頁籤選單縮合
題名 | 全民健保支付制度與護理費 |
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作者 | 陳玉枝; 廖張京棣; 呂月榮; | 書刊名 | 榮總護理 |
卷期 | 12:1 1995.03[民84.03] |
頁次 | 頁87-96 |
分類號 | 419.45 |
關鍵詞 | 全民健保; 護理人力成本; 護理費; National health insurance; Nursing fee; Nursing cost; |
語文 | 中文(Chinese) |
中文摘要 | 全民健保即將實施,護理人員多年以來一直關心的護理費給付問題,是否能在全民健何規劃中獲得一線希望?由於護理人力成本影響醫療費用至鉅,是訂定給付標準爭論的關鍵。從支付制度規劃草案中瞭解,護理費仍包含在住院基本照護費中,未明列一項獨立的收費項目。中華民國護理師護士公會全國聯合會於歷經八次的全民健保醫療費用支付標準座談會中爭取,及多次函請健保局籌備處,建請明訂護理費之給付,終於在第八次座談會中,獲得肯定的結論。在門診診察費給付每人次180點中說明含護理費23-32點,最後公佈支付標準表中,門診診療費給付改支每人次220點,護理費隨著調為28-37點,其他各類診費調高者,護理費點數也依相對值調整。住院照護費分一般病房之住院照護費給付點數,護理費佔50%,加護病房、燒傷中心等給付點數護理費佔60%。不僅給護理專業人員有所定位,筲定護理人員的貢獻,更可作為醫院管理者在醫療資源分配及績效管理的參考。 |
英文摘要 | The National Health Insurance System will soon be implemented. Nursing professionals have been concerned about payments to the nursing service during the past several years because the nursing labor cost is the significant proportion of the medical cost and an important factor in the payment system. Unfortunately, the draft of the National Health Insurance payment system dose not include a fee for nursing, but includes it in the basic admission fee. Consequently, the representative of the National Union of Nurses Association, R.O.C. has attended that past eight National Health Insurance Medical Payment Meetings and submitted a proposal requesting inclusion of a separate nursing fee. The proposal's conclusion is: in clinic payments include nursing fee of 28-37 points; the admission fee includes 50% of the nursing fee; and the intensive unit and burn unit include 60% of the nursing fee. This recommendation not only approves the contribution of the nursing profession, but also provides the data for resource allocation and performance management to the hospital administrator. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。