• KANAD
  • Contact us
  • E-Submission
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Original Article

Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG

Journal of Korean Academy of Nursing Administration 2012;18(2):176-188.
Published online: June 30, 2012

1Nurse, Maru Silver Hospital, Korea.

2Assistant Professor, Chosun University, Korea.

Correspondence: Kyeha Kim. Department of Nursing, Chosun University 375 Seosuk-dong, Dong-gu, Gwangju, 501-759, Korea. Tel: 82-62-230-6326, Fax: 82-62-230-6329, kyehakim@hanmail.net
• Received: April 6, 2012   • Revised: May 6, 2012   • Accepted: May 6, 2012

Copyright © 2012 Korean Academy of Nursing Administration

  • 13 Views
  • 0 Download
  • 2 Crossref
prev next
  • Purpose
    The purpose of this study was to examine nurses' cognition of the diagnosis related group (DRG) in long-term care hospitals and changes in nursing care after application of the DRG system.
  • Method
    This study was a descriptive survey involving 161 nurses working in 12 long-term care hospitals located in Gwangju city and Chonnam area. Data were analyzed using the SPSS 18.0 version program. Data analyses utilized descriptive test, chi-square test, Fisher's exact probability test, t-test, and one-way ANOVA.
  • Result
    There was no change in cognition of DRG in 55.3% of the nurses, and 26.1% takes to 'change positively'. More than half of the respondents (57.8%) agreed to the application of DRG. After application of DRG, the nurses responded 'there were changes in nursing care' in 23 of the 25 care items. Two items had an increase in nursing care.
  • Conclusions
    No distinct changes in nursing care were evident after DRG application. Therefore, there is need to provide education programs related to DRG for nurse in long-term care hospitals.

This article is a based on a part of the first author's master's thesis from Chosun University.

  • 1. Cleverley WO, Cleverley JO. Is there a cost associated with higher quality? Healthc Financ Manage. 2011;65(1):96-102.
  • 2. Department of Health Policy and Management. A survey on opinions on the DRG reimbursement system (11-1460000-000171-14). 2000;06;Seoul, Ministry of Health & Welfare.
  • 3. Hamada H, Sekimoto M, Imanaka Y. Effects of the per diem prospective payment system with DRG-like grouping system (DPC/PDPS) on resource usage and healthcare quality in Japan. Health Policy. 2012;in Press.
  • 4. Health Insurance Review & Assessment Service. Data related to job of DRG (BK6-2011). 2011a;Seoul, Health Insurance Review & Assessment Service.
  • 5. Health Insurance Review & Assessment Service. 3rd year follow-up evaluation of long-term care hospitals. 2011b;09 29 March 23, 2012. Retrieved from http://www.hira.or.kr/dummy.do?pgmid=HIRAA020002000000&cmsurl=/cms/notice/01/1208082_13357.html
  • 6. Heer IM, Kahlert S, Rummel S, Kümper C, Jonat W, Strauss A. Hospital treatment-Is it affordable? A structured cost analysis of vaginal deliveries and planned caesarean sections. Eur J Med Res. 2009;14(11):502-506.
  • 7. Kang SY. A study on the professional self-concept of nurses working in the geriatric hospitals. 2010;Asan, Soonchunhyang University. Unpublished master's thesis.
  • 8. Kim ES. A study on the attitude of long-term care hospital nurses to elderly people and job satisfaction. 2009;Daegu, Daegu Haany University. Unpublished master's thesis.
  • 9. Kim JH. Long-term care hospital optimal payment is different from system according to ADL. 2011;12 15 March 23, 2012. Retrieved from http://doc3.koreahealthlog.com/news/ newsview.php?newscd=2011121400025
  • 10. Kim MS. Customers' dissatisfaction on hospital service-Focused on a tertiary medical center-.. 2006;Seoul, Yonsei University. Unpublished master's thesis.
  • 11. Kim YB. A study on evaluation and improvement of long-term care hospitals for changing long-term care hospital fee system. Korean J Health Serv Manag. 2011;5(2):105-117.
  • 12. Korea Association of Geriatric Hospital. The job guidebook of long-term care hospitals. 2010;Seoul, Innosolution.
  • 13. Lee SJ. DRG-based prospective payment system on the view of clinician. J Korean Med Assoc. 2000;43(6):506-510.
  • 14. Lotter O, Jaminet P, Amr A, Chiarello P, Schaller HE, Rahmanian-Schwarz A. Reimbursement of burns by DRG in four European countries: an analysis. Burns. 2011;37(7):1109-1116.
  • 15. Ministry of Health & Welfare. Medical insurance fee of long-term care hospitals. 2007;10 22 June 23, 2012. Retrieved from http://www.kha.or.kr:8080/pgbuilder/cgi/board/main.asp?code=dept21&mode=v&num=1182&page=93&s=&sw=&c=
  • 16. Pongpirul K, Walker DG, Winch PJ, Robinson C. A qualitative study of DRG coding practice in hospitals under the Thai universal coverage scheme. BMC Health Serv Res. 2011;11:71.
  • 17. Prison M, Schenker L, Martins D, Dunq D, Chalé JJ, Leclercq P. What can we learn from international comparisons of costs by DRG? Eur J Health Econ. 2012;in Press.
  • 18. Rosenstein AH, O'Daniel M, White S, Taylor K. Medicare's value-based payment initiatives: Impact on and implications for improving physician documentation and coding. Am J Med Qual. 2009;24(3):250-258.
  • 19. Ryu JH. Korean Medical Association, the opposite opinions in notice of legislation about obligation of 7 DRG. 2012;03 23 March 23, 2012. Retrieved from http://doc3.koreahealthlog.com/ news/newsview.php?newscd=2012032300010
  • 20. Seo HG. An investigation and a study on the degree of understanding of the nurses in some general hospitals on the payment system of medical examination and treatment fee. 2000;Seoul, Kyunghee University. Unpublished master's thesis.
  • 21. Shon C, Chunq S, Yi S, Kwon S. Impact of DRG payment on the length of stay and the number of outpatient visits after discharge for caesarean section during 2004-2007. J Prev Med Public Health. 2011;44(1):48-55.
  • 22. Sim MR, Kim KH. Job satisfaction, self-esteem, and nursing task performance among registered nurses and nurse assistants in long-term care hospitals. J Korean Acad Nurs Adm. 2010;16(4):446-454.
  • 23. Song JK, Kim CY. Participation determinants in the DRG payment system of obstetrics and gynecology clinics in South Korea. J Prev Med Public Health. 2010;43(2):117-124.
  • 24. Trocchi P, Kluttiq A, Dralle H, Sekulla C, Biermann M, Stanq A. Thyroid cancer surgery in Germany: An analysis of the nationwide DRG statistics 2005-2006. Langenbecks Arch Surg. 2012;397(3):421-428.
  • 25. Tschannen D, Kalisch BJ. The impact of nurse/physician collaboration on patient length of stay. J Nurs Manag. 2009;17(7):796-803.
  • 26. Woo JH. Recognition on outcomes and change in nursing service after application of diagnosis related group system in long term care hospitals. 2008;Incheon, Inha University. Unpublished master's thesis.
Table 1
General Characteristics and Characteristics related to DRG (N=161)
jkana-18-176-i001.jpg

*DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

Table 2
Nurses' Cognition of Diagnosis Related Group (DRG) (N=161)
jkana-18-176-i002.jpg
Table 3
Changes in Nursing Care after Application of DRG (N=161)
jkana-18-176-i003.jpg
Table 4
Change in Cognition of Diagnosis Related Group (DRG) according to General Characteristics and Characteristics related to DRG (N=161)
jkana-18-176-i004.jpg

*DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

Table 5
Changes in Nursing Care after Application of DRG according to General Characteristics and Characteristics related to DRG (N=161)
jkana-18-176-i005.jpg

*DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Changes in Public Hospital Employees’ Perceptions Following the Introduction of the New Diagnosis-Related Groups (DRG)-Based Payment System in the Republic of Korea
      Hyun Joo Kim, Jin Yong Lee
      Quality Improvement in Health Care.2021; 27(2): 30.     CrossRef
    • Influence of Professional Self-concept, Self-leadership on Elderly Care Performance of Geriatric Hospital Nurses
      Jung Mi Ryu, Myoung Soo Kim
      Journal of Health Informatics and Statistics.2016; 41(4): 392.     CrossRef

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG
    J Korean Acad Nurs Adm. 2012;18(2):176-188.   Published online June 30, 2012
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG
    J Korean Acad Nurs Adm. 2012;18(2):176-188.   Published online June 30, 2012
    Close
    Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG
    Nurses' Cognition of Diagnosis Related Group (DRG) in Long-term Care Hospitals and Changes in Nursing Care after Application of DRG

    General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Nurses' Cognition of Diagnosis Related Group (DRG) (N=161)

    Changes in Nursing Care after Application of DRG (N=161)

    Change in Cognition of Diagnosis Related Group (DRG) according to General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Changes in Nursing Care after Application of DRG according to General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Table 1 General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Table 2 Nurses' Cognition of Diagnosis Related Group (DRG) (N=161)

    Table 3 Changes in Nursing Care after Application of DRG (N=161)

    Table 4 Change in Cognition of Diagnosis Related Group (DRG) according to General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    Table 5 Changes in Nursing Care after Application of DRG according to General Characteristics and Characteristics related to DRG (N=161)

    *DRG=Diagnosis Related Groups; ICU=Intensive Care Unit; EMR=Electronic Medical Record

    TOP