• Title/Summary/Keyword: 건강보험 빅데이터

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Design of Health Warning Model on the Basis of CRM by use of Health Big Data (의료 빅데이터를 활용한 CRM 기반 건강예보모형 설계)

  • Lee, Sangwon;Shin, Seong-Yoon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.8
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    • pp.1460-1465
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    • 2016
  • Lots of costs threaten the sustainability of the national health-guarantee system. Despite research by the national center for disease control and prevention on health care dynamics with its auditing systems, there are still restrictions of time limitation, sample limitation, and, target diseases limitation. Against this backdrop, using huge volume of total data, many technologies could be fully adopted to the preliminary forecasting and its target-disease expanding of health. With structured data from the national health insurance and unstructured data from the social network service, we attempted to design a model to predict disease. The model can enhance national health and maximize social benefit by providing a health warning service. Also, the model can reduce the advent increase of national health cost and predict timely disease occurrence based on Big Data analysis. We researched related medical prediction cases and performed an experiment with a pilot project so as to verify the proposed model.

Probleme nach geltendem Recht „Richtlinien für die Verwendung von Gesundheitsdaten" ('보건의료 데이터 활용 가이드라인'의 현행법상 문제점)

  • Lee, Seok-Bae
    • The Korean Society of Law and Medicine
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    • v.22 no.4
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    • pp.3-35
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    • 2021
  • Inmitten der Flut der privaten und öffentlichen Information gilt die riesige Informationsmenge als Schlüsselressource im Zeitalter der 4. industriellen Revolution, repräsentiert durch Big-Data. Das Interesse an diesen wächst weltweit. Es gibt eine aktive Diskussion darüber, wie man Daten sichert und akkumuliert und wie man die gesammelten Daten sicher und effektiv nutzt. Gesundheitsdaten werden vor allem als die wertvollste Ressource bewertet, für die Big-DataTechnologie eingesetzt wird. Um Gesundheitsdaten sinnvoll zu nutzen, müssen verteilte Gesundheitsdaten integriert und den Benutzern in einer Form zur Verfügung gestellt werden, die für Forschung oder Inspektion verwendet werden kann. In einer Situation, in der große Länder um den Aufbau bzw. die Führung der Datenwirtschaft konkurrieren, wurden im August 2020 auch in Südkorea die sog. „3-Daten-Gesetze" geändert, die das Datenschutzgesetz(DSG) enthälten. Das DSG führte das Konzept der pseudonymen Informationen ein und baute eine Rechtsgrundlage für deren Verwendung auf. Als Folgemaßnahme kündigte die, Kommission für den Schutz personenbezogener Daten(Personal Information Protection Commission: PIPC)' die „Richtlinien für die Bahandlung mit pseudonymen Informationen" und, Ministerium für Gesundheit und Wohlfahrt' die „Richtlinien für die Verwendung von Gesundheitsdaten" an. Gesundheitsdaten stehen direkt in Zusammenhang mit Leben und Körper des Menschen und damit enthalten viele sensible Daten. Es handelt sich also um ein System, das aus einer vorsichtigeren und konservativeren Sicht unter der Voraussetzung verwendet werden kann, personenbezogene Daten sicherer zu schützen. Um die Hauptinhalte der „Richtlinien für Verwendung von Gesundheitsdaten" zu analysieren, überprüften wir zunächst die Hauptinhalte des überarbeiteten DSG. Danach durch die Analyse der wesentlichen Inhalte der „Richtlinien für Verwendung von Gesundheitsdaten" wurden Probleme wie Konflikte mit anderen Gesetzen und Verbesserungsmaßnahmen überprüft.

Limitations and Improvement of Using a Costliness Index (진료비 고가도 지표의 한계와 개선 방향)

  • Jang, Ho Yeon;Kang, Min Seok;Jeong, Seo Hyun;Lee, Sang Ah;Kang, Gil Won
    • Health Policy and Management
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    • v.32 no.2
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    • pp.154-163
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    • 2022
  • Background: The costliness index (CI) is an index that is used in various ways to improve the quality of medical care and the management of appropriate treatment in medical institutions. However, the current calculation method for CI has a limitation in reflecting the actual medical cost of the patient unit because the outpatient and inpatient costs are evaluated separately. It is desirable to calculate the CI by integrating the medical cost into the episode unit. Methods: We developed an episode-based CI method using the episode classification system of the Centers for Medicare and Medicaid Services to the National Inpatient Sample data in Korea, which can integrate the admission and ambulatory care cost to episode unit. Additionally, we compared our new method with the previous method. Results: In some episodes, the correlation between previous and episode-based CI was low, and the proportion of outpatient treatment costs in total cost and readmission rates are high. As a result of regression analysis, it is possible that the level of total medical costs of the patient unit in low volume medical institute and rural area has been underestimated. Conclusion: High proportion of outpatient treatment cost in total medical cost means that some medical institutions may have provided medical services in the ambulatory care that are ancillary to inpatient treatment. In addition, a high readmission rate indicates insufficient treatment service for inpatients, which means that previous CI may not accurately reflect actual patient-based treatment costs. Therefore, an integrated patient-unit classification system which can be used as a more effective CI indicator is needed.

Big Data Education Contents for Healthcare Officials (보건의료담당 공무원을 위한 빅데이터 교육콘텐츠)

  • Kim, Yang-Woo
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.236-242
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    • 2020
  • Big data technology has been rising as a leading technology in the healthcare paradigm. As a world-class big data nation including National Health Insurance data, Korea has been focused on health policies and sustainability through database forecasting and policy establishment. So the need for education of big data by public officials in healthcare sector is increasing. However, there has not yet been National Competency Standards(NCS) or education modules, in this study, healthcare big data education module and content have been developed for the public servants with confidence.

Review of the Development and Application of Disease Network (보건행정 연구자를 위한 질병 네트워크의 구축과 응용 고찰)

  • Kyungmin Lee;Ji-Woong Nam;Yewon Jung;Tae Sic Lee;Ki-Bong Yoo
    • Health Policy and Management
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    • v.34 no.3
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    • pp.226-237
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    • 2024
  • This paper reviewed on understanding the disease network model which represents the relationships, such as risks, pathways, and progression trajectories, among various diseases. By utilizing the disease network models, it visualized the trajectories paths of diseases over time and captured potential relationships between diseases that were previously undiscovered, thereby providing novel insights. This study introduced research cases of disease networks using various domestic and international healthcare data based on graph theory and network models, reviewed the methodologies and applications for constructing disease networks, and suggested the potential for their application in health insurance big data. The paper also discussed the limitations of disease network research and proposed future research directions.

Usefulness of RHadoop in Case of Healthcare Big Data Analysis (RHadoop을 이용한 보건의료 빅데이터 분석의 유효성)

  • Ryu, Wooseok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.10a
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    • pp.115-117
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    • 2017
  • R has become a popular analytics platform as it provides powerful analytic functions as well as visualizations. However, it has a weakness in which scalability is limited. As an alternative, the RHadoop package facilitates distributed processing of R programs under the Hadoop platform. This paper investigates usefulness of the RHadoop package when analyzing healthcare big data that is widely open in the internet space. To do this, this paper has compared analytic performances of R and RHadoop using the medical treatment records of year 2015 provided by National Health Insurance Service. The result shows that RHadoop effectively enhances processing performance of healthcare big data compared with R.

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Analysis of interest in implant using a big data: A web-based study (빅 데이터를 이용한 임플란트에 대한 관심도 분석: 웹 기반 연구)

  • Kong, Hyun-Jun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.164-172
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    • 2021
  • Purpose: The purpose of this study was to analyze the level of interest that common Internet users have in dental implant using a Google Trends, and to compare the level of interest with big data from National Health Insurance Service. Materials and methods: Google Trends provides a relative search volume for search keywords, which is the average data that visualizes the frequency of searches for those keywords over a specific period of time. Implant was selected as the search keyword to evaluate changes in time flows of general Internet users' interest from 2015 to 2019 with trend line and 6 month moving average. Relative search volume for implant was analyzed with the number of patients who received National Health Insurance coverage for implant. Interest in implant and conventional denture was compared and popular related search keywords were analyzed. Results: Relative search volume for implant has increased gradually and showed a significant positive correlation with the total number of patients (P<.01). Interest in implant was higher than denture for most of the time. Keywords related to implant cost were most frequently observed in all years and related search on implant procedure was increasing. Conclusion: Within the limitations of this study, the public interest in dental implant was gradually increasing and specific areas of interest were changing. Web-based Google Trends data was also compared with traditional data and significant correlation was confirmed.

Performance Evaluation of Medical Big Data Analysis based on RHadoop (RHadoop 기반 보건의료 빅데이터 분석의 성능 평가)

  • Ryu, Woo-Seok
    • The Journal of the Korea institute of electronic communication sciences
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    • v.13 no.1
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    • pp.207-212
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    • 2018
  • As a data analysis tool which is becoming popular in the Big Data era, R is rapidly expanding its user range by providing powerful statistical analysis and data visualization functions. Major advantage of R is its functional scalability based on open source, but its scale scalability is limited, resulting in performance degrades in large data processing. RHadoop, one of the extension packages to complement it, can improve data analysis performance as it supports Hadoop platform-based distributed processing of programs written in R. In this paper, we evaluate the validity of RHadoop by evaluating the performance improvement of RHadoop in real medical big data analysis. Performance evaluation of the analysis of the medical history information, which is provided by National Health Insurance Service, using R and RHadoop shows that RHadoop cluster composed of 8 data nodes can improve performance up to 8 times compared with R.

Analysis of the Correlation between Fine Dust and Disease Using Big Data (빅데이터를 활용한 미세먼지와 질병 간의 상관관계 분석)

  • Nam, Kyeongyoon;Moon, Soyoung;Kim, Hyon Hee
    • Annual Conference of KIPS
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    • 2022.11a
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    • pp.368-370
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    • 2022
  • WHO 산하의 국제암연구소는 2013 년부터 미세먼지를 1 급 발암 물질로 분류하고 있으며 미세먼지 노출에 대한 질병 발생의 심각성은 점점 수면 위로 드러나고 있는 추세다. 본 연구에서는 국민건강보험공단의 진료 내역 정보 데이터와 2015 년부터 2021 년까지의 미세먼지 및 초미세먼지 월 평균 농도 데이터를 이용하여 미세먼지 및 초미세먼지 농도와 순환기계와 호흡기계 질병 간의 상관 관계를 보이고, 연관성있는 질병을 찾아내었다. 이를 위해 시계열분석, 상관분석, 빈도분석을 시행하였으며 실험 결과 호흡기질환에서는 급성 부비동염, 코의 농양 등의 질병과 순환기질환에서는 상세불명의 원발성 고혈압, 폐색전증이 상관관계가 높은 질병으로 판명되었다.

Analysis of Mortality Cause and Properties using Medical Big Data in Gangwon (의료 빅데이터를 활용한 강원도 사망 원인 및 특성 분석)

  • Jeong, Dae-hyun;Kwon, O-young;Koo, Young-duk
    • The Journal of the Korea Contents Association
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    • v.18 no.9
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    • pp.149-155
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    • 2018
  • Due to the rapid development of medical information, vast amounts of medical data are accumulating, and such medical data is highly likely to be used as an important data for solving the aging population and the rapid rise in medical cost. Especially in Korea, there are resident registration numbers and computerized usage data for all citizens, so it can be superior to other countries in terms of medical infrastructure that can utilize big data. The purpose of this study was to analyze the factors affecting the mortality and death rate of Gangwon using the Big Data and the National Statistical Office data centered on Kangwon province. As a result of analysis, major variables related to the mortality rate of Gangwon were hospital infrastructure utilization rate, income level, aging population and population density. Therefore, inequalities due to income disparities and insufficient local medical infrastructures were affecting the local mortality rate, and policy support was needed to improve the local hospital infrastructure and income level. The results of this study were meaningful in that medical big data were used to analyze the deaths of people in Gangwon, and the causes of the deaths were analyzed through various social indicators and correlation analysis.