Analyzing the Effectiveness of Data-Linked Projects for Health Promotion in Public Health Centers of South Korea

Kichan Yoon,1 Han-Kyoul Kim,2,3 Mankyu Choi,4,5,* Munjae Lee,6,* Mihajlo Jakovljevic7– 9 1The Institute for Democracy, Seoul, Republic of Korea; 2Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Republic of Korea; 3National Traffic Injury Rehabilitation Research Institute, National Traffic Injury Rehabilitation Hospital, Yang-Pyeong, Republic of Korea; 4Department of Health Policy & Management, College of Health Science, Korea University, Seoul, Republic of Korea; 5BK21 FOUR R&E Center for Learning Health Systems, Korea University, Seoul, Republic of Korea; 6Department of Medical Science, Ajou University School of Medicine, Suwon, Republic of Korea; 7Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St Petersburg, 195251, Russia; 8Institute of Comparative Economic Studies, Hosei University, Tokyo, 194-0298, Japan; 9Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, 34000, Serbia*These authors contributed equally to this workCorrespondence: Munjae Lee, Department of Medical Science, Ajou University School of Medicine, Suwon, Republic of Korea, Email emunjae@ajou.ac.kr Mankyu Choi, Department of Health Policy & Management, College of Health Science, Korea University, Seoul, Republic of Korea, Email mkchoi@korea.ac.krPurpose: The purpose of this study lies in verifying the effectiveness of the health promotion project which the public health center at the local level conducted by systematically linking the health examination results from the Health Insurance Corporation. We intend to emphasize the importance of linking the health-related public data.Methods: A survey was conducted to measure the effect of improving health behavior using EQ-5D-5L and demographic variables.Results: As a result of the analysis, the residents (3.13) who had experienced the use of public health centers recognized more necessity for the service linked systematically with health checkup data than those (2.93) who had not. In addition, the residents who had experienced the use of public health centers responded that their chronic diseases had improved compared to a year ago (2.78→ 2.93). Next, those (3.04) who had experienced the services linked with health checkup data recognized that their chronic diseases and health conditions had been improved compared to those (2.81) who had not. However, in EQ-5D-5L, after using the service, mobility showed no difference between those who had used the service and those who had not. Furthermore, even in terms of self-management, daily life, etc., the management ability was further improved compared to those who had not used it, before using the service.Conclusion: This study showed the improved health level when the health promotion service of the public health center was provided by systematically linking the health checkup data of the Health Insurance Corporation in Korea. In order to increase the effectiveness of health data-linked projects, it is necessary to prepare guidelines for linking the public health data and to expand the data-linked project. It will be needed to further subdivide the health checkup results to provide customized services, and to secure dedicated personnel to reinforce the system link.Keywords: subjective quality of life, EQ-5D-5L, regional health institutions, public data-linked services, South Kore