Abstract
[Aim] This study aimed to clarify problems associated with medical fees and ingenuity for the management of child-exclusive home visiting nursing stations’ manager, and to determine the appropriate medical fees for expanding and improving the medical care services for children.
[Method] We interviewed home visiting nursing stations that exclusively support children and conducted a qualitative analysis.
[Results] This study recognized seven categories of medical fee problems that home visit nursing stations’ managers caught: low levels of fees that do not reflect the complexity of care, the setting of long-term visiting nursing fees that do not reflect the needs, etc. As management measures for these problems, home visit nursing stations enacted five measures: preset fees for various services, cost reductions, the ingenuity to get the reward by combination with the welfare service, etc.
[Conclusion] The current system of medical fees for home care provided to children does not reflect the actual care given and required. The requests of the child-exclusive home visiting nursing stations’ managers need to be taken into account.
