01 학술지명변경 외국어명 : Korean Academy of Nursing Administration -> Journal of Korean Academy of Nursing Administration KCI등재
    2011-01-01 등재 등재학술지 유지 (등재유지) KCI등재
    2008-01-01 등재 등재학술지 선정 (등재후보2차) KCI등재
    2007-01-01 등재 등재후보 1차 PASS (등재후보1차) KCI등재후보
    2005-01-01 등재 등재후보학술지 선정 (신규평가) KCI등재후보
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    기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
    2016 2.98 2.98 2.75
    KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
    2.86 2.96 4.597 0.32
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