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KMID : 1138720200460010067
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Korean Public Health Research
2020 Volume.46 No. 1 p.67 ~ p.78
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The Variation of Fundus Examination Performance Rates among Diabetic Patients in South Korea
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Hong Jae-Seok
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Abstract
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Purpose: This study aims to identify the management level of diabetic retinopathy by figuring out the fundus examination performance rate of the diabetics and analyzing the variation according to the characteristic of a diabetic.
Methods: This study used data from the 7th Korea national health and nutrition examination survey (2016-2017) of the Korea center for disease control and prevention(KCDC). We selected 1,100 diabetic patients from the data. And we choose socio-demographic, healthcare utilization, and severity characteristics as diabetic patient characteristics.
Results: The Fundus examination performance rate of diabetic patients in our study is estimated to be 30.6% as of 2016-2017 and shows variation according to the characteristic of diabetic patients. The higher performance odds was shown by the patients who were female, 50-59 and 60-69 years old, middle-high income, and insulin treatment. And, the higher the level of education and the longer the duration of diabetes mellitus, the higher the odds of fundus examination performance.
Conclusion: The fundus examination performance rate for diabetic patients in Korea is low compared to other countries, so efforts to improve the fundus examination performance rate are needed. Particularly, the male patients, patients with low socio-economic status, or younger patients, whose appropriate management seems vulnerable, demand a careful management. It is necessary to establish policies to improve the fundus examination rate such as reminder message, behavioral coaching, and financial incentives.
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KEYWORD
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Fundus examination, Diabetes mellitus, Primary care, Diabetic retinopathy
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