DOI QR코드

DOI QR Code

A Comparative Analysis on Medical and Korean Medical Service Tendency of Total Knee Arthroplasty Patients Using Patients Sample Data of Health Insurance Review and Assessment Service

슬관절 전치환술 환자의 의과 및 한의과 의료기관 이용 현황 비교 분석: 건강보험심사평가원 표본 데이터를 이용하여

Park, Joo-sung;Kim, Nam-Kwen;Song, Yun-kyung
박주성;김남권;송윤경

  • Received : 2018.12.12
  • Accepted : 2019.01.18
  • Published : 2019.01.31

Abstract

Objectives To obtain future research basis of Korean Medicine for total knee arthroplasty patient by analyzing medical and Korean Medical service utilization and treatment duration. Methods Data sampling was performed on Health Insurance Review and Assessment Service patient data of 2015 (Confidence level of 97%) to analyze patients' medical and Korean Medical service tendency. Sampling groups were divided into two groups; i) Patients who completed their treatment within 5 months of total knee arthroplasty, ii) Patients who continued their treatment after 5 months of total knee arthroplasty, to investigate patients' medical and Korean Medical service tendency and individual characteristics were carefully monitored. Results It was confirmed that total of 1,655 patients had gone through total knee arthroplasty out of 1,453,486 patients who were gathered for sampling. First sampling group (Patients who completed their treatment within 5 months of total knee arthroplasty) was 287 patients and second sampling group (Patients who continued their treatment after 5 months of total knee arthroplasty) was 385 patients. The proportion of patients who visited Korean Medical service in first sampling group was lower than that of second sampling group. Conclusions It was confirmed that medical and Korean Medical service and cost consumed by second group (Patients who continued their treatment after 5 months of total knee arthroplasty) was higher than that of first group (Patients who continued their treatment after 5 months of total knee arthroplasty). It is highly recommended to continue with further study for efficient medical and Korean Medical service and reduced cost.

Keywords

Knee Arthroplasty;Health Services;Comparative Study

References

  1. Oh CS. (The) effect of flexion stability on clinical outcomes after total knee arthroplasty [dissertation]. Gwangju (KR):Chonnam National University; 2013:3.
  2. Statistics Korea, National Health Insurance Corporation. Statistics of Surgical Opertions Covered by NHI, Operation by Age/Gender/Type of Opertaion/Type of Medical Institution per 100,000 people (2006-2015) [Internet] 2018 [cited 2018 Dec 5]. Available from: URL: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35004_A014&conn_path=I2.
  3. Statistics Korea, National Health Insurance Corporation. Statistics of Surgical Opertions Covered by NHI, Top 20 Frequent Diseases by Operation (2006) [Internet] 2017 [cited 2018 Dec 5]. Available from: URL: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_350004N_A001&conn_path=I2.
  4. Cho WS, Jeong YG, Park JH, Kim KY, Youn DJ, Shin JM. Analysis of 1,000 cases of total knee arthroplasty - preliminary report. J Korean Orthop Assoc. 2001;36(5):409-14. https://doi.org/10.4055/jkoa.2001.36.5.409
  5. Yu MC. New perspectives of treatment of osteoarthritis. The Journal of Muscle and Joint Health. 1995;2(2):227-9.
  6. Ha HJ. A systematic review of Korean medical treatment combined with continuous passive motion therapy on the knee joint postoperative rehabilitation. J Korean Med Rehabil. 2017;27(3): 33-45.
  7. Kim CG, Lee JH, Jo DC, Moon SJ, Park TY, Ko YS, Song YS, Lee JH. Korean medical rehabilitation for total knee replacement. J Korean Med Rehabil. 2014;24(1):111-8.
  8. National Law Information Center. Act on promotion of the provision and use of public data [Internet] 2017 [cited 2018 Dec 5]. Available from: URL: http://www.law.go.kr/LSW//lsInfoP.do?lsiSeq=195065&chrClsCd=010202&urlMode=lsInfoP&efYd=20170726#0000.
  9. Bellemans J, Ries MD, Victor J. Total Knee Arthroplasty: A Guide to Get Better Performance. 1st ed. Heidelberg: Springer Science and Business Media. 2005:72.
  10. National Health Insuarance Service. 2016 Statistical Yearbook of Important Surgery [Internet] 2017 [cited 2018 Dec 5]. Available from: URL: https://www.nhis.or.kr/bbs7/boards/B0079/22737.
  11. Park SA. The effect of integrative home rehabilitation program for knee arthroplasty patients [dissertation]. Seoul (KR):Kyung Hee University. 2013;71-85.
  12. Sarwark JF. Essentials of musculoskeletal care (Park JH, Trans.) 4th ed. Seoul:Panmun Education. 2013:692-5. (Original work published in 2010).
  13. Lee KJ, Park CH, Lee YJ, Lee JH, Cho JH, Park TY, Yang NR, Hwang EH, Song YK. Trends of Korean Medicine treatment after musculoskeletal disorder surgery: a literatural review. J Korean Med Rehabil. 2017;27(3):61-70. https://doi.org/10.18325/jkmr.2017.27.3.61
  14. William SJ, Torrens PR. Introduction to Health Services. 7th ed. Boston:Cengage Learning. 2007:295-6.
  15. Kim SJ, Nam CH, Kim JD, Kim BH. Analysis of factors influencing behavior of oriental medicine utilization. J Prev Med Public Health. 2004;8(1):89-107.
  16. Lee SD, Jo JD, Kim HD, Park HM, Yang JM, Choi SY. Nationwide study on the usage and characteristics of patients visiting Korean Medical facilities-based on the treatment of major disorders, effectiveness, satisfaction and occurrence rate of side effects from the Ministry of Welfares report on usage and consumption of Korean Medicine in 2011. J Prev Med Public Health. 2013;17(2):29-46.
  17. Kim DS, Lim BM. The trend of Korean Medicine utilization in 2008-2013. J Prev Med Public Health. 2017;21(1):57-66.
  18. Lee EK, Lee SD, Song AI, Yoon JW, Choi SY, Chong MS. A study on the characteristics of patients with musculoskeletal diseases (MSDs) among outpatients using Korean Medical Institutes–based on the Ministry of Health and Welfare’s 2011 report on usage of Korean Medicine. J Prev Med Public Health. 2014;18(2):31-45.

Acknowledgement

Supported by : 한국보건산업진흥원