간편고지보험 고지항목별 무사고기간에 따른 암 발생 및 치료 상대위험도 예측
Predicting Relative Risk of Cancer Occurrence and Treatment Based on Simplified Issue Disclosure Period
전희주(동덕여자대학교 정보통계학과); 인태교(한양대학교)
138호, 41~72쪽
초록
본 연구는 표본코호트2.0DB를 활용하여 2002∼2019년도에 건강보험 자격을 유지하고 있는 사람을 대상으로 2017년 초 시점을 기준으로 연령군 및 중대질병1∼9, 입원, 수술, 계속투약, 계속치료 무사고기간을 1년 단위로 측정한 설명변수에 기반하여 로지스틱회귀모형을 이용하여 성별 암 발생 및 암 치료 여부를 예측하고자 한다. 무사고기간 증가에 따른 암 발생 상대위험도를 산출한 결과, 남성의 경우 협심증, 간경화증, 고혈압, 당뇨, 입원, 수술, 계속투약, 계속치료 무사고기간이 증가함에 따라, 여성의 경우에는 간경화증, 고혈압, 당뇨,계속투약, 계속치료 무사고기간이 증가함에 따라 상대위험도가 감소하는 것으로 나타났다. 무사고기간 증가에 따른 암 치료 상대위험도를 산출한 결과, 남성의 경우 간경화증, 고혈압, 당뇨, 계속투약, 계속치료 무사고기간이 증가함에 따라, 여성의 경우 간경화증, 고혈압, 당뇨, 수술, 계속투약, 계속치료 무사고기간이 1년 증가함에 따라 상대위험도가 감소하는 것으로 나타났다. 본 연구를 통해 전체 고지항목 조합의 경우의 수를 포괄하는 일반화된 모형을 수립했다는 점에 의의가 있다. 또한 암 발생 및 암 치료에 유의한 영향을 끼치는 각 고지항목의 무사고기간을 식별할 수 있고, 각 고지항목의 무사고기간이 1년 변화함에 따라 나타나는 상대위험도 변화량을 실증적으로 산출하여 제시하였다.
Abstract
This study calculated the relative risks of cancer incidence and cancer treatment according to the duration of accident-free periods for various SI (simplified issue) notification items. Using the National Health Insurance Service National Sample Cohort (NHIS-NSC) data, individuals maintaining health insurance eligibility from 2002 to 2019 were selected. The study measured accident-free periods according to age group, major diseases 1-9, hospitalization, surgery, continuous medication, and continuous treatment, based on the starting point in early 2017, using one-year intervals as explanatory variables. Logistic regression models were employed to predict gender-specific cancer incidence and cancer treatment. Results of the calculated relative risks for cancer incidence with increasing accident-free periods indicated that, for males, the risk for cancer incidence decreased with an increase in accident-free periods related to angina, liver cirrhosis, hypertension, diabetes, hospitalization, surgery, continuous medication, and continuous treatment. For females, the risk for cancer incidence decreased with an increase in accident-free periods related to liver cirrhosis, hypertension, diabetes, continuous medication, and continuous treatment. Regarding the relative risks of cancer treatment with increasing accident-free periods, for males, the risk of cancer treatment decreased with an increase in accident-free periods related to liver cirrhosis, hypertension, diabetes, continuous medication, and continuous treatment. For females, the risk of cancer treatment decreased with an increase in accident-free periods related to liver cirrhosis, hypertension, diabetes, surgery, continuous medication, and continuous treatment. This study is significant in that it established a generalized model that encompasses the number of cases of combinations of all notification items. In addition, this study identified the effect of accident-free periods for each SI notification item on cancer incidence and cancer treatment. It empirically showed that the changes in relative risks associated with a one-year increase in accident-free periods for each notification item can be calculated.
- 발행기관:
- 한국보험학회
- 분류:
- 경영학