Oh In-Hwan, Yoon Seok-Jun, Park Minjung, An SoHee
Department of Preventive Medicine, School of Medicine, Kyung Hee University, 1, Seoul, Heogi-Dong, Dongdaemun-gu, 130-701, Korea.
Department of Preventive Medicine, College of Medicine, Korea University, 5-Ga, Anam-dong, Seoul, Seongbuk-gu, 136-705, Korea.
BMC Complement Altern Med. 2015 May 3;15:141. doi: 10.1186/s12906-015-0657-9.
Though traditional Korean medicine plays an important role in the Korean parallel health care system, there is limited information about the preference and usage of traditional Korean medicine compared to Western medicine because they have different disease classification systems. The aim of this study is to determine the relative preference for traditional Korean medicine using data acquired nationwide.
Data from the 2008 Korea Health Panel were analyzed to determine the preference of medical services by disease. The use of traditional Korean medicine use is defined by the type of medical institution they used. Disease types, number of visits and out of pocket expenditures were analyzed.
Traditional Korean medicine was used in only a small number of cases that were emergencies or hospitalization. However, in terms of outpatient services, traditional Korean medicine was used in 7.8% of all cases and represented 9.9% of total medical costs. Among disease groups, traditional Korean medicine use was higher in patients with nervous system and musculoskeletal system diseases. And patients with musculoskeletal and nervous system diseases such as arthrosis were the most likely to use traditional Korean medicine particularly in an outpatient setting.
Korean characteristics of service use resemble the complementary and alternative medicine use in other countries in terms of disease group, and the complementary and alternative medicine should be considered to estimate the burden of disease in countries with parallel health care systems, such as Korea. This is the first study determined the actual preference of traditional Korean medicine for specific chronic diseases.
尽管传统韩医在韩国并行的医疗保健体系中发挥着重要作用，但由于传统韩医与西医有着不同的疾病分类系统，相比西医，关于传统韩医的偏好和使用情况的信息有限。本研究的目的是利用全国范围内收集的数据来确定对传统韩医的相对偏好。
对2008年韩国健康面板的数据进行分析，以确定按疾病划分的医疗服务偏好。传统韩医的使用是根据患者所使用的医疗机构类型来定义的。分析了疾病类型、就诊次数和自付费用。
传统韩医仅在少数急诊或住院病例中使用。然而，在门诊服务方面，传统韩医在所有病例中的使用率为7.8%，占医疗总费用的9.9%。在疾病组中，神经系统和肌肉骨骼系统疾病患者使用传统韩医的比例较高。患有肌肉骨骼和神经系统疾病（如关节炎）的患者尤其在门诊环境中最有可能使用传统韩医。
在疾病组方面，韩国的服务使用特点与其他国家的补充和替代医学使用情况相似，在韩国等拥有并行医疗保健系统的国家，应考虑补充和替代医学来评估疾病负担。这是第一项确定传统韩医对特定慢性病实际偏好的研究。
