Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Status of the Development and Utilization of Critical Pathways in Medical Institutions in South Korea

국내 의료기관의 표준진료지침 개발 및 운영 현황

  • Oh, In-Ohg (Office of Performance Improvement, National Health Insurance Service Ilsan Hospital) ;
  • Chang, Tae-Ik (Department of Clinical Research, National Health Insurance Service Ilsan Hospital) ;
  • Kim, Hyun-Jin (Office of Performance Improvement, National Health Insurance Service Ilsan Hospital) ;
  • Han, Jung-Mi (Department of Smart Hospital Innovation, National Health Insurance Service Ilsan Hospital) ;
  • Lee, Chun-Kyon (Department of Clinical Research, National Health Insurance Service Ilsan Hospital)
  • 오인옥 (국민건강보험 일산병원 적정진료지원부) ;
  • 장태익 (국민건강보험 일산병원 연구소) ;
  • 김현진 (국민건강보험 일산병원 적정진료지원부) ;
  • 한정미 (국민건강보험 일산병원 스마트병원 혁신부) ;
  • 이천균 (국민건강보험 일산병원 연구소)
  • Received : 2022.01.05
  • Accepted : 2022.04.12
  • Published : 2022.06.30
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Abstract

Purpose: This study assessed the status of the Development and Utilization of critical pathways (CP) in South Korea. Methods: We surveyed 195 hospitals obtained on the Korean Hospital Association website. Data were collected using structured questionnaires for staff members in charge of CP management personnel in these hospitals. The questionnaire included CP developed by the institutions, the coverage rates and completion rates of CP in the current year, and management indicators related to CP. The questionnaire also included CP support systems and content within the institutions and questions regarding the advantages of CP utilization and obstacles associated with the CP development process. Results: Analysis of the responses from 70 hospitals (35.9% response rate) showed that a total of 1,370 CP sets were developed. The number of CP related to surgery departments was 365 (26.6%), and CP related to surgery and procedure was 1,093 (79.8%), respectively. The CP coverage rate was the most frequently used indicator to monitor the effect of CP (97.1%), followed by the completion rate (90.0%) and the length of stay in hospital (61.4%). CP managers reported that CP were highly useful for communication (3.39±0.493) and accurate information provision (3.39±0.491). The perception that CP violated doctors' autonomy in treatment was relatively low (2.87±0.645). Conclusion: It is necessary to establish an infrastructure in hospitals for CP. CP can facilitate communication and provide accurate information.

Keywords

Acknowledgement

This Work was supported by National Health Insurance Service Ilsan Hospital grant NHIMC2019CR062

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