保険外訪問看護の価格設定に対する訪問看護ステーション管理者の見解

抄録

<Background> The diversification of user needs in recent years has led to an increase in the number of home-visit nursing stations that provide uninsured services. However, these services remain largely unknown. Therefore, we aimed to explore the administrators' perspectives on pricing for these services.

<Methods> Managers of home-visit nursing stations in Japan were interviewed about uninsured services. The audio data were transcribed verbatim, and the narratives related to pricing were thematically categorized.

<Results> Twelve were interviewed (response ratio: 15.6%). The prices for uninsured services ranged from 0 to 20,000 yen. Pricing decisions were based on factors such as “Pricing aligned with the system” and “Pricing considering the user's burden”. However, factors like “Guilt over pricing” and “Insufficient service provision systems” led to “Modest awareness and publicity”.

<Conclusions> A pricing system that balances supply and demand, along with a service framework that facilitates easier access to uninsured services, is needed.