| 의료 질 관리 활동에 대한 병원종사자들의 태도와 인식 |
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| 황정해1, 조성현1, 김창엽2, 서정돈3, 한만청4, 이정예5 |
1서울대학교병원 QA전담반
2서울대학교 의과대학 의료관리학교실
3삼성의료원 내과
4서울대학교 의과대학 진단방사선과학교실
5한국의료QA학회 |
| Quality Improvement Activity in Hospitals and Its Acceptance among Hospital Personnels |
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| Jeong-Hae Hwang1, Sung-Hyun Cho1, Chang-Yup Kim2, Juag-Don Seo3, Man-Chung Han4, Jeong-Ye Lee5 |
1QA Office, Seoul National University Hospital
2Dept. of Health Policy and Management, College of Medicine, Seoul National University
3Dept. of Internal Medicine, Samsung Medical Center
4Dept. of Diagnostic Radiology, Seoul National University Hospital
5The Korean Society of Quality Assurance in Health Care |
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| Abstract |
Background
It is a primary goal for hospital personnel to improve the quality of patient care. In Korea the concept of quality assurance has been spread over the last five years. Many hospitals have implemented quality assurance programs that fit their own philosophy and needs. As a result, they are supposed to have different experiences and attitudes toward quality assurance. To investigate their diversity will be helpful to have a direction to the future and to enhance the quality assurance activities in Korean hospitals. Objectives
The aim of this study is to obtain information about hospital personnel's attitude and opinion toward quality assurance in hospitals.
Methods
A questionnaire was developed which consisted of five parts; the general characteristics of respondent, the concepts of quality assurance, need for quality assurance program, current status of quality improvement activities, and participation in programs. Using the registry of Korean hospitals, 102 hospitals with more than 400 beds were selected. Questionnaires were mailed to hospital staffs of each hospital; top managers, clinical department heads, registered nurses, medical recorders, and administrators.
Results
Of 2038 questionnaires sent, 877 were returned, giving response rate of 44%. Most respondents(70%) regarded quality assurance as efforts to provide patient with care in highest quality and to improve effectiveness or resource utilization. Ninety-nine percent of respondents agreed to need for quality assurance in their hospitals. There were current quality improvement programs implemented in the department of 553 respondents(62%), and most of the(85%) have participated in at least one program. Lack of motivation was pointed out as a barrier to implement the programs.
Conclusion
Although most respondents have known of the concept and need for quality assurance, this study suggests that education and motivation of hospital personnel be needed to activate the quality assurance programs in hospitals. |
| Key words
quality assurance;hospital personnel;quality improvement activity;attitude and opinion toward quality assurance; |
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