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Journal of Korean Academy of Nursing ; : 302-312, 2011.
Artículo en Coreano | WPRIM | ID: wpr-11046

RESUMEN

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.


Asunto(s)
Adulto , Humanos , Enfermería de Práctica Avanzada/economía , Costos y Análisis de Costo , Unidades de Cuidados Intensivos , Programas Nacionales de Salud , Enfermeras Practicantes/economía , Escalas de Valor Relativo , Carga de Trabajo
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