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KMID : 0379720140280030565
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Journal of Korean Community Health Nursing Academic Society
2014 Volume.28 No. 3 p.565 ~ p.573
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Weighting of Acute Myocardial Infarction Quality Indicators using Delphi Method
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Kim Hyung-Seon
Cho Yeon-Hee
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Abstract
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Purpose: Health Insurance Review & Assessment Service (HIRA) launched an Acute Myocardial Infarction(AMI) assessment for the Payment For Performance(Quality Incentives) Pilot Project from July 2007. Assessment measures of AMI were composed of five process measures and one outcome measure, and each measure was incorporated into one composite quality score to Pay for Performance.
Method: For calculation of composite quality score, we considered weighting for the measures using the Delphi method. The questionnaire was composed of three measure groups, ’Reperfusion rate’(Fibrolytic therapy received within 60 minutes of hospital arrival, Primary Percutaneous Coronary Intervention within 120 minutes of hospital arrival), ’Medication prescription rate’(Aspirin at arrival, Aspirin prescribed at discharge, Beta-blocker prescribed at discharge) and ’Survival Index’(30-day mortality rate).
Result: A panel composed of 18 and completed a questionnaire by allocation of 10 scores to the three above mentioned measure groups. The Delphi was carried out until three rounds of surveys. In conclusion, each measure group was weighted differently and the 10 scores were allocated as 4.5 to ’Reperfusion rate’, 2.5 to ’Medication prescription rate’, and 3.0 to ’Survival Index’.
Conclusion: The results of this study proposed the calculation method for weighting of Acute Myocardial Infarction quality indicators.
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KEYWORD
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Delphi, Weight, Quality indicators, AMI
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