• Title/Summary/Keyword: post evaluation

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Changes in the Behavior of Healthcare Organizations Following the Introduction of Drug Utilization Review Evaluation Indicators in the Healthcare Quality Evaluation Grant Initiative (의료질평가지원금 제도의 의약품안전사용서비스 평가지표 도입에 따른 의료기관의 행태 변화)

  • Hyeon-Jeong Kim;Ki-Bong Yoo;Young-Joo Won;Han-Sol Jang;Kwang-Soo Lee
    • Health Policy and Management
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    • v.34 no.2
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    • pp.178-184
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    • 2024

  • Background: This study aimed to determine the effectiveness of drug utilization review (DUR) evaluation indicators on safe drug use by comparing the changes in DUR inspection rates and drug duplication prescription prevention rates between the pre- and post-implementation of the DUR evaluation indicators of the Healthcare Quality Evaluation Grant Initiative. Methods: This study used DUR data from the Health Insurance Review and Assessment Service in 2018 (pre-implementation) and the evaluation results of the Healthcare Quality Evaluation Grant Initiative in 2023 (post-implementation). The dependent variables were the DUR evaluation indicators, including DUR inspection rate and drug duplicate prescription prevention rate. The independent variable was the implementation of the DUR evaluation indicators, and the control variables included medical institution characteristics such as type, establishment classification, location, DUR billing software company, and number of beds. Results: The results of the analysis of the difference in the prevention rate of drug duplicate prescriptions between the pre- and post-implementation of the DUR evaluation indicators of the Healthcare Quality Evaluation Grant Initiative showed that the prevention rate of drug duplicate prescriptions increased statistically significantly after the implementation of the DUR evaluation indicators. Conclusion: The policy implications of this study are as follows: First, ongoing evaluation of DUR systems is needed. Second, it is necessary to establish a collaborative partnership between healthcare organizations that utilize DUR system information and the organizations that manage it.

  • https://doi.org/10.4332/KJHPA.2024.34.2.178 인용 PDF HTML

Effectiveness of a Clinical Pathway for Breast Cancer Patients Undergoing Surgical Operation on Clinical Outcomes and Costs

  • Jeong Hyun Park;Danbee Kang;Seok Jin Nam;Jeong Eon Lee;Seok Won Kim;Jonghan Yu;Byung Joo Chae;Se Kyung Lee;Jai Min Ryu;Yeon Hee Park;Mangyeong Lee;Juhee Cho
    • Quality Improvement in Health Care
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    • v.30 no.1
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    • pp.120-131
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    • 2024

  • Purpose: This study aimed to evaluate the impact of implementing a clinical pathways (CPs) on the clinical outcomes and costs of patients undergoing breast cancer surgery. Methods: This retrospective cohort study included patients who were newly diagnosed with primary breast cancer at the Samsung Medical Center between 2014 and 2019 (N=8482; 2931 patients in the pre-path and 5551 patients in the post-path). Clinical outcomes included reoperation during hospitalization, readmission, and emergency room visits within 30 days of discharge. The cost data for each unit were obtained from an activity-based management accounting system. We performed an interrupted time series analysis. Results: The post-path period showed a significantly shorter hospital length of stay (LOS) than the pre-path period (6.3 days in pre-path vs. 5.0 days in post-path; -1.3 days' difference; p=.001), and fewer reoperations during hospitalization and within 30 days after discharge than the pre-path period. After adjusting for inflation rates and relative value scores, the model demonstrated savings of $146 per patient in the post-path for total costs, and $537 per patient for patient out-of-pocket costs (p=.001). Conclusion: CPs can help reduce costs without compromising the quality of care by reducing the number of reoperations, readmissions, and complications.

  • https://doi.org/10.14371/QIH.2024.30.1.120 인용 PDF

The Effects of Brand Extension of Terrestrial Broadcasting Channels on Parent Brand Evaluation: Focusing on Brand Extended Channel Evaluation, Pre-Brand Extension Parent Brand Evaluation, Perceived Fit, Brand Portfolio Quality Variance, and Perceived Number of Brand Extensions (지상파채널의 브랜드 확장이 모 브랜드 평가에 미치는 영향: 확장된 채널 브랜드 평가, 확장 전 모 브랜드 평가, 적합성, 브랜드 포트폴리오 품질 변량, 브랜드 확장 수에 대한 지각을 중심으로)

  • Lee, Sun-Hee;Baek, Sang-Ki;Chang, Byeng-Hee;Yun, Hae-Jin;Moon, Sung-Chul
    • Korean journal of communication and information
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    • v.61
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    • pp.28-51
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    • 2013

  • The present study analyzed the effects of brand extension on the existing parent brand by applying the media brand extension model which previous studies had suggested based on consumer based brand equity model. Based on previous studies, the present study constructed a research model in which pre-brand extension parent brand evaluation, brand portfolio quality variance, perceived number of brand extensions, perceived fit between parent brand and brand extended channel, and brand extended channel evaluation are supposed to affect post-brand extension brand extension evaluation, and tested the media brand extension feedback effects model through structural equation modeling. The analysis results show that pre-brand extension parent brand evaluation, brand portfolio quality variance, perceived fit, and brand extended channel evaluation affect post-brand extension parent brand evaluation while the effect of perceived number of brand extensions is not significant.

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