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Healthcare utilization monitoring system in Korea

  • Healthcare utilization monitoring system in Korea
  • Shin, Hyun Chul; Park, Young-Taek; Lee, Youn Tae; Jo, Emmanuel C.
  • [Seoul, Korea] : The Korean Society of Medical Informatics
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Title Healthcare utilization monitoring system in Korea
Author Shin, Hyun Chul; Park, Young-Taek; Lee, Youn Tae; Jo, Emmanuel C.
Publisher [Seoul, Korea] : The Korean Society of Medical Informatics
Publication Date 2015 - 07
Material Type Article
Country South Korea Holding The Korean Society of Medical Informatics
Language English License
Pages 7

Abstract

Objectives: It is important to monitor the healthcare utilization of patients at the national level to make evidence-based policy decisions and manage the nation’s healthcare sector. The Health Insurance Review & Assessment Service (HIRA) has run a Healthcare Utilization Monitoring System (HUMS) since 2008. The objective of this paper is to introduce HIRA’s HUMS. Methods: This study described the HUMS’s system structure, capacity, functionalities, and output formats run by HIRA in the Republic of Korea. Regarding output formats, this study extracted diabetes related health insurance claims through the HUMS from August 1, 2014 to May 31, 2015. Results: The HUMS has kept records of health insurance claim data for 4 years. It has a 14-terabyte hardware capacity and employs several easy-to-use programs for maintenance of the system, such as MSTR, SAS, etc. (The rest omitted)

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