Health Policy Manag.  2021 Dec;31(4):399-408. 10.4332/KJHPA.2021.31.4.399.

A Review of Quality Management and Improvement of Trauma Fee Schedule in Regional Trauma Center

Affiliations
  • 1Healthcare Benefits System Research Department, Health Insurance Review and Assessment Service, Wonju, Korea
  • 2Review and Assessment Research Department, Health Insurance Review and Assessment Service, Wonju, Korea

Abstract

The emergency medical service system in Korea was built upon the Emergency Medical Service Act, 1995 to respond adequately to be much in demand for emergency medical services. In addition, the government recognized the importance of the trauma care system and set out to plan for the designation and establishment of the regional trauma center by 2012. This study aimed to investigate features of quality management and trauma fee schedule on better understanding of trauma care system. First, quality management of the regional trauma center has been implemented by several quality programs involved in quality assessment, committee on trauma quality management, and mortality and morbidity conference. Second, the trauma fee schedule has reflected a specific quality of severe traumatic conditions and added the result to it, which are graded A, B, and C according to quality assessment. Although the government has contributed to instituting a trauma quality assessment program and trauma fee schedule for the regional trauma center, it could not lead to such a fixed standard for quality management of them. Therefore, it will promote discussion on the sustainability of the regional trauma center that requires reducing preventable trauma death rate and the way to apply comprehensive quality management.

Keyword

Emergency medical services; Trauma care system; Regional trauma center; Quality management; Trauma fee schedule
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