가감지급사업에 대한 요양병원의 인식도 조사

Awareness of long-term care hospital on pay-for-performance

  • Lee, Jin Yong (Department of Preventive Medicine, College of Medicine, Konyang University) ;
  • Lee, Sang-Il (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Son, Woo-Seung (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Kim, Hyun Joo (Department of Public Health, The Graduate School of Konyang University) ;
  • Ock, Minsu (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Jo, Min-Woo (Department of Preventive Medicine, University of Ulsan College of Medicine)
  • 투고 : 2013.01.08
  • 심사 : 2013.03.20
  • 발행 : 2013.03.30

초록

The purpose of this study was to investigate the awareness of long-term care hospitals on pay for performance(P4P) program in Korea. We conducted a cross-sectional, self-administered, the internet based survey from September to October in 2010. The questionnaire was consisted of the levels of awareness and agreement about the program, their preferred design and its possible effects and unintended consequences etc. Among 837 eligible long-term care hospitals in Korea, 114 hospitals(13.6%) were participated in the survey. About one-thirds of long-term care hospitals were not aware of P4P, namely it is important to heighten an awareness of P4P. There were pros and cons on introduction of P4P in Korea. The two major reasons of objections of P4P were the concerns of unintended consequences and the possibility of strengthening government control by implementing P4P. In conclusion, to successfully implement P4P to long-term care hospitals, the Health Insurance Review & Assessment Service(HIRA) in Korea should obtain the long-term care hospitals'opinion as to implementation of P4P.

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