Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in Korea

Background: The National Health Insurance Service (NHIS) conducted a screening test to detect chronic diseases such as hypertension and diabetes in Korea. This study evaluated the effects of health screening for DM on pharmacological treatment. Methods: The data from qualification and the General H...

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Main Authors: Hyeongsu KIM, Soon-Ae SHIN, Kunsei LEE, Jong-Heon PARK, Tae Hwa HAN, Minsu PARK, Eunyoung SHIN, Hyoseon JEONG, Jung-Hyun LEE, Hyemi AHN, Vitna KIM
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2018-02-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/12404
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author Hyeongsu KIM
Soon-Ae SHIN
Kunsei LEE
Jong-Heon PARK
Tae Hwa HAN
Minsu PARK
Eunyoung SHIN
Hyoseon JEONG
Jung-Hyun LEE
Hyemi AHN
Vitna KIM
author_facet Hyeongsu KIM
Soon-Ae SHIN
Kunsei LEE
Jong-Heon PARK
Tae Hwa HAN
Minsu PARK
Eunyoung SHIN
Hyoseon JEONG
Jung-Hyun LEE
Hyemi AHN
Vitna KIM
author_sort Hyeongsu KIM
collection DOAJ
description Background: The National Health Insurance Service (NHIS) conducted a screening test to detect chronic diseases such as hypertension and diabetes in Korea. This study evaluated the effects of health screening for DM on pharmacological treatment. Methods: The data from qualification and the General Health Screening in 2012, the insurance claims of medical institutions from Jan 2009 to Dec 2014, and the diabetic case management program extracted from the NHIS administrative system were used. Total 16068 subjects were included. Visiting rate to medical institution, medication possession ratio and the rate of medication adherence of study subjects were used as the indices. Results: The visiting rates to medical institutions were 39.7%. The percentage who received a prescription for a diabetes mellitus medication from a doctor was 80.9%, the medication possession ratio was 70.8%, and the rate of medication adherence was 57.8%. Conclusion: The visiting rate, medication possession ratio and rate of medication adherence for DM medication were not high. In order to increase the visiting rate, medication possession ratio and rate of medication adherence, NHIS should support environment in which medical institutions and DM patients can do the role of each part.
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spelling doaj.art-59f98f4c89024ab0a6f7bf3c8e69c2b22022-12-21T23:26:51ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932018-02-01472Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in KoreaHyeongsu KIM0Soon-Ae SHIN1Kunsei LEE2Jong-Heon PARK3Tae Hwa HAN4Minsu PARK5Eunyoung SHIN6Hyoseon JEONG7Jung-Hyun LEE8Hyemi AHN9Vitna KIM10Dept. of Preventive Medicine, School of Medicine, Konkuk University, Seoul, KoreaBig Data Steering Dept., National Health Insurance Service, Seoul, KoreaDept. of Preventive Medicine, School of Medicine, Konkuk University, Seoul, KoreaBig Data Steering Dept., National Health Insurance Service, Seoul, KoreaDept. of Medical Engineering, College of Medicine, Yonsei University, Seoul, KoreaGranduate School of Public Health, Inje University, Seoul, KoreaDept. of Public Health Administration, Hanyang Women’s University, Seoul, KoreaDept. of Preventive Medicine, School of Medicine, Konkuk University, Seoul, KoreaDept. of Preventive Medicine, School of Medicine, Konkuk University, Seoul, KoreaDept. of Preventive Medicine, School of Medicine, Konkuk University, Seoul, KoreaDept. of Preventive Medicine, School of Medicine, Konkuk University, Seoul, KoreaBackground: The National Health Insurance Service (NHIS) conducted a screening test to detect chronic diseases such as hypertension and diabetes in Korea. This study evaluated the effects of health screening for DM on pharmacological treatment. Methods: The data from qualification and the General Health Screening in 2012, the insurance claims of medical institutions from Jan 2009 to Dec 2014, and the diabetic case management program extracted from the NHIS administrative system were used. Total 16068 subjects were included. Visiting rate to medical institution, medication possession ratio and the rate of medication adherence of study subjects were used as the indices. Results: The visiting rates to medical institutions were 39.7%. The percentage who received a prescription for a diabetes mellitus medication from a doctor was 80.9%, the medication possession ratio was 70.8%, and the rate of medication adherence was 57.8%. Conclusion: The visiting rate, medication possession ratio and rate of medication adherence for DM medication were not high. In order to increase the visiting rate, medication possession ratio and rate of medication adherence, NHIS should support environment in which medical institutions and DM patients can do the role of each part.https://ijph.tums.ac.ir/index.php/ijph/article/view/12404Diabetes mellitusHealth screeningMedical visitMedication possession ratioAppropriate medical adherence
spellingShingle Hyeongsu KIM
Soon-Ae SHIN
Kunsei LEE
Jong-Heon PARK
Tae Hwa HAN
Minsu PARK
Eunyoung SHIN
Hyoseon JEONG
Jung-Hyun LEE
Hyemi AHN
Vitna KIM
Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in Korea
Iranian Journal of Public Health
Diabetes mellitus
Health screening
Medical visit
Medication possession ratio
Appropriate medical adherence
title Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in Korea
title_full Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in Korea
title_fullStr Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in Korea
title_full_unstemmed Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in Korea
title_short Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in Korea
title_sort effects of first diagnosed diabetes mellitus on medical visits and medication adherence in korea
topic Diabetes mellitus
Health screening
Medical visit
Medication possession ratio
Appropriate medical adherence
url https://ijph.tums.ac.ir/index.php/ijph/article/view/12404
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