Pediatr Allergy Respir Dis.  2012 Mar;22(1):27-36.

Utilization Pattern and Cost of Medical Treatment and Complementary Alternative Therapy in Children with Atopic Dermatitis

Affiliations
  • 1Division of Nursing, Hallym University College of Medicine, Chuncheon, Korea.
  • 2Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Nursing, Sungshin Women's University College of Nursing, Seoul, Korea. dhkim@sungshin.ac.kr

Abstract

PURPOSE
To investigate utilization patterns and cost of medical treatment of complementary alternative therapy in children with atopic dermatitis.
METHODS
A self-reported questionnaire concerning utilization pattern and cost of medical treatment of complementary alternative therapy was completed by 196 children <12-year-of-age diagnosed with atopic dermatitis for over 1 year. Descriptive, t-test, and analysis of variance analyses were performed.
RESULTS
About 70% of children reported the use of alternative therapy methods including, in order of frequency, bath, herbal medicine, supplemental foods, aroma therapy, massage, and acupuncture. During the previous 12 months, direct costs for these hospital treatments averaged 596,300 Korean Won (KRW, the currency of South Korea). The time cost averaged 657,000 KRW and transportation expenses averaged 598,000 KRW of indirect cost of hospital treatment. The direct cost for complementary alternative therapy averaged 741,000 KRW. The time cost averaged 340,000 KRW and transportation expenses averaged 810,000 KRW of indirect cost of complementary alternative therapy. There was a statistically significant relationship between direct cost of complementary alternative therapy and family income.
CONCLUSION
The cost of complementary alternative therapy exceeded the cost of hospital treatment, and indirect costs exceeded direct costs. Analyses of cost-effectiveness of patient treatment should include complementary alternative therapy.

Keyword

Atopic dermatitis; Cost; Utilization pattern

MeSH Terms

Acupuncture
Aromatherapy
Baths
Child
Dermatitis, Atopic
Herbal Medicine
Humans
Massage
Surveys and Questionnaires
Transportation

Reference

1. Jee HM, Kim KW, Kim CS, Sohn MH, Shin DC, Kim KE. Prevalence of asthma, rhinitis and eczema in Korean children using the International Study of Asthma and Allergies in Childhood (ISAAC) Questionnaires. Pediatr Allergy Respir Dis. 2009. 19:165–172. (Korea).
2. Oh JW, Kim KE, Pyun BY, Lee HR, Choung JT, Hong SJ, et al. Nationwide study for epidemiological change of atopic dermatitis in school aged children between 1995 and 2000 and kindergarten aged children in 2003 in Korea. Pediatr Allergy Respir Dis. 2003. 13:227–237. (Korea).
3. Lee Rim. A study on the actual conditions of cosmetics use by infants and young children with atopic dermatitis and the level of satisfaction [dissertation]. 2010. Seoul: Chung-Ang University.
4. Barbeau M, Bpharm HL. Burden of atopic dermatitis in Canada. Int J Dermatol. 2006. 45:31–36.
Article
5. Kemp AS. Cost of illness of atopic dermatitis in children: a societal perspective. Pharmacoeconomics. 2003. 21:105–113.
6. O'Connell EJ. The burden of atopy and asthma in children. Allergy. 2004. 59:Suppl 78. 7–11.
7. Ricci G, Bendandi B, Pagliara L, Patrizi A, Masi M. Atopic dermatitis in Italian children: evaluation of its economic impact. J Pediatr Health Care. 2006. 20:311–315.
Article
8. Kim DH, Kang KH, Kim KW, Yoo IY. Management of children with atopic dermatitis. Pediatr Allergy Respir Dis. 2008. 18:148–157. (Korea).
9. Yoo IY, Kim DH. Mothers' experience of parenting of a child with atopic dermatitis. J Korean Soc Matern Child Health. 2006. 10:169–179.
10. Rajka G. Natural history and clinical manifestations of atopic dermatitis. Clin Rev Allergy. 1986. 4:3–26.
Article
11. Yoon KT. Treatment of atopic dermatitis: an update and review of the literature. Pediatr Allergy Respir Dis. 2009. 19:209–219. (Korea).
12. Kim JH. Current understanding of atopic dermatitis. Pediatr Allergy Respir Dis. 2004. 14:12–23. (Korea).
13. CAM basics. What is complementary and alternative medicine? [Internet]. National Center for Complementary and Alternative Medicine. c2012. cited 2005 Feb 1. Bethesda: National Center for Complementary and Alternative Medicine;Available from: http://nccam.nih.gov/health/whatiscam/.
14. Women and employment [Internet]. Department of Labor. c2009. 2005 Feb 1. Gwacheon: Department of Labor;Available from: http://www.mollab.go.kr.
15. Ernst E. Prevalence of complementary/alternative medicine for children: a systematic review. Eur J Pediatr. 1999. 158:7–11.
Article
16. Jensen P. Alternative therapy for atopic dermatitis and psoriasis: patient-reported motivation, information source and effect. Acta Derm Venereol. 1990. 70:425–428.
17. Chin HW, Jang HS, Jang BS, Jo JH, Kim MB, Oh CK, et al. A study on utilization of alternative medicine for patients with atopic dermatitis. Korean J Dermatol. 2005. 43:903–911.
18. Chang EY, Chung SW, Ahn KM, Lee SI. A study on the use of complementary alternative medicine in children with atopic dermatitis. Korean J Asthma Allergy Clin Immunol. 2005. 25:110–116.
19. Carroll CL, Balkrishnan R, Feldman SR, Fleischer AB Jr, Manuel JC. The burden of atopic dermatitis: impact on the patient, family, and society. Pediatr Dermatol. 2005. 22:192–199.
Article
20. Kim EJ, Kim HO, Park YM. A study on quality of life and economic burden in Korean patients with atopic dermatitis and their parents. Korean J Dermatol. 2008. 46:160–170.
21. Kim SH. The use of oriental and complimentary alternative medicine in children with atopic dermatitis [dissertation]. 2010. Pocheon: CHA University.
22. Weinberg JM. Formulary review of therapeutic alternatives for atopic dermatitis: focus on pimecrolimus. J Manag Care Pharm. 2005. 11:56–64.
Article
23. Yoo IY, Kim DH. Parenting stress and needs of mothers of children with atopic dermatitis. Korean J Child Health Nurs. 2004. 10:423–430.
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