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Utilization of health insurance data in an environmental epidemiology
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논문 기본 정보

Type
Academic journal
Author
Jongsik Ha (Korea Environment Institute) Seongkyung Cho (Korea Environment Institute) Yongseung Shin (Korea Environment Institute)
Journal
The Korean Society of Environmental Toxicology Environmental Analysis Health and Toxicology Vol.30 KCI Accredited Journals SCOPUS
Published
2015.12
Pages
103 - 109 (7page)

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Utilization of health insurance data in an environmental epidemiology
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Objectives In South Korea, health insurance data are used as material for the health insurance of national whole subject. In general, health insurance data could be useful for estimating prevalence or incidence rate that is representative of the actual value in a population. The purpose of this study was to apply the concept of episode of care (EoC) in the utilization of health insurance data in the field of environmental epidemiology and to propose an improved methodology through an uncertainty assessment of disease course and outcome.
Methods In this study, we introduced the concept of EoC as a methodology to utilize health insurance data in the field of environmental epidemiology. The characterization analysis of the course and outcome of applying the EoC concept to health insurance data was performed through an uncertainty assessment.
Results The EoC concept in this study was applied to heat stroke (International Classification of Disease, 10th revision, code T67). In the comparison of results between before and after applying the EoC concept, we observed a reduction in the deviation of daily claims after applying the EoC concept. After that, we categorized context, model, and input uncertainty and characterized these uncertainties in three dimensions by using uncertainty typology.
Conclusions This study is the first to show the process of constructing episode data for environmental epidemiological studies by using health insurance data. Our results will help in obtaining representative results for the processing of health insurance data in environmental epidemiological research. Furthermore, these results could be used in the processing of health insurance data in the future.
#Episode of care #Health insurance data #Uncertainty assessment

Contents

Introduction
Materials and Methods
Results
Discussion
References

References (11)

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Park BJ / 2007 / Health insurance claims data characteristics and research utilization considerations / Korean Academy of Medical Sciences. Proceedings of workshop for the activation of medical science research :33~48 google schola 김록영 / 2013 / 입원 환자 표본 개발에 관한 연구: 국민건강보험 청구자료를 중심으로 / 보건행정학회지 23(2):152~161 dbpia Hornbrook MC. / 1985 / Health care episodes : definition, measurement and use / Med Care Rev 42(2):163~218 google schola Wingert TD / 1996 / Constructing episodes of care from encounter and claims data: some methodological issues / Inquiry 32(4):430~443 google schola Walker WE. / 2003 / Defining uncertainty. A conceptual basis for uncertainty management in model-based decision support / Integr Assess 4(1):5~17 google schola

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