본문 바로가기 주메뉴 바로가기
22대 대한민국 국회 국회정보길라잡이 국회의원검색
회원가입 로그인
HOME

정보검색

소장정보 검색

국회도서관 홈으로 정보검색 소장정보 검색

결과 내 검색

동의어 포함

고급검색

인명/단체명

저자정보 상세정보
인명/단체명을 입력하세요.

키워드

  • 대표어

  • 외국어

-

초록보기

To control excessive utilization of medical care services by Medical Aid beneficiaries (MABs), the Korean government has introduced the Designated Practice Scheme (DPS, July 2007). The purpose of this study was to assess the primary care quality of the DPS using the Korean Primary Care Assessment Tool (K-PCAT). Data were collected from the survey (2008-2009) of MABs who had to designate a community clinic as the first contact practice obligatorily in one district of Seoul. Among all eligible (n=164), we analyzed the data of 154 beneficiaries, excluding those who did not meet the K-PCAT criteria of a usual source of care. Primary care quality under the DPS was poor (58.1 points) on a 100-point scale, compared with those previously studied under the Korean health care system. More seriously it was very poor (48.9 points) in MABs without intention to continue participation in the DPS, who were 50% of all participants. Among 5 domains of the K-PCAT, comprehensiveness (44.7 points) and coordination (39.3 points) were lower in score than other domains, comparable to previous studies, representing the reality of primary care in South Korea. Primary care quality was better in MABs using primary care practices including general practice, family medicine, and internal medicine instead of other specialty practice groups (60.2 vs. 53.9 points, P=0.015), and in MABs with longer duration (≥3 vs. <3 years) since the first visit (59.7 vs. 51.9 points, P=0.010). These patterns were maintained after multivariate analysis, controlling for confounding variables. This research suggests that a complete overhaul of the scheme itself, such as the introduction of pay-for-performance method, etc., is necessary to improve primary care quality of the DPS.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
지금 우리 시대가 요구하는 의사상 임정기, 신좌섭 pp.110-112

의료계 고부담시험을 어떻게 국제수준으로 발전시킬 것인가? 허선 pp.114-115
의사국가시험에서 실기시험의 도입이 의학교육에 미친 영향 박훈기 pp.116-123

의사국가시험을 컴퓨터시험으로 치를 수 있을까? 허선 pp.124-130

전문의고시의 교육측정학 과제 황인홍 pp.131-137

폐쇄성수면무호흡증의 진단적 측면에서 수면다원검사 이승훈 pp.138-145

AIDS 예방과 치료의 최신지견 최준용, 김준명 pp.146-152

새로운 항뇌전증약물 허경 pp.155-173

보건소 근무의사에 관한 조사연구 임선미, 서경화, 김혜경, 박윤형 pp.174-186

한국 일차의료 평가도구(K-PCAT)를 이용한 의료 급여 선택병의원제도 일차의료 질 평가 : 서울특별시 1개 구 이재호, 최용준, 최지숙, 김세라 pp.187-197

참고문헌 (30건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Shin HW, Shin YS, Whang DK, You WS, Choi KC, Lim SJ. Monitoring the designated medical institution program for Medical Aid beneficiaries. Seoul: Korea Institute for Health and Social Affairs; 2008. 미소장
2 National Health Insurance Corporation; Health Insurance Review & Assessment Service. National health insurance statistics [Internet]. Seoul: National Health Insurance Corporation; Health Insurance Review & Assessment Service; 2001-2010. Available from: http://www.bokjiro.go.kr/data/statusList.do. 미소장
3 National Health Insurance Corporation. National medical aid statistics [Internet]. Seoul: National Health Insurance Corporation; 2001-2010 [cited 2012 Jan 17]. Available from: http:// www.nhic.or.kr/portal/site/main/menuitem.ca795eeeeb35fa4 04bf15151062310a0. 미소장
4 Shin HW, Shin YS, Yoon SJ, Kim S, Choi JS. Introduction plan of the designated medical institution program and co-payment system for Korean Medical Aid beneficiaries. Seoul: Korea Institute for Health and Social Affairs; 2007. 미소장
5 Kim S, Choi JS, Ju JS, Choi MY, Yang JH, Chae JM. Evaluation of the effect and the improvement plan of the designated medical institution system for Medical Aid beneficiaries. Seoul: Health Insurance Review & Assessment Service; 2010. 미소장
6 Lee WH. Development plan for medical service and health maintenance of Medical Aid beneficiaries [dissertation]. Seoul: Hanyang University; 2006. 미소장
7 Kim ES, Nam JJ, Kim MY, Ko IS, Lee DM, Kim KS, Choi JS, Park HJ, Shin SM, Lee SH, Yang IS. Status that long-term users of medical aid use medical service, and its improvement plan. Seoul: Ministry of Health and Welfare; 2007. 미소장
8 Margaret Chan's vision for WHO 네이버 미소장
9 Ko IS, Lee TW, Lee KJ, Lee, JL, Choi JS, Lee SK, Kim JA, Lee MR. Case management networks for effective management of health care in the low income people. Seoul: Ministry of Health and Welfare; 2006. 미소장
10 Development of the Korean primary care assessment tool—measuring user experience: tests of data quality and measurement performance 네이버 미소장
11 National Health Insurance Corporation. Effectiveness assessment in primary care. Seoul: National Health Insurance Corporation; 2008. 미소장
12 Patient Assessment of Primary Care of Health Cooperative Clinics in South Korea 소장
13 Patient's assessment of primary care of medical institutions in South Korea by structural type 네이버 미소장
14 Association between Primary Care Quality and Health Behaviors in Patients with Essential Hypertension Who Visit a Family Physician as a Usual Source of Care 소장
15 Patients' Assessment of Community Primary and Non-primary Care Physicians in Seoul City of South Korea. 소장
16 Agency for Healthcare Research and Quality. Care coordination measures atlas [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2010 [cited 2011 Dec 10]. Available from: http://www.ahrq.gov/qual/careatlas/careatlas. pdf. 미소장
17 Contribution of primary care to health systems and health. 네이버 미소장
18 Starfield B. Primary care: balancing health needs, services, and technology. New York: Oxford University Press; 1998. 미소장
19 Defining the concept of primary care in South Korea using a Delphi method. 네이버 미소장
20 Cho HJ. The prospect of QA in primary care. J Korean Acad Fam Med 1994;15:847-856. 미소장
21 Quality and outcomes framework: online GP practice results database [Internet]. London: The Health and Social Care Information Centre; 2011 [cited 2011 Dec 13]. Available from: http:// www.qof.ic.nhs.uk/. 미소장
22 Practice Incentives Program (PIP) [Internet]. Canberra: Department of Human Services, Australian Government; 2011 [cited 2011 Dec 13]. Available from: http://www.medicareaustralia. gov.au/provider/incentives/pip/index.jsp. 미소장
23 Patient-Centered Medical Home [Internet]. Washington, DC: National Committee for Quality Assurance; 2011 [cited 2011 Dec 13]. Available from: http://www.ncqa.org/tabid/631/De fault.aspx. 미소장
24 A medical home versus temporary housing: the importance of a stable usual source of care. 네이버 미소장
25 Blewett LA, Johnson PJ, Lee B, Scal PB. When a usual source of care and usual provider matter: adult prevention and screening services. J Gen Intern Med 2008;23:1354-1360. 미소장
26 Continuity of care and the use of breast and cervical cancer screening services in a multiethnic community 네이버 미소장
27 Effects of Having Regular Source of Care on Preventive Services and Disease Control 소장
28 Schoen C, Osborn R, Huynh PT, Doty M, Davis K, Zapert K, Peugh J. Primary care and health system performance: adults' experiences in five countries. Health Aff (Millwood) 2004;Suppl Web Exclusives:W4-487-503. 미소장
29 Osborn R. Comparing health care systems performance: opportunities for learning from abroad [Internet]. Washington, DC: Alliance for Health Reform; 2008 [cited 2011 Dec 13]. Avai lable from: http://www.allhealth.org/briefingmaterials/ osborn-1189.ppt. 미소장
30 Jung YH. A report on the Korea Health Panel Survey: health care utilizations and out-of-pocket spending. Health Welf Policy Forum 2011;179:64-82. 미소장

추천서가 (다양한 추천 자료를 만나보세요)

권호기사보기

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 기사목차

권호

기사명 원문보기 기사목차
닫기