환자가 보고하는 결과 측정 현황 조사

Abstract

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.