Evaluation of Appropriate Management of Chronic Obstructive Pulmonary Disease in Korea: Based on Health Insurance Review and Assessment Service (HIRA) Claims.
10.4046/trd.2017.80.3.241
- Author:
Sang Mi CHUNG
1
;
Sung Yong LEE
Author Information
1. Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Seoul, Korea. syl0801@korea.ac.kr
- Publication Type:Review
- Keywords:
Pulmonary Disease, Chronic Obstructive;
Insurance, Health
- MeSH:
Diagnosis;
Hospitalization;
Humans;
Insurance, Health*;
Korea*;
Mortality;
Outpatients;
Pulmonary Disease, Chronic Obstructive*
- From:Tuberculosis and Respiratory Diseases
2017;80(3):241-246
- CountryRepublic of Korea
- Language:English
-
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.
