Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

Directions and Current Issues on the Policy of Prevention and Management for Hypertension and Diabetes, and Development of Chronic Disease Prevention and Management Model in Korea

우리나라 고혈압·당뇨병 예방관리사업 정책 동향과 분석 그리고 한국형 만성질환 예방관리 모형

  • Lee, Moo-Sik (Department of Preventive Medicine, College of Medicine, Konyang University) ;
  • Lee, Kyeong-Soo (Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University) ;
  • Lee, Jung-Jeung (Department of Preventive Medicine and Public Health, School of Medicine, Keimyung University) ;
  • Hwang, Tae-Yoon (Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University) ;
  • Lee, Jin-Yong (Seoul Metropolitan Government Seoul National University Boramae Medical Center) ;
  • Yoo, Weon-Seob (Department of Preventive Medicine, College of Medicine, Chungnam National University) ;
  • Kim, Keon-Yeop (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Sang-Kyu (Department of Preventive Medicine, Dongguk University College of Medicine) ;
  • Kim, Jong-Yeon (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Park, Ki-Soo (Department of Preventive Medicine, School of Medicine, Gyeongsang National University) ;
  • Hwang, Bo-Young (Department of Preventive Medicine, College of Medicine, Sooncheonhyang University)
  • 이무식 (건양대학교 의과대학 예방의학교실) ;
  • 이경수 (영남대학교 의과대학 예방의학교실) ;
  • 이중정 (계명대학교 의과대학 예방의학교실) ;
  • 황태윤 (영남대학교 의과대학 예방의학교실) ;
  • 이진용 (서울대학교 서울보라매병원) ;
  • 유원섭 (충남대학교 의과대학 예방의학교실) ;
  • 김건엽 (경북대학교 의과대학 예방의학교실) ;
  • 김상규 (동국대학교 의과대학 예방의학교실) ;
  • 김종연 (대구가톨릭대학교 의과대학 예방의학교실) ;
  • 박기수 (경상대학교 의과대학 예방의학교실) ;
  • 황보영 (순천향대학교 의과대학 예방의학교실)
  • Received : 2020.02.12
  • Accepted : 2020.02.21
  • Published : 2020.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this manuscript was to propose the policy and perspectives of prevention and management for hypertension and diabetes in Korea. Methods: Authors reviewed the chronic disease prevention and management projects and models were executed in Korea until now, and analyzed and evaluated their performances. Results: In the circumstances of Korea, the following several requisites should be improved ; Specific Korean strategy for development and pursuing of national level policy agenda for chronic disease management must be established. There are a need to establish several means of supplementing the weaknesses of the current chronic disease management policies and programs. Firstly, development and distribution of contents of guidelines on the systematic project execution regime (regarding systematization of local community, subjects and contents of the projects) with guarantee for the quality of chronic disease prevention and management are necessary. Secondly, there is a need for development of information system that can lead the chronic disease management programs currently being implemented. Thirdly, there is urgent need to develop resources such as cultivation of manpower and facilities for provision of education and consultation for the patients and holders of risk factors of chronic disease. Fourthly, there is a need for means of securing management system and financial resources for operation of policies and programs. Conclusions: The results can be able to use as a road map, models, and direction and strategies of policies for chronic disease prevention and management of Korea.

Keywords

References

  1. Government of the Republic of Korea. Plan for ageing society and population, Seromaji Plan, 2011, 2015 (Korean)
  2. WHO. World Health Statistics, 2011
  3. WHO. Global health risks: Mortality and burden of disease attributable to selected major risks, 2009
  4. Ministry of Health and Welfare, Republic of Korea. Guideline for chronic degenerative diseases management, 2009 (Korean)
  5. Abegunde DO, Mathers CD, Adam T, Ortegan M, Strong K. The burden and costs of chronic disease in low income and middle income countries. Lancet 2007;370:1929-1938 https://doi.org/10.1016/S0140-6736(07)61696-1
  6. Kim MH. Utilization status of chronic diseases. Trend of Policy Trends of Health Insurance Review & Assessment Service 2008;6(1):42-49 (Korean)
  7. Seo NG. Ahn SJ, Han EJ, Hwang YH, Chung YH, Ko SJ. A Report on the Korea health panel survey of 2009(III). Korean Institute of Health and Social Affairs & National Health Insurance Services 2011. (Korean)
  8. Chung YH. Analysis on combined chronic diseases in elderly. focus on the utilization of outpatients. Health.Welfare Issue & Focus 2013;196:1-8 (Korean)
  9. Statistics Korea. National Health and Nutrition Survey 5th(2010-2012). 2013 (Korean)
  10. Yoo HS. Direction of national health insurance for planning aged society. KDI Economy Trends 2013;2:34-43 (Korean)
  11. Lim J, Ko KP, Han EA, Chung W, Park MJ, Han JO. The effects assessment of chronic care management based on primary clinics for hypertension, diabetes patients. Korea Health Promotion Institute, 2012 (Korean)
  12. Korea Centers for Diseases Prevention and Control. A report of National Health and Nutrition Survey, 5th 2nd Year, 2011 (Korean)
  13. OECD Health Data 2011.
  14. http://www.doctorsnews.co.kr/news/articleView.html?idxno=79604
  15. Chronic Disease Alliance: a Unified Prevention Approach, 2010
  16. National Health Insurance Service. Practical plan of health welfare. 2012 (Korean)
  17. Anderson GR, Zeffiro HT, Johnson N. Chronic conditions: Making the case for ongoing care. Baltimore, MD: Johns Hopkins University 2004
  18. Garrett NN, Martini EM. The Boomers are coming: a total cost of care model of the impact of population aging on the cost of chronic conditions in the United States. Dis Manag 2007;10:51-60 https://doi.org/10.1089/dis.2006.630
  19. Thorpe KE. Factors Accounting for the rise in health-care spending in the United States: the role of rising disease prevalence and treatment intensity. Public Health 2006;120:1002-1007 https://doi.org/10.1016/j.puhe.2006.09.001
  20. White C. Health care spending growth: how different is the United States from the rest of the OECD? Health Aff 2007;26:154-161. https://doi.org/10.1377/hlthaff.26.1.154
  21. Ford ES, Ajani UA, Croft JB, Critchley JA, Labarthe DR, Kottke TE. Explaining the decrease in US deaths from coronary disease, 1980-2000. N Engl J Med 2007;356:2388-2398 https://doi.org/10.1056/NEJMsa053935
  22. Fries JF. Measuring and monitoring success in compressing morbidity. Ann Intern Med 2003;139:455-459 https://doi.org/10.7326/0003-4819-139-5_Part_2-200309021-00015
  23. Kim HK, Kwon SJ, Kim MK, Kim EM, Yeo IS, Yoon BJ, Lee KS, Lee HJ, Lee HK, Hur M. 60 years of community health, Korea, Team of Community Health Development. ETC Communications, 2012 (Korean)
  24. Yoo SH, Kim HJ. Cha YM, Oh HC, Roh JH, Seo I, Shin DC. Lee YD, Lee HJ, Park EC, Lee HY, Shin SC, Kim JH, Kim JY, Chung SC. Ganghwa Community Health Project 1984-1989. Yeonsei University College of Medicine, Department of Preventive Medicine, 1990 (Korean)
  25. Hallym University Heath Services Research Center. Activation plans of community health projects for advancing health security. 9th Health Policy Symposium 1996 (Korean)
  26. Han DS, Bae SS, Lee IS, Kim BI, Kwon SH, Lee SG. Development of community health project in rural area, based on the experience and lesson of Hwachun project. Hallym University Heath Services Research Center. 1996 (Korean)
  27. Cho JH. Strategy for constructing privatepublic collaboration on hypertension control in a community.s KCDC, Seongbuk Health Center, 2002 (Korean)
  28. Daegu Medical Association. Development and evaluation of hypertension and diabetes management system in Daegu metropolitan city. Yeungnam University, 2003 (Korean)
  29. Lee JJ, Kam S, Kim KY, Kim YA, Ahn MY, Lee KS, Lee HJ, Chun BC. White paper of chronic disease prevention and management project in Daegu Metropolitan City. Board of hypertension and diabetes management in Daegu Metropolitan City, 2013 (Korean)
  30. Oh DG, Lim J, Kim YM, Lee HS, Kang KH, Lim JY, Park HO, Park YB, Ko KP, Han EA, Seo HJ, Park JH. Chronic disease prevention and management project in Incheon Metropolitan City, 2012. Gacheon University, 2012 (Korean)
  31. National Health Insurance Service. Practical plan of health welfare for healthier nation, Report of Reform Committee of National Health Insurance Service, 2nd session. detailed plan of health welfare, 2012 (Korean)
  32. Heang EA. A study on health care service design on chronic disease through enhancing community-oriented primary care. Consumer Policy Trend of Korea Consumer Agency 2012;32:1-26 (Korean)
  33. National Health Insurance Service. Establishment of role and function. development plan of health counselling center, 2013 (Korean)
  34. Park SS, Oh SW. Strategy for the Management of Metabolic Syndrome of Seoul Citizen. Korean Soc Food Sci Nutr 2010;15(1):10-16 (Korean)
  35. Yoon SJ. Metabolic syndrome management project in 2012, and 2013 direction. Workshop of community health centers, Seoul, 2013 (Korean)
  36. Kim HS, Yoon SJ, Lee KS, Kim HS, Oh SW, Yoo HS, Chu JA, Lee GH, Yoo BW, Lee DO, Park DL. Effects of a self-management program for metabolic syndrome - A metabolic syndrome management program in Seoul. Korean Journal of Health Education and Promotion 2011;28(2):51-62 (Korean)
  37. Korea Centers for Diseases Prevention and Control. Practical guideline for registry of hypertension and diabetes, 2012 (Korean)
  38. Lee JY. Current status and implication of u-health project in Korea. Polices of Information and Communications 2008;20(21):25-44 (Korean)
  39. Kleczkowski BM. National Health System and their Reorientation towards Health for All. WHO, 1984.
  40. Schraeder C, Shelton P. Comprehensive Care Coordination for Chronically Ill Adults. Chapter 2. Wiley-Blackwell, 2011.
  41. Yoon SJ. Concept of primary medical care and current status of delivery of healthcare in Korea. Forum of Medical Policy 2012;10(3):12-17 (Korean)
  42. Kim Y. Building direction of delivery system of non-acute medical care services. Policy Trends of Health Insurance Review & Assessment Service. 2013;7(4):3-5 (Korean)
  43. Hoffman C, Rice D, Sung HY. Persons with chronic conditions: their prevalence and cost. Journal of the American Med Association 1996;276:1473-1479 https://doi.org/10.1001/jama.1996.03540180029029
  44. McGlynn EA, Asch SM, Adams JL, Keesey J, Hicks J, DeCristofaro AH, Kerr EA. The quality of health care delivered to adults in the United States. New England Journal of Medicine 2003;348:2635-2645 https://doi.org/10.1056/NEJMsa022615
  45. Anderson G, Horvath J. Chronic conditions: Making the case for ongoing care. Partnership for solutions, Johns hopkins University, baltimore, 2002
  46. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Archives of internal medicine 2002;162:2269-2276. https://doi.org/10.1001/archinte.162.20.2269
  47. Kaiser Family Foundation. Analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File 2005: Distribution of total medicare beneficiaries and spending. Henry J. Kaiser Family foundation, Menlo Park, CA. 2009.
  48. Dorr DA. Managing and coordinating health care: creating collaborative, proactive systems. The bridge 2009;39(4):21-29.
  49. National Association of Social Workers. Social Work and Care Coordination. Briefing Paper. National Association of Social Workers, Washington, DC. 2009
  50. Leipzig RM, Hyer K, Kirsten EK, Wallenstein S, Maria L. Vezina ML, Fairchild S, Cassel CK, Howe JL. Attitudes toward working on interdisciplinary healthcare teams: a comparison by discipline. Journal of the American Geriatrics Society 2002;50(6):1141-1148 https://doi.org/10.1046/j.1532-5415.2002.50274.x
  51. Reuben DB, Levy-Storms L, Yee MN, Lee M, Cole K, Waite M, Nichols L, Frank JC. Disciplinary split: a threat to geriatrics interdisciplinary team training. Journal of the American Geriatrics Society 2004;52(6):1000-1006 https://doi.org/10.1111/j.1532-5415.2004.52272.x
  52. Institute of Medicine. Retooling for an aging America: Building the health care workforce. National Academies Press, Washington DC, 2008.
  53. American Geriatrics Society. Geriatrics Interdisciplinary Advisory Group. Interdisciplinary care of older adults with complex needs: American Geriatrics Society position statement. Journal of the American Geriatrics Society 2006;54(5):849-852 https://doi.org/10.1111/j.1532-5415.2006.00707.x