Gut Liver.
2016 Sep;10(5):699-705. 10.5009/gnl15623.
National Endoscopy Quality Improvement Program Remains Suboptimal in Korea
- Affiliations
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- 1Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
- 2Department of Internal Medicine, Inje University College of Medicine, Seoul, Korea. moonjs22@naver.com
- 3Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.
- 4Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
- 5Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
- 6Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 7Department of Internal Medicine, Hanyang University School of Medicine, Seoul, Korea.
- 8Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
- 9Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
- 10Cancer Early Detection Branch, National Cancer Control Institute, National Cancer Center, Goyang, Korea.
- KMID: 2412065
- DOI: http://doi.org/10.5009/gnl15623
Abstract
- BACKGROUND/AIMS
We evaluated the characteristics of the National Cancer Screening Program (NCSP) and opinions regarding the National Endoscopy Quality Improvement Program (NEQIP).
METHODS
We surveyed physicians performing esophagogastroduodenoscopy and/or colonoscopy screenings as part of the NCSP via e-mail between July and August in 2015. The 32-item survey instrument included endoscopic capacity, sedation, and reprocessing of endoscopes as well as opinions regarding the NEQIP.
RESULTS
A total of 507 respondents were analyzed after the exclusion of 40 incomplete answers. Under the current capacity of the NCSP, the typical waiting time for screening endoscopy was less than 4 weeks in more than 90% of endoscopy units. Performance of endoscopy reprocessing was suboptimal, with 28% of respondents using unapproved disinfectants or not knowing the main ingredient of their disinfectants and 15% to 17% of respondents not following reprocessing protocols. Agreement with the NEQIP was optimal, because only 5.7% of respondents did not agree with NEQIP; however, familiarity with the NEQIP was suboptimal, because only 37.3% of respondents were familiar with the NEQIP criteria.
CONCLUSIONS
The NEQ-IP remains suboptimal in Korea. Given the suboptimal performance of endoscopy reprocessing and low familiarity with the NEQIP, improved quality in endoscopy reprocessing and better understanding of the NEQIP should be emphasized in Korea.
Keyword
MeSH Terms
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Adult
Early Detection of Cancer/*standards/statistics & numerical data
Endoscopes, Gastrointestinal/standards
Endoscopy, Digestive System/*standards/statistics & numerical data
Equipment Safety/methods/standards
Female
Humans
Male
Mass Screening/*standards/statistics & numerical data
Middle Aged
*Program Evaluation
Quality Improvement/*standards/statistics & numerical data
Republic of Korea
Surveys and Questionnaires
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