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Designing an Effective Pay-for-performance System in the Korean National Health Insurance / 예방의학회지
Journal of Preventive Medicine and Public Health ; : 127-136, 2012.
Article in English | WPRIM | ID: wpr-162769
ABSTRACT
The challenge facing the Korean National Health Insurance includes what to spend money on in order to elevate the 'value for money.' This article reviewed the changing issues associated with quality of care in the Korean health insurance system and envisioned a picture of an effective pay-for-performance (P4P) system in Korea taking into consideration quality of care and P4P systems in other countries. A review was made of existing systematic reviews and a recent Organization for Economic Cooperation and Development survey. An effective P4P in Korea was envisioned as containing three features measures, basis for reward, and reward. The first priority is to develop proper measures for both efficiency and quality. For further improvement of quality indicators, an electronic system for patient history records should be built in the near future. A change in the level or the relative ranking seems more desirable than using absolute level alone for incentives. To stimulate medium- and small-scale hospitals to join the program in the next phase, it is suggested that the scope of application be expanded and the level of incentives adjusted. High-quality indicators of clinical care quality should be mapped out by combining information from medical claims and information from patient registries.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Quality of Health Care / Reimbursement, Incentive / Program Development / Republic of Korea / Quality Improvement / National Health Programs Country/Region as subject: Asia Language: English Journal: Journal of Preventive Medicine and Public Health Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Quality of Health Care / Reimbursement, Incentive / Program Development / Republic of Korea / Quality Improvement / National Health Programs Country/Region as subject: Asia Language: English Journal: Journal of Preventive Medicine and Public Health Year: 2012 Type: Article