Clinical Guidance for Point-of-Care Ultrasound in the Emergency and Critical Care Areas after Implementing Insurance Coverage in Korea

Choi, Wookjin; Ha, Young Rock; Oh, Je Hyeok; Cho, Young Soon; Lee, Won Woong; Sohn, Young-Jun; Cho, Gyu Chong; Koh, Chan Young; Ho, Han; Jeong, Wonjoon; Ryoo, Seung Mok; Kwon, Jae Hyun; Kim, Hyung Min; Kim, Su Jin; Park, Chan Yong; Lee, Jin Hee; Lee, Jae Hoon; Lee, Dong Hoon; Park, Sin Youl; Kang, Bo Kyeong

doi:10.3346/jkms.2020.35.e54

Cited by 13 publications

(10 citation statements)

References 69 publications

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“…It is beneficial in critical decision-making and rapidly guiding further interventions. [5,6] In addition, POCUS can be easily acquainted by clinicians, especially the physicians of emergency department and critical care medicine after professional training. As a result, POCUS has become a life-saving assessment and diagnostic tool in the early diagnosis and timely management of patients with IO.…”

mentioning

confidence: 99%

Overview of point-of-care ultrasound in diagnosing intestinal obstruction

Li¹,

Zhao²,

Zou³

et al. 2022

World Journal of Emergency Medicine

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confidence: 99%

Overview of point-of-care ultrasound in diagnosing intestinal obstruction

Li¹,

Zhao²,

Zou³

et al. 2022

World Journal of Emergency Medicine

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“…Furthermore, the majority of EUS were performed on patients with high severity according to KTAS level, and ultrasounds that could supplement computed tomography images such as echocardiography, lung ultrasound, and eFAST were mainly used; thus, ultrasounds were performed only in necessary medical situations. In addition, the Society of Emergency and Critical Care Imaging has provided recommendations on the desirable use of POCUS in emergency and critical care setting under the Korean Health Insurance System [30]. The EUS was used in accordance with these recommendations, and the indications and outcomes of all ultrasound scans were recorded in the patients' electronic medical record.…”

Section: Discussionmentioning

confidence: 99%

Impact of Insurance Benefits and Education on Point-of-Care Ultrasound Use in a Single Emergency Department: An Interrupted Time Series Analysis

Kang

Park

et al. 2022

Medicina

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Background and Objectives: Point-of-care ultrasound (POCUS) is a useful tool that helps clinicians properly treat patients in emergency department (ED). This study aimed to evaluate the impact of specific interventions on the use of POCUS in the ED. Materials and Methods: This retrospective study used an interrupted time series analysis to assess how interventions changed the use of POCUS in the emergency department of a tertiary medical institute in South Korea from October 2016 to February 2021. We chose two main interventions—expansion of benefit coverage of the National Health Insurance (NHI) for emergency ultrasound (EUS) and annual ultrasound educational workshops. The primary variable was the EUS rate, defined as the number of EUS scans per 1000 eligible patients per month. We compared the level and slope of EUS rates before and after interventions. Results: A total of 5188 scanned records were included. Before interventions, the EUS rate had increased gradually. After interventions, except for the first workshop, the EUS rate immediately increased significantly (p < 0.05). The difference in the EUS rate according to the expansion of the NHI was estimated to be the largest (p < 0.001). However, the change in slope significantly decreased after the third workshop during the coronavirus disease 2019 pandemic (p = 0.004). The EUS rate increased significantly in the presence of physicians participating in intensive POCUS training (p < 0.001). Conclusion: This study found that expansion of insurance coverage for EUS and ultrasound education led to a significant and immediate increase in the use of POCUS, suggesting that POCUS use can be increased by improving education and insurance benefits.

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“…Over the past 5 years, SECCI has held many POCUS workshops and conferences. Guidelines for the use of POCUS in the ED in Korea were published in 2020 [ 24 ]. Accordingly, there is a need to reach an expert consensus on pediatric POCUS education, which was the motivation for this study.…”

Section: Discussionmentioning

confidence: 99%

Development of Core Contents of Point-of-Care Ultrasound Curriculum for Pediatric Emergency Medicine Physician Training: A Modified Delphi Survey

Kwon

Lee

Ha³

et al. 2021

Children

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Background: As the frequency of ultrasound use in pediatric emergency departments increases, it is necessary to train pediatric emergency medicine (PEM) physicians on pediatric point-of-care ultrasonography (POCUS). We discussed the core content of POCUS applications and proposed a POCUS training curriculum for PEM physicians in South Korea. Methods: Twenty-three experts were included if had performed over 1500 POCUS scans, had at least three years of experience teaching POCUS to physicians, were POCUS instructors or had completed a certified pediatric POCUS program. Experts rated 61 possible POCUS applications in terms of the importance of their inclusion in a PEM POCUS curriculum using the modified Delphi technique. Results: In round one, twelve (52.2%) out of 23 experts responded to the email. Eleven experts satisfied the inclusion criteria. Eleven experts participated in round one of a survey and agreed on 27 (44.3%) out of a total of 61 items. In round two, all 11 experts participated in the survey; they agreed on two (5.9%) of the remaining 34 items, and no items were excluded. Conclusion: Using the Delphi method, 61 applications were discussed, and a consensus was reached on 29 core applications.

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Clinical Guidance for Point-of-Care Ultrasound in the Emergency and Critical Care Areas after Implementing Insurance Coverage in Korea

Cited by 13 publications

References 69 publications

Overview of point-of-care ultrasound in diagnosing intestinal obstruction

Overview of point-of-care ultrasound in diagnosing intestinal obstruction

Impact of Insurance Benefits and Education on Point-of-Care Ultrasound Use in a Single Emergency Department: An Interrupted Time Series Analysis

Development of Core Contents of Point-of-Care Ultrasound Curriculum for Pediatric Emergency Medicine Physician Training: A Modified Delphi Survey

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