의료기관들의 인증평가 준비와 비용지출에 대한 실태분석

An Analysis of Accreditation Preparation Process and Costs in Hospitals

  • 김민지 (이화여자대학교 대학원 의과학과) ;
  • 정유민 (이화여자대학교 대학원 의과학과) ;
  • 김경숙 (호남대학교 간호학과) ;
  • 이선희 (이화여자대학교 의과대학 예방의학교실)
  • Kim, Minji (Department of Medical Science, Ewha Womans University The Graduate School) ;
  • Jung, Yumin (Department of Medical Science, Ewha Womans University The Graduate School) ;
  • Kim, Kyungsook (Department of Nursing, Honam University) ;
  • Lee, Sunhee (Department of Preventive Medicine, Ewha Womans University School of Medicine)
  • 투고 : 2015.08.20
  • 심사 : 2015.09.15
  • 발행 : 2015.09.30

초록

While the influence of healthcare accreditation system to the quality improvement of hospitals has more increased, regarding the preparation costs for healthcare accreditation, it has never been empirically studied about the costs that are actually invested by hospitals. This study is going to determine the difficulties in the preparation process of accreditation and details of accreditation preparation costs for hospitals that participated in the healthcare accreditation system and acquired accreditation. The survey was performed in a self-reported form from February 28 to March 21 2014 for 189 acute hospitals accredited as a hospital from 2011 to February 2014. Of all questionaries of survey participants, 98 were recovered; the response rate was 51.9%. A total of 40 questionnaires were used except for 58 containing insincere answers. Main findings are followings: Firstly, findings showed that advanced general hospitals spent the most statistically significantly highest in terms of equipments and total costs among cost items for accreditation preparation. When accreditation preparation costs items were classified according to classification of hospitals, advanced general hospitals spent the most statistically significantly highest in the equipments and total costs. Also in terms of regional, Gyeonggi, Incheon regions were found to spend statistically significantly higher costs in the equipments costs. Secondly, as a result of the survey in the distribution of the total accreditation preparation costs, advanced general hospitals have disbursed the most out of all. However, the result in hospitals does not show significant difference to the expense of advanced general hospitals and that especially other regional hospitals spent higher costs. As such, all hospitals are under a heavy burden of higher costs on accreditation preparation, especially hospitals. The build-up of infrastructures by hospitals through an accreditation system consequently led to a higher initial investment; if the accreditation system is effective in improving the quality of health care and patient safety, appropriate responses are needed. In other words, financial support for investment costs needs to be given to allow hospitals to actively participate in the accreditation system.

키워드

참고문헌

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