의료기관 환자안전과 환자중심성 간 관계 연구

A Study on the Relationship between Patient Safety and Patient-Centeredness in Hospitals

  • 국선표 (건강보험심사평가원) ;
  • 강제구 (연세대학교 일반대학원 보건행정학과) ;
  • 이광수 (연세대학교 일반대학원 보건행정학과)
  • Kook, Sun-Pyo (Health Insurance review & Assessment Service) ;
  • Kang, Jegu (Department of Health Administration, Yonsei University Graduate School) ;
  • Lee, Kwang-Soo (Department of Health Administration, Yonsei University Graduate School)
  • 투고 : 2022.09.15
  • 심사 : 2022.09.29
  • 발행 : 2022.09.30

초록

Purposes: This study purposed to analyze the relationship between patient safety and patient-centerendess. Methodology: The comprehensive scores from patient safety assessment program and patient experience survey conducted by Health Insurance Review & Assessment Service were used as independent variables and dependent variables. This study analyzed the relationship between 4 patient safety-related areas(i.e. risk standardized readmission ratio, intensive care unit, preventive antibiotic, the drug evaluation) and 6 patient experience areas(i.e. nurse services, doctor services, medication & treatment, hospital environment, patient's right, overall experience) by using robust regression analysis. Findings: According to results, the score in 'patient's right' and 'risk standardized readmission ratio' areas were found to have a significant relationship, and 'overall experience' and the 'preventive antibiotic' areas. The ratio of senior beds and specialists was a general characteristics of hospitals that had a significant relationship on patient experience assessment. Practical Implication: The relationships between patient safety and patient experience assessment were varied depending on areas. Further study is needed to make clear the supposed relationship.

키워드

참고문헌

  1. Kim H. N, Choi Y. S, Moon S. J, Shin J. W. Review of Reliability and Validity of Medical Service Experience Survey: Focused on the Differences by Type of Medical Institutions. Health Policy and Management(2022); 32(1): 94-106. https://doi.org/10.4332/KJHPA.2022.32.1.94
  2. Kim. Y. Changes in patient-centered medical services: focused on improvements on communication between doctors and patients. Journal of Science & Technology Studies(2013); 13(2): 71-110.
  3. Sacristan J. A. Patient-centered medicine and patient-oriented research: improving health outcomes for individual patients. BMC medical informatics and decision making(2013); 13(1): 1-8. https://doi.org/10.1186/1472-6947-13-6
  4. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. IOM(Institute of Medicine)(2001): 1-316.
  5. Arah O. A, Westert G. P, Klazinga N. S. A conceptual framework for the OECD Health Care Quality Indicators Project. International journal for quality in health care(2006); 18(1): 5-13. https://doi.org/10.1093/intqhc/mzl024
  6. Do. Y. K, Kim. J. E, Lee. J. Y, Lee. H. Y, Jo. M. W, Kim. U. N, et al. Study on the development of patient-centeredness assessment model. Health Insurance Review & Assessment Service, Seoul National University Research and Development Business Foundation(2015); 1-227
  7. Her E. K, Ahn S. Y, Kim K. H. A Study on Patient Experience Assessment of Appropriate Outpatient Medical Services of a University Hospital. Journal of the Korean Academia- Industrial cooperation Society(2019); 20(10): 351-357.
  8. Baek O. J, Shin S. H. The Moderating Effect of Patient Safety Knowledge in the Relationship between Patient Experiecne and Patient Safety Perception for Patients in Primary Care Institutions. Korean Journal of Adult Nursing(2021); 33(4): 387-398. https://doi.org/10.7475/kjan.2021.33.4.387
  9. Do Y. K. 환자경험평가를 통한 환자중심성 향상: 근거, 의의, 과제. HIRA Research(2017); 11(3): 7-24.
  10. Han S. K, Kim, T. H. What Hospital Characteristics Influence the Patient Experiences. Public Health Affairs(2019); 3(1): 121-132. https://doi.org/10.29339/pha.3.1.121
  11. Choi J. Y, Seo S. K. Hospital-Level Factors Associated with Patients' Experience with Inpatient Care. Health and Social Welfare Review(2020); 40(4): 584-610. https://doi.org/10.15709/HSWR.2020.40.4.584
  12. Kim M. Effects of integrated nursing care service on patient experience [dissertation]. Seoul: Yonsei University; 2020.
  13. Seon J. Y, Kim K. Y, Kim J. H. 이상치 탐색을 위한 통계적 방법과 활용 방안. Health Insurance Review and Assessment Service(2019); 1-91.
  14. Jang S. H, Yoon J. Y, Chun H. J. A comparison study of various robust regression estimators using simulation. The Korean Jourmal of Applied Statistics(2016); 29(3): 471-485. https://doi.org/10.5351/KJAS.2016.29.3.471
  15. Kim. M. H, Kim. H. S, Hwang. S. H. Developing a Hospital-Wide All-Cause Risk-Standardized Readmission Measure Using Administrative Claims Data in Korea: Methodological Explorations and Implications. Health Policy and Management (2015); 25(3): 197-206. https://doi.org/10.4332/KJHPA.2015.25.3.197
  16. Oh. H. J, Y. S. H. Association Between Unplanned and Planned Readmissions an University Hospital. Journal of Korean Society of Quality Assurance in Health Care(1997); 4(2); 242-259.
  17. Han. D. S, Lim. S. R. The Effects of Communication Barriers on The Patient's Satisfaction and Long Term Sustainable Relationship. The Journal of the Korea Contents Association(2017); 17(2): 467-475. https://doi.org/10.5392/JKCA.2017.17.02.467
  18. Sakong. P, Lee. J. S, Lee. E. J, Ko. K. P, Kim. C. H, Kim. Y, et al. Association between the Pattern of Prophylactic Antibiotic Use and Surgical Site Infection Rate for Major Surgeries in Korea. Journal of Preventive Medicine & Public Health(2009); 42(1): 12-20.
  19. Konishi. T, Harihara. Y, Morikane. K. [Surgical site infection surveillance] [abstract]. Nihon Geka Gakkai Zasshi(2004); 105(11): 720-725.
  20. Lee. S. K, Lee. S. H. Effects of Healthcare Service Experience Factors on Satisfaction and Behavioral Intention: Focus on Patient Experience Evaluation. Journal of Korea Service Management Society (2020); 21(2): 1-21.