견비통의 한${\cdot}$양방 진료 및 협진의 경제성 평가

Economic Evaluation of Eastern, Western and Collaborative Treatments for Patients with Frozen Shoulder Pain

  • 장혜정 (경희대학교 경영대학 의료경영학) ;
  • 홍상민 (경희대학교 경영대학 의료경영학) ;
  • 박유선 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀, 경희대학교 한의과대학 경혈학교실) ;
  • 남동우 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀, 경희대학교 한의과대학 침구과교실) ;
  • 이두익 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀) ;
  • 이재동 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀, 경희대학교 한의과대학 침구과교실) ;
  • 이윤호 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀, 경희대학교 한의과대학 침구과교실) ;
  • 임사비나 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀, 경희대학교 한의과대학 경혈학교실)
  • Jang, Hye-Jung (Department of Health Services Management, College of Business Administration Kyung Hee University) ;
  • Hong, Sang-Min (Department of Health Services Management, College of Business Administration Kyung Hee University) ;
  • Park, You-Seon (Research Group of Pain and Neuroscience in Vision 200 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University, Department of Meridianology, College of Oriental medicine, Kyung Hee University) ;
  • Nam, Dong-Woo (Research Group of Pain and Neuroscience in Vision 200 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University, Department of Acupuncture and Moxibusion, College of Oriental Medicine, Kyung Hee University) ;
  • Lim, Doo-Ik (Research Group of Pain and Neuroscience in Vision 200 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University) ;
  • Lee, Jae-Dong (Research Group of Pain and Neuroscience in Vision 200 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University, Department of Acupuncture and Moxibusion, College of Oriental Medicine, Kyung Hee University) ;
  • Lee, Yun-Ho (Research Group of Pain and Neuroscience in Vision 200 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University, Department of Acupuncture and Moxibusion, College of Oriental Medicine, Kyung Hee University) ;
  • Lim, Sabina (Research Group of Pain and Neuroscience in Vision 200 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University, Department of Meridianology, College of Oriental medicine, Kyung Hee University)
  • 발행 : 2007.03.30

초록

Objectives : The purpose of this study was to evaluate and compare the cost-effectiveness of Eastern, Western, and collaborative treatments and suggest a cost-effective approach for patients with frozen shoulder pain. Methods : Using the data of fifty-two patients, treatment effectiveness was measured by CSA, SPABI, and ROM scales and changes from the baseline score were evaluated. Data source for cost estimation was based on the national health insurance (NHI) payment system. Because the price in NHI was differentiated by health care institutions, five collaborative types were considered in assessing costs. Cost-effective ratios were computed for economic evaluation. Results : Compared with Eastern treatment, collaborative and Western treatments showed better effects on CSA scale after 4 weeks' treatment. The collaborative approach was also the most effective treatment on SPADI and ROM scales. The direct cost per patient receiving Eastern treatment was less than other treatments. In general, collaborative treatment dominated Eastern and Western treatments in cost-effectiveness an analysis. However, the cost-effectiveness ratio of Eastern treatment resulted in \9,000 compared to \29,000 of collaborative treatment on SPADI. Four different indicators of ROM scales resulted in different approaches as the cost-effective treatment. Conclusions : Considering cost-effectiveness ratios, collaborative treatment was the best treatment on CSh and SPADI scales after 4 weeks' treatment. As for ROM scales, the recommended alternatives were Eastern treatment for patients with abduction and adduction disabilities, Western treatment for those with flexion disability, and collaborative approach fir those with extension disabiliry.

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