Yoon Kichan, Kim Han-Kyoul, Choi Mankyu, Lee Munjae, Jakovljevic Mihajlo
The Institute for Democracy, Seoul, Republic of Korea.
Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Risk Manag Healthc Policy. 2023 Jun 16;16:1101-1117. doi: 10.2147/RMHP.S413630. eCollection 2023.
The purpose of this study lies in verifying the effectiveness of the health promotion project which the public health center at the local level conducted by systematically linking the health examination results from the Health Insurance Corporation. We intend to emphasize the importance of linking the health-related public data.
A survey was conducted to measure the effect of improving health behavior using EQ-5D-5L and demographic variables.
As a result of the analysis, the residents (3.13) who had experienced the use of public health centers recognized more necessity for the service linked systematically with health checkup data than those (2.93) who had not. In addition, the residents who had experienced the use of public health centers responded that their chronic diseases had improved compared to a year ago (2.78→2.93). Next, those (3.04) who had experienced the services linked with health checkup data recognized that their chronic diseases and health conditions had been improved compared to those (2.81) who had not. However, in EQ-5D-5L, after using the service, mobility showed no difference between those who had used the service and those who had not. Furthermore, even in terms of self-management, daily life, etc., the management ability was further improved compared to those who had not used it, before using the service.
This study showed the improved health level when the health promotion service of the public health center was provided by systematically linking the health checkup data of the Health Insurance Corporation in Korea. In order to increase the effectiveness of health data-linked projects, it is necessary to prepare guidelines for linking the public health data and to expand the data-linked project. It will be needed to further subdivide the health checkup results to provide customized services, and to secure dedicated personnel to reinforce the system link.
本研究旨在通过系统关联健康保险机构的健康检查结果，验证地方公共卫生中心实施的健康促进项目的有效性。我们旨在强调关联健康相关公共数据的重要性。
进行了一项调查，以使用EQ-5D-5L和人口统计学变量来衡量改善健康行为的效果。
分析结果显示，体验过使用公共卫生中心的居民（3.13）比未体验过的居民（2.93）更认识到与健康检查数据系统关联的服务的必要性。此外，体验过使用公共卫生中心的居民表示，与一年前相比，他们的慢性病有所改善（2.78→2.93）。其次，体验过与健康检查数据相关服务的居民（3.04）认为，与未体验过的居民（2.81）相比，他们的慢性病和健康状况有所改善。然而，在EQ-5D-5L方面，使用该服务后，使用过该服务的人和未使用过该服务的人在行动能力上没有差异。此外，即使在自我管理、日常生活等方面，与未使用该服务的人相比，在使用该服务之前，管理能力也有进一步提高。
本研究表明，通过系统关联韩国健康保险机构的健康检查数据来提供公共卫生中心的健康促进服务时，健康水平得到了提高。为了提高健康数据关联项目的有效性，有必要制定公共卫生数据关联指南并扩大数据关联项目。需要进一步细分健康检查结果以提供定制服务，并确保有专门人员加强系统链接。
