급성기 뇌졸중 적정성 평가 결과의 분석

최은영; 옥민수; 이현정; 조민우; 이상일

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자료유형: 학술저널

저자정보: 최은영 (울산대학교) 옥민수 (울산대학교(의대)) 이현정 (울산대학교) 조민우 (울산대학교) 이상일 (울산대학교)

저널정보: 한국보건의료기술평가학회 보건의료기술평가 보건의료기술평가 제5권 제1호

발행연도: 2017.6

수록면: 42 - 48 (7page)

이용수

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연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objectives: The Health Insurance Review and Assessment Service (HIRA) has been implement- ing quality assessment program to improve the quality of care for acute stroke patients. The purpose of this study was to evaluating the performance of the program. Methods: We compared the assess- ment results of the year 2008 or 2009 with those of the year 2014. Also we analyzed the assessment results by hospital size and number of case for hospital using 2014 dataset. The total number of indi- cators used in this analysis is thirteen including two structure indicators and eleven process indica- tors. Results: The performance of the quality assessment program was generally improved from the year 2008/2009 to 2014. We found that small and medium sized hospital showed relatively low level of quality. There were substantial variations in the level of achievement among indicators. Con- clusion: To improve the overall quality of stroke care, we have to pay more attentions to small and medium sized hospitals. HIRA need to expand the quality assessment program for acute stroke pa- tients in order to cover small and medium sized hospitals. Furthermore, it is necessary to develop quality improvement program to support low performance hospitals.

#Stroke · Quality of health care · Health Insurance Review and Assessment Service.

참고문헌 (14)

참고문헌 신청

Benjamin EJ / 2017 / Heart Disease and Stroke Statistics-2017 Update: a report from the American Heart Association / Circulation 135:e146~e603

Statistics Korea e-national indicator / Statistics for cause of death 2015

Ministry of Health and Welfare / Health Plan 2020, 2016~2020

Health Insurance Review and Assessment Service / 2014 / 2014 Acute stroke assessment report

Health Insurance Review and Assessment Service / Plan of 2017 quality assessments

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