Journal of Society of Preventive Korean Medicine (대한예방한의학회지)

Society of Preventive Korean Medicine (대한예방한의학회)
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An Analysis on Present Condition of the Cooperative Medical Care Using the Episode of Care : Claims Data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE

진료 에피소드를 이용한 협진 의료이용 현황 분석 : 건강보험심사평가원 청구자료를 중심으로

  • Uhm, TaeWoong (Center for Comparative Effectiveness Research and Economic Evaluation in Korean Medicine, Pusan National University) ;
  • Kim, Nam-Kwen (Center for Comparative Effectiveness Research and Economic Evaluation in Korean Medicine, Pusan National University) ;
  • Kim, Sina (Center for Comparative Effectiveness Research and Economic Evaluation in Korean Medicine, Pusan National University)
  • 엄태웅 (부산대학교 한방의료 비교효과 및 경제성평가 연구센터) ;
  • 김남권 (부산대학교 한방의료 비교효과 및 경제성평가 연구센터) ;
  • 김신아 (부산대학교 한방의료 비교효과 및 경제성평가 연구센터)
  • Received : 2015.07.07
  • Accepted : 2015.08.17
  • Published : 2015.08.31
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Abstract

Objective : We analyzed present condition of cooperative medical care using claims data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE form patients treated by Korean-Western cooperative medicine. The study aimed to offer guidelines in selecting disease-related research in developing Korean-Western convergence technology. Method : Based on the patients using Korean medical service, we analyzed claims data of patients using Korean medical service and western medical service from January 2012 to December 2013. We were assigned to the server remotely. With the concept of 'episode of care', we rebuilt claims data and analyzed present condition of cooperative medical usage. Results : We analyzed present condition of cooperative medical care per episode of care. Among outpatients, Low back pain, lumbar region(M5456) was the highest number. Among inpatients, Sciatica due to intervertebral disc disorder(M511) was the highest number. Conclusion : Based on the claims data provided by HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE, we have derived a list of multy frequently disease frequently treated by cooperative medical care by analyzing present condition.

Keywords

References

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