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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제60권 제11호
발행연도
2019.1
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1,054 - 1,060 (7page)

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Purpose: Quality indicators of the National Endoscopy Quality Improvement Program (NEQIP) and outcome measures of endoscopyin the National Cancer Screening Program (NCSP) in Korea are not clear. We evaluated the quality indicators of the revisedNEQIP and outcome measures of endoscopy at different types of healthcare facilities participating in the NCSP. Materials and Methods: This study was conducted between March and August 2018 in primary, secondary, and tertiary healthcarefacilities that perform endoscopy as a part of the NCSP. Representative endoscopists completed a questionnaire for qualityindicators of the NEQIP and provided data on outcome measures for endoscopy. Results: Quality indicators of the NEQIP were mostly acceptable. However, the quality indicators for annual volume of esophagogastroduodenoscopy(EGD) and colonoscopy, training for endoscopy quality improvement by endoscopy nursing staff, colonoscopyreports, documentation of pathologic lesions, quality of endoscopy reprocessing areas, and completion of endoscopy reprocessingeducation programs were suboptimal. For outcome measures of EGD, the number of photo-documentations and totalprocedure time were higher at tertiary healthcare facilities than at other facilities (p<0.001 and p=0.023, respectively). For the outcomemeasures of colonoscopy, colonoscopy completion rate and waiting times for colonoscopy were significantly higher at tertiaryhealthcare facilities than at other facilities (both p<0.001). Conclusion: Outcome measures of endoscopy should be included as quality indicators of NCSP. However, universal outcomemeasures for all types of healthcare facilities should be established because performance levels of some outcome measures differamong individual healthcare facility types.

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