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건강보험심사평가원 요양급여 적정성평가의 문제와 방향

Other Titles
 Problems and future directions for quality evaluation of the Health Insurance Review and Assessment Service 
Authors
 박은철 
Citation
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION , Vol.58(3) : 176-178, 2015 
Journal Title
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION 
ISSN
 1975-8456 
Issue Date
2015
Keywords
Quality of care ; Quality evaluation ; Health Insurance Review and Assessment Service ; Value Incentive Program
Abstract
In 2014, there were disagreements between the Value Incentive Program (VIP) of the Health Insurance Review and Assessment Service (HIRA) and academic societies. The primary differences of opinion arose over acute myocardial infarction and stroke, which are the first disease targets of the VIP. The quality of healthcare is one of the three components of the iron triangle in healthcare policy. Improving the quality of care requires effort from both internal approach(medical community) and external approach. The scope of HIRA for improving and monitoring the quality of care could be widened because (as of 2012) HIRA deals with only 16 items of quality improvement and assessment; does not monitor the total scope of medical services, patient safety, and patient experiences; and the VIP of HIRA is contains solely a quality dimension without a cost dimension. Therefore, HIRA should cooperate with medical communities to effectively improve the quality of care and expand procedures for quality improvement, assessment, and monitoring. HIRA must keep in mind that, with regard to improvement of quality of care, its role is not regulatory in nature, but cooperative.
Files in This Item:
T201500619.pdf Download
DOI
10.5124/jkma.2015.58.3.176
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139587
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