Cargando…

Current status and trends of pulmonary rehabilitation in South Korea: National level data analysis using Health Insurance Review and Assessment Service (HIRA) database from 2016 to 2018

In South Korea, there are few studies to understand the current status of pulmonary rehabilitation in clinical practice and develop it. This study aimed to assess the current status and annual changes in the number and pattern of prescriptions for pulmonary rehabilitation before and after its insura...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Hyo-Jung, Choi, Hee-Eun, Jang, Hang-Jea, Kim, Hyun-Kuk, Park, Jin-Han, Lee, Jae-Ha, Kim, Tae-Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575737/
https://www.ncbi.nlm.nih.gov/pubmed/36254088
http://dx.doi.org/10.1097/MD.0000000000031085
_version_ 1784811375897346048
author Kim, Hyo-Jung
Choi, Hee-Eun
Jang, Hang-Jea
Kim, Hyun-Kuk
Park, Jin-Han
Lee, Jae-Ha
Kim, Tae-Hoon
author_facet Kim, Hyo-Jung
Choi, Hee-Eun
Jang, Hang-Jea
Kim, Hyun-Kuk
Park, Jin-Han
Lee, Jae-Ha
Kim, Tae-Hoon
author_sort Kim, Hyo-Jung
collection PubMed
description In South Korea, there are few studies to understand the current status of pulmonary rehabilitation in clinical practice and develop it. This study aimed to assess the current status and annual changes in the number and pattern of prescriptions for pulmonary rehabilitation before and after its insurance coverage. The trends of pulmonary rehabilitation before and after its insurance coverage commencement were evaluated using the data of 24,380 patients during the 3-year period from 2016 to 2018 that were archived by the National Health Information Database of the Health Insurance Review and Assessment Service in South Korea. The annual total number of patients who received pulmonary rehabilitation was stratified by the type of prescription, sex, age, type of insurance, medical institution, and region. In addition, the frequencies of pulmonary rehabilitation for various diagnoses were investigated using the major codes of the Korean Standard Classification of Disease. The patients who received pulmonary rehabilitation increased by approximately 2 times from 5936 in 2016 (before insurance coverage) to 10,474 in 2019. Before 2017, most patients underwent simple pulmonary rehabilitation coded as MM290. However, since the insurance coverage of rehabilitation exercise for pulmonary disease (MM440), the proportions of patients receiving them increased. Men underwent pulmonary rehabilitation more often than women, and >70% of the patients were aged >60 years. Most patients received pulmonary rehabilitation at tertiary hospitals in Seoul. In 2016, pulmonary rehabilitation was prescribed more frequently for cerebral infarction; after 2017, it was prescribed more frequently for lung cancer. This study summarized the current status and trends of pulmonary rehabilitation in South Korea before and after National Health Insurance Service coverage, which commenced on January 1, 2017. A significant increase in the number of pulmonary rehabilitations was confirmed after the insurance coverage.
format Online
Article
Text
id pubmed-9575737
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-95757372022-10-17 Current status and trends of pulmonary rehabilitation in South Korea: National level data analysis using Health Insurance Review and Assessment Service (HIRA) database from 2016 to 2018 Kim, Hyo-Jung Choi, Hee-Eun Jang, Hang-Jea Kim, Hyun-Kuk Park, Jin-Han Lee, Jae-Ha Kim, Tae-Hoon Medicine (Baltimore) 6700 In South Korea, there are few studies to understand the current status of pulmonary rehabilitation in clinical practice and develop it. This study aimed to assess the current status and annual changes in the number and pattern of prescriptions for pulmonary rehabilitation before and after its insurance coverage. The trends of pulmonary rehabilitation before and after its insurance coverage commencement were evaluated using the data of 24,380 patients during the 3-year period from 2016 to 2018 that were archived by the National Health Information Database of the Health Insurance Review and Assessment Service in South Korea. The annual total number of patients who received pulmonary rehabilitation was stratified by the type of prescription, sex, age, type of insurance, medical institution, and region. In addition, the frequencies of pulmonary rehabilitation for various diagnoses were investigated using the major codes of the Korean Standard Classification of Disease. The patients who received pulmonary rehabilitation increased by approximately 2 times from 5936 in 2016 (before insurance coverage) to 10,474 in 2019. Before 2017, most patients underwent simple pulmonary rehabilitation coded as MM290. However, since the insurance coverage of rehabilitation exercise for pulmonary disease (MM440), the proportions of patients receiving them increased. Men underwent pulmonary rehabilitation more often than women, and >70% of the patients were aged >60 years. Most patients received pulmonary rehabilitation at tertiary hospitals in Seoul. In 2016, pulmonary rehabilitation was prescribed more frequently for cerebral infarction; after 2017, it was prescribed more frequently for lung cancer. This study summarized the current status and trends of pulmonary rehabilitation in South Korea before and after National Health Insurance Service coverage, which commenced on January 1, 2017. A significant increase in the number of pulmonary rehabilitations was confirmed after the insurance coverage. Lippincott Williams & Wilkins 2022-10-14 /pmc/articles/PMC9575737/ /pubmed/36254088 http://dx.doi.org/10.1097/MD.0000000000031085 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 6700
Kim, Hyo-Jung
Choi, Hee-Eun
Jang, Hang-Jea
Kim, Hyun-Kuk
Park, Jin-Han
Lee, Jae-Ha
Kim, Tae-Hoon
Current status and trends of pulmonary rehabilitation in South Korea: National level data analysis using Health Insurance Review and Assessment Service (HIRA) database from 2016 to 2018
title Current status and trends of pulmonary rehabilitation in South Korea: National level data analysis using Health Insurance Review and Assessment Service (HIRA) database from 2016 to 2018
title_full Current status and trends of pulmonary rehabilitation in South Korea: National level data analysis using Health Insurance Review and Assessment Service (HIRA) database from 2016 to 2018
title_fullStr Current status and trends of pulmonary rehabilitation in South Korea: National level data analysis using Health Insurance Review and Assessment Service (HIRA) database from 2016 to 2018
title_full_unstemmed Current status and trends of pulmonary rehabilitation in South Korea: National level data analysis using Health Insurance Review and Assessment Service (HIRA) database from 2016 to 2018
title_short Current status and trends of pulmonary rehabilitation in South Korea: National level data analysis using Health Insurance Review and Assessment Service (HIRA) database from 2016 to 2018
title_sort current status and trends of pulmonary rehabilitation in south korea: national level data analysis using health insurance review and assessment service (hira) database from 2016 to 2018
topic 6700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575737/
https://www.ncbi.nlm.nih.gov/pubmed/36254088
http://dx.doi.org/10.1097/MD.0000000000031085
work_keys_str_mv AT kimhyojung currentstatusandtrendsofpulmonaryrehabilitationinsouthkoreanationalleveldataanalysisusinghealthinsurancereviewandassessmentservicehiradatabasefrom2016to2018
AT choiheeeun currentstatusandtrendsofpulmonaryrehabilitationinsouthkoreanationalleveldataanalysisusinghealthinsurancereviewandassessmentservicehiradatabasefrom2016to2018
AT janghangjea currentstatusandtrendsofpulmonaryrehabilitationinsouthkoreanationalleveldataanalysisusinghealthinsurancereviewandassessmentservicehiradatabasefrom2016to2018
AT kimhyunkuk currentstatusandtrendsofpulmonaryrehabilitationinsouthkoreanationalleveldataanalysisusinghealthinsurancereviewandassessmentservicehiradatabasefrom2016to2018
AT parkjinhan currentstatusandtrendsofpulmonaryrehabilitationinsouthkoreanationalleveldataanalysisusinghealthinsurancereviewandassessmentservicehiradatabasefrom2016to2018
AT leejaeha currentstatusandtrendsofpulmonaryrehabilitationinsouthkoreanationalleveldataanalysisusinghealthinsurancereviewandassessmentservicehiradatabasefrom2016to2018
AT kimtaehoon currentstatusandtrendsofpulmonaryrehabilitationinsouthkoreanationalleveldataanalysisusinghealthinsurancereviewandassessmentservicehiradatabasefrom2016to2018