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http://dx.doi.org/10.4332/KJHPA.2021.31.3.255

Consideration of Dyslipidemia Examination Cycle Change in Korea National Health Checkup Program  

Lee, June-Hee (Department of Occupational & Environmental Medicine, Soonchunhyang University College of Medicine)
Lee, Kyung-Jae (Department of Occupational & Environmental Medicine, Soonchunhyang University College of Medicine)
Publication Information
Health Policy and Management / v.31, no.3, 2021 , pp. 255-260 More about this Journal
Abstract
Background: Korea National Health Checkup Programs are aimed at the prevention and early detection of cardiovascular disease in adults. To establish a countermeasure for this tendency, The current Korea National Health Checkup Programs have been providing Health Risk Appraisal (HRA) since 2009, thereby focusing on individual lifestyle correction. However, from 2018, the dyslipidemia screening exam cycle has been changed from 2 to 4 years. Methods: In this study, we try to investigate whether policy decisions are valid based on domestic reports that have influenced policy decisions. First, considering the epidemiology of the domestic cardiovascular disease, dyslipidemia, and metabolic syndrome, the change of the 4-year cycle is appropriate or not. Second, whether the research method that applies came to make policy decisions appropriate or not. Third, our study also investigates whether the direction of policy decision was suitable for the second comprehensive national examination plan. Results: The data that are used in the previous study were that of 10 years ago and there also was a problem in selecting the data, especially the use of one of the research methods to calculate the signal to noise ratio that was aimed at improving health had some problems. This is a research method that does not match with the aim itself. Conclusion: Changing the screening cycle for dyslipidemia does not match the recent trend of general screening to effectively prevent cardiovascular disease in improving individual lifestyles in the national health checkup plan. Studying the relationship with metabolic syndrome, which can be an intermediate stage of cardiovascular disease, could be a policy direction that is more suitable for the national health examination comprehensive plan.
Keywords
Korea National Health Checkup Program; Poverty; Dyslipidemias; Cardiovascular diseases; Health risk appraisal;
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1 Cho BL, Park JH, Oh SW, Kwon HT, Shin DW, Yoon JM, et al. Improvement of Health Risk Appraisal (HRA). Cheongju: Korea Disease Control and Prevention Agency; 2014.
2 Ministry of Health and Welfare. The 2nd National Health Checkup Plan in Korea (2016-2020). Sejong: Ministry of Health and Welfare; 2017.
3 Rhee EJ, Kim HC, Kim JH, Lee EY, Kim BJ, Kim EM, et al. 2018 Guidelines for the management of dyslipidemia in Korea. J Lipid Atheroscler 2019;8(2):78-131. DOI: https://doi.org/10.12997/jla.2019.8.2.78.   DOI
4 Yun JM, Yoo TG, Oh SW, Cho BL, Kim E, Hwang I. Prediction of cardiovascular disease in Korean population: based on health risk appraisal of national health screening program. J Korean Med Assoc 2017;60(9):746-752. DOI: https://doi.org/10.5124/jkma.2017.60.9.746.   DOI
5 Cho BL. Evaluation of the validity of current national health screening program and plan to improve the system. Seoul: Seoul National University College of Medicine; 2013.
6 Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden of cardiovascular diseases and risk factors, 1990-2019: update from the GBD 2019 study. J Am Coll Cardiol 2020;76(25):2982-3021. DOI: https://doi.org/10.1016/j.jacc.2020.11.010.   DOI
7 Statistics Korea. Causes of death statistics in Korea. Daejeon: Statistics Korea; 2017.
8 Chou R, Dana T, Blazina I, Daeges M, Bougatsos C, Jeanne TL. Screening for dyslipidemia in younger adults: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med 2016;165(8):560-564. DOI: https://doi.org/10.7326/M16-0946.   DOI
9 Goff DC Jr, Lloyd-Jones DM, Bennett G, Coady S, D'Agostino RB Sr, Gibbons R, et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014;63(25 Pt B):2935-2959. DOI: https://doi.org/10.1016/j.jacc.2013.11.005.   DOI
10 Kudo Y, Satoh T, Kido S, Ishibashi M, Miyajima E, Watanabe M, et al. The degree of workers' use of annual health checkup results among Japanese workers. Ind Health 2008;46(3):223-232. DOI: https://doi.org/10.2486/indhealth.46.223.   DOI
11 Anderson TJ, Gregoire J, Pearson GJ, Barry AR, Couture P, Dawes M, et al. 2016 Canadian Cardiovascular Society guidelines for the management of dyslipidemia for the prevention of cardiovascular disease in the adult. Can J Cardiol 2016;32(11):1263-1282. DOI: https://doi.org/10.1016/j.cjca.2016.07.510.   DOI
12 Kang HT, Kim SY, Kim J, Kim J, Kim J, Park HA, et al. Clinical practice guideline of prevention and treatment for metabolic syndrome. Korean J Fam Pract 2015;5(3):375-420.
13 Park S, Park EC, Nam JM, Lee SH, Kim TH, Lee GS, et al. Cost-effectiveness analysis for National Lipid Disorders Screening Program. Cheongju: Korea Disease Control and Prevention Agency; 2014.
14 Ha KH, Kwon HS, Kim DJ. Epidemiologic characteristics of dyslipidemia in Korea. J Lipid Atheroscler 2015;4(2):93-99. DOI: https://doi.org/10.12997/jla.2015.4.2.93.   DOI
15 Committee of Clinical Practice Guideline of the Korean Society of Lipid and Atherosclerosis. Korean Guidelines for the Management of Dyslipidemia. 4th ed. Seoul: Korean Society of Lipid and Atherosclerosis; 2015.