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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 184 - 190 (7page)
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초록· 키워드
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Objectives: It is important to monitor the healthcare utilization of patients at the national level to make evidence-based policy decisions and manage the nation’s healthcare sector. The Health Insurance Review & Assessment Service (HIRA) has run a Healthcare Utilization Monitoring System (HUMS) since 2008. The objective of this paper is to introduce HIRA’s HUMS.
Methods: This study described the HUMS’s system structure, capacity, functionalities, and output formats run by HIRA in the Republic of Korea. Regarding output formats, this study extracted diabetes related health insurance claims through the HUMS from August 1, 2014 to May 31, 2015. Results: The HUMS has kept records of health insurance claim data for 4 years. It has a 14-terabyte hardware capacity and employs several easy-to-use programs for maintenance of the system, such as MSTR, SAS, etc. Regarding functionalities, users should input diseases codes, target periods, facility types, and types of attributes, such as the number of healthcare utilizations or healthcare costs. It also has a functionality to predict healthcare utilization and costs. When this study extracted diabetes related data, it was found that the trend of healthcare costs for the treatment of diabetes and the number of patients with diabetes were increasing. Conclusions: HIRA’s HUMS works well to monitor healthcare utilization of patients at the national level. The HUMS has a high-capacity hardware infrastructure and several operational programs that allows easy access to summaries as well as details to identify contributing factors for abnormality, but it has a limitation in that there is often a time lag between the provision of healthcare to patients and the filing of health claims.
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참고문헌 (11)
참고문헌 신청
Buntin MB / 2011 / The benefits of health information technology : a review of the recent literature shows predominantly positive results / Health Aff(Millwood) 30 (3) : 464
Clark T / / Prescription drug monitoring programs: an assessment of the evidence for best practice
Coloma PM / 2011 / Combining electronic healthcare databases in Europe to allow for large-scale drug safety monitoring : the EU-ADR Project / Pharmacoepidemiol Drug Saf 20 (1
Gale A / / Korea’s MERS outbreak highlights SARS lessons
Milinovich GJ / 2014 / Internet-based surveillance systems for monitoring emerging infectious diseases / Lancet Infect Dis 14 (2) : 160 ~ 168
Clark T / / Prescription drug monitoring programs: an assessment of the evidence for best practice
Coloma PM / 2011 / Combining electronic healthcare databases in Europe to allow for large-scale drug safety monitoring : the EU-ADR Project / Pharmacoepidemiol Drug Saf 20 (1
Gale A / / Korea’s MERS outbreak highlights SARS lessons
Milinovich GJ / 2014 / Internet-based surveillance systems for monitoring emerging infectious diseases / Lancet Infect Dis 14 (2) : 160 ~ 168
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