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KMID : 1011120210140030025
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Bioethics Policy Studies
2021 Volume.14 No. 3 p.25 ~ p.57
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Legal Regulation for Quality Management in Long-term Care Hospitals
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Park Jeong-Yeon
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Abstract
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Although long-term care hospitals play an important role in the elderly medical delivery system in Korea, they have been criticized for the poor quality of care. In long-term care hospitals, the medical function is weaker compared to other medical institutions, and the need for medical care and nursing care is complex because there are many elderly long-stay patients. Therefore, the government should set the quality management direction by reflecting these characteristics. In this article, I tried to review the current quality management system in long-term care hospitals and suggested some directions for improvement through understanding the functions and characteristics of these hospitals. According to this purpose, I tried to analyze the legitimacy of public quality management from the point of view of the national responsibility for a guarantee and derived the quality management tasks from the national responsibility for providing appropriate services. The performance of these national duties is embodied as improvements of the Medical Institution Accreditation System, Medical Price System, and National Quality Assessment Program under the current law. First, based on the importance of securing patient safety in long-term care hospitals, I examined the accreditation standards for these hospitals, and suggested improving the accreditation standards according to the complex needs of patients and reinforce the follow-up management. In addition, since the autonomy of medical institutions should be guaranteed to some extent in the public quality management system, I reviewed the amendment of the Medical Act on the compulsory accreditation system applied to long-term care hospitals and the revocation of accreditation. Finally, I discussed the problems of the per diem payment applied to long-term care hospitals from the perspective of quality of care, and reviewed the issue of National Quality Assessment Program and redemption of pay expense.
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KEYWORD
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long-term care hospitals, quality of care, quality management, Medical Institution Accreditation System, National Quality Assessment Program
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