Changing Disease Trends in the Northern Gyeonggi-do Province of South Korea from 2002 to 2013: A Big Data Study Using National Health Information Database Cohort.
10.24171/j.phrp.2018.9.5.06
- Author:
Young Soo KIM
1
;
Dong Hee LEE
;
Hiun Suk CHAE
;
Kyungdo HAN
Author Information
1. Epidemiology Study Cluster of Uijeongbu St. Mary’s Hospital, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. leedh0814@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
health insurance;
regional health planning;
South Korea
- MeSH:
Cervix Uteri;
Cohort Studies*;
Colonic Neoplasms;
Delivery of Health Care;
Diabetes Mellitus;
Female;
Gyeonggi-do*;
Health Personnel;
Health Services Needs and Demand;
Hemorrhage;
Humans;
Hypertension;
Incidence;
Insurance, Health;
Intracranial Hemorrhages;
Intracranial Hypertension;
Kidney Failure, Chronic;
Korea*;
Malaria;
Myocardial Infarction;
National Health Programs;
Peptic Ulcer;
Regional Health Planning;
Retrospective Studies;
Urinary Bladder;
Urinary Bladder Neoplasms
- From:
Osong Public Health and Research Perspectives
2018;9(5):248-254
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: To investigate the chronological patterns of diseases in Northern Gyeonggi-do province, South Korea, and compare these with national data. METHODS: A National Health Insurance cohort based on the National Health Information Database (NHID Cohort 2002–2013) was used to perform a retrospective, population-based study (46,605,433 of the target population, of which 1,025,340 were randomly sampled) to identify disease patterns from 2002 to 2013. Common diseases including malaria, cancer (uterine cervix, urinary bladder, colon), diabetes mellitus, psychiatric disorders, hypertension, intracranial hemorrhage, bronchitis/bronchiolitis, peptic ulcer, and end stage renal disease were evaluated. RESULTS: Uterine cervix cancer, urinary bladder cancer and colon cancer had the greatest rate of increase in Northern Gyeonggi-do province compared with the rest of the country, but by 2013 the incidence of these cancers had dropped dramatically. Acute myocardial infarction and end stage renal disease also increased over the study period. Psychiatric disorders, diabetes mellitus, hypertension and peptic ulcers showed a gradual increase over time. No obvious differences were found for intracranial hemorrhage or bronchitis/bronchiolitis between the Northern Gyeonggi-do province and the remaining South Korean provinces. Malaria showed a unique time trend, only observed in the Northern Gyeonggi province, peaking in 2004, 2007 and 2009 to 2010. CONCLUSION: This study showed that the Northern Gyeonggi-do province population had a different disease profile over time, compared with collated data for the remaining provinces in South Korea. “Big data” studies using the National Health Insurance cohort database can provide insight into the healthcare environment for healthcare providers, stakeholders and policymakers.
