환자가 보고하는 결과 측정 현황 조사

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환자가 보고하는 결과환자가 보고하는 결과 측정환자중심성의료의 질PROMsPatient Reported Outcome MeasurePatient-centerednessQuality of careHIRAHealth Insurance Review & Assessment
Starting in the 2000s, the World Health Organization (WHO), the International Organization for Migration (IOM), and the Organization for Economic
Co-operation and Development (OECD), among others, established patient-centeredness as a key element of medical quality, and various countries
began to consider the perspective of patients as an essential part in evaluating the quality of medical care and the system of healthcare. Under the current circumstances, where patient-reported outcome measures (PROMs) are receiving attention as a means of measuring patient-centeredness—a key
performance indicator of the health care system worldwide, South Korea also needs to discuss the policy value and utilization of PROMs at the national level. In this regard, the National Health Insurance Service plans to strengthen patient-centered health care as a key objective in the evaluation and to measure health outcomes intensively through the development of a patient-centered pool.
In preparation for measuring PROMS, this study aims to present the direction of introducing the evaluation of medical quality in Korea through a basic study to understand the status of PROMs measurement in Korea and abroad. It established the concept of PROMs, reviewed cases of PROMs available at the OECD, the International Consortium for Health Outcomes Measurement (ICHOM), the United States, and the United Kingdom, surveyed the status of PROMs implementation in the evaluation of medical quality in Korea, and sought the advice of experts.
The following four phases are required to introduce PROMs into Korea’s medical quality evaluation system: (phase 1) defining the purpose of measurement; (phase 2) selecting an appropriate PROM through the exploration and evaluation of PROMs; (phase 3) developing and testing a PROM-based outcomes evaluation system; and (phase 4) finalizing and implementing the outcomes evaluation system. There is a need for continuous patient
participation and the expansion of PROMs in the evaluation of medical quality so that patient-centered care can be recognized as a core value within the Korean healthcare system. Furthermore, it is essential to prioritize the introduction of PROMs for diseases of high burden and significance when
implementing PROMs in the country. Last, to continuously improve survey tools and develop new areas of research, public and provider participation must be actively encouraged.
Alternative Title
A Survey on the Current Status of Patient-Reported Outcome Measures
Table Of Contents
제1장 서론 ··············································································· 1
1. 연구 배경 및 필요성 ··············································································· 1
2. 연구 목적 ······························································································ 2
3. 연구 내용 및 방법 ·················································································· 2
4. 연구수행체계 ·························································································· 5

제2장 이론적 고찰 ··············································································· 9
1. 건강결과의 개념 및 정의 ········································································· 9
2. 국제 기능‧장애‧건강 분류(ICF) ··························································· 10
3. 환자 중심 의료 ···················································································· 13

제3장 국내의 환자가 보고하는 결과 측정 활용 현황 ··············································································· 19
1. 의료기관 인증평가 ················································································ 19
2. 입원 환자경험 평가 ·············································································· 20
3. 요양급여 적정성 평가 ··········································································· 23
4. 전문병원 지정‧운영 평가 ····································································· 25
5. 재활의료기관 지정‧운영 평가 ······························································· 28
6. 건강보험 요양급여 수가 ········································································ 30
7. 의료기관 자체 활용 현황 ······································································· 34
8. 시사점 ································································································· 40

제4장 제외국의 환자가 보고하는 결과 측정 활용 현황 ··············································································· 43
1. OECD PaRIS 이니셔티브 ····································································· 43
2. 의료결과 측정을 위한 국제컨소시엄(ICHOM) ·········································· 57
3. 미국 ···································································································· 87
4. 캐나다 ······························································································· 102
5. 영국 ·································································································· 111
6. 호주 ·································································································· 121

제5장 결론 및 제언 ··············································································· 133
1. 환자가 보고하는 결과 측정 도입 방향 ·················································· 133
2. 결론 및 제언 ····················································································· 143

◾ 참고문헌 ······················································································· 145
◾ 부록 ····························································································· 153
◾ ABSTRACT ················································································· 177
안보령. (2023-01). 환자가 보고하는 결과 측정 현황 조사.
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