Optimal Nursing Workforce and Financial Cost to Provide Comprehensive Nursing Service in the National Health Insurance System
2017
This study estimated the optimal nursing workforce and financial costs of providing comprehensive nursing
services at hospitals under the national health insurance system. Data on registered nurses, nursing aids, medical
institutions, and number of patients were obtained from the Health Insurance Review and Assessment Service. The
optimal size of the nursing workforce was calculated using the workload model. A bottom-up approach was used to
estimate the annual total financial cost of comprehensive nursing services. The number of registered nurses and
nursing aids would need to be increased by 81.75% and 83.23%, respectively, in order to fully apply comprehensive
nursing care on a national scale. The additional financial costs for comprehensive nursing services at all hospitals was
estimated to be as much as 110.39% of the current cost. For the comprehensive nursing service, nurses with a career
and newcomers need to be retained at their hospitals, and the validity of the nurse-patient ratio should be continuously
checked. The financial shock to the national health insurance system could be minimized by gradually extending the
system to all hospitals.
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