scholarly journals Developing the New National Patient Sample and Evaluating Representations

2021 ◽  
Vol 1 (2) ◽  
pp. 166-178
Author(s):  
Chul Young Yoon ◽  
Jae Joon Ahn ◽  
Gyeongmin Lee ◽  
Yongseok Choi ◽  
Lihyun Kim ◽  
...  
Keyword(s):  
Patient Sample ◽  
National Patient

scholarly journals Evaluation of use and cost of medical care of common lumbar disorders in Korea: cross-sectional study of Korean Health Insurance Review and Assessment Service National Patient Sample data

BMJ Open ◽  
2016 ◽  
Vol 6 (9) ◽  
pp. e012432 ◽  
Author(s):  
Yong-Jun Ahn ◽  
Joon-Shik Shin ◽  
Jinho Lee ◽  
Yoon Jae Lee ◽  
Me-Riong Kim ◽  
...  
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Medication Cost ◽  
Billing Data ◽  
Cross Sectional ◽  
Patient Sample ◽  
Significant Difference ◽  
Sample Data ◽  
National Patient ◽  
Surgery Rates

ObjectivesTo assess medical care and costs of the 3 highest prevalence lumbar disorders—non-specific low back pain (nLBP), intervertebral disc disorder (IDD) and spinal stenosis (SS)—from national billing data to provide basic information for standards of appropriate management.DesignRetrospective analysis of National Health Insurance National Patient Sample data provided by the Korean Health Insurance Review and Assessment Service (HIRA).Setting2011 claims data from all medical institutions which filed billing statements to HIRA.ParticipantsA total of 135 561 patients with lumbar disorder who received medical services during 2011.Outcome measuresPatient characteristics, medical procedures, medication, cost, injection and surgery.ResultsIn the nLBP and IDD groups, the 50–59 age range had the highest prevalence, whereas prevalence increased with age in SS. All 3 groups showed a higher percentage in women. The average treatment cost was 196 552 KRW in the nLBP and 362 050 KRW in the IDD group, and highest in the SS group at 439 025 KRW. While in the nLBP group women spent more on medical expenses, in the other 2 groups men showed higher expenditure. Expenditure grew with age in the nLBP and SS groups, whereas that of the IDD group peaked in their 40s. Analgesics were used in 73.43% of patients with nLBP, 82.64% of patients with IDD and 86.46% of patients with SS, and opioids in 4.12% of patients with IDD and 5.36% of patients with SS. Surgery rates were highest in the SS group at 4.85%, with 0.9% for nLBP and 4.59% for IDD. The most frequent injection code was lumbar/caudal epidural nerve block. Expenditure and surgery rates were higher in the injection than in the non-injection subgroup in all 3 groups.ConclusionsPatterns of medical care of most frequent lumbar disorders from HIRA data showed significant difference between groups and provide a basic standard for future usual care guidelines linked with health policy and budget appropriation.

Incidence and in-hospital safety outcomes of patients undergoing percutaneous mitral valve edge-to-edge repair using MitraClip: five-year German national patient sample including 13,575 implants

2019 ◽  
Vol 14 (17) ◽  
pp. 1725-1732 ◽  
Author(s):  
Ralph Stephan von Bardeleben ◽  
Lukas Hobohm ◽  
Felix Kreidel ◽  
Mir A. Ostad ◽  
Eberhard Schulz ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Patient Sample ◽  
Hospital Safety ◽  
Safety Outcomes ◽  
National Patient

scholarly journals Analysis of medical services provided to patients with peripheral facial palsy in Korea: a descriptive, cross-sectional study of the health insurance review and assessment service national patient sample database

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Doori Kim ◽  
Boyoung Jung ◽  
Myoung-Ui Cho ◽  
Seong-Bae Song ◽  
Seol Hee Chung ◽  
...  
Keyword(s):  
Health Insurance ◽  
Facial Palsy ◽  
Service Use ◽  
Healthcare Services ◽  
Sociodemographic Factors ◽  
Medical Services ◽  
Cross Sectional ◽  
Patient Sample ◽  
Peripheral Facial Palsy ◽  
National Patient

Abstract Background This cross-sectional, retrospective, observational study analyzed the demographics of patients with peripheral facial palsy in South Korea and their use of healthcare services. Methods The 2016 Korean Health Insurance Review and Assessment National Patient Sample dataset was used; a total of 4790 patients, diagnosed with facial palsy, who had used healthcare services at least once between January 2016 and December 2016 were included, and data on the use of medical services, hospitalizations, sociodemographic factors, treatments, and medications were analyzed. Results Overall, 326 patients per 100,000 individuals used healthcare services at least once because of peripheral facial palsy in 2016, with higher numbers for women and those aged 50–59 years. The percentage of patients who used Korean traditional medicine (KM), Western medicine (WM), and both KM and WM was 54.4, 23.3, and 22.3%, respectively. Users of both WM and KM had higher per capita medical costs, more visits, and longer treatment durations. Physiotherapy was the most frequent WM treatment (44.4%), and “examinations” was the costliest (24.7%) category. “Procedures” was both the most frequent and costliest KM category (99.9 and 57.3%, respectively). “Continuous intravenous injections” (8.6%) and “superficial heat therapy” (8.3%) were the most frequent WM treatments, while acupuncture accounted for 98% of all KM treatments. Conclusions This study analyzed the demographic characteristics and medical service use of patients with peripheral facial palsy in detail. These results can be used as basic information to improve clinical and policy strategies for the management and treatment of peripheral facial palsy.

scholarly journals Prevalence of Insomnia among Patients with the Ten Most Common Cancers in South Korea: Health Insurance Review and Assessment Service-National Patient Sample

2016 ◽  
Vol 7 (2) ◽  
pp. 48-54 ◽  
Author(s):  
Boram Park ◽  
Soyoung Youn ◽  
Chi-Won Christine Hann ◽  
Kikyung Yi ◽  
Suyeon Lee ◽  
...  
Keyword(s):  
Health Insurance ◽  
South Korea ◽  
Patient Sample ◽  
National Patient

scholarly journals Analysis of medical services provided to patients with ankle sprains in Korea between 2015 and 2017: a cross-sectional study of the health insurance review and assessment service national patient sample database

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039297
Author(s):  
Ho-sun Ryu ◽  
Boyoung Jung ◽  
Jiyoon Yeo ◽  
Jae-Hong Kim ◽  
Dongwoo Nam ◽  
...  
Keyword(s):  
Health Insurance ◽  
South Korea ◽  
Service Use ◽  
Medical Services ◽  
Secondary Outcome ◽  
Ankle Sprains ◽  
Future Health ◽  
Cross Sectional ◽  
Patient Sample ◽  
National Patient

ObjectivesTo provide useful information for policy-makers and clinicians by analysing the medical service use—divided into Western medicine (WM) and Korean medicine (KM)—of patients with ankle sprains in South Korea between 2015 and 2017.DesignCross-sectional, retrospective, observational study.SettingTertiary hospitals, WM hospitals, WM clinics, KM hospitals, KM clinics and others in South Korea.ParticipantsWe analysed claim data and patient information from the 2015 to 2017 Health Insurance Review and Assessment National Patient Sample (HIRA-NPS) dataset, including 151 415 patients diagnosed with a ‘dislocation, sprain and strain of joints and ligaments at ankle and foot level’ (10th revision of the International Statistical Classification of Diseases code S93) who used medical services at least once in 3 years between January 2015 and December 2017 in South Korea.Primary and secondary outcome measuresCost of medical care, number of consultations, type of institution visited, types of treatment.ResultsThere were 160 200 consultations and 53 044 patients in 2015, 149 956 consultations and 50 830 patients in 2016 and 140 651 consultations and 47 541 patients in 2017. The total treatment costs were US$3 355 044.21, US$3 245 827.70 and US$3 128 938.46 in 2015, 2016 and 2017, respectively. The most common age was 10–19 years. The most frequent type of visit was KM outpatient visit (56%). Physiotherapy was most common in WM outpatient visits, while acupuncture was most common in KM visits. Most patients used one institution, rather than alternating between WM and KM.ConclusionsBy identifying the trends and costs of treatment methods used for ankle sprains and comparing WM and KM, our data provide basic information for future health policy-making. In addition, the duality of the Korean medical system is highlighted as a possible cause of increased costs.

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