보험의학회지 (The Journal of the Korean life insurance medical association)

한국생명보험의학회 (The Korea Life Insurance Medical Association)
권호 표지

보험가입자 심장판막 수술 변화 추이분석 ('09~'11)

Trends of cardiac valve surgery in life insurance ('09~'11)

  • 박유정 (삼성생명보험 보험의학연구소) ;
  • 문기태 (삼성생명보험 보험의학연구소) ;
  • 김용은 (삼성생명보험 보험의학연구소)
  • Park, Yoojung (Research institute of insurance medicine, Samsung life insurance) ;
  • Moon, Kitae (Research institute of insurance medicine, Samsung life insurance) ;
  • Kim, Youngeun (Research institute of insurance medicine, Samsung life insurance)
  • 투고 : 2013.10.30
  • 심사 : 2013.10.30
  • 발행 : 2013.11.26
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초록

We studied trends of cardiac valve surgery using insurance data. 368 persons were included our study. We studied whether there are frauds or not. Only 4 cases were done at less than 1year from an insurance contract. We reviewed medical records of all persons. We could find the type of valve disease in 211 cases. The findings are atrial valve 40.1%, mitral valve 34.6% and others 25.3%. When we divided by materials of surgery, mechanical valves were used in 68.8% of men and 70.6% of woman. The main causes of valve disease were infection(55.1%). And degenerative valve disease 32% and congenital valve disease were 13%. We cannot find definite evidence of insurance frauds in the cardiac valve surgery. But there are some limitation in data analysis.

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