Improvement of health care quality is a key driver for health care delivery system reform globally. System in transition is inducing the change of paradigm based on from volume to value.
This study try to assess outcomes of innovation in health care delivery system by measuring value.
Various innovative policies has been being introduced simultaneously since 2012 and thus we have enough time to assess outcomes of innovative activities at this time,
Amenable mortality as a proxy of quality of health care system has reduced from 83.7 in 2005 to 46.5 in 2014 for 100,000 persons. This result shows that quality of health care system of Korea has being improved continuously.
Measuring of value(value=△quality/△cost) using amenable mortality and annual total health expenditure showed decrease in value preventing from 3.6 deaths per 10 billion won in 2006 to 2.6 deaths per 10 billion won in 2006. When we replaced THE with NHI costs restricted to diseases attributable to amenable deaths, the trend was reversed. It is necessary to monitor additional change trends in order to use value enhancement as an innovation performance at a system level.
Despite these limitations, providing integrated intuitive information for a significantly large population will give a chance to check system performances and realign micro reform policies.