한국 의료기관의 방사선 영상검사 평가 현황 및 과제 = A Study on the Status and Improvement Direction of Radiographic Imaging Examination Assessment in Korea Medical Institutions

다국어 초록 (Multilingual Abstract)

This study was conducted to analyze the status radiological imaging examinations assessment in Korea medical institutions conducted in the public sector and suggest a direction for improvement. Among the assessment of medical institutions, the main assessment related to radiographic imaging examinations are the certification evaluation of medical institutions and the adequacy assessment of radiographic imaging examinations. The certification evaluation of medical institutions evaluates the image inspection operation process, provision of accurate results, and compliance with safety management procedures. In the assessment of adequacy of radiographic imaging examinations, structural indicators related to manpower and equipment, patient evaluation implementation rate, and exposure reduction programs were included. However, for safer and higher-quality radiological imaging examinations, it is necessary to increase the participation rate of medical institutions in certification evaluations. In addition, it is necessary to improve the manpower indicator, and incentive payments can be considered to induce quality improvement of medical institutions in the future. Integrated management of radiation exposure at the national level should also be carried out simultaneously.

참고문헌 (Reference)

1 조현철, "혈관조영실에서 근무하는 방사선 작업 종사자에 대한 방사선 피폭선량 측정과 방사선 안전 관리에 대한 인식과 행동조사" 고려대학교 보건대학원 2004

2 박형욱, "한국 의료의 질 향상 방안" 대한의사협회 55 (55): 969-977, 2012

3 정승은, "의료영상 품질관리의 개념" 대한의사협회 58 (58): 1112-1118, 2015

4 이상일, "의료기관 인증제도의 현황과 과제" 한국보건행정학회 28 (28): 251-256, 2018

5 S. I. Lee, "Significance and Tasks of Enforcement of the Patient Safety Act" 10 : 2-4, 2016

6 K. W. Oh, "Report trend of safety information such as pharmaceuticals in 2022" Korea Institute of Drug Safety & Risk Management 2023

7 World Health Organization, "Quality of care: a process for makꠓing strategic choices in health systems" 2006

8 S. I. Lee, "Policy Direction for Improving Medical Quality" 8 : 2-4, 2013

9 정진욱 ; 한은옥, "PET-CT의 방사선안전관리 가이드라인 개발:행위와 환경을 중심으로" 테스트학회 36 (36): 140-147, 2011

10 G. S. Lim, "Future Directions for healthcare Quality Assessment in NHI" 8 : 48-60, 2013

11 Health Insurance Review and Assessment Service, "First start of imaging test quality assessement" 2023

12 Y. G. Ji, "Cases of foreign medical quality evaluation" 36 (36): 37-48, 2007

13 K. P. Kim, "Assessment of Radiation Exposure of Korean Population by medical radiation" Korea Disease Control and Prevention Agency 2020

14 H. S. An, "Assessment and improvement of quality of care : concepts, strategies and policies" Korean Academy of Health Policy and Management 229-245, 2006

15 M. J. Kim, "Agency for Disease Control and Prevention, CT scan diagnostic reference level...Induction of patient radiation exposure dose reduction"