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의료의 질 개선 전문가 양성을 위한 체계 개발 연구

Research of the Development of Training Program for Quality Improvement Experts

  • 박성희 (배재대학교 간호학과) ;
  • 황정해 (한양사이버대학교 보건행정학과) ;
  • 최윤경 (한국방송통신대학교 간호학과) ;
  • 이순교 (서울아산병원 AGS 평가실)
  • Park, Seong-hi (School of Nursing, Pai Chai University) ;
  • Hwang, Jeong-hae (Department of Health Administration, Hanyang Cyber University) ;
  • Choi, Yun-kyoung (Department of Nursing, Korea National Open University) ;
  • Lee, Sun-gyo (Office for Asan Global Standard Implementation, Asan Medical Center)
  • 투고 : 2015.05.12
  • 심사 : 2015.06.15
  • 발행 : 2015.06.30

초록

Objectives : The purpose of this study was to develop the qualification system for training of Quality improvement professionals who work for improving patients' safety and healthcare quality. Methods : Based on the various laws and regulations, and the operational status of other professionals' qualification systems, a basic plan of professional qualification system of QI was drawn. And through meetings with QI experts, the final scheme of the concrete qualification system was developed. Results : For management of professionals's certification or qualification, fairness and reliability are important. To do this, setting the official standard, providing a standardized training program and having appropriate qualification test are required. In order to operate the qualification system strategically, 1) the introduction step, 2) dissemination and expansion step, and 3) fusing step should be considered. As a governing body for QI specialists' qualification, 'QI professionals' qualification Center (tentative)' must have the committee to assure fairness, professionalism, and reliability. In addition, 'QI Experts Certification Department (tentative)" to develop standards for the qualification tests and conduct the tests program,' QI experts Education Department (tentative name)" must be able to operate and maintain the QI training for professional qualifications. QI professional qualification exam must be taken by everyone regardless of age, gender, race, occupation, education, and work experience. The examination should include management, leadership, strategic planning and design, quality management, health care information, patient safety culture. Practical training courses can have three step programs; beginning, intermediate and special level. Conclusion : The QI qualification system need strategic approaches for the experts working for healthcare quality improvement and patient safety. It should include the program of standardized contents and test, and operating protocol of the qualificaton system.

키워드

참고문헌

  1. 김은경, 김유미, 박성희, 최윤경, 황정해. 최신 의료 질 관리론. 서울: 군자출판사. 2014.
  2. Yellen E, Davis GC, Ricard R. The Measurement of Patient Satisfaction. Journal of Nursing Care Quality. 2002;16(4):23-29. https://doi.org/10.1097/00001786-200207000-00005
  3. 강민아. Hospital-CAHPS 병원의료서비스에 대한 환자의 평가 시스템. 한국의료QA학회지, 2004;11(1):72-83.
  4. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.
  5. 신영석, 사공진, 정형선. 건강보험 지속가능성 제고 방안 연구. 서울: 한국보건사회연구원. 2011년 11월. 연구보고서 2011-53.
  6. 건강보험심사평가원. 2013년 요양급여 적정성 평가 추진계획. [cited 2013. October 15]. Available from: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/notice/02/1316418_24959.html
  7. 김은경, 강민아, 김윤, 박재현, 박종혁. 의료기관 평가제도에 대한 인식조사와 개선방안 고찰. 간호행정학회지, 2007;13(1):40-52.
  8. 권영대. 병원에서의 질 향상(QI) 활동 - 필요성, 역사와 향후의 과제-. 한국의료QA학회지, 2006;12(2):47-54.
  9. 의료기관평가인증원. [cited 2013. October 15]. Available from: http://www.koiha.or.kr/home/introduce/history.jsp
  10. 건강보험심사평가원. 2012 요양급여 적정성 평가결과 종합보고서. 서울: 저자. 2013년 6월. [cited 2013. October 15]. Available from: http://www.hira.or.kr/cms/notice/01/__icsFiles/afieldfile/2013/07/04/2012_report.pdf
  11. 보건복지부, 한국보건산업진흥원. 2011년도 외국인환자 유치실적 분석. 서울: 저자. 2013년 5월 17일 보도자료. [cited 2013. October 15]. http://u-health.re.kr/board/view?pageNum=6&rowCnt=10&menuId=MENU00093&maxIndex=00001017879998&minIndex=00001016879998&schType=0&schText=&categoryId=&upDown=0&boardStyle=&no1=50&linkId=101731
  12. 박성희, 황정해, 최윤경, 이순교. 의료의 질 개선 전문가의 자격 시스템에 대한 현황. 한국의료질향상학회, 2014;19(1):14-34.
  13. 이동임. 자격제도의 현황과 과제. 서울: 한국직업능력개발원; 2004년 11월. Working Paper 2004-10.
  14. 주인중. 우리나라 자격제도의 현안과 외국의 개선 동향. The HRD Review. 2008; 11(2): 42-57.
  15. National Association for Healthcare Quality. About NAHQ. Chicago: NAHQ. [cited 2013 August 7]. Available from: http://www.nahq.org/about/content/aboutnahqindex.html
  16. National Association for Healthcare Quality. About NAHQ. Chicago: NAHQ. [cited 2013 August 7]. Available from: http://www.nahq.org/about/content/aboutnahqindex.html
  17. International Board for Quality in Healthcare. Step 1: What is IBQH? Staffordshire: IBQH. [cited 2013 August 15]. Available from: http://www.ibqh.org/
  18. Northewstern University Feinberg School of Medicine:. Master's in Healthcare Quality and Patient Safety. [cited 2013. October 15]. Available from: http://www.feinberg.northwestern.edu/sites/cehs/masters-programs/healthcare-quality-patient-safety/index.html
  19. Institute for Healthcare Improvement. Open school. [cited 2013. October 15]. Available from: http://www.ihi.org/education/ihiopenschool/Pages/default.aspx
  20. 김문숙, 김현아, 김윤숙. QI전담자의 주요 업무 및 역할 규명. 한국QI간호사회. 2014년1월. 한국QI간호-2013-02.
  21. 황정해, 박성희, 최윤경, 이정희, 황지인, 김문숙, 이순교. 공공병원의 진료프로세스 개선을 위한 질 향상 활동방안 개발. 국립중앙의료원. 2013년 3월. 정책연구NMC2012-PR-01.
  22. 국가법령정보센터. 의료법 시행규칙 제46조(감염관리실의 운영 등) [cited 2013 May 15]. Available from: http://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nwYn=1§ion=&query=%EC%9D%98%EB%A3%8C%EB%B2%95%EC%8B%9C%ED%96%89%EA%B7%9C%EC%B9%99&x=0&y=0#AJAX
  23. Lunt N, Smith R, Exworthy M, Green ST, Horsfal D, Mannion R. Medical Tourism: Treatments, markets and health system implications: A scoping review. OECD, Directorate for Employment, Labour and Social Affairs. 2011. [cited 2013 May 15]. Available from: http://www.oecd.org/dataoecd/51/11/48723982.pdf
  24. 박성희, 황정해, 최윤경, 이순교. QI전문가 양성을 위한 체계 개발 연구. 서울: 한국QI간호사회. 2014년 1월. 한국QI간호-2013-01. [cited 2015 April 30]. Available from: http://qi.or.kr/resource/symposium_data.php
  25. 한국직업능력개발원. 민간자격등록제도. 서울: 한국직업능력개발원. [cited 2013 December 4]. Available from: http://www.pqi.or.kr/int/intRegSysView.do
  26. 국가법령정보센터. 자격기본법. [cited 2013 May 15]. Available from: http://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9E%90%EA%B2%A9%EA%B8%B0%EB%B3%B8%EB%B2%95
  27. 김상진, 조정윤, 박태준, 오혁제. 과정이수형 자격제도 구축 방안. 서울: 한국직업능력개발원. 2012년 10월. 기본연구 2012-21. [cited 2013 October 15]. Available from: http://www.krivet.re.kr/ku/ca/prg_kuAABvwVw.jsp?gn=E1-E120130366