Department of Public Health, Graduate School of Korea University, Seoul, Korea.
Artificial Intelligence and Big-Data Convergence Center, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Diabetes Metab J. 2024 Jul;48(4):518-530. doi: 10.4093/dmj.2024.0087. Epub 2024 Jul 26.
Diagnosing the current health status and disease burden in a population is crucial for public health interventions. The ability to compare the burden of different diseases through a single measure, such as disability-adjusted life years has become feasible and continues to be produced and updated through the Global Burden of Diseases (GBD) study. However, the disease burden values of the GBD study do not accurately reflect the unique situation in a specific country with various circumstances. In response, the Korean National Burden of Disease (KNBD) study was conducted to estimate the disease burden in Koreans by considering Korea's cultural context and utilizing the available data sources at the national level. Both studies identified non-communicable diseases, such as diabetes mellitus (DM), as the primary cause of disease burden among Koreans. However, the extent of public health interventions currently being conducted by the central and local governments does not align with the severity of the disease burden. This review suggests that despite the high burden of DM in South Korea, the current policies may not fully address its impact, underscoring the need for expanded chronic disease management programs and a shift towards prevention-focused healthcare paradigms.
诊断当前人群的健康状况和疾病负担对于公共卫生干预至关重要。通过单一指标（如伤残调整生命年）来比较不同疾病负担的能力已经成为可能，并通过全球疾病负担（GBD）研究不断得到发展和更新。然而，GBD 研究的疾病负担值并不能准确反映具有各种情况的特定国家的独特情况。因此，进行了韩国国家疾病负担（KNBD）研究，通过考虑韩国的文化背景并利用国家层面可用的数据源，来估计韩国人的疾病负担。这两项研究都确定了非传染性疾病，如糖尿病（DM），是韩国人疾病负担的主要原因。然而，中央和地方政府目前正在进行的公共卫生干预措施的程度与疾病负担的严重程度并不相符。本综述表明，尽管 DM 在韩国的负担很高，但当前的政策可能无法充分解决其影响，这突显了需要扩大慢性病管理计划并转向以预防为重点的医疗保健模式。
