한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제29권1호
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  • Pages.2-14
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  • 2023
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  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
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의료인 및 환자의 관점을 반영한 OECD의 환자가 보고하는 안전지표의 적용 가능성: 혼합 방법 연구

Applicability of OECD Patient-Reported Incidence Measures that Reflect the Perspective of Healthcare Professionals and Patients: Mixed Methods Research

  • 임지혜 (건강보험심사평가원 심사평가연구소 심사평가연구실) ;
  • 김기영 (건강보험심사평가원 의료수가실 의료수가개발부) ;
  • 동재용 (건강보험심사평가원 급여등재실 디지털의료기술등재부 ) ;
  • 이풍훈 (건강보험심사평가원 빅데이터실 빅데이터사업부) ;
  • 옥민수 (울산대학교 의과대학 예방의학교실)
  • Jeehye Im (Health Insurance Review and Assessment Research Institute, Review and Assessment Research Department) ;
  • Ki Young Kim (Medical Fee Schedule Department, Medical Fee Schedule Development Divison) ;
  • JaeYong Dong (Benefit Listing Department, Digital Medical Technology Listing Division) ;
  • Poong Hoon Lee (Big Data Department, Big Data Management Division, Health Insurance Review & Assessment Service) ;
  • Minsu Ock (Department of Preventive Medicine, University of Ulsan College of Medicine)
  • 투고 : 2022.09.09
  • 심사 : 2023.01.07
  • 발행 : 2023.06.30
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초록

Purpose: The development and collection of safety indicators directly reported by patients without interpretation by a third party is an essential element of realizing patient-centered care. We examined whether Patient-Reported Incidence Measures (PRIMs) could be applied in the Republic of Korea. Methods: A draft set of 23 items was identified by reviewing 28 PRIMs developed by the Organization for Economic Cooperation and Development. A Delphi survey was conducted among 9 experts in the field of patient safety. The experts evaluated the content validity of the 28 items; thereafter, 18 items were selected and divided into three categories: incident prevention, patient-reported incidents, and incident management. A pilot survey was conducted on 169 patients to examine the applicability of PRIMs. Results: The Delphi survey revealed that the item with the highest content validity was whether or not to confirm the patient's identity. The pilot survey revealed that, among the items regarding incident prevention, the experience of patient identification was high (96.4%), but that of medical staff washing hands before treatment was low (68.0%). Among the items regarding incident management, the highest response was that they had a satisfactory experience in handling treatment-related requirements (74.6%), but 33.1% answered that it was not easy to communicate with medical staff when treatment-related requests occurred. Conclusion: Although there were some differences between the perspectives of providers and patients, PRIMs in the Republic of Korea were found to be applicable.

키워드

과제정보

This research was funded by Health Insurance Review and Assessment Service [No. G000F8K-2020-45].

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