J Korean Med Assoc.  2017 Nov;60(11):912-919. 10.5124/jkma.2017.60.11.912.

Analysis of the current status outpatient utilization of medical and Korean traditional medical institutions: focuse on outpatient frequent outpatient diseases

Affiliations
  • 1Research Institute for Healthcare Policy, Korean Medical Association, Seoul, Korea. philiakjs@gmail.com
  • 2Department of Biostatistics, Korea University College of Medicine, Seoul, Korea.

Abstract

The purpose of this study was to analyze the current status of utilization of medical and Korean traditional medical institutions. In this study, we used a sample cohort database from the National Insurance Service and frequency analysis was performed. The major results are as follows. First, the majority of users of medical institutions were found to use medical facilities. However, patients with three musculoskeletal disorders and two disease of respiratory diseases showed higher utilization rates of Korean traditional medical institutions and a highter overlapping utilization rate than those with other diseases. Second, they also visited medical facilities more often and spent more on medical expenses than those who used only medical institutions. Therefore, there is a need for policies that directly or indirectly restrict the use of overlapping medical care for the same disease so that limited medical resources can be used efficiently.

Keyword

Medical; Korean traditional medical; Outpatients; Utilization; Disease

MeSH Terms

Cohort Studies
Humans
Insurance
Outpatients*

Reference

1. Lim DO, Jung MJ, Park JS, Seo GS, Hwang JW, Kim EY, Kim JE, Han KJ, Kim SM, Kim YS. A survey on the consumption of oriental medicines and utilization of oriental medical care. Cheongju: Korea Health Industry Development Institute;2014.
2. Kim DH, Cho SJ, Ko JA. A policy improvement plan based on utilization of oriental medical care. Wonju: Health Insurance Review & Assessment Service;2015.
3. Health Insurance Review & Assessment Service. 2014 Statistical index of medical expenses [Internet]. Wonju: Health Insurance Review & Assessment Service;2014. cited 2016 Oct 2. Available from: http://opendata.hira.or.kr/op/opc/selectS.tcPblc.do?sno=10620&odPblcTpCd=001&searchCnd=&searchWrd=&pageIndex=1.
4. Cho JK, Kim NS, Do SR, Lee YH, Yun KJ, Jang DH, Chun JY, Kim HY, Lee NH, Yu HS, Seo SW. A survey on the consump-tion of oriental medicines and utilization of oriental medical care. Sejong: Korea Institute for Health and Social Affairs;2011.
5. Lee KS, Cho KS. A study on utilization patterns of oriental medical care. Korean J Health Policy Adm. 1999; 9:120–139.
6. Choi BH, Son GH, Lim BM. The relationship between the Use of Korean and Western medicine in treating musculoskeletal disease. J Korean Orient Med. 2014; 35:22–31.
Article
7. Ministry of Health and Welfare. A consideration about method and criteria of national health insurance reimbursement. Seoul: Ministry of Health and Welfare;2003.
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr