[중요] 원가관념에 의한 가정간호수가
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작성일 23-02-03 23:39
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Download : 원가개념에 의한 가정간호수가 산정모델.hwp
가정간호서비스별 원가는 먼저 가정간호부문의 원가를 구한 다음 이를 원가요소의 characteristic(특성)에 따라 서비스행위별로 배분하여 산정되며, 이를 다시 현행 의료保險수가체계에 맞도록 재구성하여 기술료, 재료대, 기본진료료 등의 원가를 구한다. 고려대 경영학과를 졸업하고 서울대 보건대학원에서 보건행정을 전공하였으며 세계보건기구(WHO)의 research fellow로 미시건대 보건대학원에서 병원행정을 연구하였다.
P=NR/∑RVi×ni
순서
산정모델
The costs per unit service should be transformed into the relative values. The price of the unit value is produced by deviding required revenues needed to perform the home health care activities with what aggregated relative values. The formula to produce the fees of home health care is as follows :
Download : 원가개념에 의한 가정간호수가 산정모델.hwp( 37 )
원가개념에 의한 가정간호수가 산정모델 [참고자료] 1. 김모임(1990). 가정간호사의 역할과 전망, 학술세미나보고서, 연세대학교 간호대학부설 간호학연구소 및 연세대학교 보건대학원 2. 조우현(1990). 종합병원에서의 가정간호 운영전략, 학술세미나보고서, 연세대학교 간호대학 부설간호학연구소 및 연세대학교 보건대학원 3. 성익제(1985). 행위별진료수가의 상대치 설정 및 수가구조에 관한 연구, 대학병원협회지. 4. American Hospital Association(1968) . Cost finding and rate setting for hospitals. 5. Allen G. Herkimer(1978) . Understanding hospital financial management. ASPEN Systems Corporation. 영문초록 : The reimbursement system for nursing services needs to be set up before beginning of the home health care system. One thing we should consider as a premise in developing a reimbursement system for home health care is that the fee-schedule of home health care should be based on the cost of unit service, since the medical reimbursement system in Korea basically depends upon the concept of `fees for service` A model for the development of the fee schedule was designed to make some contribution to the reimbursement system for home health care, which should be prepared before the enhancement of a new system. The model is composed of three processes as follows : cost finding of the home health care department, cost computation by service of health care, development of the fee-schedule. 1. Cost finding of the home health care department The home health care department can be defined as a major cost center producing revenues. The costs of home health care department consist of the individual costs produced in more than two departments at the same time and, therefore, should be distributed to the home health care department by certain distribution rate, and the costs which are distributed from the auxiliary departments. 2. Cost computation by service of health care The services where the costs are finally aggregated to should be defined. The direct costs which can be found by service are rendered directly to the corresponding services and the indirect costs which cannot be recognized should be distributed to by the distribution rate. Lastly, the costs which were passed over from the auxiliary are added to. 3. Development of the fee-schedule The costs per unit service should be transformed into the relative values. The price of the unit value is produced by deviding required revenues needed to perform the home health care activities with what aggregated relative values. The formula to produce the fees of home health care is as follows : Fi=RVi×P P=NR/∑RVi×ni Fi : the fee of service I RVi : relative values of service I P : unit price of RV I NR : required revenues Ni : expected number of cases of service I in a year
NR : required revenues
[참고자료(資料)] 1. 김모임(1990). 가정간호사의 역할과 展望(전망) , 학술세미나보고서, 연세대학교 간호대학부설 Nursing 연구소 및 연세대학교 보건대학원
Fi : the fee of service I
The services where the costs are finally aggregated to should be defined. The direct costs which can be found by service are rendered directly to the corresponding services and the indirect costs which cannot be recognized should be distributed to by the distribution rate. Lastly, the costs which were passed over from the auxiliary are added to.
2. 조우현(1990). 종합병원에서의 가정간호 운영전략, 학술세미나보고서, 연세대학교 간호대학 부설Nursing 연구소 및 연세대학교 보건대학원
원가개념에 의한 가정간호수가
Ni : expected number of cases of service I in a year
P : unit price of RV I
Fi=RVi×P
3. 성익제(1985). 행위별진료수가의 상대치 설정 및 수가구조에 관한 연구, 대학병원협회지.
저자說明(설명) :
가정간호수
1. Cost finding of the home health care department
3. Development of the fee-schedule
4. American Hospital Association(1968) . Cost finding and rate setting for hospitals.
다. 현재의 행위별수가제도 하에서 가정간호수가는 행위별원가를 근거로 하여 설정되는 것이 바람직하다.
The home health care department can be defined as a major cost center producing revenues. The costs of home health care department consist of the individual costs produced in more than two departments at the same time and, therefore, should be distributed to the home health care department by certain distribution rate, and the costs which are distributed from the auxiliary departments.
국문초록 :
2. Cost computation by service of health care
5. Allen G. Herkimer(1978) . Understanding hospital financial management. ASPEN Systems Corporation.
[중요] 원가관념에 의한 가정간호수가
가정간호수가제도 도입을 위해서는 이를 뒷받침할 의료수가가 구비되어야 한다. 병원재무관리에 관심이 많으며, 특히 병원원가계산과 의료수가, 경영分析, 물자관리 등에 관한 연구논문이 많다. 가정간호수가는 가정간호사업을 통하여 확보해야 할 필요수익을 기간 중 애상되는 가정간호행위별 상대치의 적수로 나누어 산출한 상대치 단위당 금액에 행위별 상대치를 곱하여 산정한다.레포트 > 기타
RVi : relative values of service I
The reimbursement system for nursing services needs to be set up before beginning of the home health care system. One thing we should consider as a premise in developing a reimbursement system for home health care is that the fee-schedule of home health care should be based on the cost of unit service, since the medical reimbursement system in Korea basically depends upon the concept of `fees for service`
영문초록 :
설명
A model for the development of the fee schedule was designed to make some contribution to the reimbursement system for home health care, which should be prepared before the enhancement of a new system. The model is composed of three processes as follows : cost finding of the home health care department, cost computation by service of health care, development of the fee-schedule.
원가관념에 의한 가정간호수가
한국생산성본부 경영진단원 및 서울대병원부설 병원연구소 책임연구원과 한국의료관리연구원의 연구위원을 거쳐 현재 대한병원협회 기획관리실장으로 재직 중이다. 본고에서는 가정간호서비스에 대하여 행위별원가계산 및 수가산정모델을 제시하였다.
