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요양병원형수가제 전환에 대한 요양병원의 평가 및 개선방안 연구

A Study on Evaluation and Improvement of Long-term Care Hospitals for Changing Long-term Care Hospital Fee System

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초록

The purpose of this study is to investigate evaluation and improvement of long-term care hospitals for changing long-term care hospitals fee system. Data were collected from 104 CEOs in nationwide long-term care hospitals using structured self-administered questionnaires during August 17 to 31, 2009. Major results of the empirical analysis are as follows; first, to change fixed sum medical fee per day caused to decline the level of geriatric service in 87% of CEOs. Second, 79% of CEOs were dissatisfied with changing fixed sum medical fee per day, and 47% of them were dissatisfied with graded fee for doctor and nurse management. Finally, they suggested that to specialize and to differentiate of long-term care hospitals will drive to improve long-term care hospitals function and to measure workforce based on rate of filled vacancies will increase efficiency and productivity of doctor and nurse management.

Abstract

The purpose of this study is to investigate evaluation and improvement of long-term care hospitals for changing long-term care hospitals fee system. Data were collected from 104 CEOs in nationwide long-term care hospitals using structured self-administered questionnaires during August 17 to 31, 2009. Major results of the empirical analysis are as follows; first, to change fixed sum medical fee per day caused to decline the level of geriatric service in 87% of CEOs. Second, 79% of CEOs were dissatisfied with changing fixed sum medical fee per day, and 47% of them were dissatisfied with graded fee for doctor and nurse management. Finally, they suggested that to specialize and to differentiate of long-term care hospitals will drive to improve long-term care hospitals function and to measure workforce based on rate of filled vacancies will increase efficiency and productivity of doctor and nurse management.

참고문헌 (9)

  1. 요양병원형 수가제도, "건강보험심사평가원", 3~26 (2007)
  2. 송현종, "요양병원의 현황과 정책과제", HIRA 정책동향, 5(3), pp.5~13 (2011)
  3. 노용균, "노인장기요양보호를 위한 요양병원과 요양시설의 역할 정립 필요성", HIRA 정책동향, 5(3), pp.23~33 (2011)
  4. 염민섭, "요양병원 건강보험수가 개선방안", 2009년도 대한노인요양병원협의회 춘계 학술세미나 연제집, pp.131~141 (2009)
  5. 김덕진, "노인요양병원의 제도적 문제점과 개선방안", 대한병원협회지, 321, pp.9~16 (2009)
  6. 서영준, "요양병원과 요양시설의 역할 정립 방안", 건강보장정책, 8(2), pp.140~153 (2009)
  7. 김영배, "요양병원의 발전방향", 대한병원협회 창립50주년기념 병원관리종합학술대회, pp.783~815 (2009)
  8. 2008년 인구부문 전수집계결과, "통계청", ~ (2009)
  9. 2010년 인구부문 전수집계결과, "통계청", ~ (2011)

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