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KMID : 0861120150190020051
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Korean Journal of Oriental Preventive Medicine
2015 Volume.19 No. 2 p.51 ~ p.56
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An Analysis on Present Condition of the Cooperative Medical Care Using the Episode of Care : Claims Data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE
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Uhm Tae-Woong
Kim Nam-Kwen
Kim Sin-a
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Abstract
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Objective : We analyzed present condition of cooperative medical care using claims data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE form patients treated by Korean-Western cooperative medicine. The study aimed to offer guidelines in selecting disease-related research in developing Korean-Western convergence technology.
Method : Based on the patients using Korean medical service, we analyzed claims data of patients using Korean medical service and western medical service from January 2012 to December 2013. We were assigned to the server remotely. With the concept of ‘episode of care’, we rebuilt claims data and analyzed present condition of cooperative medical usage.
Results : We analyzed present condition of cooperative medical care per episode of care. Among outpatients, Low back pain, lumbar region(M5456) was the highest number. Among inpatients, Sciatica due to intervertebral disc disorder(M511) was the highest number.
Conclusion : Based on the claims data provided by HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE, we have derived a list of multy frequently disease frequently treated by cooperative medical care by analyzing present condition.
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KEYWORD
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Episode of Care, Cooperative Medical Care, Claims Data
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