2018 Volume 55 Issue 2 Pages 89-98
We assessed the current state of the wage system for nurses in a multifaceted and quantitative manner with multiple-attribute utility technology. This study included the interested individuals of medical corporation B in A prefecture. The targeted wage system comprised seniority-based, duty-position-based, and performance-based wage categories, with 10 items for evaluation. Each item was assessed from several perspectives extended to macro levels:i.e., from the interested individual, to the organization, and finally to the level of the entire health industry. The results revealed the highest utility value was shown in a seniority-based wage category from interested individual and organization level perspectives;whereas, from the perspective of the macro level of the health industry, the highest utility value was shown in a duty-position-based wage category. As a result of reflecting external perspectives, such as those of patients, in the wage system as opinions of health service receivers to avoid a closed wage system reflecting only opinions of health service providers, it was suggested that the most reasonable wage system for nurses was a duty-position-based wage system.
