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Cited by 707

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Towards Actualizing the Value Potential of Korea Health Insurance Review and Assessment (HIRA) Data as a Resource for Health Research: Strengths, Limitations, Applications, and Strategies for Optimal Use of HIRA Data

Open access
Kim, Jee-Ae, Yoon, Seokjun, Kim, Log-Young, Kim, Dong-Sook·2017·Journal of Korean Medical Science

Abstract

Health Insurance and Review Assessment (HIRA) in South Korea, also called National Health Insurance (NHI) data, is a repository of claims data collected in the process of reimbursing healthcare providers. Under the universal coverage system, having fee-for-services covering all citizens in South Korea, HIRA contains comprehensive and rich information pertaining to healthcare services such as treatments, pharmaceuticals, procedures, and diagnoses for almost 50 million beneficiaries. This corpus of HIRA data, which constitutes a large repository of data in the healthcare sector, has enormous potential to create value in several ways: enhancing the efficiency of the healthcare delivery system without compromising quality of care; adding supporting evidence for a given intervention; and providing the information needed to prevent (or monitor) adverse events. In order to actualize this potential, HIRA data need to actively be utilized for research. Thus understanding this data would greatly enhance this potential. We introduce HIRA data as an important source for health research and provide guidelines for researchers who are currently utilizing HIRA, or interested in doing so, to answer their research questions. We present the characteristics and structure of HIRA data. We discuss strengths and limitations that should be considered in conducting research with HIRA data and suggest strategies for optimal utilization of HIRA data by reviewing published research using HIRA data.

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Metadata

Authors
Kim, J.-A., Yoon, S., Kim, L.-Y., & Kim, D.-S.
Venue
Journal of Korean Medical Science
Publisher
XMLink
Published
2017
Volume
32
Issue
5
Pages
718
ISSN
  • 1011-8934 (ISSN-L)
  • 1598-6357
OpenAlex
W2604742992
Cited by
707
References
31
FWCI
56.92
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Towards Actualizing the Value Potential of Korea Health Insurance Review and Assessment (HIRA) Data as a Resource for Health Research: Strengths, Limitations, Applications, and Strategies for Optimal Use of HIRA Data. https://app.cochat.ai/papers/10.3346/jkms.2017.32.5.718
The paper
Kim, J.-A., Yoon, S., Kim, L.-Y., & Kim, D.-S. (2017). Towards Actualizing the Value Potential of Korea Health Insurance Review and Assessment (HIRA) Data as a Resource for Health Research: Strengths, Limitations, Applications, and Strategies for Optimal Use of HIRA Data. Journal of Korean Medical Science. https://doi.org/10.3346/jkms.2017.32.5.718

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.