Healthcare systems around the world share the common goals of improving clinical outcomes, optimizing cost reductions and efficiencies, and expanding access to care in a patient-centric manner, yet they are stymied by 2 critical challenges: wide variations in patients' clinical outcomes and soaring costs. In response to these challenges, many healthcare systems throughout the world are pivoting towards value-based healthcare (VBHC), to ultimately 1) move from volume-based to value-based care, 2) promote patient-centric care, and 3) reverse rising costs. While the United States and European nations are piloting alternative payment models, South Korea has a similar set of objectives to adopt value or performance-based payment systems. Two exemplary programs helping to move Korea towards a VBHC model are currently under way: the Support Fund Program for Care Quality Assessment and the Healthcare Benefit Appropriateness Assessment Program. However, in order to permanently establish a full-fledged VBHC system in Korea, the following prerequisites must be met: 1) normalization of provider payment rates, 2) development and dissemination of critical pathways, 3) implementation of pilot projects in the medical device sector that contain risk-share payment schemes, 4) implementation of registries to aid data-driven coverage decisions, and 5) implementation of bundled payment pilot programs for the medical conditions for which proven critical pathways already exist. Ultimately, the medical device industry is in a unique position to enhance ongoing endeavors by Korean health authorities and providers to achieve quality patient care and cost savings, all in the service of the transition to VBHC.
Cost Control ; Cost Savings ; Critical Pathways ; Delivery of Health Care* ; Financial Management ; Korea ; Patient Care ; Pilot Projects ; Registries ; Republic of Korea* ; United States

In order to maintain the donation of the human bodies required for medical education and research, we investigated social characteristics of those who have signed up to the donation program. The data registered in Chungbuk National University were analyzed and then compared to those registered in 9 of other universities in Korea. In addition, a telephone survey was performed for 128 registrants of Chungbuk National University. The number of registrants was rapidly increased after 1999 and the donation of body was sufficient for medical education and research after 2005. The number of registrants of Chungbuk after 2005 shows gradual increase whereas 10 other schools shows slight decrease. The age of registrants at signing up to the program showed the largest proportion in seventies (33.9%), followed by sixties (28.9%) and fifties (22%). Multiple registration which means two or more registrants from one family represented 40.9%. After the use of cadaver and cremation, most of the bereaved family preferred to keep and visit the cremains in the charnel house of medical school more than to carry out the school. By the telephone survey, 71% of the registrants answered they are in middle or upper middle class of living, and 77% responded that the motivation was voluntary for the society without any reward. Based on the present results we could expect the body donations will reasonably maintaine. Most of dornors have pure motivation without any reward from the school. Keeping their cremains at charnel house of the medical school were strongly favored so it is important to make enough facilities and management system as well.
Cadaver ; Cremation ; Education, Medical ; Human Body ; Humans ; Korea ; Motivation ; Reward ; Schools, Medical ; Sociology ; Telephone