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Pay-for-performance reduces health care spending and improves quality of care in Korea: Analysis of target and non-target obstetrics and gynecology surgeries (2011-2014)
DC Field | Value | Language |
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dc.contributor.author | 박은철 | - |
dc.date.accessioned | 2017-11-02T08:21:12Z | - |
dc.date.available | 2017-11-02T08:21:12Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 1353-4505 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/154370 | - |
dc.description.abstract | Objective : In Korea, the Value Incentive Program (VIP) was first applied to selected clinical conditions in 2007 to evaluate the performance of medical institutes. We examined whether the condition-specific performance of the VIP resulted in measurable improvement in quality of care and in reduced medical costs. Design : Population-based retrospective observational study. Setting : We used two data set including the results of quality assessment and hospitalization data from National Health Claim data from 2011 to 2014. Participants : Participants who were admitted to the hospital for obstetrics and gynecology were included. A total of 535 289 hospitalizations were included in our analysis. Methods : We used a generalized estimating equation (GEE) model to identify associations between the quality assessment and length of stay (LOS). A GEE model based on a gamma distribution was used to evaluate medical cost. The Poisson regression analysis was used to evaluate readmission. Main Outcome Measures : The outcome variables included LOS, medical costs and readmission within 30 days. Results : Higher condition-specific performance by VIP participants was associated with shorter LOSs, decreases in medical cost, and lower within 30-day readmission rates for target and non-target surgeries. LOS and readmission within 30 days were different by change in quality assessment at each medical institute. Conclusions : Our findings contribute to the body of evidence used by policy-makers for expansion and development of the VIP. The study revealed the positive effects of quality assessment on quality of care. To reduce the between-institute quality gap, alternative strategies are needed for medical institutes that had low performance. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Oxford University Press | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Pay-for-performance reduces health care spending and improves quality of care in Korea: Analysis of target and non-target obstetrics and gynecology surgeries (2011-2014) | - |
dc.type | Article | - |
dc.publisher.location | England | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Preventive Medicine | - |
dc.contributor.googleauthor | Seung Ju Kim | - |
dc.contributor.googleauthor | Kyu-Tae Han | - |
dc.contributor.googleauthor | Sun Jung Kim | - |
dc.contributor.googleauthor | Eun-Cheol Park | - |
dc.identifier.doi | 10.1093/intqhc/mzw159 | - |
dc.contributor.localId | A01618 | - |
dc.relation.journalcode | J01083 | - |
dc.identifier.eissn | 1464-3677 | - |
dc.subject.keyword | quality improvement | - |
dc.subject.keyword | quality indicators | - |
dc.subject.keyword | patient outcomes | - |
dc.subject.keyword | health policy | - |
dc.subject.keyword | readmission | - |
dc.contributor.alternativeName | Park, Eun Chul | - |
dc.contributor.affiliatedAuthor | Park, Eun Chul | - |
dc.citation.title | International Journal for Quality in Health Care | - |
dc.citation.volume | 29 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 222 | - |
dc.citation.endPage | 227 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, Vol.29(2) : 222-227, 2017 | - |
dc.date.modified | 2017-11-01 | - |
dc.identifier.rimsid | 42940 | - |
dc.type.rims | ART | - |
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