한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제22권1호
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  • Pages.11-26
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  • 2016
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  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
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OECD 병원 성과 프로젝트의 동향과 국내 시사점

Trend and Implication of OECD Hospital Performance Project

  • 박춘선 (건강보험심사평가원 심사평가연구소) ;
  • 최효정 (건강보험심사평가원 심사평가연구소) ;
  • 황수희 (건강보험심사평가원 심사평가연구소) ;
  • 임지혜 (건강보험심사평가원 심사평가연구소) ;
  • 김경훈 (건강보험심사평가원 국제협력단) ;
  • 김선민 (건강보험심사평가원 진료심사평가위원회)
  • Park, Choon-Seon (Health Insurance Review and Assessment Research Institute, Health Insurance Review and Assessment Service) ;
  • Choi, HyoJung (Health Insurance Review and Assessment Research Institute, Health Insurance Review and Assessment Service) ;
  • Hwang, Soo-Hee (Health Insurance Review and Assessment Research Institute, Health Insurance Review and Assessment Service) ;
  • Im, JeeHye (Health Insurance Review and Assessment Research Institute, Health Insurance Review and Assessment Service) ;
  • Kim, Kyoung-Hoon (Department of International Cooperation, Health Insurance Review and Assessment Service) ;
  • Kim, Sun-Min (Healthcare Review and Assessment Committee, Health Insurance Review and Assessment Service)
  • 투고 : 2016.05.11
  • 심사 : 2016.06.10
  • 발행 : 2016.06.30
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초록

The Organization for Economic Cooperation and Development, which has continuously evaluated the performance of healthcare systems, has recently invested much effort into hospital performance measurement. The purpose of this paper is to introduce the hospital performance measurement programs operated by international organizations or at the national level based on the OECD's hospital performance project. Health Insurance Review & Assessment service (HIRA)'s quality assessment was analyzed based on the analytical framework of the OECD's hospital performance project. The hospital performance measurement programs of WHO, Canada, Australia, United States and United Kingdom are briefly explored, in view of the conceptual framework, key performance dimensions and indicators that are currently in use. The OECD suggested seven key dimensions of hospital performance: timeliness, efficiency, continuity, effectiveness and appropriateness, staff orientation, patient orientation and safety. The analysis of the quality assessment program of HIRA, which operates 36 diseases and procedures and 347 indicators, shows that the numbers of indicators are relatively small in the areas of safety, patient centeredness and efficiency. Continuity of care and staff orientation are not fully developed also, but the situations are similar in other countries. In conclusion, hospital performance measurement using stable and comprehensive data should be developed to improve overall system performance, and discussions on a conceptual framework that can lay out directions and key performance domains need to take into place.

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참고문헌

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