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KMID : 0365420130320020028
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Journal of the KLIMA
2013 Volume.32 No. 2 p.28 ~ p.32
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Trends of cardiac valve surgery in life insurance (’09~’11)
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Park Yoo-Jung
Moon Ki-Tae
Kim Young-Eun
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Abstract
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We studied trends of cardiac valve surgery using insurance data. 368 persons were included our study. We studied whether there are frauds or not. Only 4 cases were done at less than 1year from an insurance contract. We reviewed medical records of all persons. We could find the type of valve disease in 211 cases. The findings are atrial valve 40.1%, mitral valve 34.6% and others 25.3%. When we divided by materials of surgery, mechanical valves were used in 68.8% of men and 70.6% of woman. The main causes of valve disease were infection(55.1%). And degenerative valve disease 32% and congenital valve disease were 13%. We cannot find definite evidence of insurance frauds in the cardiac valve surgery. But there are some limitation in data analysis.
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KEYWORD
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Cardiac Valve Surgery, Insurance data, Fraud
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