융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
권호 표지
DOI QR코드

DOI QR Code

의료기관인증제도의 국내외 비교 연구 -한국, 미국 및 호주 중심으로-

A Comparative Study on National and International Hospital Accreditation Systems Focusing on Korea, the U.S., and Australia

  • 유선주 (국립목포대학교 간호학과) ;
  • 김묘경 (서울여자간호대학교 간호학과) ;
  • 김유미 (상지대학교 의료경영학과) ;
  • 최윤경 (한국방송통신대학교 간호학과)
  • You, Sun-Ju (Dept. of Nursing, Mokpo National University) ;
  • Kim, Myo-Gyeong (Dept. of Nursing, Seoul Women's College of Nursing) ;
  • Kim, Yoo-Mi (Dept. of Clinical Administration, Sangji University) ;
  • Choi, Yun-Kyoung (Dept. of Nursing, Korea National Open University)
  • 투고 : 2017.06.27
  • 심사 : 2017.08.20
  • 발행 : 2017.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 국내 의료기관인증제도와 미국과 호주의 의료기관인증제도 및 국제의료질향상학회의 국제인증프로그램에 대해 비교 고찰함으로써 우리나라 의료기관인증제도의 발전을 위한 시사점을 제시하고자 시도되었다. 본 연구에서 도출된 시사점은 다음과 같다. 첫째, 환자 및 지역사회 중심의 관점 강화, 인력배치 기준 강화 등 의료기관 인증기준의 개선이 필요하다. 둘째, 의료기관인증제도를 통한 환자안전의 강화가 필요하다. 셋째, 의료기관인증제도와 임상질지표 및 환자경험평가 연계를 강화해야 한다. 넷째, 조사위원의 역량을 강화해야 한다. 다섯째, 중소병원의 인증제도 참여 활성화가 필요하다. 여섯째, 의료 질 평가 결과 공개의 강화가 요구된다. 본 연구 결과는 우리나라 의료기관인증제도의 개선을 위한 기초자료로 활용될 수 있을 것이다.

The purpose of this study was to ascertain new policies fo the development of the Korean Hospital Accreditation Program (HAP) by comparing and reviewing the domestic HAP of Korea, the U. S. and Australia as well as the International Accreditation Program of the International Society for Health Care Quality. The results of this study are as follows. First, it is necessary to improve the standards of the HAP such as 'patient and community centered standards' and 'staffing related standards'. Second, it is necessary to strengthen patient safety through the HAP. Third, the linkage among the HAP, clinical indicators and patient experience evaluation should be strengthened. Fourth, the competencies of surveyors should be improved. Fifth, the HAP of small and medium hospitals also needs to be vitalized. Sixth, it is necessary to improve the disclosure of the healthcare quality evaluation results. The findings of this study can be used as a basis to improve the Korean HAP.

키워드

참고문헌

  1. C. D. Shaw. (2003). Evaluating accreditation. International Journal for Quality in Health Care, 15(6), 455-456. DOI : 10.1093/intqhc/mzg092
  2. C. D. Shaw. (2004). Toolkit for Accreditation Programs: Some Issues in the Design and Redesign of External Health Care Assessment and Improvement Systems. International Society for Quality in Health Care, 10-11.
  3. E. Jaafaripooyan, D. Agrizzi & F. Akbari-Haghighi. (2001). Healthcare Accreditation Systems: Further Perspectives on Performance Measures. International Journal of Quality in Health Care, 23(6), 645-656. DOI : 10.1093/intqhc/mzr063
  4. E. K. Kim, Y. M. Kim, S. H. Park, Y. K. Choi & J. H. Hwang. (2014). Quality Management in Health Care Organization. Seoul : Koonja publication.
  5. C. D. Shaw, B. Kutryba, J. Braithwaite, M. Bedlicki & A. Warunek. (2010). Sustainable Healthcare Accreditation: Messages from Europe in 2009. International Journal of Quality in Health Care, 22(5), 341-350. DOI : 10.1093/intqhc/mzq043
  6. Y. Kim, S. I. Lee, C. H. Kim, M. A. Kang, E. K. Kim, Y. D. Kwon & H. J. Jin. (2017). Long-Term Development Plan of Hospital Evaluation Programme. Seoul National University, Seoul.
  7. D. Greenfield & J. Braithwaite. (2008). Health Sector Accreditation Research: A Systematic Review. International Journal for Quality in Health Care, 20(3), 172-183. DOI : 10.1093/intqhc/mzn005
  8. Y. D. Kwon. (2006). Quality Improvement Activities in Hospital: Its Necessity, History and Tasks. Journal of Korean Society of Quality Assurance in Health Care, 12(2), 27-54.
  9. KHIDI. (2007). Korean Healthcare Industry. Korea Health Industry Development Institute. https://www.khidi.or.kr/board?menuId=MENU00781&siteId=null
  10. K. S. Kim. (2015). Change and Strategies in 2nd Cycle of long-term care hospital accreditation. Korean Journal of Hospital Management, 20(1), 65-70.
  11. International Society for Quality in Health Care. (2016). Introduction to the International Accreditation Programme (IAP). ISQUA. http://www.isqua.org/accreditation-iap/reference-materials
  12. International Society for Quality in Health Care. (2017). Guidelines and Principles for the Development of Health and Social Care Standards 4th Edition Version 1.2, September 2015. ISQUA. http://www.isqua.org/accreditation-iap/reference-materials
  13. International Society for Quality in Health Care. (2017). IAP Awarded Organization, Standards and Surveyor Training Programmes. ISQUA. http://www.isqua.org/accreditation-iap/Accredited-by-ISQua
  14. Korea Institute for Healthcare Accreditation. (2017). History of the KOIHA.. Korea Institute of Healthcare Accreditation. https://www.koiha.or.kr/member/kr/contents/sub01/sub01_04.do
  15. Y. K. Lee. (2017). Comparison of Accreditation system of Domestic and Overseas Medical Institutions. The 2017, Korean Society for Quality in Health Care Spring Congress Materials, 46-79.
  16. J. Y. Yoo & J. H. Lee. (2015). Complex impact of Patient Safety and Medical Quality on Hospital Management Activities due to Healthcare Accreditation Adoption. Journal of Digital Convergence, 13(7), 283-292. DOI : 10.14400/JDC.2015.13.7.283
  17. S. C. Kim et al. (2014). Activation Plan for Participation of Hospital Accreditation System. Korea institute for healthcare accreditation, Seoul.
  18. K. Brubakk, G. E. Vist, G. Bukholm, P. Barach & O. Tjomsland. (2015). A Systematic Review of Hospital Accreditation: The Challenges of Measuring Complex Intervention Effects. BMC Health Service Research, 15(1), 1-10. DOI : 10.1186/s12913-015-0933-x
  19. H. S. Lee & Y. J. Yang. (2014). The Effects of the Healthcare Accreditation on Hospital Employees' Satisfaction Level and Hospital Management Performance. Journal of Digital Convergence, 12(1), 431-443. DOI : 10.14400/JDPM.2014.12.1.431
  20. B. J. Hwang & J. Y. Kim. (2015). The Causal Relationship between Healthcare Accreditation System and Business Performance in Medical Service Organizations. Korean Journal of Accounting Research, 20(1), 209-232.
  21. M. J. Kim & J. S. Choi. (2015). Effects of Perception of the Healthcare Accreditation, and Job Stress on Turnover Intention in Nurses. Journal of Muscle and Joint Health, 22(2), 87-95. DOI : 10.5953/JMJH.2015.22.2.87
  22. C. Y. Kim. (2009). Theories of Health Security. Paju : Hanulbooks.
  23. S. I. Lee. (2013). Healthcare Quality Management. Seoul : Seoul National University Press.
  24. Ministry of Health & Welfare and Korea Health Industry Development Institute. (2010). Hospital Evaluation Programme: 2009 Survey Report. Seoul : Korea Health Industry Development Institute.
  25. Korea Institute for Healthcare Accreditation. (2017). What is Hospital Accreditation Program?. Korea Institute of Healthcare Accreditation. https://www.koiha.or.kr/member/kr/contents/sub02/sub02_01_01.do
  26. Ministry of Health & Welfare and Korea Institute for Healthcare Accreditation. (2014). Standards of hospital accreditation survey (version 2.0). Seoul : Korea Institute for Healthcare Accreditation.
  27. K. S. Kim. (2015). Changes and Strategies in 2nd cycle of Hospital Accreditation Program. Korean Journal of Hospital Management, 20(1), 65-70.
  28. Korea Law Information Center. (2007). Standards for Designation of Tertiary Hospital. Ministry of Health and Welfare. http://www.korealaw.go.kr/lsInfoP.do?lsiSeq=191727&efYd=#0000
  29. Korea Law Information Center. (2017). Standards for Designation of Special Hospital. Ministry of Health and Welfare. http://www.korealaw.go.kr/lsInfoP.do?lsiSeq=158783&chrClsCd=010204#0000
  30. M. J. Kim, Y. M. Jung, K. S. Kim & S. H. Lee. (2015). An Analysis of Accreditation Preparation Process and Costs in Hospitals. Korean Journal of Hospital Management, 20(3), 45-55.
  31. The Joint Commission. (2016). Our History. The Joint Commission. https://www.jointcommission.org/assets/1/6/TJC-history-timeline_through_20161.PDF
  32. The Joint Commission. (2016). 2016 Accreditation and Certification Decision Rules. The Joint Commission. http://www.jointcommission.org/assets/1/6/2016_Accreditation_Cert_Decision_Rules.pdf
  33. Australian Council on Hospital Standards. (2017). EQUip6. Safety Quality Performance. http://www.achs.org.au/media/114456/equip6_information_pack_final.pdf
  34. Australian Council on Hospital Standards. (2015). The National Safety and Quality Health Service Standards. NSQHS. http://www.achs.org.au/media/99777/achs_nsqhss_brochure._june_2015.pdf
  35. Australian Council on Hospital Standards. (2017). EQuIPNational. ACHS. http://www.achs.org.au/publications-resources/equipnational/
  36. Australian Council on Hospital Standards. (2017). National Report on Health Services Accreditation Performance 2011 - 2012. ACHS. http://www.achs.org.au/publications-resources/national-report-on-health-services-accreditation-performance/
  37. International Society for Quality in Health Care. (2017). Guidelines and Standards for External Evaluation Organisations, 4th Edition Version 1.2, September 2015. ISQUA. http://www.isqua.org/accreditation-iap/reference-materials
  38. International Society for Quality in Health Care. (2017). Guidelines and Standards for Surveyor Training Programmes 3rd Edition, Version 1.0, September 2016. ISQUA. http://www.isqua.org/accreditation-iap/reference-materials
  39. K. S. Kim, Y. K. Choi, J. W. Ahn, E. H. Jung & E. S. Kim. (2015). A Survey on Nursing Organizational Service for Foreign Patients in Tertiary Hospitals. Journal of Korean Clinical Nursing Research, 21(1), 53-66. https://doi.org/10.22650/JKCNR.2015.21.1.53
  40. Joint Commission of Taiwan. (2015). Patient Safety System. Patient Safety System. http://www.tjcha.org.tw/FrontStage/patient_safety_en.html
  41. G. Menegazzi et al. (2016). The Impact of Accreditation for Excellence on Patient Safety Culture in an Italian Hospital. European Journal of Public Health, 26(1). DOI : 10.1093/eurpub/ckw174.007
  42. OECD. (2012). OECD Reviews of Health Care Quality : Korea-Raising Standards. Paris : OECD Publishing. DOI : 10.1787/9789264173446-en
  43. S. E. Lee. (2017). Patient-centered medical institution Appropriateness evaluation is introduced. Ministry of Health & Welfare. http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=338207
  44. K. S. Kim & S. H. Lee. (2015). Factors Associated with Satisfaction as Surveyor and Reliability of Surveyors in Hospital Accreditation Program. Health Policy and Management, 25(3), 229-239. DOI : 10.4332/KJHPA.2015.25.3.229
  45. Korea Gallop. (2017). National Awareness of Healthcare Accreditation Program in 2017. Seoul : Korea Institute for Healthcare Accreditation and Korea Gallop.