Han Ji-Eun, Kim Jihye, Kim Kyeong Han, Lee Ji-Yeon, Sung Soo-Hyun
Department of Policy Development, National Development Institute of Korean Medicine, Seoul, Republic of Korea.
Research Institute of Korean Medicine Policy, The Association of Korean Medicine, Seoul, Republic of Korea.
J Pharmacopuncture. 2022 Mar 31;25(1):24-36. doi: 10.3831/KPI.2022.25.1.24.
This study is a comparative analysis of the satisfaction and recognition characteristics for traditional Korean medicine (TKM) in people with disabilities and the general population of Korea.
Here, 5,000 subjects were categorized into two groups based on a disability rating using the data from the 2017 National Survey for the Usage of Korean Medicine. The relationships among the sociodemographic characteristics, TKM usage status, recognition of TKM usage, and recognition of the effectiveness of the TKM treatment were analyzed based on the disease. The response reliability was verified using the chi-square test analysis method.
Disabilities corresponded with low rates of high school or higher education (44%, 83.5%) and no jobs (56.9%, 33.5%), mostly the status of the low-income class with a monthly household income of < 1,500 USD (50.9%, 10.5%), poor health conditions (55.2%, 9.8%), high chronic disease prevalence rate (69.0%, 19.9%), high medical care rate (11.2%, 0.5%), and low commercial health insurance subscription rate (44%, 74.2%). Furthermore, people with disabilities visited TKM institutions more often (88.8%, 74.1%) with a high frequency TKM usage rate of ≥ 1-2 times a month (26.2%, 15.3%). They also reported that the cost of using the TKM was very high (14.7%, 8.8%) and that primarily the application of insurance benefits should be improved (52.6%, 47.5%). The treatment effectiveness for diseases was high for musculoskeletal disorders for both people with disabilities and the general population.
Preferential application of insurance benefits for musculoskeletal diseases must be extended to the TKM treatment as well, as people with disabilities have a high recognition for these conditions with TKM. It is difficult to perform randomized controlled trials on people with disability. Therefore, large-scale observational and cohort studies should be conducted. We hope this study will help establish a suitable TKM policy for people with disabilities.
本研究对韩国残疾人群体和普通人群对韩医的满意度及认知特征进行了比较分析。
利用2017年韩国韩医使用情况全国调查的数据，根据残疾评级将5000名受试者分为两组。基于疾病分析社会人口学特征、韩医使用状况、韩医使用认知以及韩医治疗效果认知之间的关系。使用卡方检验分析方法验证应答可靠性。
残疾人群体对应高中及以上学历比例较低（44%，83.5%）且无工作比例较高（56.9%，33.5%），大多为月家庭收入低于1500美元的低收入阶层（50.9%，10.5%），健康状况较差（55.2%，9.8%），慢性病患病率较高（69.0%，19.9%），医疗保健率较高（11.2%，0.5%），商业健康保险参保率较低（44%，74.2%）。此外，残疾人群体更频繁地就诊于韩医机构（88.8%，74.1%），每月使用韩医频率≥1 - 2次的比例较高（26.2%，15.3%）。他们还表示使用韩医的费用非常高（14.7%，8.8%），并且主要应改善保险福利的应用（52.6%，47.5%）。残疾人群体和普通人群对肌肉骨骼疾病的治疗效果认知都较高。
由于残疾人群体对韩医治疗这些疾病的认可度较高，因此针对肌肉骨骼疾病的保险福利优惠应用也必须扩展到韩医治疗。对残疾人进行随机对照试验很困难。因此，应开展大规模的观察性和队列研究。我们希望本研究将有助于为残疾人制定合适的韩医政策。
