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http://dx.doi.org/10.4332/KJHPA.2011.21.1.077

Assessment of Needs and Accessibility Towards Health Insurance Claims Data  

Lee, Jung-A (Institute of Health Policy and Management, Medical Research Center, Seoul National University)
Oh, Ju-Hwan (Institute of Health Policy and Management, Medical Research Center, Seoul National University)
Moon, Sang-Jun (Institute of Health Policy and Management, Medical Research Center, Seoul National University)
Lim, Jun-Tae (Department of Health Policy and Management, Seoul National University College of Medicine)
Lee, Jin-Seok (Institute of Health Policy and Management, Medical Research Center, Seoul National University)
Lee, Jin-Yong (Department of Preventive Medicine, College of Medicine, Konyang University)
Kim, Yoon (Institute of Health Policy and Management, Medical Research Center, Seoul National University)
Publication Information
Health Policy and Management / v.21, no.1, 2011 , pp. 77-92 More about this Journal
Abstract
Objectives : This study examined the health policy researchers' needs and their accessibility towards health insurance claim datasets according to their academic capacity. Methods : An online questionnaire to capture relevant proxy variables for academic needs, accessibility, and research capacity was constructed based on previous studies. The survey was delivered to active health policy researchers through three major scholarly associations in South Korea. Seven-hundred and one scholars responded while the survey as open for 12 days (starting on December 20th, 2010). Descriptive statistics and logistic regression analysis were carried out. Results : Regardless of the definition for operational needs, the prevalent needs of survey respondents were not met with the current provision of claim data. Greater research capacity was shown to be correlated with increased demand for claim data along with a positive correlation between attempts to obtain claim datasets and research capacity. A greater research capacity, however, was not necessarily correlated with better accessibility to the claim data. Conclusions : The substantial unmet need for claim data among the healthcare policy research community calls for establishing proactive institutions which could systematically prepare and make available public datasets and provide call-in services to facilitate proper handling of data.
Keywords
Health insurance claim data; Unmet needs; Accessibility; Academic capacity;
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