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Review
. 2018 Apr;42(2):93-100.
doi: 10.4093/dmj.2018.42.2.93.

Past and Current Status of Adult Type 2 Diabetes Mellitus Management in Korea: A National Health Insurance Service Database Analysis

Seung Hyun Ko  1 , Kyungdo Han  2 , Yong Ho Lee  3 , Junghyun Noh  4 , Cheol Young Park  5 , Dae Jung Kim  6 , Chang Hee Jung  7 , Ki Up Lee  7 , Kyung Soo Ko  8 ; TaskForce Team for the Diabetes Fact Sheet of the Korean Diabetes Association
Affiliations
Review

Past and Current Status of Adult Type 2 Diabetes Mellitus Management in Korea: A National Health Insurance Service Database Analysis

Seung Hyun Ko et al. Diabetes Metab J. 2018 Apr.

Abstract

Korea's National Healthcare Program, the National Health Insurance Service (NHIS), a government-affiliated agency under the Korean Ministry of Health and Welfare, covers the entire Korean population. The NHIS supervises all medical services in Korea and establishes a systematic National Health Information database (DB). A health information DB system including all of the claims, medications, death information, and health check-ups, both in the general population and in patients with various diseases, is not common worldwide. On June 9, 2014, the NHIS signed a memorandum of understanding with the Korean Diabetes Association (KDA) to provide limited open access to its DB. By October 31, 2017, seven papers had been published through this collaborative research project. These studies were conducted to investigate the past and current status of type 2 diabetes mellitus and its complications and management in Korea. This review is a brief summary of the collaborative projects between the KDA and the NHIS over the last 3 years. According to the analysis, the national health check-up DB or claim DB were used, and the age category or study period were differentially applied.

Keywords: Antidiabetic medication; Cardiovascular diseases; Depression; Diabetes mellitus, type 2; Diabetic retinopathy; National Health Insurance Service.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. Trends in diabetic retinopathy in patients with type 2 diabetes mellitus in Korea, 2006 to 2013.
Fig. 2
Fig. 2. Age- and gender-standardized rates (per 10,000 adults) of major cardiovascular complications among the Korean adult population according to the presence or absence of type 2 diabetes mellitus (T2DM), 2006 to 2013. (A) Ischemic heart disease, (B) acute myocardial infarction, (C) ischemic stroke, and (D) hemorrhagic stroke.
Fig. 3
Fig. 3. Age- and gender-standardized events (per 10,000 adults) of cardiovascular interventions in populations with and without type 2 diabetes mellitus (T2DM). (A) Percutaneous coronary intervention (PCI) and (B) coronary artery bypass graft (CABG).
Fig. 4
Fig. 4. Annual prevalence rates of depression in patients with type 2 diabetes mellitus (T2DM) and the general population without T2DM in Korea, 2003 to 2013.
See this image and copyright information in PMC

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