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간호·간병통합서비스 운영성과 및 향후 정책방향

Policy Issues and New Direction for Comprehensive Nursing Service in the National Health Insurance

간호행정학회지 2017년 23권 3호 p.312 ~ 322
김진현, 김성재, 박은태, 정수용, 이은희,
소속 상세정보
김진현 ( Kim Jin-Hyun ) - 서울대학교 간호대학
김성재 ( Kim Sung-Jae ) - 경복대학교 간호학과
박은태 ( Park Eun-Tae ) - 서울대학교 간호대학
정수용 ( Jeong Su-Yong ) - 서울대학교 간호대학
이은희 ( Lee Eun-Hee ) - 한림대학교 간호학부

Abstract


Purpose: This study was done to identify issues surrounding comprehensive nursing care within the national health insurance, analyze results and problems within national health insurance and to suggest new policy directions for stability.

Methods: A literature search was performed using RISS, KISS, PUBMED databases. Eighteen studies were analyzed.
Results: For implementation of comprehensive nursing care, there was improvement in nursing and in facilities. By improvement of structure, this new system showed positive outcomes in term of patient satisfaction and indicators related to patient safety. However, issues related to overload, job stress and evaluation of the system remain. In order to establish this system, staffing levels for nurses and nurse aids need to be adjusted to appropriate levels that reflect requirements for nursing. In addition, range of work needs to be determined clearly. Lastly, regular and systematic evaluation is needed to provide safe quality services to patients and to prevent waste of financial resources,

Conclusion: Comprehensive nursing care needs to be implemented in ways that patients can be provided with safe and high quality service. There is a need to resolve several issues to allow this new system to function.

키워드

간병통합서비스; 간호인력; 환자안전; 직무만족
Comprehensive nursing care; Nurse staffing; Patient safety; Job satisfaction

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