Background and Data Configuration Process of a Nationwide Population-Based Study Using the Korean National Health Insurance System
Diabetes & Metabolism Journal 2014³â 38±Ç 5È£ p.395 ~ p.403
¼Û¼±¿Á(Song Sun-Ok) - Yonsei University Graduate School Department of Medicine
Á¤Ã¢Èñ(Jung Chang-Hee) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
¼Û¿µµæ(Song Young-Duk) - National Health Insurance Service Ilsan Hospital Department of Internal Medicine
¹Úö¿µ(Park Cheol-Young) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Endocrinology and Metabolism
±ÇÇõ»ó(Kwon Hyuk-Sang) - Catholic University College of Medicine Department of Internal Medicine
Â÷ºÀ¼ö(Cha Bong-Soo) - Yonsei University College of Medicine Severance Hospital Department of Internal Medicine
¹ÚÁß¿(Park Joong-Yeol) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
À̱â¾÷(Lee Ki-Up) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
°í°æ¼ö(Ko Kyung-Soo) - Inje University College of Medicine Inje University Sanggye Paik Hospital Department of Internal Medicine
À̺´¿Ï(Lee Byung-Wan) - Yonsei University College of Medicine Severance Hospital Department of Internal Medicine
Abstract
Background: The National Health Insurance Service (NHIS) recently signed an agreement to provide limited open access to the databases within the Korean Diabetes Association for the benefit of Korean subjects with diabetes. Here, we present the history, structure, contents, and way to use data procurement in the Korean National Health Insurance (NHI) system for the benefit of Korean researchers.
Methods: The NHIS in Korea is a single-payer program and is mandatory for all residents in Korea. The three main healthcare programs of the NHI, Medical Aid, and long-term care insurance (LTCI) provide 100% coverage for the Korean population. The NHIS in Korea has adopted a fee-for-service system to pay health providers. Researchers can obtain health information from the four databases of the insured that contain data on health insurance claims, health check-ups and LTCI.
Results: Metabolic disease as chronic disease is increasing with aging society. NHIS data is based on mandatory, serial population data, so, this might show the time course of disease and predict some disease progress, and also be used in primary and secondary prevention of disease after data mining.
Conclusion: The NHIS database represents the entire Korean population and can be used as a population-based database. The integrated information technology of the NHIS database makes it a world-leading population-based epidemiology and disease research platform.
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National Health Insurance, National Health Insurance Service, Population-based data, Korea
KMID :
1200020140380050395
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