KMID : 0191120220370390284
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Journal of Korean Medical Science 2022 Volume.37 No. 39 p.284 ~ p.284
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Healthcare Policy Agenda for a Sustainable Healthcare System in Korea: Building Consensus Using the Delphi Method
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Kim Seung-Hoon
Joo Hye-Jin Kim Joo-Youn Kim Hyo-Jeong Park Eun-Cheol
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Abstract
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Background: The purpose of this study is to suggest priority tasks necessary for building a sustainable healthcare system in Korea based on the Delphi consensus among healthcare professionals.
Methods: Twenty-five items covering the three categories that make up healthcare policy (healthcare demand, supply, and environment) were selected based on a literature evaluation. Email surveys were also analyzed using a two-round modified Delphi method. Of 59 experts, 21 completed the first and second rounds. Each item asked about the degree of importance and urgency, and the answers were rated on a 9-point Likert scale. A coefficient of variation less than 50% for each item in the Delphi survey meant that consensus was reached. Only items that meet a predetermined threshold are prioritized (agreement ¡Ã 90%, average importance score and urgency score ¡Ã 6.5).
Results: Eight items that satisfy all three criteria were set as priorities for a sustainable healthcare system. These tasks are ¡°Securing the financial soundness of the National Health Insurance (NHI),¡± ¡°Solving the problem of low fertility,¡± ¡°Strengthening response to public health crises such as infectious or environmental diseases,¡± ¡°Bio-health technology innovation using D.N.A (Data, Network, AI),¡± ¡°Intensive management of dementia patients,¡± ¡°Mental healthcare and suicide prevention,¡± ¡°Reform of the operation structure of the NHI Service,¡± and ¡°Reform the healthcare delivery system and payment system.¡±
Conclusion: The eight items for which consensus was reached in this study should be prioritized for Korea¡¯s sustainable healthcare system. Health policy makers will need to put considerable effort into researching and establishing these priorities.
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KEYWORD
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Healthcare Policy, Sustainability, Delphi Method, Agenda
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