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http://dx.doi.org/10.22156/CS4SMB.2019.9.9.195

Construction of Medical Episode Data using National Health Insurance Service Data  

Pak, Hae-Yong (National Health Insurance Service Ilsan Hospital)
Pak, Yun-Suk (National Medical Center)
Publication Information
Journal of Convergence for Information Technology / v.9, no.9, 2019 , pp. 195-200 More about this Journal
Abstract
The purpose of this study is to analyze the characteristics of National Health Insurance claim data and to construct a pilot medical episode data considering it. In this study, the trends of respiratory disease (ICD10: J00-J99) cardiovascular disease (ICD10: I00-I99) from the day of onset of treatment to re-admission after admission were confirmed in Seoul, and the largest decrease was observed when the no-treatment period was 0 day. The data reduction rate when the no-treatment period is 0 day is judged to be due to the monthly separation claim of the health insurance claim data. Also, the result that there is a tendency of monthly separation request according to the type of medical treatment. Through this study, we constructed epidemic data for the pilot medical treatment considering the characteristics of the claim data of health insurance, and based on this, it can be used as a data processing method for calculating basic epidemiological information.
Keywords
National Health Insurance claims data; Medical episode; No-treatment period; Monthly charge separation; Data management;
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