Quality Indicators and Outcome Measures of Endoscopy in the National Cancer Screening Program
Yonsei Medical Journal
; : 1054-1060, 2019.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-762054
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Quality indicators of the National Endoscopy Quality Improvement Program (NEQIP) and outcome measures of endoscopy in the National Cancer Screening Program (NCSP) in Korea are not clear. We evaluated the quality indicators of the revised NEQIP and outcome measures of endoscopy at different types of healthcare facilities participating in the NCSP. MATERIALS ANDMETHODS:
This study was conducted between March and August 2018 in primary, secondary, and tertiary healthcare facilities that perform endoscopy as a part of the NCSP. Representative endoscopists completed a questionnaire for quality indicators of the NEQIP and provided data on outcome measures for endoscopy.RESULTS:
Quality indicators of the NEQIP were mostly acceptable. However, the quality indicators for annual volume of esophagogastroduodenoscopy (EGD) and colonoscopy, training for endoscopy quality improvement by endoscopy nursing staff, colonoscopy reports, documentation of pathologic lesions, quality of endoscopy reprocessing areas, and completion of endoscopy reprocessing education programs were suboptimal. For outcome measures of EGD, the number of photo-documentations and total procedure time were higher at tertiary healthcare facilities than at other facilities (p<0.001 and p=0.023, respectively). For the outcome measures of colonoscopy, colonoscopy completion rate and waiting times for colonoscopy were significantly higher at tertiary healthcare facilities than at other facilities (both p<0.001).CONCLUSION:
Outcome measures of endoscopy should be included as quality indicators of NCSP. However, universal outcome measures for all types of healthcare facilities should be established because performance levels of some outcome measures differ among individual healthcare facility types.
Full text:
Available
Health context:
SDG3 - Target 3C: Increase health financing and the recruitment, development, training and retention of the health workforce
/
SDG3 - Health and Well-Being
Health problem:
Authority and Accountability for Healthcare Workers
/
Target 3.4: Reduce premature mortality due to noncommunicable diseases
Database:
WPRIM (Western Pacific)
Main subject:
Tertiary Healthcare
/
Mass Screening
/
Endoscopy, Digestive System
/
Colonoscopy
/
Gastroscopy
/
Outcome Assessment, Health Care
/
Delivery of Health Care
/
Education
/
Endoscopy
/
Early Detection of Cancer
Type of study:
Diagnostic study
/
Screening study
Aspects:
Social determinants of health
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Yonsei Medical Journal
Year:
2019
Document type:
Article