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Setting national priorities for quality assessment of health care services in Korea

Authors
 Woohyun Cho  ;  Sunhee Lee  ;  Hye-Young Kang  ;  Myongkeun Kang 
Citation
 INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, Vol.17(2) : 157-165, 2005 
Journal Title
 INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE 
ISSN
 1353-4505 
Issue Date
2005
MeSH
Acute Disease/classification ; Acute Disease/therapy ; Chronic Disease/classification ; Chronic Disease/therapy ; Consensus ; Consumer Behavior ; Cost of Illness ; Decision Making, Organizational* ; Drug Utilization Review ; Feasibility Studies ; Health Care Surveys ; Health Priorities/classification* ; Health Services/classification* ; Health Services/standards ; Health Services Needs and Demand ; Hospital Units/classification ; Hospital Units/standards ; Humans ; Korea ; National Health Programs/organization & administration ; National Health Programs/standards* ; Quality Assurance, Health Care* ; Surveys and Questionnaires
Keywords
health care services ; priority ; quality assessment
Abstract
OBJECTIVE: To identify target services and determine national priorities among those services identified for a national quality assessment program of the Health Insurance Review Agency (HIRA) in Korea. DESIGN: Target services were identified from published sources addressing quality problems, various quality-monitoring programs in other countries, suggestions from 26 medical specialty associations in Korea, and frequently reported consumer claims. Three steps were involved in the prioritization decision: (i) development of a set of priority criteria; (ii) expert panel survey to evaluate the extent to which individual services satisfy each of the priority criteria and to calculate mean priority ratings for individual services; and (iii) formation of four levels of priority groups-top, high-middle, middle, and low-according to the allocated priority ratings. RESULTS: Five priority criteria were selected: "burden of the condition", "seriousness of the quality problem", "interest and demand of society", "acceptability", and "the feasibility of quality assessment". Among the 57 services identified as targets for the national quality assessment program, 10 were selected as having a top priority for quality assessment because of their high feasibility rating. These are: cardiac surgery; cataract surgery; tonsillectomy; appendectomy; tooth extraction; usage of albumin/globulin products; treatments for hypertension, pneumonia, and acute upper respiratory infection; and services provided by clinical laboratory centers. CONCLUSION: The priority services identified from the studies will assist the HIRA in selecting target services and implementing the national assessment program.
Files in This Item:
T200500219.pdf Download
DOI
10.1093/intqhc/mzi018
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Cho, Woo Hyun(조우현)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147472
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