{"id":140429,"date":"2019-06-18T10:05:07","date_gmt":"2019-06-18T10:05:07","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%ec%8a%a4%ed%8e%98%ec%9d%b8-%ec%9a%b0%ec%97%98%eb%b0%94huelva-%eb%8c%80%ed%95%99%eb%b3%91%ec%9b%90%ec%97%90%ec%84%9c-%ec%8b%ac%eb%b6%80%ec%a0%84-%ec%a7%84%eb%a3%8c-%ed%98%81%ec%8b%a0%ed%95%98\/"},"modified":"2026-02-16T04:58:33","modified_gmt":"2026-02-16T04:58:33","slug":"transforming-heart-failure-care-at-huelva-university-hospital-spain","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/ko\/operations\/immunoassay\/transforming-heart-failure-care-at-huelva-university-hospital-spain\/","title":{"rendered":"\uc2a4\ud398\uc778 \uc6b0\uc5d8\ubc14(Huelva) \ub300\ud559\ubcd1\uc6d0\uc5d0\uc11c \uc2ec\ubd80\uc804 \uc9c4\ub8cc \ud601\uc2e0\ud558\uae30"},"content":{"rendered":"<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\uc6b0\ub9ac\ub294 \ucd5c\uadfc \uc2ec\ubd80\uc804 \uad00\ub9ac\uc5d0\uc11c \uc0c8\ub85c\uc6b4 \uc9c4\ub2e8 \ub9c8\ucee4, \ud2b9\ud788 \ub098\ud2b8\ub968 \uc774\ub1e8 \ud3a9\ud0c0\uc774\ub4dc(natriuretic peptide)\uac00 \ud658\uc790\uc5d0\uac8c \uc81c\uacf5\ud558\ub294 \uac00\uce58\ub97c \uc870\uc0ac\ud558\uae30 \uc704\ud574 \uac80\uc0ac\uc2e4\uc5d0\uc11c \uc5f0\uad6c\ub97c \uc2dc\uc791\ud588\uc2b5\ub2c8\ub2e4. \uc2ec\ubd80\uc804\uc744 \uc120\ud0dd\ud55c \uc774\uc720\ub294 \uc6b0\ub9ac \uc9c0\uc5ed\uc5d0\uc11c \uc2ec\ubd80\uc804\uc774 \uc774\ubbf8 \uc720\ud589 \uc218\uc900\uc5d0 \ub3c4\ub2ec\ud574 \uc788\uc5c8\uace0, \ub9ce\uc740 \ud658\uc790\uac00 \uc0c1\ud0dc\ub97c \uad00\ub9ac\ud558\uae30 \uc704\ud574 \ubcd1\uc6d0\uc5d0 \uc5ec\ub7ec \ucc28\ub840 \uc785\uc6d0\ud574\uc57c \ud588\uae30 \ub54c\ubb38\uc785\ub2c8\ub2e4. <\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\uc5f0\uad6c\ub294 \uc2ec\ubd80\uc804 \ud658\uc790\uc758 \uae30\uc874 \ud658\uc790 \uc5ec\uc815\uc744 \ub9e4\ud551\ud558\ub294 \uac83\uc5d0\uc11c \uc2dc\uc791\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \uc774\ub97c \uc704\ud574 \uc6b0\ub9ac\ub294 \uc784\uc0c1 \uc9c4\ub8cc\uc758 \uaca9\ucc28\ub97c \uc815\ud655\ud788 \ud30c\uc545\ud558\uace0 \ud574\uacb0\ud560 \uc218 \uc788\ub3c4\ub85d \uc758\ub8cc \ucee8\uc124\ud305 \ud68c\uc0ac\uc640 \ud611\ub825\ud588\uc2b5\ub2c8\ub2e4. \uc774 \ub2e8\uacc4\ub294 \ud504\ub85c\uc81d\ud2b8 \uc131\uacf5\uc744 \uc704\ud574 \uac00\uc7a5 \uc911\uc694\ud55c \uc808\ucc28\uc600\uc2b5\ub2c8\ub2e4. \uc6b0\ub9ac\ub294 \ub450 \uac00\uc9c0 \uc8fc\uc694 \uaca9\ucc28\ub97c \ud655\uc778\ud588\uc2b5\ub2c8\ub2e4:<\/span><\/span><\/span><\/p>\n<ul>\n<li style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\uc2ec\ubd80\uc804\uc758 \uc870\uae30\u00b7\uc815\ud655\ud55c \uc9c4\ub2e8\uc774 \uc5b4\ub835\ub2e4. \uc2ec\ubd80\uc804\uc740 \ubcf5\uc7a1\ud55c \uac80\uc0ac\uac00 \ud544\uc694\ud569\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \uc870\uae30\uc5d0 \uc9c4\ub2e8\ud560 \uacbd\uc6b0 \uc0ac\ub9dd\ub960\uacfc \uc774\ud658\uc728\uc774 \ub0ae\uc544\uc9d1\ub2c8\ub2e4. <\/span><\/span><\/span><\/li>\n<li style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\uc2ec\ubd80\uc804 \ud658\uc790\uc758 \ucd94\uc801 \uad00\ub9ac\ub294 \uac1c\uc778\ud654\ub418\uc5b4 \uc788\uc9c0 \uc54a\ub2e4. \ud611\uc9c4 \uad6c\uc870\uc640 \uc5ec\ub7ec \ubd80\uc11c\uac00 \uad00\uc5ec\ud558\ub294 \ud2b9\uc131 \ub54c\ubb38\uc5d0, \ud658\uc790 \ub9de\ucda4\ud615 \uad00\ub9ac\uac00 \uc774\ub8e8\uc5b4\uc838\uc57c \ud569\ub2c8\ub2e4. <\/span><\/span><\/span><\/li>\n<\/ul>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\uc870\uae30 \ubc1c\uacac\uacfc \uc911\uc559 \uc9d1\uc911\ud615 \uad00\ub9ac\uac00 \ud658\uc790\uc5d0\uac8c \ubbf8\uce58\ub294 \uac00\uce58\ub97c \ud3c9\uac00\ud558\uae30 \uc704\ud574, \uc6b0\ub9ac\ub294 \ubaa8\ub4e0 \uc9c4\ub2e8\uc774 1\uc8fc \uc774\ub0b4\uc5d0 \ud655\uc815\ub418\ub3c4\ub85d \ub450 \uac00\uc9c0 \uac1c\uc785\uc744 \uc124\uacc4\ud588\uc2b5\ub2c8\ub2e4. \uc774\ub97c \uc704\ud574 B\ud615 \ub098\ud2b8\ub968 \uc774\ub1e8 \ud3a9\ud0c0\uc774\ub4dc(BNP)\uc640 NT-proBNP \uac80\uc0ac\ub97c \uc751\uae09\uc2e4\uc5d0\uc11c \uc77c\ucc28\uc758\ub8cc(primary care)\uae4c\uc9c0 \ud655\ub300\ud558\uc5ec 1\ucc28 \uc9c4\ub2e8 \uac80\uc0ac\ub85c \uc9c0\uc815\ud588\uc2b5\ub2c8\ub2e4. \ub610\ud55c \uc758\uc2ec \ud658\uc790\ub97c \uc758\ub8b0\ud560 \uc218 \uc788\ub3c4\ub85d \uc2ec\ubd80\uc804 \uc804\ub2f4 \uc720\ub2db\uc744 \uad6c\ucd95\ud588\uc2b5\ub2c8\ub2e4. \uc774 \uc720\ub2db\uc740 NT-proBNP \uc218\uce58\ub97c \uae30\ubc18\uc73c\ub85c \ubc29\ubb38 \ube48\ub3c4\ub97c \uac1c\uc778\ud654\ud558\uc5ec \ud658\uc790\uc758 \ucd94\uc801 \uad00\ub9ac\ub97c \uc218\ud589\ud558\ub3c4\ub85d \uc124\uacc4\ub418\uc5c8\uc2b5\ub2c8\ub2e4. <\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\ub2e4\uc74c\uc73c\ub85c \uc6b0\ub9ac\uac00 \ucd94\uc801\ud560 \ud45c\uc900\ud654\ub41c \uacb0\uacfc \uc9c0\ud45c\ub97c \uc815\uc758\ud588\uc2b5\ub2c8\ub2e4. \uc774\ub97c \uc704\ud574 \ud558\ubc84\ub4dc \uacbd\uc601\ub300\ud559\uc6d0(Harvard Business School)\uc758 \ub9c8\uc774\ud074 \ud3ec\ud130(Michael Porter)\uac00 \uac1c\ubc1c\ud55c \uc131\uacfc\uc9c0\ud45c \uacc4\uce35\uad6c\uc870(Outcome Measures Hierarchy) [1]\uc640 \uad6d\uc81c\ubcf4\uac74\uc131\uacfc\uce21\uc815\ucee8\uc18c\uc2dc\uc5c4(ICHOM)\uc758 \uc2ec\ubd80\uc804 \ud658\uc790 \uc131\uacfc \uce21\uc815 \uac00\uc774\ub4dc\ub77c\uc778 [2]\uc744 \uc0ac\uc6a9\ud588\uc2b5\ub2c8\ub2e4(\uc544\ub798 Figure 1 \ucc38\uc870).<\/span><\/span><\/span><\/p>\n<p><!-- <img fetchpriority=\"high\" decoding=\"async\" src=\"\/sites\/default\/files\/inline-images\/AL2.png\" alt=\"AL2\" width=\"626\" height=\"352\" data-caption=\"Figure 1: Choosing Metrics for Heart Failure Outcomes Measurement&lt;br \/&gt; Source: Michael Porter\u2019s Outcome Measures Hierarchy (left); The International Consortium for Health Outcomes Measurement\u2019s Heart Failure Data Collection Reference Guide (right).\" data-entity-type=\"file\" data-entity-uuid=\"ab6fbfa0-16f0-4a7f-a015-612e3aac4022\" title=\"\">\n--><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\uacb0\uacfc \uc9c0\ud45c\ub97c \uc815\uc758\ud55c \ud6c4\uc5d0\ub294 \ub370\uc774\ud130 \uc218\uc9d1 \ud504\ub85c\uc138\uc2a4\ub97c \uad6c\ucd95\ud574\uc57c \ud588\uc2b5\ub2c8\ub2e4. ICHOM \uac00\uc774\ub4dc\ub77c\uc778\uc5d0 \ub530\ub77c, \uc9c4\ub8cc \uc0ac\uc774\ud074 \uc804\ubc18\uc758 \uc5ec\ub7ec \uc2dc\uc810\uc5d0 \ub370\uc774\ud130 \uc218\uc9d1 \ud3ec\uc778\ud2b8(data collection points)\ub97c \uc2dc\uc2a4\ud15c\uc5d0 \ucd94\uac00\ud588\uc2b5\ub2c8\ub2e4. \ub610\ud55c \uc124\ubb38\uc9c0 \uc124\uacc4 \uacfc\uc815\uc5d0 \ud658\uc790 \uc790\uccb4\ub97c \ucc38\uc5ec\uc2dc\ud0a4\uace0, \ub370\uc774\ud130 \uc785\ub825 \uc815\ud655\uc131\uc744 \ubcf4\uc7a5\ud558\uae30 \uc704\ud574 \uc5ec\ub7ec \uac80\uc99d \ub2e8\uacc4\ub97c \ub9c8\ub828\ud588\uc2b5\ub2c8\ub2e4.<\/span><\/span><\/span><\/p>\n<p><!-- <img decoding=\"async\" src=\"\/sites\/default\/files\/inline-images\/AL3.png\" alt=\"AL3\" width=\"626\" height=\"352\" data-caption=\"Figure 2: ICHOM Guidelines for Data Collection in Heart Failure Outcomes&lt;br \/&gt; Source: The International Consortium for Health Outcomes Measurement\" data-entity-type=\"file\" data-entity-uuid=\"23e3d14b-019c-4357-a15f-3001bec9000e\" title=\"\">\n--><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\uadf8 \ub2e4\uc74c, \ub2e4\uc591\ud55c \uc2dc\ub098\ub9ac\uc624\ub97c \uae30\ubc18\uc73c\ub85c \ud658\uc790 \uacb0\uacfc \ubc0f \ube44\uc6a9\ud3b8\uc775(cost benefit) KPI \uc138\ud2b8\ub97c \uad6c\ucd95\ud588\uc2b5\ub2c8\ub2e4. \ubcf8 \ud504\ub85c\uc81d\ud2b8\ub97c \uc2dc\uc791\ud558\uae30 \uc804, \uc6b0\ub9ac\uc758 90\uc77c \uc7ac\uc785\uc6d0\ub960\uc740 37%\uc600\uc2b5\ub2c8\ub2e4. \uc911\uc7ac \uac1c\uc785 \ud6a8\uacfc\uc5d0 \ub530\ub77c \uc7ac\uc785\uc6d0\ub960\uc744 28%, 19%, 9%\uae4c\uc9c0 \uc904\uc77c \uc218 \uc788\uc744 \uac83\uc73c\ub85c \uc608\uc0c1\ud588\uc2b5\ub2c8\ub2e4(\uac01\uac01 \ucd5c\uc18c\u00b7\uc911\uac04\u00b7\ucd5c\ub300 \uc131\uacf5 \uc2dc\ub098\ub9ac\uc624). <\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span lang=\"EN-GB\" style=\"font-size: 11.0pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: 'Calibri',sans-serif;\">\uc544\uc9c1 \uc804\uccb4 1\ub144 \ubd84\uc11d\uc740 \uc644\ub8cc\ub418\uc9c0 \uc54a\uc558\uc9c0\ub9cc, \ud604\uc7ac\uae4c\uc9c0\uc758 \ub370\uc774\ud130\ub294 \ub9e4\uc6b0 \uace0\ubb34\uc801\uc785\ub2c8\ub2e4. \uc7ac\uc785\uc6d0\ud558\ub294 \ud658\uc790 \uc218\uac00 \ud06c\uac8c \uc904\uc5c8\uc73c\uba70, \uc7ac\uc785\uc6d0 \ud69f\uc218 \ub610\ud55c \uac10\uc18c\ud588\uc2b5\ub2c8\ub2e4. 30\uc77c \uc7ac\uc785\uc6d0\ub960\uc740 88% \uac10\uc18c\ud588\uc2b5\ub2c8\ub2e4. 6\uac1c\uc6d4 \uc7ac\uc785\uc6d0\ub960\uc740 70% \uac10\uc18c\ud588\uc73c\uba70, \ud604\uc7ac\uae4c\uc9c0 1\ub144 \uc7ac\uc785\uc6d0\ub960\uc740 45% \uac10\uc18c\ud588\uc2b5\ub2c8\ub2e4. \ub610\ud55c \uc2ec\ubd80\uc804 \ud658\uc790\uc758 \uc751\uae09\uc2e4 \ubc29\ubb38 \ud69f\uc218\ub3c4 \uc904\uc77c \uc218 \uc788\uc5c8\uc2b5\ub2c8\ub2e4. \ud658\uc790 \uac74\uac15 \uc0c1\ud0dc\ub3c4 \uac1c\uc120\ub418\uc5b4, \uc77c\uc0c1\uc801\uc778 \ud65c\ub3d9\uc870\ucc28 \uc5b4\ub824\uc6b4 \ub274\uc695\uc2ec\uc7a5\ud611\ud68c(NYHA) Class III [3] \uc0c1\ud0dc\uc5d0 \uc18d\ud558\ub294 \ud658\uc790 \uc218\uac00 \uac10\uc18c\ud588\uc2b5\ub2c8\ub2e4. <\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span lang=\"EN-GB\" style=\"font-size: 11.0pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: 'Calibri',sans-serif;\"><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1011024\" target=\"_blank\" rel=\"noopener\">[1] <\/a>Porter, E.M., 2010. What is Value in Health Care? The New England Journal of Medicine. 363, pp.2477-2481<\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><a href=\"https:\/\/www.ichom.org\/portfolio\/heart-failure\/\" target=\"_blank\" rel=\"noopener\">[2]<\/a> ICHOM Heart Failure Standard Set<\/p>\n<p style=\"margin: 0in 0in 8pt;\">[3] New York Heart Association Classification<\/p>\n<p style=\"margin: 0in 0in 8pt;\"><em><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\"><span lang=\"EN-GB\" style=\"font-size: 10.0pt;\"><span style=\"line-height: 107%;\">\ubcf8 \uae00\uc740 2018\ub144 \uc911\uad6d \uad11\uc800\uc6b0\uc5d0\uc11c \uc5f4\ub9b0 Roche Efficiency Days(RED)\uc5d0\uc11c \ubc1c\ud45c\ub41c \u201cValue-based innovation in heart failure patient management\u201d \ubc1c\ud45c \ub0b4\uc6a9\uc744 \uae30\ubc18\uc73c\ub85c \uc791\uc131\ub418\uc5c8\uc2b5\ub2c8\ub2e4.<\/span><\/span><\/span><\/span><\/span><\/em><\/p>\n<p style=\"margin: 0in 0in 8pt;\">\n","protected":false},"excerpt":{"rendered":"<p>\uc6b0\ub9ac\ub294 \ucd5c\uadfc \uc2ec\ubd80\uc804 \uad00\ub9ac\uc5d0\uc11c \uc0c8\ub85c\uc6b4 \uc9c4\ub2e8 \ub9c8\ucee4, \ud2b9\ud788 \ub098\ud2b8\ub968 \uc774\ub1e8 \ud3a9\ud0c0\uc774\ub4dc(natriuretic peptide)\uac00 \ud658\uc790\uc5d0\uac8c \uc81c\uacf5\ud558\ub294 \uac00\uce58\ub97c \uc870\uc0ac\ud558\uae30 \uc704\ud574 \uac80\uc0ac\uc2e4\uc5d0\uc11c \uc5f0\uad6c\ub97c \uc2dc\uc791\ud588\uc2b5\ub2c8\ub2e4. \uc2ec\ubd80\uc804\uc744 \uc120\ud0dd\ud55c \uc774\uc720\ub294 \uc6b0\ub9ac \uc9c0\uc5ed\uc5d0\uc11c \uc2ec\ubd80\uc804\uc774 \uc774\ubbf8 \uc720\ud589 \uc218\uc900\uc5d0 \ub3c4\ub2ec\ud574 \uc788\uc5c8\uace0, \ub9ce\uc740 \ud658\uc790\uac00 \uc0c1\ud0dc\ub97c \uad00\ub9ac\ud558\uae30 \uc704\ud574 \ubcd1\uc6d0\uc5d0 \uc5ec\ub7ec \ucc28\ub840 \uc785\uc6d0\ud574\uc57c \ud588\uae30 \ub54c\ubb38\uc785\ub2c8\ub2e4. \uc5f0\uad6c\ub294 \uc2ec\ubd80\uc804 \ud658\uc790\uc758 \uae30\uc874 \ud658\uc790 \uc5ec\uc815\uc744 \ub9e4\ud551\ud558\ub294 \uac83\uc5d0\uc11c \uc2dc\uc791\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \uc774\ub97c \uc704\ud574 \uc6b0\ub9ac\ub294 \uc784\uc0c1 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":83755,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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