J Korean Soc Parenter Enter Nutr.
2013 Dec;5(3):122-129. 10.15747/jkspen.2013.5.3.122.
Analysis of Dietitians' Views on Insurance Fee for Enteral Nutrition in Seoul Hospital
- Affiliations
-
- 1Department of Nutrition, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. hji0224@cmcnu.or.kr
- 2Department of Surgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
- KMID: 2321867
- DOI: http://doi.org/10.15747/jkspen.2013.5.3.122
Abstract
- PURPOSE
Enteral nutrition is an efficient method of providing nutrition, which has significant clinical advantages. However, it presents difficulties of ensuring an adequate supply and management because meal wages are insurance-inclusive. By understanding the management status of enteral nutrition in hospitals in Seoul and seeking the opinions of experienced nutritionists on government-paid meal wages, we acquired basic data for review of patient meal wages and the insurance system.
METHODS
Investigation of medical institutions in Seoul was performed through a survey conducted from October 15 to October 31 2012. Twenty-eight questionnaires on the current situation and 103 questionnaires on individual opinions were analyzed. Descriptive analysis, chi-square test, and ANOVA were performed using PASW Statistics 18.0.
RESULTS
Regarding satisfaction with enteral nutrition, 93.0% reported that the major complication was diarrhea. Among the list of difficulties in case of complications, lack of diversity was 56.1%. The No. 1 influence in selection of enteral nutrition was 'Cannot use expensive products because of insufficient medical fees,' at 45.0%, while No. 2 was 'Cannot use a variety of products because of insufficient medical fees' at 26.3%. No. 1 in needs for improvement of enteral nutrition was 'modifications and complements to insurance fee,' at 43.0%, No. 2 was 'pricing by volume' at 26.0%. More than 98% of respondents answered that systematic development of insurance fees for enteral nutrition according to type of hospital and management was needed.
CONCLUSION
Development of various products and multiple team activities through the Nutrition Support Team are needed for the efficient supply of enteral nutrition. In addition, the revision of cost reimbursement for health insurance by understanding the current status, suggesting an appropriate level of enteral nutrition supply at a government level and providing systematic procedures, including continuous evaluation tools and management, are urgently needed.
