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

doi:10.4093/jkda.2007.31.4.362

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Original Article 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; Diabetes & Metabolism Journal 2007;31(4):362-367
DOI: https://doi.org/10.4093/jkda.2007.31.4.362
Published online: July 1, 2007

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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.

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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.

Keywords: Diabetes;Prevalence;Quality management;

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Current Status of Diabetes Management in Korea Using National Health Insurance Database.

Korean Diabetes J. 2007;31(4):362-367. Published online July 1, 2007

DOI: https://doi.org/10.4093/jkda.2007.31.4.362

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