건강보험심사평가원 자료를 활용한 보건사회약학연구

• 영문명: Public Health- and Social Pharmacy-Related Study using the Korean Health Insurance Review and Assessment Service (HIRA) Claims Data
• 발행기관: 한국보건사회약료경영학회
• 저자명: 최남경(Nam-Kyong Choi)
• 간행물 정보: 『한국보건사회약료경영학회지』제4권 제1호, 42~49쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.11.30

영문 초록

BACKGROUNDS Health insurance administrative databases are important sources of information in finding health-related evidence. The objective of this study was to introduce the Korean Health Insurance Review and Assessment Service (HIRA) claims database to perform public health and social pharmacy studies. METHODS This article introduces the contents and characteristics of the HIRA data, describes the data acquisition procedures, provides examples of studies carried out using the data, and discusses several aspects that requires attention in those studies. RESULTS The HIRA claims database contains information on all claims including patients’ diagnoses, treatments, procedures, and prescription drugs for approximately 50 million Koreans. This database can be used for the following analyses: estimation of incidence or prevalence for a variety of specific disease, description of the utilization of health care resources and services, and verification of hypotheses about the health outcomes. This database has advantages including low cost, ease of patient follow-up over long time periods, and absence of reporting bias. There are several limitations of using this database including uncertain or low validity of disease diagnoses, potential discrepancies between physician’s prescriptions and patient’s actual medication intake, and lack of laboratory results and health-related behavioral information. CONCLUSION The HIRA data provide tremendous opportunities to perform large-scale quantitative analyses in the fields of public health and social pharmacy. A better understanding of prescribing practice, health policy, and data structures allows the researchers to use the claim database appropriately.

키워드

national health insurance Korean Health Insurance Review and Assessment Service claims data database public health social pharmacy