Journal of Society of Preventive Korean Medicine (대한예방한의학회지)

Society of Preventive Korean Medicine (대한예방한의학회)
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A study of Utilization behavior in patients receiving Korean Medicine and Western Medicine collaboration

의·한의 협진 의료이용 행태 분석 연구

  • Kim, Hyun-Min (School of Korean Medicine, Pusan National University) ;
  • Kim, Nam-Kwen (School of Korean Medicine, Pusan National University) ;
  • Nam, Soon-Hoo (School of Korean Medicine, Pusan National University) ;
  • Lee, Hye-Yoon (National Clinical Research Center for Korean Medicine, Pusan National University Korean Medicine Hospital)
  • 김현민 (부산대학교 한의학전문대학원) ;
  • 김남권 (부산대학교 한의학전문대학원) ;
  • 남순호 (부산대학교 한의학전문대학원) ;
  • 이혜윤 (부산대학교 한방병원 국립한의약임상연구센터)
  • Received : 2018.08.02
  • Accepted : 2018.08.16
  • Published : 2018.08.31
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Abstract

Objectives : This study was conducted to investigate the frequent diseases among the people who had been treated by collaborative treatment of Korean medicine and Western medicine, and to compare their medical use behaviors before and after the collaborative first-stage pilot project between Korean medicine and Western medicine. Methods : 4,467 patients were identified as the patients who are participated in the collaborative first-stage pilot project between Korean medicine and Western medicine during the period between July 15, 2016 and March 31 2017. We used 28,480 records of Korean national health insurance claim data from January 1 2016 to March 31 2017 to analyzed present condition of cooperative medical usage. Also we conducted a paired t test to compare the percentage of collaborative treatment days before and after the pilot project period. Results : We found that the most frequent diseases treated in the pilot project were the diseases of musculoskeletal and nervous system and then 10 major diseases such as H, K, J, C (D), N, L, E, A, H and F disease codes in order. Also it was confirmed that 14 major and 53 medium diseases are included from more than 90% of total patients. As a result of high frequency of medical treatment in Western medicine or Korean medicine is "administration of Korean medicine", which is same as before and within the pilot project. The ratio of utilizing both Western and Korean medical care for the same disease on the same day by both general patients and patients in KCD-7 disease code group C, G, I, M and S had been increased significantly. Conclusions : The pilot project might change the behavior of utilizing the medical care service by increasing the ratio of collaborative treatment of Western medicine and Korean medicine for the same disease on the same day.

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