Trend and Implication of OECD Hospital Performance Project

Park, Choon-Seon; Choi, HyoJung; Hwang, Soo-Hee; Im, JeeHye; Kim, Kyoung-Hoon; Kim, Sun-Min

doi:2016.22.1.11

Qual Improv Health Care > Volume 22(1); 2016 > Article

Quality Improvement in Health Care 2016;22(1): 11.
DOI: https://doi.org/10.14371/QIH.2016.22.1.11 Published online June 30, 2016.

OECD 병원 성과 프로젝트의 동향과 국내 시사점

박춘선¹, 최효정¹, 황수희¹, 임지혜¹, 김경훈², 김선민³

¹건강보험심사평가원 심사평가연구소
²건강보험심사평가원 국제협력단
³건강보험심사평가원 진료심사평가위원회

Trend and Implication of OECD Hospital Performance Project

Choon-Seon Park¹, HyoJung Choi¹, Soo-Hee Hwang¹, JeeHye Im¹, Kyoung-Hoon Kim², Sun-Min Kim³

¹Health Insurance Review and Assessment Research Institute, Health Insurance Review and Assessment Service
²Department of International Cooperation, Health Insurance Review and Assessment Service
³Healthcare Review and Assessment Committee, Health Insurance Review and Assessment Service

Abstract

The Organization for Economic Cooperation and Development, which has continuously evaluated the performance of healthcare systems, has recently invested much effort into hospital performance measurement. The purpose of this paper is to introduce the hospital performance measurement programs operated by international organizations or at the national level based on the OECD's hospital performance project. Health Insurance Review & Assessment service (HIRA)'s quality assessment was analyzed based on the analytical framework of the OECD's hospital performance project. The hospital performance measurement programs of WHO, Canada, Australia, United States and United Kingdom are briefly explored, in view of the conceptual framework, key performance dimensions and indicators that are currently in use. The OECD suggested seven key dimensions of hospital performance: timeliness, efficiency, continuity, effectiveness and appropriateness, staff orientation, patient orientation and safety. The analysis of the quality assessment program of HIRA, which operates 36 diseases and procedures and 347 indicators, shows that the numbers of indicators are relatively small in the areas of safety, patient centeredness and efficiency. Continuity of care and staff orientation are not fully developed also, but the situations are similar in other countries. In conclusion, hospital performance measurement using stable and comprehensive data should be developed to improve overall system performance, and discussions on a conceptual framework that can lay out directions and key performance domains need to take into place.

Key words Hospital performance measurement;Quality of care;Quality assessment;Conceptual framework;