Diabetes Metab J.  2020 Oct;44(5):671-678. 10.4093/dmj.2020.0207.

Data Configuration and Publication Trends for the Korean National Health Insurance and Health Insurance Review & Assessment Database

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
  • 2Division of Endocrinology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea
  • 3Division of Endocrinology and Metabolism, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea
  • 4Department of Endocrinology and Metabolism, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea

Abstract

Background
Big data reports related to diseases and health care for the Korean population have been published since the National Health Insurance Service (NHIS) and the Health Insurance Review & Assessment (HIRA) Service provided limited open access to their databases. Here, we reviewed the structure, content, and means of using data from the National Health Insurance (NHI) system for the benefit of Korean researchers and presented the latest publication trends in Korean healthcare data procured from the NHI and HIRA databases.
Methods
Since 2013, researchers have been able to obtain nationwide population-based studies using the NHI and HIRA databases of the insured. We searched publications using the NHI and the HIRA databases between 2013 and 2019 retrieved from PubMed.
Results
The NHI and HIRA databases provide nationwide population-based data. The total number of publications from 2014 to 2019 using NHI and HIRA databases is 2,541 and 655, respectively. A total of 5,465 endocrinology-related studies were performed during 2014 to 2019.
Conclusion
The NHIS and HIRA databases have provided tools for guidelines to approach world-leading population-based epidemiology and disease research.

Keyword

Endocrinology; Health services research; Korea; National health programs

Figure

  • Fig. 1. (A) Year-specific number of publications using the National Health Insurance (NHI) and Health Insurance Review & Assessment (HIRA) databases (2014 to 2019). (B) Endocrinology-related search terms in the NHI and HIRA databases (2014 to 2019).

  • Fig. 2. How the National Health Insurance system works. NHIS, National Health Insurance Service; HIRA, Health Insurance Review & Assessment.


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Reference

1. Jeong HS. Korea’s National Health Insurance: lessons from the past three decades. Health Aff (Millwood). 2011; 30:136–44.
2. Song SO, Jung CH, Song YD, Park CY, Kwon HS, Cha BS, Park JY, Lee KU, Ko KS, Lee BW. Background and data configuration process of a nationwide population-based study using the Korean national health insurance system. Diabetes Metab J. 2014; 38:395–403.
Article
3. Kwon S. Future of long-term care financing for the elderly in Korea. J Aging Soc Policy. 2008; 20:119–36.
Article
4. Jung CH, Seo GH, Suh S, Bae JC, Kim MK, Hwang YC, Kim JH, Lee BW. The population-based risk of need for coronary revascularization according to the presence of type 2 diabetes mellitus and history of coronary heart disease in the Korean population. PLoS One. 2015; 10:e0128627.
Article
5. Park YT, Yoon JS, Speedie SM, Yoon H, Lee J. Health insurance claim review using information technologies. Healthc Inform Res. 2012; 18:215–24.
Article
6. Seong SC, Kim YY, Park SK, Khang YH, Kim HC, Park JH, Kang HJ, Do CH, Song JS, Lee EJ, Ha S, Shin SA, Jeong SL. Cohort profile: the National Health Insurance Service-National Health Screening Cohort (NHIS-HEALS) in Korea. BMJ Open. 2017; 7:e016640.
Article
7. National Health Insurance Sharing Service. Terminology. Available from: https://nhiss.nhis.or.kr/bd/ab/bdaba012eng.do (cited 2020 Sep 12).
8. Kim JA, Yoon S, Kim LY, Kim DS. Towards actualizing the value potential of Korea health insurance review and assessment (HIRA) data as a resource for health research: strengths, limitations, applications, and strategies for optimal use of HIRA data. J Korean Med Sci. 2017; 32:718–28.
Article
9. Chung H, Kim SY, Kim HS. Clinical research from a health insurance database: practice and perspective. Korean J Med. 2019; 94:463–70.
Article
10. Kim L, Kim JA, Kim S. A guide for the utilization of health insurance review and assessment service national patient samples. Epidemiol Health. 2014; 36:e2014008.
Article
11. Kim S, Kim MS, You SH, Jung SY. Conducting and reporting a clinical research using Korean healthcare claims database. Korean J Fam Med. 2020; 41:146–52.
Article
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