Quality Indicators and Outcome Measures of Endoscopy in the National Cancer Screening Program
10.3349/ymj.2019.60.11.1054
- Author:
Jun Ki MIN
1
;
Jae Myung CHA
;
Min Seob KWAK
;
Jin Young YOON
;
Yunho JUNG
;
Jeong Eun SHIN
;
Hyo Joon YANG
Author Information
1. Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Korea. drcha@khu.ac.kr
- Publication Type:Original Article
- Keywords:
Colonoscopy;
gastroscopy;
outcome assessment;
quality indicators;
mass screening
- MeSH:
Colonoscopy;
Delivery of Health Care;
Early Detection of Cancer;
Education;
Endoscopy;
Endoscopy, Digestive System;
Gastroscopy;
Humans;
Korea;
Mass Screening;
Nursing Staff;
Outcome Assessment (Health Care);
Quality Improvement;
Tertiary Healthcare
- From:Yonsei Medical Journal
2019;60(11):1054-1060
- CountryRepublic of Korea
- Language:English
-
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 AND METHODS: 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.
