DOI QR코드

DOI QR Code

Traditional Korean Medicine Usage and Perception: a comparative study between the general population and the disabilities

  • Han, Ji-Eun (Department of Policy Development, National Development Institute of Korean Medicine) ;
  • Kim, Jihye (Research Institute of Korean Medicine Policy, The Association of Korean Medicine) ;
  • Kim, Kyeong Han (Department of Preventive Medicine, College of Korean Medicine, Woosuk University) ;
  • Lee, Ji-Yeon (National Agency for Development of Innovative Technologies in Korean Medicine) ;
  • Sung, Soo-Hyun (Department of Policy Development, National Development Institute of Korean Medicine)
  • 투고 : 2021.11.16
  • 심사 : 2021.12.08
  • 발행 : 2022.03.31

초록

Objectives: This study is a comparative analysis of the satisfaction and recognition characteristics for traditional Korean medicine (TKM) in people with disabilities and the general population of Korea. Methods: Here, 5,000 subjects were categorized into two groups based on a disability rating using the data from the 2017 National Survey for the Usage of Korean Medicine. The relationships among the sociodemographic characteristics, TKM usage status, recognition of TKM usage, and recognition of the effectiveness of the TKM treatment were analyzed based on the disease. The response reliability was verified using the chi-square test analysis method. Results: Disabilities corresponded with low rates of high school or higher education (44%, 83.5%) and no jobs (56.9%, 33.5%), mostly the status of the low-income class with a monthly household income of < 1,500 USD (50.9%, 10.5%), poor health conditions (55.2%, 9.8%), high chronic disease prevalence rate (69.0%, 19.9%), high medical care rate (11.2%, 0.5%), and low commercial health insurance subscription rate (44%, 74.2%). Furthermore, people with disabilities visited TKM institutions more often (88.8%, 74.1%) with a high frequency TKM usage rate of ≥ 1-2 times a month (26.2%, 15.3%). They also reported that the cost of using the TKM was very high (14.7%, 8.8%) and that primarily the application of insurance benefits should be improved (52.6%, 47.5%). The treatment effectiveness for diseases was high for musculoskeletal disorders for both people with disabilities and the general population. Conclusion: Preferential application of insurance benefits for musculoskeletal diseases must be extended to the TKM treatment as well, as people with disabilities have a high recognition for these conditions with TKM. It is difficult to perform randomized controlled trials on people with disability. Therefore, large-scale observational and cohort studies should be conducted. We hope this study will help establish a suitable TKM policy for people with disabilities.

키워드

과제정보

This work was supported by the Project of Traditional Korean Medicine Community Care Monitoring and Evaluation, funded by the Ministry of Health & Welfare.

참고문헌

  1. Bleustein C, Rothschild DB, Valen A, Valatis E, Schweitzer L, Jones R. Wait times, patient satisfaction scores, and the perception of care. Am J Manag Care. 2014;20(5):393-400.
  2. Lee MA, Yom YH. A comparative study of patients' and nurses' perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: a questionnaire survey. Int J Nurs Stud. 2007;44(4):545-55. https://doi.org/10.1016/j.ijnurstu.2006.03.006
  3. Manzoor F, Wei L, Hussain A, Asif M, Shah SIA. Patient satisfaction with health care services; an application of physician's behavior as a moderator. Int J Environ Res Public Health. 2019;16(18):3318. https://doi.org/10.3390/ijerph16183318
  4. Onyeneho NG, Amazigo UV, Njepuome NA, Nwaorgu OC, Okeibunor JC. Perception and utilization of public health services in Southeast Nigeria: Implication for health care in communities with different degrees of urbanization. Int J Equity Health. 2016;15:12. https://doi.org/10.1186/s12939-016-0294-z
  5. Kim J, Park M, Sung AD, Kim KH, Sung SH. Perception on the traditional Korean medicine according to the existence of a chronic disease. J Pharmacopuncture. 2020;23(4):252-61. https://doi.org/10.3831/KPI.2020.23.4.252
  6. Clancy CM, Andresen EM. Meeting the health care needs of persons with disabilities. Milbank Q. 2002;80(2):381-91. https://doi.org/10.1111/1468-0009.t01-1-00008
  7. Lee JE, Kim HR, Shin HI. Accessibility of medical services for persons with disabilities: comparison with the general population in Korea. Disabil Rehabil. 2014;36(20):1728-34. https://doi.org/10.3109/09638288.2013.867368
  8. Gibson J, O'Connor R. Access to health care for disabled people: a systematic review. Soc Care Neurodisability. 2010;1(3):21-31. https://doi.org/10.5042/scn.2010.0599
  9. Hwang K, Johnston M, Tulsky D, Wood K, Dyson-Hudson T, Komaroff E. Access and coordination of health care service for people with disabilities. J Disabil Policy Stud. 2009;20(1):28-34. https://doi.org/10.1177/1044207308315564
  10. Zisman CR, Patti MA, Kalb LG, Stapp EK, Van Eck K, Volk H, et al. Complementary and alternative medicine use in children with a developmental disability and co-occurring medical conditions. Complement Ther Med. 2020;53:102527. https://doi.org/10.1016/j.ctim.2020.102527
  11. Konuk Sener D, Karaca A. Use of complementary and alternative medicine treatments by mothers of children with developmental disabilities: a cross sectional study. Nurs Health Sci. 2020;22(2):328-38. https://doi.org/10.1111/nhs.12733
  12. National Institute of Oriental Medicine. A study on the introduction of traditional Korean medical doctors for the disabled [Internet]. Daejeon: National Institute of Oriental Medicine; 2018 [cited 2019 Feb 21]. Available from: https://policy.kiom.re.kr/sub0401/articles/view/tableid/sub0301-board/page/1/id/836.
  13. Brown KA, Patel DR. Complementary and alternative medicine in developmental disabilities. Indian J Pediatr. 2005;72(11):949-52. https://doi.org/10.1007/BF02731671
  14. 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.
  15. Ministry of Health and Welfare. Disabled registration/disability level screening system [Internet]. Sejong: Ministry of Health and Welfare; 2021 [cited 2021 Oct 12]. Available from: http://www.mohw.go.kr/react/policy/index.jsp?PAR_MENU_ID=06&MENU_ID=06370111&PAGE=11&topTitle.
  16. Purdy IB. Vulnerable: a concept analysis. Nurs Forum. 2004;39(4):25-33. https://doi.org/10.1111/j.1744-6198.2004.tb00011.x
  17. Lesser J, Escoto-Lloyd S. Health-related problems in a vulnerable population: pregnant teens and adolescent mothers. Nurs Clin North Am. 1999;34(2):289-99. https://doi.org/10.1016/S0029-6465(22)02382-9
  18. Nomura K, Koizumi A. Strategy against aging society with declining birthrate in Japan. Ind Health. 2016;54(6):477-9. https://doi.org/10.2486/indhealth.54-477
  19. Ministry of Health and Welfare, Health Insurance Review & Assessment Service. Guidelines for pilot project for application of medical insurance of the medical herbs in package [Internet]. Sejong: Ministry of Health and Welfare; 2020 [cited 2020 Nov 18]. Available from: http://www.mohw.go.kr/react/al/sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040101&page=1&CONT_SEQ=361079.
  20. Hao X, Gu J, Ying X, Bo T, Fu W. Social support and care needs of the disabled elderly population: an empirical study based on survey data from Beijing, China. Biosci Trends. 2017;11(5):507-15. https://doi.org/10.5582/bst.2017.01234
  21. Bahk J, Kang HY, Khang YH. The life expectancy gap between registered disabled and non-disabled people in Korea from 2004 to 2017. Int J Environ Res Public Health. 2019;16(14):2593. https://doi.org/10.3390/ijerph16142593
  22. Yoo SJ, Park SY. The "act on decisions on life-sustaining treatment" in Korea and measures to support decision-making of persons with developmental disabilities. Asia Pac J Health Law Ethics. 2018;12(1):59-79. https://doi.org/10.38046/APJHLE.2018.12.1.003
  23. Lee B, Park SY. Developing key performance indicators for guaranteeing right to health and access to medical service for persons with disabilities in Korea: using a modified Delphi. PLoS One. 2018;13(12):e0208651. https://doi.org/10.1371/journal.pone.0208651
  24. Shin DS, Choi YJ. A pilot study of team-based primary health care for people with disabilities in South Korea. J Interprof Care. 2019;33(1):129-32. https://doi.org/10.1080/13561820.2018.1531832
  25. Kim JA, Choi YJ, Heo MS, Oh CH, Choi KH. Team-based primary care program for disabled people and changes in rate of unmet health care needs. Fam Pract. 2021;38(2):95-102. https://doi.org/10.1093/fampra/cmaa089