DOI QR코드

DOI QR Code

Perception on the Traditional Korean Medicine According to the Existence of a Chronic Disease

  • Kim, Jihye (Research Institute of Korean Medicine Policy, The Association of Korean Medicine) ;
  • Park, Minjung (National Agency for Development of Innovative Technologies in Korean Medicine) ;
  • Sung, Angela Dong-Min (Department of Policy Development, National Development Institute of Korean Medicine) ;
  • Kim, Kyeong Han (Department of Preventive Medicine, College of Korean Medicine, Woosuk University) ;
  • Sung, Soo-Hyun (Department of Policy Development, National Development Institute of Korean Medicine)
  • 투고 : 2020.11.02
  • 심사 : 2020.12.03
  • 발행 : 2020.12.31

초록

Objectives: Chronic diseases (CDs) continue to increase due to advances in medicine and increase in lifespan, affecting quality of life and resulting in economic loss through treatment costs. This study addressed the perception characteristics of the effectiveness of Korean medicine (KM) based on the existence of a CD to determine the national preference for KM treatment. Methods: Using data from the 2017 National Survey of KM Usage, we evaluated the perception on treatment effect of 16 diseases by dividing them into the CD group and the non-CD group. Response reliability was verified by applying the chi-square test (χ2-test) analysis method of the Statistical Package for the Social Sciences (SPSS) statistical program. Results: The analysis of the perception on effectiveness of KM for patients with CD (n = 1,050, 21.0%) and for patients with non-CD (n = 3,950, 79.0%) showed an overall similar trend for all the 16 diseases. The response rates of having some treatment effect were high for nine diseases namely, disc-related disease (CD: 70.7%, non-CD: 73.1%), osteoarthritis (CD: 72.3%, non-CD: 72.4%), frozen shoulder and shoulder pain (CD: 79.6%, non-CD: 81.4%), back pain (CD: 84.6%, non-CD: 85.0%), sprain (CD: 84.8%, non-CD: 84.1%), facial nerve paralysis (CD: 73.5%, non-CD: 71.7%), stroke (CD: 66.2%, non-CD: 62.8%), digestive disease (CD: 53.3%, non-CD: 50.0%), and common cold and rhinitis (CD: 44.7%, non-CD: 44.8%). Conclusion: The present results found that there was little difference in the perception on effectiveness of KM for each of the 16 diseases in patients with CD and non-CD, however, 70% or more of the respondents recognized some treatment effect on musculoskeletal disorders, regardless of the existence of CD. Preferential political support for KM treatment of chronic musculoskeletal disorders is recommended.

키워드

참고문헌

  1. Bernell S, Howard SW. Use your words carefully: what is a chronic disease? Front Public Health. 2016;4:159.
  2. World Health Organization. Noncommunicable diseases progress monitor, 2017. Geneva: World Health Organization; 2017. 231 p.
  3. Vijg J, de Grey AD. Innovating aging: promises and pitfalls on the road to life extension. Gerontology. 2014;60(4):373-80. https://doi.org/10.1159/000357670
  4. Nazarov S, Manuwald U, Leonardi M, Silvaggi F, Foucaud J, Lamore K, et al. Chronic diseases and employment: which interventions support the maintenance of work and return to work among workers with chronic illnesses? A systematic review. Int J Environ Res Public Health. 2019;16(10):1864. https://doi.org/10.3390/ijerph16101864
  5. Detaille SI, Heerkens YF, Engels JA, van der Gulden JW, van Dijk FJ. Effect evaluation of a self-management program for dutch workers with a chronic somatic disease: a randomized controlled trial. J Occup Rehabil. 2013;23(2):189-99. https://doi.org/10.1007/s10926-013-9450-0
  6. Centers for Disease Control and Prevention. Chronic Diseases in America [Internet]. Atlanta: Centers for Disease Control and Prevention; c2020 [cited 2020 Sep 12]. Available from: https://www.cdc.gov/chronicdisease/resources/infographic/chronic-diseases.htm.
  7. Chapel JM, Ritchey MD, Zhang D, Wang G. Prevalence and medical costs of chronic diseases among adult Medicaid beneficiaries. Am J Prev Med. 2017;53(6S2):S143-54. https://doi.org/10.1016/j.amepre.2017.07.019
  8. Peltzer K, Pengpid S. The use of herbal medicines among chronic disease patients in Thailand: a cross-sectional survey. J Multidiscip Healthc. 2019;12:573-82. https://doi.org/10.2147/JMDH.S212953
  9. Lee GB, Charn TC, Chew ZH, Ng TP. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs. Fam Pract. 2004;21(6):654-60. https://doi.org/10.1093/fampra/cmh613
  10. Mbizo J, Okafor A, Sutton MA, Leyva B, Stone LM, Olaku O. Complementary and alternative medicine use among persons with multiple chronic conditions: results from the 2012 National Health Interview Survey. BMC Complement Altern Med. 2018;18(1):281. https://doi.org/10.1186/s12906-018-2342-2
  11. Statistics Korea. 2019 elderly person statistics. Daejeon: Statistics Korea; 2019. 84 p.
  12. Jung YH, Ko SJ. Distribution and types of multiple chronic conditions in Korea. Seoul: Korea Institute for Health and Social Affairs; 2014. 64 p.
  13. Yoon JW, Choi SY, Lee SD. The use and its affecting factors of patients aged 30 and over with single and multiple chronic diseases and their usage outpatient Korean medicine clinics- based on the Ministry of Health and Welfare's 2011 report on usage of Korean medicine. J Soc Prev Korean Med. 2015;19(1):95-107.
  14. Oh JS, Han DW, Im MH, Hong YS, Lee YH, Noh HI. The use of traditional Korean medicine and its affecting factors among patients with chronic disease in Jeju province, Korea. Korean J Orient Prev Med Soc. 2009;13(3):55-71.
  15. Ministry of Health and Welfare, National Development Institute of Korean Medicine, Gallup Korea. 2017 years national survey for usage of traditional Korean medicine. Seoul: National Development Institute of Korean Medicine; 2018. 280 p.
  16. Meng CF, Wang D, Ngeow J, Lao L, Peterson M, Paget S. Acupuncture for chronic low back pain in older patients: a randomized, controlled trial. Rheumatology (Oxford). 2003;42(12): 1508-17. https://doi.org/10.1093/rheumatology/keg405
  17. Chen L, Michalsen A. Management of chronic pain using complementary and integrative medicine. BMJ. 2017;357:j1284. https://doi.org/10.1136/bmj.j1284
  18. Vickers AJ, Vertosick EA, Lewith G, MacPherson H, Foster NE, Sherman KJ, et al. Acupuncture for chronic pain: update of an individual patient data meta-analysis. J Pain. 2018;19(5):455-74. https://doi.org/10.1016/j.jpain.2017.11.005
  19. Park HS, Uhm TW, Kim NK. A study on the facial palsy patients' use of Western-Korean collaborative treatment: using Health Insurance Review & Assessment Service-National patients sample. J Korean Data Inf Sci Soc. 2017;28(1):75-86. https://doi.org/10.7465/jkdi.2017.28.1.75
  20. Jin DE, Jang SY, Jung YS, Choi GH, Shin HC. Herbal medicine for treating Bell's palsy: a retrospective chart review. Integr Med Res. 2020;9(4):100418. https://doi.org/10.1016/j.imr.2020.100418
  21. Jo JY, Kim TH, Hyun MK, Kim HH, Kim DI. Traditional Korean medicine for female infertility: a review of results from infertility support programs in Korea. Eur J Integr Med. 2016;8(5):847-53. https://doi.org/10.1016/j.eujim.2016.07.026
  22. Jo J, Kang MJ, Lee JM, Kim H, Jerng UM. Effects of traditional Korean medicine on anti-Mullerian hormone in patients with diminished ovarian reserve: a retrospective study. Complement Ther Med. 2016;24:118-22. https://doi.org/10.1016/j.ctim.2015.12.005
  23. Kim KH, Jang S, Lee JA, Go HY, Jung J, Park S, et al. Characteristics and outcomes of female infertility treatment programs using traditional medicine in Korea: a multisite analysis. J Altern Complement Med. 2018;24(6):570-7. https://doi.org/10.1089/acm.2016.0384