Tuberc Respir Dis.  2017 Jul;80(3):241-246. 10.4046/trd.2017.80.3.241.

Evaluation of Appropriate Management of Chronic Obstructive Pulmonary Disease in Korea: Based on Health Insurance Review and Assessment Service (HIRA) Claims

• Chung SM
• Lee SY

• KMID: 2385038
• DOI: http://doi.org/10.4046/trd.2017.80.3.241

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.

Keyword

Pulmonary Disease, Chronic Obstructive; Insurance, Health

MeSH Terms

Diagnosis
Hospitalization
Humans
Insurance, Health*
Korea*
Mortality
Outpatients
Pulmonary Disease, Chronic Obstructive*

Figure

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  Figure 1 Percentage of pulmonary function tests (PFTs) performed by medical institutions which have 10 more evaluated patients.

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