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Journal of Korean Society Quality Assurance Health Care 1998;5(1): 152.
Published online May 30, 1998.
환자진료결과연구에 대한 고찰 -미국의 PORT 연구를 중심으로-
박은철, 김한중, 조우현, 손명세
연세대학교 의과대학 예방의학교실
Review on Patient Outcomes Research
Eun-Cheol Park, Han Joong Kim, Woo Hyun Cho, Myongsei Sohn
Dept. of Preventive Medicine and Public Health, College of Medicine, Yonsei Univ.
Abstract
Background
In this paper patient outcomes research is going to be reviewed and described, to be compared with relevant studies, and to consider the application in Korea.
Methods
We compiled and reviewed the articles and materials related to patient outcomes research especially by PORT(Patient Outcomes Research Team) and rearranged them for seeking the main point and comparing with relevant studies.
Results
Patient outcomes research emphasizes patient outcomes as well as conventional clinical outcomes. It is prospective study observing effectiveness in real situation instead of efficacy in ideal condition. Patient outcomes research comprises of 6 fields ; literature review and meta-analysis, use of claims data, decision modeling, outcomes assessment, cost of care, dissemination of research findings. SAA(small-area variations analysis), appropriateness study and clinical practice guideline are connected with patient outcomes research.
Conclusion
In view of the fact that current medical policy in Korea is shifting its focus from accessibility to the improvement in quality and cost containment, and is stressing patient-based research, patient outcomes research is one direction for which the medicine is accountable and assessable. Considering that the number of patient receiving medical treatment in Korea is higher than the West, patient outcomes research has competitive power as against the West.
Key words patient outcomes research;appropriateness study;clinical practice guideline;


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