Evaluation of appropriate management of chronic obstructive pulmonary disease in Korea: Based on Health Insurance Review and Assessment Service (HIRA) Claims

Sang Mi Chung, Sung Yong Lee

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

Chronic obstructive pulmonary disease (COPD) is an ambulatory care-sensitive condition, and effective treatment of outpatients can prevent worsening of the illness and hospitalization. Current COPD guidelines provide appropriate guidance for the diagnosis and treatment of patients with COPD. In fact, it has been shown that when appropriate guidance and treatment are performed, the morbidity and mortality rates of COPD patients are reduced. However, there is a gap between the clinical guidelines and the actual clinical treatment. Therefore, the Health Insurance Review and Assessment Service (HIRA) conducted an evaluation of the adequacy of COPD diagnosis and treatment using the Claims Database of HIRA. This review provides a summary of the COPD adequacy assessment results reported by the HIRA and some brief comments on the results.

Original languageEnglish
Pages (from-to)241-246
Number of pages6
JournalTuberculosis and Respiratory Diseases
Volume80
Issue number3
DOIs
Publication statusPublished - 2017 Jul 1

Fingerprint

Health Insurance
Korea
Chronic Obstructive Pulmonary Disease
Guidelines
Therapeutics
Ambulatory Care
Hospitalization
Outpatients
Databases
Morbidity
Mortality

Keywords

  • Chronic obstructive
  • Health
  • Insurance
  • Pulmonary disease

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

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AB - Chronic obstructive pulmonary disease (COPD) is an ambulatory care-sensitive condition, and effective treatment of outpatients can prevent worsening of the illness and hospitalization. Current COPD guidelines provide appropriate guidance for the diagnosis and treatment of patients with COPD. In fact, it has been shown that when appropriate guidance and treatment are performed, the morbidity and mortality rates of COPD patients are reduced. However, there is a gap between the clinical guidelines and the actual clinical treatment. Therefore, the Health Insurance Review and Assessment Service (HIRA) conducted an evaluation of the adequacy of COPD diagnosis and treatment using the Claims Database of HIRA. This review provides a summary of the COPD adequacy assessment results reported by the HIRA and some brief comments on the results.

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