Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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The Variation of HbA1c Examination Performance Rates among Diabetic Patients Using Ambulatory Care in South Korea

우리나라 외래서비스 이용 당뇨환자의 특성에 따른 당화혈색소(HbA1c)검사 시행률 변이 분석

  • Hong, Jae-Seok (Health Insurance Review & Assessment Policy Institute, Health Insurance Review & Assessment Service) ;
  • Kang, Hee-Chung (Health Insurance Review & Assessment Policy Institute, Health Insurance Review & Assessment Service) ;
  • Kim, Jai-Yong (Department of Social and Preventive Medicine, Hallym University College of Medicine)
  • 홍재석 (건강보험심사평가원 심사평가정책연구소) ;
  • 강희정 (건강보험심사평가원 심사평가정책연구소) ;
  • 김재용 (한림대학교 의과대학 사회의학교실)
  • Published : 2009.03.01
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Abstract

Background: The appropriate management of diabetes mellitus(DM) can help reduce its relapse and economic burden, but the level of management of DM in Korea is reported to be insufficient. This study aims to identify the management level of DM by figuring out the HbA1c examination performance rate of the diabetics and analyzing the variation according to the characteristic of a diabetic. Methods: This study used the Korean National Health Insurance Database which includes E10-14(ICD-10 code) as a primary or secondary disease as of 2006. Study population is 1,892,062 diabetics excluding 393,784 patients with the first attack of DM in 2006, 33,440 diabetics who died in 2006, and 21,299 patients with DM having no record of ambulatory care among the 2,340,585 DM patients in total. Results: The HbA1c examination performance rate of all DM patients in our country is estimated to be 41.5% as of 2006 and shows variation according to the characteristic of individual DM patients. The highest performance odds was shown by the patients who were below 19 of age, insured for health insurance, attended more than 3 ambulatory care providers, made ambulatory care visits more than 10 times annually, attended a specialized general hospital as their main attending medical institution, had a record of hospitalization or had co-morbidity. Conclusion: This study propose that is necessary to make politic preparations for the appropriate management of diabetes at a national level, and particularly, the patients with advanced age, the ones dependent on Medical Aid, and the ones using hospitals or clinics, whose appropriate management seems vulnerable, demand a careful management.

Keywords

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