初诊糖尿病对韩国医疗就诊及药物依从性的影响。
Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in Korea.
作者信息
Hyeongsu Kim, Soon-Ae Shin, Kunsei Lee, Jong-Heon Park, Tae Hwa Han, Minsu Park, Eunyoung Minsu, Hyoseon Jeong, Jung-Hyun Lee, Hyemi Ahn, Vitna Kim
机构信息
Dept. of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Korea.
Big Data Steering Dept., National Health Insurance Service, Seoul, Korea.
出版信息
Iran J Public Health. 2018 Feb;47(2):209-218.
BACKGROUND
The National Health Insurance Service (NHIS) conducted a screening test to detect chronic diseases such as hypertension and diabetes in Korea. This study evaluated the effects of health screening for DM on pharmacological treatment.
METHODS
The data from qualification and the General Health Screening in 2012, the insurance claims of medical institutions from Jan 2009 to Dec 2014, and the diabetic case management program extracted from the NHIS administrative system were used. Total 16068 subjects were included. Visiting rate to medical institution, medication possession ratio and the rate of medication adherence of study subjects were used as the indices.
RESULTS
The visiting rates to medical institutions were 39.7%. The percentage who received a prescription for a diabetes mellitus medication from a doctor was 80.9%, the medication possession ratio was 70.8%, and the rate of medication adherence was 57.8%.
CONCLUSION
The visiting rate, medication possession ratio and rate of medication adherence for DM medication were not high. In order to increase the visiting rate, medication possession ratio and rate of medication adherence, NHIS should support environment in which medical institutions and DM patients can do the role of each part.
背景
韩国国民健康保险服务（NHIS）开展了一项筛查测试，以检测高血压和糖尿病等慢性病。本研究评估了糖尿病健康筛查对药物治疗的影响。
方法
使用了2012年资格认定和一般健康筛查的数据、2009年1月至2014年12月医疗机构的保险理赔数据，以及从NHIS行政系统中提取的糖尿病病例管理项目数据。共纳入16068名受试者。以研究对象到医疗机构的就诊率、药物持有率和药物依从率作为指标。
结果
到医疗机构的就诊率为39.7%。从医生处获得糖尿病药物处方的比例为80.9%，药物持有率为70.8%，药物依从率为57.8%。
结论
糖尿病药物的就诊率、药物持有率和药物依从率不高。为了提高就诊率、药物持有率和药物依从率，NHIS应支持医疗机构和糖尿病患者能够各尽其责的环境。
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