중환자 전문간호행위에 대한 건강보험 상대가치 및 환산지수 개발

• Published in: Journal of Korean Academy of Nursing Vol. 41; no. 3; pp. 302 - 312
• Main Authors: 김진현, 김명애, 김미원, 김경숙, 유정숙, Kim, Jin-Hyun, Kim, Myung-Ae, Kim, Mi-Won, Kim, Kyung-Sook, Yoo, Cheong-Suk
• Format: Journal Article
• Language: Korean
• Published: 01.06.2011
• ISSN: 2005-3673; 2093-758X

Purpose: The purpose of this study was to develop a resource-based relative value scale (RBRVS) and its conversion factor for advanced nursing practices carried out by critical care nurse practitioners (CCNP) in intensive care units. Methods: The methodology was developed by calculating CCNP's RBRVS for 32 advanced nursing services based on CCNP's workload and time spent in the context of national health insurance. A cost analysis was performed to estimate the conversion factor of CCNP's RBRVS. The share of CCNP's contribution to fee-for-service in intensive care units was also analyzed. Results: Calculation of the RBRVS of 32 advanced nursing practices showed a range of points from 100.0 to 1,181.4 and an average of 296.1 points. The relevant conversion factor for advanced nursing practices in CCNP were estimated at 37.3-48.4 won. The contribution rate of CCNP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 0.1-31.3%. Conclusion: Measuring the economic value of advanced nursing services will be a basis for esta-blishing a reimbursement system for CCNP's practices and thus encourage a social demand for advanced nurse practitioners.