일반건강검진의 이상지질혈증 검진주기 변경에 대한 문제점 고찰

Abstract

Background: Korea National Health Checkup Programs are aimed at the prevention and early detection of cardiovascular disease inadults. To establish a countermeasure for this tendency, The current Korea National Health Checkup Programs have been providingHealth Risk Appraisal (HRA) since 2009, thereby focusing on individual lifestyle correction. However, from 2018, the dyslipidemiascreening exam cycle has been changed from 2 to 4 years. Methods: In this study, we try to investigate whether policy decisions are valid based on domestic reports that have influenced policydecisions. First, considering the epidemiology of the domestic cardiovascular disease, dyslipidemia, and metabolic syndrome, thechange of the 4-year cycle is appropriate or not. Second, whether the research method that applies came to make policy decisionsappropriate or not. Third, our study also investigates whether the direction of policy decision was suitable for the secondcomprehensive national examination plan. Results: The data that are used in the previous study were that of 10 years ago and there also was a problem in selecting the data,especially the use of one of the research methods to calculate the signal to noise ratio that was aimed at improving health had someproblems. This is a research method that does not match with the aim itself. Conclusion: Changing the screening cycle for dyslipidemia does not match the recent trend of general screening to effectivelyprevent cardiovascular disease in improving individual lifestyles in the national health checkup plan. Studying the relationship withmetabolic syndrome, which can be an intermediate stage of cardiovascular disease, could be a policy direction that is more suitablefor the national health examination comprehensive plan.