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Evaluation of Appropriate Management of Chronic Obstructive Pulmonary Disease in Korea: Based on Health Insurance Review and Assessment Service (HIRA) Claims

Authors
Chung, Sang MiLee, Sung Yong
Issue Date
7월-2017
Publisher
TAEHAN KYORHAEK HYOPHOE-KOREAN ACAD TUBERCULOSIS & RESPIRATORY DISEASES
Keywords
Pulmonary Disease; Chronic Obstructive; Insurance; Health
Citation
TUBERCULOSIS AND RESPIRATORY DISEASES, v.80, no.3, pp.241 - 246
Indexed
SCOPUS
KCI
Journal Title
TUBERCULOSIS AND RESPIRATORY DISEASES
Volume
80
Number
3
Start Page
241
End Page
246
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/83060
DOI
10.4046/trd.2017.80.3.241
ISSN
1738-3536
Abstract
Chronic obstructive pulmonary disease (COPD) is an ambulatory care-sensitive condition, and effective treatment of outpatients can prevent worsening of the illness and hospitalization. Current COPD guidelines provide appropriate guidance for the diagnosis and treatment of patients with COPD. In fact, it has been shown that when appropriate guidance and treatment are performed, the morbidity and mortality rates of COPD patients are reduced. However, there is a gap between the clinical guidelines and the actual clinical treatment. Therefore, the Health Insurance Review and Assessment Service (HIRA) conducted an evaluation of the adequacy of COPD diagnosis and treatment using the Claims Database of HIRA. This review provides a summary of the COPD adequacy assessment results reported by the HIRA and some brief comments on the results.
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