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Korean J Med > Volume 94(6); 2019 > Article
The Korean Journal of Medicine 2019;94(6): 463-470.
건강보험 빅데이터를 이용한 임상 연구: 실제와 전망
정현수1, 김수영2, 김현수2
1서울대학교 의과대학 내과학교실
2연세대학교 원주의과대학 내과학교실
Clinical Research from a Health Insurance Database: Practice and Perspective
Hyunsoo Chung1, Su Young Kim2, Hyun-Soo Kim2
1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
2Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
Corresponding Author: Hyun-Soo Kim ,Tel: +82-33-741-0505, Fax: +82-33-741-1228, Email: hyskim@yonsei.ac.kr
Received: October 30, 2019;   Revised: November 10, 2019;   Accepted: November 11, 2019.
ABSTRACT
Health insurance big data not only provide real-world evidence of unmet needs in actual clinical practice but also of breakthroughs in the medical industry which will shape the future of health care. Big data are also expected to transform the existing medical paradigm and provide a truly personalized medical age. However, questions about research through the collection and utilization of various big data in various fields have also been raised because quality limitations cannot be overlooked. Therefore, many challenges remain to be overcome in the use of big data research as a basis for changing medical practice. Intervention and interpretation by clinical medical experts are required in judging the scientific trustworthiness of the big data analysis process and the validity of the results. Therefore, healthcare big data research cannot achieve its goal by the efforts of researchers alone. Teams of data analysis scientists, epidemiologists, statistics experts, and clinical researchers are required to collaborate closely with team members, from the design phase to expert consultation, through regular meetings. In addition, it is necessary, in the creation of a healthier community, to cooperate with government agencies that provide data based on the whole nation or the world’s population, as well as interest groups representing the people, and policy-making organizations. In this paper, we describe the knowledge, practical clinical applications, and future research directions and prospects for the next phase of health care, from the design of clinical research using health insurance big data to report writing.
Keywords: Clinical research; Health insurance; Healthcare; Data analysis
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