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Oriental Medical Treatment Pattern of Korean Patients with Sleep Disorders
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  • Journal title : Journal of Oriental Neuropsychiatry
  • Volume 25, Issue 4,  2014, pp.389-400
  • Publisher : The Korean Society of Oriental Neuropsychiatry
  • DOI : 10.7231/jon.2014.25.4.389
 Title & Authors
Oriental Medical Treatment Pattern of Korean Patients with Sleep Disorders
Jeong, Seon-Yeong; Kim, Jae-Yeong; Kho, Young-Tak; Ahn, Keon-Sang; Lee, Cha-Ro;
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Objectives: Though there are many studies about sleep disorder, no research has been performed on the utilization of oriental medicine as a treatment. Therefore, the oriental medical treatment pattern of Korean patients with sleep disorders was examined herein using the Health Insurance Review and Assessment Service (HIRAS). Methods: The medical records of patients with sleep disorders (G47) or nonorganic sleep disorders (F51) as a main diagnosis were adopted from the HIRAS database from 2011 to 2013. Analysis was performed on the number of patients and cost per patient, with comparison between oriental and western medicine in terms of gender, age, patient care service type, and hospital type. Results: 1) Regarding sleep disorders, the medical visits and insurance charges have been increasing. Western medicine was utilized 8 times more often than oriental medicine during 3 years. 2) There were 2.5 times more women than men. 3) Among all ages, the 50~59 year group had the highest representation. 4) In comparison of average portions of patient care type over 3 years, outpatients were the majority, while the number of visits of outpatients and hospitalization has been increasing. 5) Comparison of average portion of oriental hospital type over 3 years revealed oriental clinics to be used most. The use of general hospitals was higher in western medicine treatment, while public health centers used oriental medicine more. 6) Regarding average oriental medical cost per patient over 3 years, the total was 88,000 won, with 353,000 won for hospitalization and 85,000 won for outpatients. The outpatient cost has been increasing. 7) In line with 6, oriental medical hospitals cost 126,000 won, local clinics were 85,000 won, and etc. was 95,000 won. Average costs of all types have increased during 3 years, except oriental medical hospitals in 2013. Conclusions: This study provided objective information about the epidemiologic characteristic of oriental medicine used for treatment of sleep disorder. For expansion of oriental medical demand for sleep disorder, this study would be helpful in understanding the recent status.
Sleep disorder;Insomnia;Oriental neuropsychiatry;Epidemiology;Health Insurance Review and Assessment Service (HIRAS);Korea;
 Cited by
Alattar M, Harrington JJ, Mitchell CM, Sloane P. Sleep problems in primary care: a North Carolina Family Practice Research Network (NC-FP-RN) study. J Am Board Fam Med. 2007;20:365-74. crossref(new window)

Curcio G, Ferrara M, De Gennaro L. Sleep loss, learning capacity and academic performance. Sleep Med Rev. 2006;10:323-37. crossref(new window)

Sadeh A, Gruber R, Raviv A. Sleep, neurobehavioral functioning and behavior problems in school-age children. Child Dev. 2002;73:405-17. crossref(new window)

Lautenbacher S, Kundermann B, Krieg JC. Sleep deprivation and pain perception. Sleep Med Rev. 2006;10: 357-69. crossref(new window)

Ohayon MM, Roth T. What are the contributing factors for insomnia in the general population Journal of Psychosomatic Research. 2001;51(6):745-55. crossref(new window)

Ancoli-Israel S, Ayalon L. Diagnosis and treatment of sleep disorders in older adults. The American Journal of Geriatric Psychiatry. 2006;14(2):95-103. crossref(new window)

Mellman TA, Uhde TW. Electroencephalographic sleep in panic disorder. A focus on sleep related panic attacks. Arch Gen Psychiatry. 1989;46:178-84. crossref(new window)

Fleming ZA, Shapiro CM. Sleep function and insomnia assessment. Kommunicom Publications. 1995:14-32.

Ohayon MM, Hong SC. Prevalence of insomnia and associated factors in South Korea. J Psychosom Res. 2002; 53:593-600. crossref(new window)

Choi SH, Kim R, Suh KY. A study on the sleep patterns of the general adult population in Seoul. J Korean Neuropsychiatr Assoc. 1992;31:289-309.

Jeong DH, Sohn CH, et al. Sleep Habits and Insomnia-Associated Factors in Korea Adult Population: A Crosssectional Survey of Three Rural Communities. Sleep Medicine and Psychophysiology. 1997;4(2):201-12.

Chilcott LA, Shapiro CM. The socioeconomic impact of insomnia. An overview. Pharmacoeconomics. 1996;10(1): 1-14.

Stoller MK. Economic effects of insomnia. Clin Ther. 1994;16:873-97.

Maurice M. Ohayon. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Medicine Reviews. 2002;6(2):97-111. crossref(new window)

Pigeon WR, Pinquart M, Conner KJ. Meta-analysis of sleep disturbance and suicidal thoughts and behaviors. Clin Psychiatry. 2012;73(9):1160-7. crossref(new window)

Cho EJ. Influencing factors of subjective sleep quality among middle-aged women. Korean Journal of Women Health Nursing. 2007;13(3):201-10.

Jennings JR, Muldoon MF, Hall M, Buysse DJ, Manuck SB. Self-reported sleep quality is associated with the metabolic syndrome. Sleep. 2007;30(2):219-23.

Mander BA, Cauter EV. Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus. Archives of Internal Medicine. 2006;166(16):1768-74. crossref(new window)

Jung JH, Ha JW, Kim BK. The Current Status about Sleep Disorder in the Journal of Oriental Neuropsychiatry for Evidence Based Medicine. Journal of Oriental Neuropsychiatry 2012;23(4):11-36. crossref(new window)