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KMID : 1146320170050010042
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Journal of Health Technology Assessment
2017 Volume.5 No. 1 p.42 ~ p.48
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Analyzing the Quality Assessment Program for Acute Stroke of the Health Insurance Review and Assessment Service
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Choi Eun-Young
Ock Min-Su
Lee Hyun-Jung
Jo Min-Woo
Lee Sang-Il
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Abstract
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Objectives: The Health Insurance Review and Assessment Service (HIRA) has been implementing quality assessment program to improve the quality of care for acute stroke patients. The purpose of this study was to evaluating the performance of the program.
Methods: We compared the assessment results of the year 2008 or 2009 with those of the year 2014. Also we analyzed the assessment results by hospital size and number of case for hospital using 2014 dataset. The total number of indicators used in this analysis is thirteen including two structure indicators and eleven process indicators.
Results: The performance of the quality assessment program was generally improved from the year 2008/2009 to 2014. We found that small and medium sized hospital showed relatively low level of quality. There were substantial variations in the level of achievement among indicators.
Conclusion: To improve the overall quality of stroke care, we have to pay more attentions to small and medium sized hospitals. HIRA need to expand the quality assessment program for acute stroke patients in order to cover small and medium sized hospitals. Furthermore, it is necessary to develop quality improvement program to support low performance hospitals.
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KEYWORD
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Stroke, Quality of health care, Health Insurance Review and Assessment Service
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