The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Analysis of Korean Medical status of Acute Bronchitis, Chronic Bronchitis and Allergic Rhinitis patients

급·만성 기관지염과 알레르기성 비염의 국내 의료 이용 현황 분석

  • Jung, You Jin (Department of Convergence Korean Medical Science, College of Korean Medicine, Graduate School, Kyung Hee University) ;
  • Yang, Woong Mo (Department of Convergence Korean Medical Science, College of Korean Medicine, Graduate School, Kyung Hee University)
  • 정유진 (경희대학교 대학원 한방응용의학과) ;
  • 양웅모 (경희대학교 대학원 한방응용의학과)
  • Received : 2019.05.30
  • Accepted : 2019.08.30
  • Published : 2019.09.01
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Abstract

Objectives: Patients with respiratory diseases are increasing as air pollution due to fine dust gets worse. Diseases that occupy a large proportion of respiratory diseases in medical institutions are acute bronchitis, chronic bronchitis and Allergic rhinitis. The number of patients with all three diseases is gradually increasing. This study was to suggest assignment of medicine policy for improving accessibility to Korean medical treatment of respiratory diseases analyzing the current treatment status of acute bronchitis, Chronic bronchitis and Allergic rhinitis patients in Western medical and Korean medical institutes in this situation. Methods: This study used 2017 National patient sample data from the Korean Health Insurance Review and Assessment Service for research. Acute bronchitis, Chronic bronchitis, Allergic rhinitis was according to KCD code. This research contains Socio-demographic analysis classified by sex and age, the number of three disease's patients. Also the number of medical treatment, the expense of recuperation cost, medical practices were analyzed compare with Western and Korean medicine. Results: The incidence of three diseases is higher among female than male. There are many patients under the age of 10 in the case of acute bronchitis and allergic rhinitis, while there are many patients over 50 years of age in chronic bronchitis. Western medical treatment take up a larger proportion than Korean medical treatment in part of the number of three disease's patients, the number of medical treatment, the expense of recuperation cost. Conclusions: Much more patients of these diseases visit in Western medical clinic and hospital than Korean medical clinic and hospital for treatment. There are many parts of Korean medical treatment that are not covered by Health insurance benefits like herbal decoction, pharmacopuncture, etc. Korean medicine need to do the efforts for expanding medical field in variety. Also it is demanded for institutional support for reduction of the cost burden and improving on accessibility of Korean medical treatment in order to treat with the increase in respiratory diseases due to fine dust.

Keywords

References

  1. World Health Organization. Air pollution including WHO's 1999 guidelines for air pollution control. Geneva:World Health Organization. 2000.
  2. 질병관리본부. 대기오염에 대한 건강피해 연계성 연구. 2015.
  3. http://opendata.hira.or.kr/op/opc/olapHifrqSickInfo.do
  4. Niroumand M, Grossman RF. Air way infection. Infectious Disease Clinics of North America J. 1998;12(3):67188.
  5. McCaig LF, Hughes JM. Trends in antimicrobial drug prescribing among office-based physicians in the United States. JAMA. 1995;273(3):214. https://doi.org/10.1001/jama.1995.03520270048030
  6. Lyu YR, Park SJ, Lee EJ, Jeon JH Jung IC, Park YC. A Systemic Review of Clinical Trials Using Medication for Acute Bronchitis: A Pre-study on the Development of Traditional Korean Medicine Clinical Practice Guideline. Korean Med J. 2017;38(1): 93-111.
  7. 박기흠. 만성 기관지염. 가정의학회지. 2002;22(11): 547-1556.
  8. 연세대학교 의과대학 진단방사선학교실 편저. 진단 방사선학. 서울:고려의학. 1998:83.
  9. Anthonisen NR, Manfreda J, Warren CP, Hershfield ES, Harding GK, Nelson NA. Antibiotic therapy in exacerbations of chronic obstructive pulmonary disease. Ann Intern Med. 1987;106(2):196-204. https://doi.org/10.7326/0003-4819-106-2-196
  10. 한용철. 임상호흡기학. 서울:일조각. 1998:226-232.
  11. Hong CE. Textbook of pediatrics. 10th ed. Seoul:Miraen Co. 2012:1144-1150.
  12. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, et al. Pediatrics of Korean medicine. Seoul:Eui Seong Dang Publishing Co. 2010:745-750.
  13. Kim CW. Current Update on Allergic Rhinitis. Korean J Med. 2012;82(3):298-303. https://doi.org/10.3904/kjm.2012.82.3.298
  14. Koh YI. Clinical Practice Guideline for Physicians on Allergic Rhinitis. Korean J Med. 2017;92(5):429-436. https://doi.org/10.3904/kjm.2017.92.5.429
  15. http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do
  16. http://opendata.hira.or.kr/op/opc/selectPatDataAplInfoView.do
  17. Pope CA, Ezzati M, Dockery DW. Fine-particulate air pollution and life expectancy in the United States. N Engl J Med. 2009;360:376-386. https://doi.org/10.1056/NEJMsa0805646
  18. Samet JM, Dominici F, Curriero FC, Coursac I, Zeger SL. Fine Particulate Air Pollution and Mortality in 20 U.S. Cities, 1987-1994., N Engl J Med. 2000;343(24):1742-1749. https://doi.org/10.1056/NEJM200012143432401
  19. Hong YC. Lee JT, Kim H, Ha EH, Schwartz J, Christiani DC. Effects of air pollutants on acute stroke mortality. Environmental Health Perspectives. 2002;110(2): 187-191. https://doi.org/10.1289/ehp.02110187
  20. Xiong Q, Zhao W, Gong Z, Zhao W, Tang T. Fine Particulate Matter Pollution and Hospital Admissions for Respiratory Diseases in Beijing, China. Int J Environ Res Public Health. 2015 ;12(9):11880-11892. https://doi.org/10.3390/ijerph120911880
  21. Kim JH, Oh SK, Seong HU, Lim DH, Son BK, Kim HC, Lee JY, Leem JH. Relationship Between Air Pollutants and Prevalence of Allergic Disease/Pulmonary Function in Students in Incheon. Pediatric allergy and respiratory disease. 2010;20(4):264-276.
  22. Baek HJ, Bhang YH, Kim JH, Kim SJ Kim KI, Lee BJ, Jung HJ, Jung SK. A Retrospective Clinical Analysis of Chronic Obstructive Pulmonary Disease (COPD) Outpatients Who Presented To a Korean Medicine Hospital: Symptoms and Treatment Effects. J. Int. Korean Med. 2016;37(4): 624-63. https://doi.org/10.22246/jikm.2016.37.4.624
  23. Shin MG, Kim HS, Heo WY, Kim BJ, Gang IA. The Effect of Cervi Pantotrichum Cornu Pharmacopuncture at Pyesu(BL13) on Chronic cough: Report of Six Cases. The Acupuncture. 2013;30(5):253-262. https://doi.org/10.13045/acupunct.2013065
  24. Koo EJ, Han JK, Kim YH. Review of Clinical Studies on Korean Medicine and Complementary and Alternative Medicine Treatment for Allergic Rhinitis in the Korean Literature. J Pediatr Korean Med. 2015;29(4):77-89. https://doi.org/10.7778/jpkm.2015.29.4.077

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