Diabetes Metab J > Volume 31(4); 2007 > Article
Korean Diabetes Journal 2007;31(4):362-367.
DOI: https://doi.org/10.4093/jkda.2007.31.4.362    Published online July 1, 2007.
Current Status of Diabetes Management in Korea Using National Health Insurance Database.
Seok Won Park, Dae Jung Kim, Kyung Wan Min, Sei Hyun Baik, Kyung Mook Choi, Ie Byung Park, Jeong Hyun Park, Hyun Shik Son, Chul Woo Ahn, Jee Young Oh, Juneyoung Lee, Choon Hee Chung, Jaiyong Kim, Hwayoung Kim
1Department of Internal Medicine, Pochon CHA University.
2Department of Endocrinology and Metabolism, Ajou University School of Medicine.
3Department of Internal Medicine, College of Medicine, Eulji University.
4Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University.
5Department of Endocrinology, Gachon University of Science and Medicine, Gil Medical Center.
6Division of Endocrinology and Metabolism, Pusan Paik Hospital, Inje College of Medicine.
7Department of Internal Medicine, The Catholic University.
8Department of Internal Medicine, Yonsei University College of Medicine.
9Division of Endocrinology and Metabolism, Department of Internal Medicine, Ewha Womans University College of Medicine.
10Department of Biostatistics, College of Medicine, Korea University.
11Department of Internal Medicine, Wonju College of Medicine, Yonsei University.
12Department of Research, Health Insurance Review Agency.
13Task Force Team for Basic Statistical Study of Diabetes Mellitus of Korean Diabetes Association.
Abstract
BACKGROUND
The prevalence of diabetes is steadily increasing in Korea. The increase in number of people with diabetes would ultimately result in premature death, poor quality of life, and increasing economic burden. However, in our country, researches regarding on the quality of diabetes management are lacking. This study was conducted in 2005 using National Health Insurance Database to know the current status of diabetes management in Korea. METHODS: We have randomly selected 3,902 subjects out of 2,503,754 subjects who had claims with diagnosis of diabetes between January 2003 to December 2003 by using two staged cluster sampling method. Field survey with review of medical records and telephone survey was conducted with standardized record forms developed by Korean Diabetes Association; Task Force Team For Basic Statistical Study of Korean Diabetes Mellitus. RESULTS: The age of diabetic subjects was 58.1 +/- 12.6 years and the duration of diabetes was 6.2 +/- 5.5 years. Hypertension was present in 54% of diabetic subjects. Among those with hypertension, 59% were controlled with blood pressure below 140/90 mmHg, but only 19% were controlled with blood pressure below 130/80 mmHg. Hyperlipidemia was present in 29% of diabetic subjects. Only 38% of those with hyperlipidemia were controlled with LDL-cholesterol below 100 mg/dL. For glycemic control, only 40% of diabetic subjects achieved the goal of HbA1c less than 7%, which was suggested by ADA. CONCLUSION: We found that only 20~40% of diabetic subjects in Korea achieved the management goal for glucose, blood pressure, and lipids. It seems urgent to develop a quality management program for diabetes subjects in Korea.
Key Words: Diabetes, Prevalence, Quality management


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