Association between sedative-hypnotic medication use and incidence of cancer in Korean Nation Health Insurance Service data

Abstract Background In Germany, almost 50% of prescriptions for benzodiazepines and drugs as Zolpidem and Zopiclone are as out-of-pocket (OOP) prescriptions—requiring patients to buy the drug at their own expense—although almost 90% of the population has statutory health insurance covering medication costs. Objective To understand why general practitioners (GPs) choose this prescribing method since needed medications are insurance covered, and unnecessary drugs should not be prescribed at all. Methods In this qualitative study, 17 semi-structured interviews with GPs were conducted, audio recorded and transcribed verbatim. Transcripts were analysed with grounded theory to extract a model explaining the described behaviour. Results Knowing the significant medical risks and insecurity about regulations makes GPs wish to avoid hypnotics and sedatives. They achieve this by ‘Creating a barrier’ (central phenomenon) and employing the strategy ‘Using an out-of-pocket prescription’, which not only generates costs for the patient but also reduces the physicians´ legal and financial accountability. The perceived patient type, expected problem duration and diagnosis influence the decision about the prescription form: patients with an alcohol or drug addiction or those with ‘uncomplicated’ insomnia are more likely to receive an OOP prescription. Patients with any psychiatric diagnosis will likely receive a statutory health insurance prescription. Discussion Current regulations do not provide guidance to GPs regarding hypnotics and sedatives. A clear regulatory framework and guidelines could possibly reduce physicians’ defensive attitudes about these drugs and their use of OOP prescriptions. The approach to use OOP prescriptions as a barrier to reduce patients’ medication use lacks evidence regarding effectiveness.

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Sedative Hypnotic Medication Use and the Risk of Motor Vehicle Crash

American Journal of Public Health ◽

10.2105/ajph.2015.302723 ◽

2015 ◽

Vol 105 (8) ◽

pp. e64-e69 ◽

Cited By ~ 32

Author(s):

Ryan N. Hansen ◽

Denise M. Boudreau ◽

Beth E. Ebel ◽

David C. Grossman ◽

Sean D. Sullivan

Keyword(s):

Motor Vehicle ◽

Medication Use ◽

Motor Vehicle Crash ◽

Vehicle Crash ◽

Hypnotic Medication

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Changes in Indicators after Assessment of Diabetes Mellitus Adequacy Evaluation: Korean Health Insurance Review and Assessment Service Data 2010-2015

Korean Journal of Health Promotion ◽

10.15384/kjhp.2020.20.4.175 ◽

2020 ◽

Vol 20 (4) ◽

pp. 175-181

Author(s):

Hyun-Soo Kang ◽

Min-Taek Lim ◽

Bo-Yeon Kim ◽

Kyong-Do Han ◽

Keun-Mi Lee ◽

...

Keyword(s):

Diabetes Mellitus ◽

Health Insurance ◽

Prescription Rate ◽

Chi Square ◽

Test Items ◽

High Prevalence ◽

Using Data ◽

Service Data ◽

Linearity Test

Background: The Korean Health Insurance Review and Assessment Service has conducted diabetes medical adequacy evaluation projects since 2010. This study aimed to evaluate the medical adequacy of type 2 diabetes mellitus patients after the assessment project and help establish the direction of future projects.Methods: Using data from the Health Insurance Review & Assessment Service (2010-2015), chi-square tests and t-tests were used to analyze the enforcement rate according to a combination of items for appropriate management methods. Logistic regression and linearity test were performed to assess the relationships among the evaluation group, appropriate test items, and prescription rate.Results: We found that 33.6-39.8% of patients did not undergo any diabetes-related tests. Only about 7% of hemoglobin A1c (HbA1c) tests were performed, and 36% of cases were tested simultaneously with serum lipid profile tests. As age increased, the number of days taken to prescribe diabetes medications also increased.The prescription rate of diabetes drugs for 292 days or more was 61% in patients who had not been tested for adequacy, and the average prescription rate increased as the number of tests increased.Conclusions: In older adults with a high prevalence of diabetes, it is necessary to establish a test rate for proper management of diabetes, including HbA1c, and related test items to increase the average prescription rate.

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Abstract WP552: Post-stroke Dementia Incidence and Risk Factors in Korea: Linked Big Data Between the Clinical Research Center for Stroke Data and the Health Insurance Review & Assessment Service Data Analysis

Stroke ◽

10.1161/str.50.suppl_1.wp552 ◽

2019 ◽

Vol 50 (Suppl_1) ◽

Author(s):

Tae Jung Kim ◽

Ji Sung Lee ◽

Mi-Sun Oh ◽

Jae-Sung Lim ◽

Ki-Woong Nam ◽

...

Keyword(s):

Risk Factors ◽

Big Data ◽

Health Insurance ◽

Data Analysis ◽

Clinical Research ◽

Research Center ◽

Post Stroke ◽

Dementia Incidence ◽

Clinical Research Center ◽

Service Data

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Prevalence of Sleep Disturbance and Hypnotic Medication Use in Relation to Sociodemographic Factors in the General Japanese Adult Population

Journal of Epidemiology ◽

10.2188/jea.10.79 ◽

2000 ◽

Vol 10 (2) ◽

pp. 79-86 ◽

Cited By ~ 144

Author(s):

Yuriko Doi ◽

Masumi Minowa ◽

Masako Okawa ◽

Makoto Uchiyama

Keyword(s):

Sleep Disturbance ◽

Adult Population ◽

Medication Use ◽

Sociodemographic Factors ◽

Japanese Adult ◽

Hypnotic Medication

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Annual prevalence and economic burden of genital warts in Korea: Health Insurance Review and Assessment (HIRA) service data from 2007 to 2015

Epidemiology and Infection ◽

10.1017/s0950268817002813 ◽

2017 ◽

Vol 146 (2) ◽

pp. 177-186 ◽

Cited By ~ 5

Author(s):

Y. J. PARK ◽

J. M. KIM ◽

B. R. LEE ◽

T. H. KIM ◽

E. G. LEE

Keyword(s):

Health Insurance ◽

Medical Cost ◽

Economic Burden ◽

Disease Burden ◽

Hpv Vaccination ◽

Economic Cost ◽

Hpv Infection ◽

Anogenital Warts ◽

Annual Prevalence ◽

Service Data

SUMMARYThis study evaluated the annual prevalence of anogenital warts (AGW) caused by human papillomavirus (HPV) and analysed the trend in annual per cent changes (APC) by using national claims data from the Health Insurance Review and Assessment of Korea, 2007–2015. We also estimated the socio-economic burden and co-morbidities of AGW. All analyses were performed based on data for primary A63.0, the specific diagnosis code for AGW. The socio-economic cost of AGW was calculated based on the direct medical cost, direct non-medical cost and indirect cost. The overall AGW prevalence and socio-economic burden has increased during the last 9 years. However, the prevalence of AGW differed significantly by sex. The female prevalence increased until 2012, and decreased thereafter (APC + 3·6%). It would fall after the introduction of routine HPV vaccination, principally for females, in Korea. The male prevalence increased continuously over time (APC + 11·6%), especially in those aged 20–49 years. Referring to the increasing AGW prevalence and its disease burden, active HPV infection control surveillance and prevention in males are worth consideration.

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