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Journal of Korean Medicine Rehabilitation : JKMR = 한방재활의학과학회지, v.27 no.2, 2017년, pp.67 - 75
정창운 (대한한의사협회 한의학정책연구원) , 조희근 (청연의학연구소) , 설재욱 (청연한방병원)
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Objectives The study of the clinical effects of traditional east asian medicine (TEAM) using Taiwan national health insurance claim dataset (NHIRD) is useful in Korean Medicine research. We reviewed the clinical studies of TEAM using NHIRD as a whole through this study. Methods We comprehensively se...
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 국내의 건강보험 데이터베이스와 대만의 데이터베이스의 차이는? | 한편, 국내와 유사한 전국민건강보험 의료관리체계를 두고 있는 대만에서는 국내보다 앞선 2003년이래 전 민건강보험연구자료고(全民健康保險硏究資料庫, National Health Insurance Research Database)라는 이름의 데이터 베이스를 민간에 제공해왔으며, 이를 활용한 연구는 2015년 6월 1일 현재 2,638편이 발표되어 있을만큼10) 연구에서 중요 정보원으로서 가치가 인정되고 있다11). 특히, 국내의 건강보험 데이터베이스와는 달리 대만의 데이터베이스는 대만 진료환경에서의 개별적 한약 처방내역까지 수록되어 있어, 전통의학 연구를 위한 데이터베이스로서 큰 가치를 가지고 있다. 이와 동시에 대만의 전통의학 임상에서는 고전에 기반한 유명 처방들이 대거 건강보험 보장12)이 이뤄지고 있어, 국내 한의약 현실과의 적합성이 상대적으로 높게 기대된다는 강점이 기대된다. | |
| 데이터베이스를 활용한 연구를 국내 한의학 연구에 사용할 전략은? | 이러한 결과물들은 국내에서의 보건의료 분야의 주요 질환과 관련된 정책의사결정시 한국 한의약이 기여 할 수 있는 가능성을 빅데이터 방법론을 동원한 연구를 통해서도 보다 세심하게 검토할 필요가 있다는 점을 시사 한다. 다만, 제한적인 수준의 국내 한의약 국내 건강보험 공단 자료의 실정을 고려할 때 국내에서는 별개의 코호트 구축을 통한 한의약 빅데이터 연구가 보다 효율적인 전략이 될 수 있을 것이다. | |
| 대만에서 제공중인 데이터베이스는? | 한편, 국내와 유사한 전국민건강보험 의료관리체계를 두고 있는 대만에서는 국내보다 앞선 2003년이래 전 민건강보험연구자료고(全民健康保險硏究資料庫, National Health Insurance Research Database)라는 이름의 데이터 베이스를 민간에 제공해왔으며, 이를 활용한 연구는 2015년 6월 1일 현재 2,638편이 발표되어 있을만큼10) 연구에서 중요 정보원으로서 가치가 인정되고 있다11). 특히, 국내의 건강보험 데이터베이스와는 달리 대만의 데이터베이스는 대만 진료환경에서의 개별적 한약 처방내역까지 수록되어 있어, 전통의학 연구를 위한 데이터베이스로서 큰 가치를 가지고 있다. |
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