J Korean Med Assoc.  2015 Dec;58(12):1125-1131. 10.5124/jkma.2015.58.12.1125.

Quality management of medical imaging for public health screening

• Jeong WK
• Lee EH
• Jung SE

• KMID: 2195140
• DOI: http://doi.org/10.5124/jkma.2015.58.12.1125

Abstract

The purpose of health screening is to reduce disease-related mortality and related medical costs through the early detection and treatment of specific diseases. However, if the quality of public health screening is poor, it not only fails to achieve the purpose of screening, but may also increase the demand for expensive individual opportunistic health examinations. To prevent these adverse situations, the Basic Act for Health Screening was established in 2010, and quality assessment of medical institutions for cancer screening has been performed from 2008. Radiologists have an integral role in radiologic examinations for screening; thus the Korean Society for Radiology has made a substantial effort to participate in quality control and improvement of the imaging quality for public health screening.

Keyword

Health screening; Quality assessment; Ultrasonography; Mammography; Upper gastrointestinal series

MeSH Terms

Diagnostic Imaging*
Early Detection of Cancer
Mammography
Mass Screening*
Mortality
Public Health*
Quality Control
Ultrasonography

Figure

• 

  Figure 1 Diagram for national health screenings in Korea and radiologic examinations for the screenings. GI, gastrointestinal; US, ultrasonography.

Reference

1. Sunwoo S, Kim Y, Park D, Lee Y, Lee Y, Lee Y. Study for developing guidelines for evaluating national health examination institutions. Seoul: National Health Insurance Service;2012.

2. Kim DY, Kim HJ, Jeong SE, Kim SG, Kim HJ, Sinn DH, Lee YJ, Jeong WK, Choi KS, Heo NY, Kim DJ, Kim YS, Kim YB, Kim YJ, Kim HR, Park M, Lee CW, Tak WY, Chung JH, Kim SY, Kim Y, Lee WC, Kim HS. The Korean guideline for hepatocellular carcinoma surveillance. J Korean Med Assoc. 2015; 58:385–397.

3. Lee EH, Park B, Kim NS, Seo HJ, Ko KL, Min JW, Shin MH, Lee K, Lee S, Choi N, Hur MH, Kim DI, Kim MJ, Kim SY, Sunwoo S, Dang JY, Kim SY, Kim Y, Lee WC, Jeong J. The Korean guideline for breast cancer screening. J Korean Med Assoc. 2015; 58:408–419.

4. Park HA, Nam SY, Lee SK, Kim SG, Shim KN, Park SM, Lee SY, Han HS, Shin YM, Kim KM, Lee KJ, Lee TY, Choi IJ, Hong SS, Kim JW, Lee YJ, Kim SY, Kim Y, Lee WC, Chung IK. The Korean guideline for gastric cancer screening. J Korean Med Assoc. 2015; 58:373–384.

5. Sohn DK, Kim MJ, Park Y, Suh M, Shin A, Lee HY, Im JP, Cho HM, Hong SP, Kim BH, Kim Y, Kim JW, Kim HS, Nam CM, Park DI, Um JW, Oh SN, Lim HS, Chang HJ, Hahm SK, Chung JH, Kim SY, Kim Y, Lee WC, Jeong SY. The Korean guideline for colorectal cancer screening. J Korean Med Assoc. 2015; 58:420–432.

6. Lee EH, Jung SE. Present condition and plan for quality control of public health examination. In : . Study for present issue and improvement of radiology in Korea. Seoul: Korean Society of Radiology;2014. p. 133–194.

7. Jung SE, Kim Y, Cha SH, Kim YH, Ryu CW, Jeong WK. Study for development of quality test standard of expanded special medical instruments. Seoul: Ministry of Health and Welfare;2011.

8. Jung SE, Lim YS, Jeong WK. Guideline for quality control of fluoroscopy in national cancer screening. Goyang: National Cancer Center;2013.

9. Korean Society of Radiology. Guideline for quality control of special medical instruments: role of radiologists in quality control of special medical instruments. Seoul: Korean Society of Radiology;2013.

10. Choi JI, Kim PN, Jeong WK, Kim HC, Yang DM, Cha SH, Chung JJ. Establishing cutoff values for a quality assurance test using an ultrasound phantom in screening ultrasound examinations for hepatocellular carcinoma: an initial report of a nationwide survey in Korea. J Ultrasound Med. 2011; 30:1221–1229.

11. Korean Society of Ultrasound in Medicine. Practice guidelines for ultrasound examinations. Seoul: Korean Society of Ultrasound in Medicine;2014.

12. Jung SE. Study for quality control of mobile health examination. Seoul: National Health Insurance Service;2011.

13. Lee EH, Jun JK, Jung SE, Kim YM, Choi N. The efficacy of mammography boot camp to improve the performance of radiologists. Korean J Radiol. 2014; 15:578–585.