Park Choon Seon, Park Nam Hee, Sim Sung Bo, Yun Sang Cheol, Ahn Hye Mi, Kim Myunghwa, Choi Ji Suk, Kim Myo Jeong, Kim Hyunsu, Chee Hyun Keun, Oh Sanggi, Kang Shinkwang, Lee Sok-Goo, Shin Jun Ho, Kim Keonyeop, Lee Kun Sei
Health Insurance Review and Assessment Research Institute, Health Insurance Review and Assessment Service.
Department of Thoracic and Cardiovascular Surgery, Keimyung University School of Medicine.
Korean J Thorac Cardiovasc Surg. 2016 Dec;49(Suppl 1):S28-S36. doi: 10.5090/kjtcs.2016.49.S1.S28. Epub 2016 Dec 5.
This study aimed to develop the models for regional cardiac surgery centers, which take regional characteristics into consideration, as a policy measure that could alleviate the concentration of cardiac surgery in the metropolitan area and enhance the accessibility for patients who reside in the regions.
To develop the models and set standards for the necessary personnel and facilities for the initial management plan, we held workshops, debates, and conference meetings with various experts.
After partitioning the plan into two parts (the operational autonomy and the functional comprehensiveness), three models were developed: the 'independent regional cardiac surgery center' model, the 'satellite cardiac surgery center within hospitals' model, and the 'extended cardiac surgery department within hospitals' model. Proposals on personnel and facility management for each of the models were also presented. A regional cardiac surgery center model that could be applied to each treatment area was proposed, which was developed based on the anticipated demand for cardiac surgery. The independent model or the satellite model was proposed for Chungcheong, Jeolla, North Gyeongsang, and South Gyeongsang area, where more than 500 cardiac surgeries are performed annually. The extended model was proposed as most effective for the Gangwon and Jeju area, where more than 200 cardiac surgeries are performed annually.
The operation of regional cardiac surgery centers with high caliber professionals and quality resources such as optimal equipment and facility size, should enhance regional healthcare accessibility and the quality of cardiac surgery in South Korea.
本研究旨在开发考虑区域特征的地区心脏外科中心模型，作为一项政策措施，以缓解心脏外科手术集中在大都市地区的情况，并提高居住在各地区患者的可及性。
为开发模型并设定初始管理计划所需人员和设施的标准，我们与各类专家举办了研讨会、辩论会和会议。
将计划分为两部分（运营自主性和功能综合性）后，开发出三种模型：“独立地区心脏外科中心”模型、“医院内卫星心脏外科中心”模型和“医院内扩展心脏外科科室”模型。还针对每种模型提出了人员和设施管理建议。基于心脏外科手术的预期需求，提出了一种可应用于每个治疗区域的地区心脏外科中心模型。对于每年进行超过500例心脏手术的忠清、全罗、庆尚北道和庆尚南道地区，建议采用独立模型或卫星模型。对于每年进行超过200例心脏手术的江原道和济州地区，建议采用扩展模型最为有效。
由高素质专业人员以及优质资源（如最佳设备和设施规模）运营地区心脏外科中心，应能提高韩国地区医疗服务的可及性以及心脏外科手术的质量。
