Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Development of efficiency indicators for medical resources use using Delphi technique

델파이 조사법을 이용한 의료 자원 사용의 효율성 평가지표 개발

  • Choi, Yoon-Jung (Health Insurance Review & Assessment Service) ;
  • Kwon, Young-Dae (Department of Humanities and Social Medicine, College of Medicine, the Catholic University of Korea) ;
  • Kim, Chang-Soo (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Kim, Yoon (Department of Health Policy and Management, Seoul National University College of Medicine)
  • 최윤정 (건강보험심사평가원) ;
  • 권영대 (가톨릭대학교 의과대학 인문사회의학과) ;
  • 김창수 (연세대학교 의과대학 예방의학교실) ;
  • 김윤 (서울대학교 의과대학 의료관리학교실)
  • Received : 2011.12.15
  • Accepted : 2012.02.02
  • Published : 2012.03.31
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Abstract

Because of the rising healthcare costs, there is a growing need for developing efficiency indicators for medical resources use and measuring efficiency of healthcare providers and healthcare systems using them. In this study, we aimed to develop efficiency indicators for medical resources use by means of Delphi technique. We systematically reviewed the existing measures of medical resource use. Thirty nine indicators were selected as a candidates across the six domains: medical personnel, medical equipment, medical facilities, ethical management, resource efficiency, and drug use. To develop efficiency indicators with professional consensus, a 2-round Delphi survey was conducted among 29 professional experts. The following indicators were selected based on the Delphi survey results: adjusted number of the patient per day and level of the nurse number medical personnel in medical personnel domain; the number of the scan a professional physician and the quality of the scan in medical equipment domain; bed utilization rate in medical facility domain; drug price reported pharmaceutical price by medical institutions, medical fee billing transparency, and medical care appropriateness in ethical management domain; costliness index in resource efficiency domain; and utilization of high cost drug and items per prescription in drug use domain. The efficiency indicators could provide valid information about efficiency of healthcare providers and healthcare systems with respect to their resources use and facilitate policies to improve their efficiency.

Keywords

References

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