Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
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Analysis of Outpatient Claim Trends and Utilization According to Health Coverage for Chuna Manual Therapy

추나 요법 건강보험 급여화에 따른 외래 청구 현황 및 의료이용 분석

  • JaeYong Dong (Department of Review and Assessment Research, Health Insurance Review and Assessment Service) ;
  • JinHan Ju (Department of Review and Assessment Research, Health Insurance Review and Assessment Service) ;
  • SangHeon Yoon (Department of Review and Assessment Research, Health Insurance Review and Assessment Service)
  • Received : 2023.08.02
  • Accepted : 2023.09.27
  • Published : 2023.09.30
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Abstract

Purpose: Health expenditure and utilization of Korean medicine are increasing every year. Since Chuna Manual Therapy was covered by National Health Insurance in 2019, it is predicted that the usage of Chuna Manual Therapy would be also increasing. However, there are few studies about Chuna Manual Therapy using Korean National Health Insurance claims database. Therefore, we will investigate the utilization trend of outpatient's Chuna Manual Therapy using Korean National Health Insurance database and suggest political implications. Methodology: The Korean National Health Insurance claims database was used to identify outpatient's Chuna Manual Therapy usage spanning 4 years from 2019-2023 and the number of Chuna Manual Therapy claims were approximately 18.61 million. Findings: The number of Chuna Manual Therapy claims and patients, health expenditure of Chuna Manual Therapy have been increasing spanning 4 years among over 65 aged. In the case of female patients, the number of Chuna Manual Therapy claims was more than male patients and health spending related to Chuna Manual Therapy was also higher than male patients. Most patients visited Korean medicine clinics due to musculoskeletal diseases, and most claims were from rural regions. Practical Implication: Since Chuna Manual Therapy was covered by National Health Insurance in 2019, Utilization of Chuna Manual Therapy has been increased overall. In particular, Chuna Manual Therapy is mostly implemented in the elderly, Korean medicine clinics, and local areas, thus policy managers will need to consider this.

Keywords

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