Use of Herbal Decoction and Pharmacopuncture in Individuals with Chronic Disease: findings from a nationally representative panel
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Objectives: This study analyzed the Korea Health Panel Annual Data 2019 to investigate factors related to the use of non-insured Korean medicine (KM) treatment in individuals with chronic diseases. The non-insured KM treatments of interest were herbal decoction (HD) and pharmacopuncture (PA). Methods: Among adults aged 19 or older, 6,159 individuals with chronic diseases who received outpatient KM treatment at least once in 2019 were included. They were divided into three groups according to the KM treatment used: (1) basic insured KM non-pharmacological treatment (BT) group (n = 629); (2) HD group (n = 256); (3) PA group (n = 184). Logistic regression analysis was used to explore factors associated with favoring HD or PA use over BT. Potentially relevant candidate factors were classified using the Andersen Behavior Model. Results: Compared to BT, the 1st to 3rd quartiles of income compared to the 4th quartile (odds ratio: 1.50 to 2.06 for HD; 2.03 to 2.83 for PA), health insurance subscribers compared to medical aid (odds ratio: 2.51; 13.43), and presence of musculoskeletal diseases (odds ratio: 1.66; 1.91) were significantly positively associated with HD and PA use. Moreover, the presence of cardiovascular disease (odds ratio: 1.46) and neuropsychiatric disease (odds ratio: 1.97) were also significantly positively associated with HD use. Conclusion: The presence of some chronic diseases, especially musculoskeletal diseases, was significantly positively associated with HD and PA use, while low economic status was significantly negatively associated with HD and PA use, indicating the potential existence of unmet medical needs in this population. Since chronic diseases impose a considerable health burden, the results of this study can be used for reference for future health insurance coverage policies in South Korea.
Abstract
Objectives: This study analyzed the Korea Health Panel Annual Data 2019 to investigate factors related to the use of non-insured Korean medicine (KM) treatment in individuals with chronic diseases. The non-insured KM treatments of interest were herbal decoction (HD) and pharmacopuncture (PA). Methods: Among adults aged 19 or older, 6,159 individuals with chronic diseases who received outpatient KM treatment at least once in 2019 were included. They were divided into three groups according to the KM treatment used: (1) basic insured KM non-pharmacological treatment (BT) group (n = 629); (2) HD group (n = 256); (3) PA group (n = 184). Logistic regression analysis was used to explore factors associated with favoring HD or PA use over BT. Potentially relevant candidate factors were classified using the Andersen Behavior Model. Results: Compared to BT, the 1st to 3rd quartiles of income compared to the 4th quartile (odds ratio: 1.50 to 2.06 for HD; 2.03 to 2.83 for PA), health insurance subscribers compared to medical aid (odds ratio: 2.51; 13.43), and presence of musculoskeletal diseases (odds ratio: 1.66; 1.91) were significantly positively associated with HD and PA use. Moreover, the presence of cardiovascular disease (odds ratio: 1.46) and neuropsychiatric disease (odds ratio: 1.97) were also significantly positively associated with HD use. Conclusion: The presence of some chronic diseases, especially musculoskeletal diseases, was significantly positively associated with HD and PA use, while low economic status was significantly negatively associated with HD and PA use, indicating the potential existence of unmet medical needs in this population. Since chronic diseases impose a considerable health burden, the results of this study can be used for reference for future health insurance coverage policies in South Korea.
참고문헌 (30)
- Park HL, "Traditional medicine in China, Korea, and Japan : a brief introduction and comparison", Evid Based Complement Alternat Med, 2012, pp.429103~ (2012)
- Korean medicine utilization and herbal medicine consumption survey, 2022, "Ministry of Health and Welfare", NIKOM, ~ (2023)
- Jung B, "Factors affecting utilisation of traditional Korean medical services by privately insured persons : a retrospective study using Korean Health Panel Survey(KHPS)", BMJ Open, 10(1), pp.e033159~ (2020)
- Kim J, "The benefits of the national health insurance and oriental medical services", Korean J Orient Prev Med Soc, 11(1), pp.139~151 (2007)
- Jung YS, "Measuring the burden of disease in Korea, 2008-2018", J Prev Med Public Health, 54(5), pp.293~300 (2021)
- Kim HK, "Factors associated with health services utilization between the years 2010 and 2012 in Korea : using Andersen’s behavioral model", Osong Public Health Res Perspect, 7(1), pp.18~25 (2016)
- Choi JW, "Association between chronic disease and catastrophic health expenditure in Korea", BMC Health Serv Res, 15, pp.26~ (2015)
- Jung HW, "How public and private health insurance coverage mitigates catastrophic health expenditures in Republic of Korea", BMC Health Serv Res, 22(1), pp.1042~ (2022)
- Holman HR, "The relation of the chronic disease epidemic to the health care crisis", ACR open rheumatol, 2(3), pp.167~173 (2020)
- Kim J, "Perception on the traditional Korean medicine according to the existence of a chronic disease", J Pharmacopuncture, 23(4), pp.252~261 (2020)
- Seo S, "A study on the sociodemographic characteristics of adult users of Korean traditional medicine", J Korean Public Health Nurs, 30(1), pp.136~148 (2016)
- Han JE, "Traditional Korean medicine usage and perception : a comparative study between the general population and the disabilities", J Pharmacopuncture, 25(1), pp.24~36 (2022)
- A behavioral model of families’ use of health services, "Andersen R", Center for Health Administration Studies, University of Chicago, 111~ (1968)
- Kwon S, "Changes in trust and the use of Korean medicine in South Korea : a comparison of surveys in 2011 and 2014", BMC Complement Altern Med, 17(1), pp.463~ (2017)
- Hwang BK, "Efficacy and safety of Korean herbal medicine for patients with post-accident syndrome, persistent after acute phase : a pragmatic randomized controlled trial", Healthcare(Basel), 11(4), pp.534~ (2023)
- Park KS, "A comparative study of the effectiveness of pharmacopuncture therapy for chronic neck pain : a pragmatic, randomized, controlled trial", J Clin Med, 11(1), pp.12~ (2021)
- Park KS, "A pragmatic randomized controlled trial on the effectiveness and safety of pharmacopuncture for chronic lower back pain", J Pain Res, 16, pp.2697~2712 (2023)
- Shin S, "Development of clinical practice guidelines for Korean medicine : towards evidence-based complementary and alternative medicine", Integr Med Res, 12(1), pp.100924~ (2023)
- Shin SM, "Household catastrophic health expenditure related to pain in Korea", Korean J Pain, 36(3), pp.347~357 (2023)
- Cai Y, "Addon effects of Chinese herbal medicine for post-stroke spasticity : a systematic review and meta-analysis", Front Pharmacol, 10, pp.734~ (2019)
- Li X, "A multicenter, randomized, double-blind, parallel-group, placebo-controlled study of the effects of qili qiangxin capsules in patients with chronic heart failure", J Am Coll Cardiol, 62(12), pp.1065~1072 (2013)
- Wang Y, "Efficacy and safety of Chinese herbal medicine for depression : a systematic review and meta-analysis of randomized controlled trials", J Psychiatr Res, 117, pp.74~91 (2019)
- Lee J, "Traditional East Asian herbal medicine treatment for Alzheimer’s disease : a systematic review and meta-analysis", Pharmaceuticals(Basel), 15(2), pp.174~ (2022)
- Park J, "Pharmacopuncture in Korea : a systematic review and meta-analysis of randomized controlled trials", Evid Based Complement Alternat Med, 2016, pp.4683121~ (2016)
- Jang JH, "Effectiveness and therapeutic mechanism of pharmacopuncture for pain in Parkinson’s disease : a study protocol for a pilot pragmatic randomized, assessor-blinded, usual care-controlled, three-arm parallel trial", Int J Environ Res Public Health, 20(3), pp.1776~ (2023)
- Lim JH, "Pharmacopuncture effects on insomnia disorder : protocol for a multi-site, randomized, acupuncture-controlled, clinical trial", Int J Environ Res Public Health, 19(24), pp.16688~ (2022)
- Park JE, "Usage status and satisfaction with pharmacopuncture in Korea : a survey among Korean medicine doctors", Eur J Integr Med, 27, pp.121~130 (2019)
- Yoon LS, "The determinants and behavioral intentions of Korean medicine utilization in youth aged 19-39 years : based on the microdata of national survey on Korean medicine utilization and herbal medicine consumption, 2017", J Soc Prev Korean Med, 25(2), pp.85~98 (2021)
- Lee K, "Analysis of factors related to the use of Korean medicine treatment in patients with mood disorders : based on 2019 Korea health panel annual data", J Orient Neuropsychiatry, 34(4), pp.349~358 (2023)
- Ha R, "A national pilot program for chronic diseases and health inequalities in South Korea", BMC Public Health, 21(1), pp.1142~ (2021)