Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Analysis of Lumbar Herniated Intervertebral Disc Patients' Healthcare Utilization of Western-Korean Collaborative Treatment: Using Health Insurance Review & Assessment Service's Patients Sample Data

요추 추간판 탈출증 환자의 의·한의 협진 의료이용 현황 분석: 건강보험심사평가원 환자표본 데이터를 이용하여

  • Ko, Jun-Hyuk (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital) ;
  • Yu, Ji-Woong (Department of Public Health Science, Graduate School of Public Health Seoul National University) ;
  • Seo, Sang-Woo (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital) ;
  • Seo, Joon-Won (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital) ;
  • Kang, Jun-Hyuk (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Kim, Tae-Oh (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital) ;
  • Cho, Whi-Sung (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital) ;
  • Seo, Yeon-Ho (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Ahn, Jong-Hyun (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital) ;
  • Lee, Woo-Joo (Department of Public Health Science, Graduate School of Public Health Seoul National University) ;
  • Kim, Bo-Hyung (Department of Clinical Pharmacology and Therapeutics, College of Medicine, Kyung Hee University) ;
  • Choi, Man-Khu (Department of Neurosurgery, Kyung Hee University Hospital) ;
  • Kim, Sung-Bum (Department of Neurosurgery, Kyung Hee University Hospital) ;
  • Kim, Hyung-Suk (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital) ;
  • Kim, Koh-Woon (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Cho, Jae-Heung (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital) ;
  • Song, Mi-Yeon (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Chung, Won-Seok (Department of Korean Medicine Rehabilitation, Kyung Hee University Korean Medicine Hospital)
  • 고준혁 (경희대학교한방병원 한방재활의학과) ;
  • 유지웅 (서울대학교 보건대학원) ;
  • 서상우 (경희대학교한방병원 한방재활의학과) ;
  • 서준원 (경희대학교한방병원 한방재활의학과) ;
  • 강준혁 (강동경희대학교한방병원 한방재활의학과) ;
  • 김태오 (경희대학교한방병원 한방재활의학과) ;
  • 조휘성 (경희대학교한방병원 한방재활의학과) ;
  • 서연호 (강동경희대학교한방병원 한방재활의학과) ;
  • 안종현 (경희대학교한방병원 한방재활의학과) ;
  • 이우주 (서울대학교 보건대학원) ;
  • 김보형 (경희대학교 임상약리학과) ;
  • 최만규 (경희대학교병원 신경외과) ;
  • 김승범 (경희대학교병원 신경외과) ;
  • 김형석 (경희대학교한방병원 한방재활의학과) ;
  • 김고운 (강동경희대학교한방병원 한방재활의학과) ;
  • 조재흥 (경희대학교한방병원 한방재활의학과) ;
  • 송미연 (강동경희대학교한방병원 한방재활의학과) ;
  • 정원석 (경희대학교한방병원 한방재활의학과)
  • Received : 2021.09.16
  • Accepted : 2021.10.01
  • Published : 2021.10.31
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Abstract

Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service's Patients Sample Data. Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted. The claim data were rebuilt with the operational concept of 'episode of care' and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method. Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy. As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group. Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future.

Keywords

Acknowledgement

본 연구는 보건복지부의 재원으로 한국보건산업진흥원의 보건의료기술 연구개발사업 지원에 의하여 이루어진 것임(과제 고유번호: HI20C1405).

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