Review on Patient Outcomes Research

환자진료결과연구에 대한 고찰 -미국의 PORT 연구를 중심으로-

  • Park, Eun-Cheol (Dept. of Preventive Medicine and Public Health, College of Medicine, Yonsei Univ.) ;
  • Kim, Han Joong (Dept. of Preventive Medicine and Public Health, College of Medicine, Yonsei Univ.) ;
  • Cho, Woo Hyun (Dept. of Preventive Medicine and Public Health, College of Medicine, Yonsei Univ.) ;
  • Sohn, Myongsei (Dept. of Preventive Medicine and Public Health, College of Medicine, Yonsei Univ.)
  • 박은철 (연세대학교 의과대학 예방의학교실) ;
  • 김한중 (연세대학교 의과대학 예방의학교실) ;
  • 조우현 (연세대학교 의과대학 예방의학교실) ;
  • 손명세 (연세대학교 의과대학 예방의학교실)
  • Published : 1998.05.31

Abstract

Background : In this paper patient outcomes research is going to be reviewed and described, to be compared with relevant studies, and to consider the application in Korea. Methods : We compiled and reviewed the articles and materials related to patient outcomes research especially by PORT(Patient Outcomes Research Team) and rearranged them for seeking the main point and comparing with relevant studies. Results : Patient outcomes research emphasizes patient outcomes as well as conventional clinical outcomes. It is prospective study observing effectiveness in real situation instead of efficacy in ideal condition. Patient outcomes research comprises of 6 fields ; literature review and meta-analysis, use of claims data, decision modeling, outcomes assessment, cost of care, dissemination of research findings. SAA(small-area variations analysis), appropriateness study and clinical practice guideline are connected with patient outcomes research. Conclusion : In view of the fact that current medical policy in Korea is shifting its focus from accessibility to the improvement in quality and cost containment, and is stressing patient-based research, patient outcomes research is one direction for which the medicine is accountable and assessable. Considering that the number of patient receiving medical treatment in Korea is higher than the West, patient outcomes research has competitive power as against the West.

Acknowledgement

Supported by : 연세대학교