Feedback survey of the effect, burden, and cost of the national endoscopic quality assessment program during the past 5 years in Korea

Ethics and Quality Control Committee of Korean Society of Gastrointestinal Endoscopy

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background/Aims: In Korea, the nationwide gastric cancer screening program recommends biennial screening for individuals aged 40 years or older by way of either an upper gastrointestinal series or endoscopy. The national endoscopic quality assessment (QA) program began recommending endoscopy in medical institutions in 2009. We aimed to assess the effect, burden, and cost of the QA program from the viewpoint of medical institutions. Methods: We surveyed the staff of institutional endoscopic units via e-mail. Results: Staff members from 67 institutions replied. Most doctors were endoscopic specialists. They responded as to whether the QA program raised awareness for endoscopic quality (93%) or improved endoscopic practice (40%). The percentages of responders who reported improvements in the diagnosis of gastric cancer, the qualifications of endoscopists, the quality of facilities and equipment, endoscopic procedure, and endoscopic reprocessing were 69%, 60%, 66%, 82%, and 75%, respectively. Regarding reprocessing, many staff members reported that they had bought new automated endoscopic preprocessors (3%), used more disinfectants (34%), washed endoscopes longer (28%), reduced the number of endoscopies performed to adhere to reprocessing guidelines (9%), and created their own quality education programs (59%). Many responders said they felt that QA was associated with some degree of burden (48%), especially financial burden caused by purchasing new equipment. Reasonable quality standards (45%) and incentives (38%) were considered important to the success of the QA program. Conclusions: Endoscopic quality has improved after 5 years of the mandatory endoscopic QA program.

Original languageEnglish
Pages (from-to)542-547
Number of pages6
JournalClinical Endoscopy
Volume49
Issue number6
DOIs
Publication statusPublished - 2016 Nov 1

Fingerprint

Korea
Endoscopy
Costs and Cost Analysis
Stomach Neoplasms
Equipment and Supplies
Disinfectants
Endoscopes
Postal Service
Early Detection of Cancer
Motivation
Guidelines
Education
Surveys and Questionnaires

Keywords

  • Endoscopy
  • Mass screening
  • Quality
  • Stomach neoplasms

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Feedback survey of the effect, burden, and cost of the national endoscopic quality assessment program during the past 5 years in Korea. / Ethics and Quality Control Committee of Korean Society of Gastrointestinal Endoscopy.

In: Clinical Endoscopy, Vol. 49, No. 6, 01.11.2016, p. 542-547.

Research output: Contribution to journalArticle

Ethics and Quality Control Committee of Korean Society of Gastrointestinal Endoscopy 2016, 'Feedback survey of the effect, burden, and cost of the national endoscopic quality assessment program during the past 5 years in Korea', Clinical Endoscopy, vol. 49, no. 6, pp. 542-547. https://doi.org/10.5946/ce.2015.113
Ethics and Quality Control Committee of Korean Society of Gastrointestinal Endoscopy. / Feedback survey of the effect, burden, and cost of the national endoscopic quality assessment program during the past 5 years in Korea. In: Clinical Endoscopy. 2016 ; Vol. 49, No. 6. pp. 542-547.
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abstract = "Background/Aims: In Korea, the nationwide gastric cancer screening program recommends biennial screening for individuals aged 40 years or older by way of either an upper gastrointestinal series or endoscopy. The national endoscopic quality assessment (QA) program began recommending endoscopy in medical institutions in 2009. We aimed to assess the effect, burden, and cost of the QA program from the viewpoint of medical institutions. Methods: We surveyed the staff of institutional endoscopic units via e-mail. Results: Staff members from 67 institutions replied. Most doctors were endoscopic specialists. They responded as to whether the QA program raised awareness for endoscopic quality (93{\%}) or improved endoscopic practice (40{\%}). The percentages of responders who reported improvements in the diagnosis of gastric cancer, the qualifications of endoscopists, the quality of facilities and equipment, endoscopic procedure, and endoscopic reprocessing were 69{\%}, 60{\%}, 66{\%}, 82{\%}, and 75{\%}, respectively. Regarding reprocessing, many staff members reported that they had bought new automated endoscopic preprocessors (3{\%}), used more disinfectants (34{\%}), washed endoscopes longer (28{\%}), reduced the number of endoscopies performed to adhere to reprocessing guidelines (9{\%}), and created their own quality education programs (59{\%}). Many responders said they felt that QA was associated with some degree of burden (48{\%}), especially financial burden caused by purchasing new equipment. Reasonable quality standards (45{\%}) and incentives (38{\%}) were considered important to the success of the QA program. Conclusions: Endoscopic quality has improved after 5 years of the mandatory endoscopic QA program.",
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AU - Ethics and Quality Control Committee of Korean Society of Gastrointestinal Endoscopy

AU - Cho, Yu Kyung

AU - Moon, Jeong Seop

AU - Han, Dong Su

AU - Lee, Yong Chan

AU - Kim, Yeol

AU - Park, Bo Young

AU - Chung, Il Kwun

AU - Kim, Jin Oh

AU - Im, Jong Pil

AU - Cha, Jae Myung

AU - Kim, Hyun Gun

AU - Lee, Sang Kil

AU - Lee, Hang Lak

AU - Jang, Jae Young

AU - Kim, Eun-Sun

AU - Jung, Yunho

AU - Moon, Chang Mo

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N2 - Background/Aims: In Korea, the nationwide gastric cancer screening program recommends biennial screening for individuals aged 40 years or older by way of either an upper gastrointestinal series or endoscopy. The national endoscopic quality assessment (QA) program began recommending endoscopy in medical institutions in 2009. We aimed to assess the effect, burden, and cost of the QA program from the viewpoint of medical institutions. Methods: We surveyed the staff of institutional endoscopic units via e-mail. Results: Staff members from 67 institutions replied. Most doctors were endoscopic specialists. They responded as to whether the QA program raised awareness for endoscopic quality (93%) or improved endoscopic practice (40%). The percentages of responders who reported improvements in the diagnosis of gastric cancer, the qualifications of endoscopists, the quality of facilities and equipment, endoscopic procedure, and endoscopic reprocessing were 69%, 60%, 66%, 82%, and 75%, respectively. Regarding reprocessing, many staff members reported that they had bought new automated endoscopic preprocessors (3%), used more disinfectants (34%), washed endoscopes longer (28%), reduced the number of endoscopies performed to adhere to reprocessing guidelines (9%), and created their own quality education programs (59%). Many responders said they felt that QA was associated with some degree of burden (48%), especially financial burden caused by purchasing new equipment. Reasonable quality standards (45%) and incentives (38%) were considered important to the success of the QA program. Conclusions: Endoscopic quality has improved after 5 years of the mandatory endoscopic QA program.

AB - Background/Aims: In Korea, the nationwide gastric cancer screening program recommends biennial screening for individuals aged 40 years or older by way of either an upper gastrointestinal series or endoscopy. The national endoscopic quality assessment (QA) program began recommending endoscopy in medical institutions in 2009. We aimed to assess the effect, burden, and cost of the QA program from the viewpoint of medical institutions. Methods: We surveyed the staff of institutional endoscopic units via e-mail. Results: Staff members from 67 institutions replied. Most doctors were endoscopic specialists. They responded as to whether the QA program raised awareness for endoscopic quality (93%) or improved endoscopic practice (40%). The percentages of responders who reported improvements in the diagnosis of gastric cancer, the qualifications of endoscopists, the quality of facilities and equipment, endoscopic procedure, and endoscopic reprocessing were 69%, 60%, 66%, 82%, and 75%, respectively. Regarding reprocessing, many staff members reported that they had bought new automated endoscopic preprocessors (3%), used more disinfectants (34%), washed endoscopes longer (28%), reduced the number of endoscopies performed to adhere to reprocessing guidelines (9%), and created their own quality education programs (59%). Many responders said they felt that QA was associated with some degree of burden (48%), especially financial burden caused by purchasing new equipment. Reasonable quality standards (45%) and incentives (38%) were considered important to the success of the QA program. Conclusions: Endoscopic quality has improved after 5 years of the mandatory endoscopic QA program.

KW - Endoscopy

KW - Mass screening

KW - Quality

KW - Stomach neoplasms

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