The Effect of Follow-up Management Service on Health Promotion for Obesity Population Classified in Health Screening of National Health Insurance Corporation

국민건강보험공단 건강검진 결과 비만으로 판정된 사람들을 대상으로 한 사후관리사업의 효과

  • Lee, Ae-Kyoung (Institute for National Health Insurance, National Health Insurance Corporation) ;
  • Lee, Sang-Yi (Department of Health Policy and Management, School of Medicine, Cheju National University) ;
  • Yoon, Tae-Ho (Department of Preventive Medicine & Occupational Medicine, School of Medicine, Pusan National University) ;
  • Jeong, Baek-Geun (Department of Preventive Medicine, School of Medicine, Gyeongsang National University.Institute of Health Science)
  • 이애경 (국민건강보험공단 건강보험연구원) ;
  • 이상이 (제주대학교 의과대학 의료관리학교실) ;
  • 윤태호 (부산대학교 의학전문대학원 예방의학 및 산업의학교실) ;
  • 정백근 (경상대학교 의학전문대학원 예방의학교실.건강과학연구원)
  • Received : 2009.07.31
  • Accepted : 2009.09.19
  • Published : 2009.09.30

Abstract

Objectives: This study aims to examine if the follow-up management service by National Health Insurance (NHI) for obesity persons leads to significant modification of the lifestyle and change of health status. Methods: Of persons who underwent health screening and were classified as obesity after periodic health screening by NHI in 2004, persons who took the follow-up management service were selected as case group and persons who took no service were selected as control group. The DW database of NHI was used to explore the effect of the follow-up management service on the modification of lifestyle and health status. Chi-square tests and t-tests, pairs t-tests were conducted with SAS 9.1 to examine the differences of health promotion effect between case vs. control group. Results: It was shows that of lifestyle behaviors, only exercise is significantly improved for case group compared with control group as the effect of the follow-up management service by NHI (2.11%p) (p=0.0435). Further, morbidity rate for control group was 2.05% higher than that of case group (p=0.0002). These results indicate that persons who received the follow-up management service better maintained their health significantly than persons who did not. Conclusion: The present study shows that the appropriate follow-up management services need to be provided for maximaizing potential effect of periodic health screening by NHI.

Keywords

References

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