Journal of Society of Preventive Korean Medicine (대한예방한의학회지)

Society of Preventive Korean Medicine (대한예방한의학회)
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Annual trends of Outpatients' Out-of-pocket Spending in Using of Korean Medicine

한의 외래 비급여 진료비의 연도별 추이

  • Yi, Eunhee (KM Policy Research Center, Korea Institute of Oriental Medicine) ;
  • Sung, Soohyun (Department of Korean Medicine Policy, National Institute for Korean Medicine Development) ;
  • Kim, Hanul (KM Policy Research Center, Korea Institute of Oriental Medicine) ;
  • Kim, Dongsu (KM Policy Research Center, Korea Institute of Oriental Medicine)
  • 이은희 (한국한의학연구원 한의학정책연구센터) ;
  • 성수현 (한국한의약진흥원 공공정책팀) ;
  • 김하늘 (한국한의학연구원 한의학정책연구센터) ;
  • 김동수 (한국한의학연구원 한의학정책연구센터)
  • Received : 2020.07.09
  • Accepted : 2020.08.19
  • Published : 2020.08.31
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Abstract

Background : The introduction of policies expanding the coverage of uninsured Korean Medicine (KM) services have requires an understanding of the following components of the service : current financial expenses, degree of financial burden on the patient, and financial effect of the coverage expansion. Objectives : This study aims to determine the annual trend of outpatients' characteristics and the category of out-of-pocket spending in KM. Methods : This study uses data from the Korea Health Panel to analyze use of KM in the Korean population. Using the user characteristics and behavior drawn from the Korea Health Panel data, out-of-pocket spending trends of KM were analyzed by year. The diagnosis and prescription of out-of-pocket spending were also analyzed. Results : The proportion of patients receiving uninsured medical treatment and the number of uninsured medical treatment in outpatient clinics have increased. However, the average out-of-pocket spending per person and out-of-pocket spending per visit are consistent or have decreased. Meaningful trends are the increase of R00-R99 (unclassified symptoms) and the decrease of K00-K93 (digestive system disease) and J00-J99 (respiratory system disease). Conclusions : Expansion of KM medical service and insurance is influenced by uninsured medical treatment of KM. Hence, research to increase medical treatment categories for out-of-pocket spending or explore diseases where KM diagnosis has been proven effective should be further developed.

Keywords

References

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