Nationwide Study on the Usage and Characteristics of Patients Visiting Korean Medical Facilities - Based on the Treatment of Major Disorders, Effectiveness, Satisfaction and Occurrence Rate of Side Effects From the Ministry of Welfares Report on Usage and Consumption of Korean Medicine in 2011 -

전국민을 대상으로 한 한의원과 한방병원 외래이용환자의 이용실태 및 특성비교연구 - 2011년 한방의료이용 및 한약소비실태조사 보고서(보건복지부)중 이용환자의 질병치료방법 및 치료효과를 중심으로 -

  • Lee, Sundong (Department of Preventive Medicine, College of Korean Medicine, Sangji University) ;
  • Jo, Jaegoog (Department of public Health and Medical Administration, Dongyang University) ;
  • Kim, Hyundo (National University of Health Sciences, Dept. of Clinical Practice) ;
  • Park, Hae-Mo (Department of Preventive Medicine, College of Korean Medicine, Sangji University) ;
  • Yang, Jun-Mo (Department of Preventive Medicine, College of Korean Medicine, Sangji University) ;
  • Choi, Sung-Yong (Department of Preventive Medicine, College of Medicine, Hanyang University)
  • 이선동 (상지대학교 한의과대학 예방의학교실) ;
  • 조재국 (동양대학교 보건의료행정학과) ;
  • ;
  • 박해모 (상지대학교 한의과대학 예방의학교실) ;
  • 양준모 (상지대학교 한의과대학 예방의학교실) ;
  • 최성용 (한양대학교 의과대학 예방의학교실)
  • Received : 2013.08.03
  • Accepted : 2013.08.25
  • Published : 2013.08.31

Abstract

A survey conducted on 1,103 patients or caretakers visited Korean medical clinics and hospitals between August 25, 2011 to September 30, 2011 by the Ministry of Health and Welfares and Korea Institute for Health and Social Affairs was analyzed and obtained following results: 1. For sociodemographic distribution, female(813) outnumbered male(290) patients with majority of patients ranging from 30s to 60s. Married patients(793) outnumbered unwed(150) patients and 65.0% with higher than high school education. Statistical significance was seen in gender, age, marital status, and education level but no significant difference for status of employment, income level, and types of insurance between the clinics and hospitals. (P<0.05). 45.1% had less than \2,000,000 in monthly salary and most of coverage was provided by either regional or work insurance. 2. 67.9% of the patients rated health conditions to be better than average and 32.1% listed as poor. People in good health showed tendency to visit Korean medical facilities. Musculo-skeletal conditions such as arthritis, ankle sprain, lumbago, muscular injury, and frozen shoulder were common conditions, followed by gastric disorders, common cold and herbal tonics. No significant difference was observed between the clinics and hospitals for above conditions, but significance was seen in atopic dermatitis, stroke, and sequela from traffic accidents (P<0.05). 3. Ten most common conditions addressed at Korean medical facilities were lumbago, arthritis, muscular injury, back sprain, gastric disorders, ankle sprain, common cold, herbal tonics, frozen shoulder and stroke. Major treatment modalities rendered were herbal medicine, herbal supplements, acupuncture and moxibustion, cupping, tuina, and Korean midical physical therapy. No significant difference existed between the clinics and hospitals. 4. All modalities showed at least 85% effectiveness. No statistical significant difference between the clinics and hospitals except for herbal decoction. (P=0.0452) 5. 88.3% of responses showed treatment satisfaction with significant difference between the clinics and hospitals (P=0.002). The occurrence of side effects was at 2%, mostly corning from treating digestive, skin, kidney disorders and neurological issues. No significant difference was observed between the clinics and hospitals. From the above results, the typical population visiting Korean medical facilities can be summarized as being middle aged female with relatively higher education and moderately low income. The health condition is generally good and the purpose of visit is to receive traditional treatments of acupuncture, herbal medicine, and physical therapy. Treatment efficacy and satisfaction were high with no significant differences between the clinics and hospitals.

Keywords

References

  1. 대한예방한의학회 편, 예방의학과 공중보건학, 계축문화사,2013.
  2. 유왕근 류경아, 한방의료이용 행태 및 이용결정요인분석, 대한예방한의학회지, 2000;4(2):1-24
  3. 조철호, 한방병원 의료서비스품질이 관계품질, 고객만족, 재이용의도에 미치는 영향, 병원경영학회지, 2000;15(2);107-128
  4. Kotler, P. and Keller, K. L. Marketingmanagement, 12th ed., New Jersey: Pearson Education, 2006
  5. 민족의학신문, 898; 16, 2013
  6. 민족의학신문, 902;16, 2013
  7. 조희숙, 이선희, 최은영, 최귀선, 채유미, 양한방 의료서비스 이용환자의 시장세분화에 관한 연구, 보건행정학회지, 2002;12(1): 125-143
  8. 이규식, 조경숙, 한방의료 이용실태에 관한 조사 연구, 보건행정학회지. 1999;9(4);120-139
  9. 이정택, 박영재, 박영배, 이상철, 허영, 한의원 내원환자의 한방의료 선택과 이용에 관한 연구, 대한한의진단학회지 2006;10(1);153-165
  10. 조재국, 한방의료 이용자의 한방의료에 대한 태도 및 시장개방에 대한 인식도 분석, 보건 복지포럼, 2004;98;76-93
  11. 서영준, 강신희, 김연희, 최대봉, 신현규, 한의원 환자들의 한방의료 이용 행태 및 만족도 실태. 대한한의학회지, 2010;31(2): 124-136
  12. 이한울, 정명수, 이기남, 대한예방한의학회지, 2007;11(2):71-86
  13. 임정훈, 임성민, 한방의료 이용에 대한 문헌적 고찰, 대한한의진단학회지, 2012;16(2):11-22
  14. 강수진, 이영준, 대구지역의 한방 의료서비스 이용 실태, 대한예방한의한회지, 2010;14(2);67-75
  15. 박지은, 권순만, 한방의료 이용현황 및 이용 결정요인에 관한 연구, 대한한의학회지, 2011; 32(1):97-108
  16. 이원재, 양한방의료 서비스 선택에 관한 연구, 보건행정학회지,1998;8(1):183-202
  17. 보건복지부, 국립한의학연구원, 한방의료 이용실태조사, 2008
  18. 보건복지부, 보건사회연구원, 한방의료이용 및 한약소비식태조사, 2011
  19. 김지용, 김경호, 김장현, 모 한방병원 내원 환자의 의료이용실태, 대한한의학회지, 2000;21 (4):129-137
  20. 한의신문, 1926-9호, 7월, 2013
  21. 박태성, 이승연, 범주형 자료분석개론, 자유아카데미, 1999
  22. 조우현, 이선희, 이해종, 전기홍, 의료서비스 마케팅, 퇴설당, 1999
  23. Anderson, W. T. and D. T., Helm "The Physician patient Encounter: A Process of Reality Negotiation", in Patients, physicians and Illness, E. G. Jaco(ed), New York: The Free Press,1968.
  24. 이선동, (참여)정부의 보건의료 Infra개편과정에서 한의학의 참여방안, 대한예방한의학회지, 2005;9(2): 17-41
  25. 김성진, 남철현, 김재돈, 김병화, 김기열, 한방의료이용 행태와 이에 영향을 미치는 요인 분석, 대한예방한의학회지, 2004;8(1):89-107
  26. Masatomo Sakirai, Herbal Dangers, Nature, 480;97, 2011 https://doi.org/10.1038/480S97a
  27. 박영철, 이선동, 한약독성학 I,II, (주)학술정보, 2012, 2013.
  28. 이선동, 최찬호, 최근 한방의료기관의 환자감소요인고찰, 한국의사학회지, 2011;24(1):9-15