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만성질환자들의 한의약의료서비스 이용과 결정요인 ―제주도 보건소이용 환자를 중심으로―

The Use of Traditional Korean Medicine and its Affecting Factors among Patients with Chronic Disease in Jeju Province, Korea

이영호|한동운|오종수|임문혁|홍용석|노홍인
대한예방한의학회 (Society of Preventive Korean Medicine)|2009.12|대한예방한의학회지 (Society of Preventive Korean Medicine)|제13권 제3호|pp. 55-71

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키워드

traditional Korean medicinechronic diseasesuse of traditional Korean medicinerecognition of traditional Korean medicine
주제분류한의학

초록

Background : Tradition al Korean medicine(TKM) has gained in popularity among chronic patients in recent years. The use of TKM among patients with chronic diseases is common, with about two thirds of patients using some form of TKM in Korea. Objectives : The purpose of this study is to analyze the use of TKM and determine what factors affect to use TKM among patients with chronic diseases. The study also aims to provide information on TKM therapies and assist therapy selection among various TKM therapies for patients with chronic diseases. Method : The design of the study was descriptive cross-sectional, and data were collected using a 21-item questionnaire. This study was conducted with subjects with confirmed diagnosis of chronic diseases, who live in Jeju Province, Korea. Results : Among the participants, past or current TKM use was 66.7%, with a statistically significant difference in gender and level of health status groups(P<0.05), but no difference in age, marital status, education, occupation, and income groups. The most common therapies of TKM used by the patients included acupuncture(51.1%), physiotherapy(16.8%), cupping(13.5%), and herbal medicine(4.8%). The main benefits from TKM perceived by the patients were chronic diseases management and health promotion. In a logistic regression analysis, significant influencing factors related to TKM use were gender, family income level, the extent of recognition of efficacy, heath status, and health security program. Conclusions : In this study the socio-demographic and health status, recognition of TKM efficacy factors associated with TKM use among patients with chronic diseases were similar to those found in the general population. The findings suggest that due to the relatively high use of TKM among patients with chronic diseases in Korea, this topic should be taken into account in the development of a holistic approach for patients with chronic diseases and an efficient chronic disease management system. Additionally proactive and consistent management of TKM is necessary in the health care system in Korea.

Abstract

Background : Tradition al Korean medicine(TKM) has gained in popularity among chronic patients in recent years. The use of TKM among patients with chronic diseases is common, with about two thirds of patients using some form of TKM in Korea. Objectives : The purpose of this study is to analyze the use of TKM and determine what factors affect to use TKM among patients with chronic diseases. The study also aims to provide information on TKM therapies and assist therapy selection among various TKM therapies for patients with chronic diseases. Method : The design of the study was descriptive cross-sectional, and data were collected using a 21-item questionnaire. This study was conducted with subjects with confirmed diagnosis of chronic diseases, who live in Jeju Province, Korea. Results : Among the participants, past or current TKM use was 66.7%, with a statistically significant difference in gender and level of health status groups(P<0.05), but no difference in age, marital status, education, occupation, and income groups. The most common therapies of TKM used by the patients included acupuncture(51.1%), physiotherapy(16.8%), cupping(13.5%), and herbal medicine(4.8%). The main benefits from TKM perceived by the patients were chronic diseases management and health promotion. In a logistic regression analysis, significant influencing factors related to TKM use were gender, family income level, the extent of recognition of efficacy, heath status, and health security program. Conclusions : In this study the socio-demographic and health status, recognition of TKM efficacy factors associated with TKM use among patients with chronic diseases were similar to those found in the general population. The findings suggest that due to the relatively high use of TKM among patients with chronic diseases in Korea, this topic should be taken into account in the development of a holistic approach for patients with chronic diseases and an efficient chronic disease management system. Additionally proactive and consistent management of TKM is necessary in the health care system in Korea.

참고문헌 (50)

  1. Barnes PM, "Complementary and alternative medicine use among adults : United States, 2002. in: CDC advance data from vital and health statistics, vol. 343", pp.1~19 (2004), National Center for Health Statistics
  2. Eisenberg DM, "Trends in alternative medicine use in the United States, 1990-1997 : results of a follow up national survey", JAMA, 280, pp.1569~1575 (1998)
  3. Druss BG, "Association between use of unconventional therapies and conventional medical services", JAMA, 282, pp.651~656 (1998)
  4. Rhee SM, "Use of complementary and alternative medicine by ambulatory patients", Arch Internal Medicine, 164, pp.1004~1009 (2004)
  5. "Traditional medicine"[URL]
  6. Koloski NA, "Predictors of conventional and alternative health care seeking for irritable bowel syndrome and functional dyspepsia", Alimentary pharmacology & therapeutics, 17, pp.841~851 (2003)
  7. Markell MS, "Potential Benefits of Complementary Medicine Modalities in Patients With Chronic Kidney Disease", Advances in Chronic Kidney Disease, 12(3), pp.292~299 (2005)
  8. Saydah SH, "Use of complementary and alternative medicine among adults with chronic diseases : United States 2002", The Journal of Alternative & Complementary Medicine, 12, pp.805~812 (2002)
  9. Ernst E, "The prevalence of complementary", alternative medicine in cancer, 1998, pp.83, 777~782
  10. Ramos-Remus C, "Complementary and alternative practices in rheumatology", Best Practice & Research Clinical Rheumatology, 22(4), pp.741~757 (2008)
  11. Hawley, DJ, "Nontraditional Treatments of arthritis", Nursing Clinics of North America, 19(4), pp.372~663 (1984)
  12. Wood MJ, "Use of complementary and alternative medical therapies in patients with cardiovascular disease", American Heart Journal, 145, pp.806~812 (2003)
  13. Talley NJ, "Dyspepsia and health care seeking in a community. How important are psychological factors?", Digestive diseases and sciences, 43, pp.1016~1022 (1998)
  14. Gaburri M, "Functional gut disorders and health care seeking behavior in an Italian non-patient population", Recenti Progressi Med, 80, pp.241~244 (1989)
  15. Heaton KW, "Symptoms of irritable bowel syndrome in a British urban community : consulters and non-consulters", Gastroenterology, 102, pp.1962~1967 (1992)
  16. Geddes N, "Nursing and alternative medicine : legal and practice issues", Journal of Holistic Nursing, 15(3), pp.271~281 (1997)
  17. Ernst E, "The current position of complementary", alternative medicine in cancer, 2003, pp.39(16), 2273~2277
  18. Burgmann T, "Predictors of alternative and complementary medicine use in inflammatory bowel disease : do measures of conventional health care utilization relate to use?", American Journal of Gastroenterology, 99(5), pp.889~893 (2004)
  19. 김윤숙, "당뇨병 환 자들의 대체의학 경험실태와 관련요인", 24(1), pp.78~89 (1981), 대한당뇨병학회
  20. 이여진, "만성 질환자의 대체요법 이용 실태 조사연구", 6(1), pp.95~113 (1999)
  21. 최윤정, "일부 병원에 내원 한 암환자들의 대체의학 사용에 관한 연구", 대한보건협회학술지, 24(1), pp.167~181 (1998)
  22. Kim SR, "Use of complementary and alternative medicine by Korean patients with Parkinson's disease", Clinical Neurology and Neurosurgery, 111(2), pp.156~160 (2009)
  23. 옥선명, "The Use of Complementary and Alternative Medicine in a General Population in South Korea: Results from a National Survey in 2006", Journal of Korean Medical Science, 24(1), pp.1~6 (2009), 대한의학회
  24. Lee SI, "Complementary and alternative medicine in Korea : prevalence, pattern of use, and out-of-pocket expenditures", Korean Journal of Preventive Medicine, 32, pp.546~555 (1999)
  25. Ong CK, "Complementary and Alternative Medicine : the consumer perspective" (2003), The Prince of Wales’'s Foundation for Integrated Health
  26. Barnes PM, "Complementary and alternative medicine use among adults : United States, 2002", Seminars in Integrative Medicine, 2(2), pp.54~71 (2004)
  27. Hanssen B, "Use of complementary and alternative medicine in the Scandinavian countries", Scandinavian Journal of Primary Health Care, 23, pp.57~62 (2005)
  28. Lim MK, "Complementary and alternative medicine use in multiracial Singapore", Complementary Therapies in Medicine, 13, pp.16~24 (2005)
  29. 유왕근, "한방의료 서비스 이용행태 및 이 용결정요인에 관한 연구", 박사, pp.2003
  30. 이한울, "계층별 한방의료 이용 실태에 관한 연구", 석사, pp.2007
  31. 이수호, "일부 도시주민의 한방의료 이용실태에 관한 조사연구", 공중보건잡지, 8(1), pp.1~13 (1971)
  32. Millar W, "Use of alternative health care practitioners by Canadians", Canadian Journal of Public health, 88, pp.154~158 (1997)
  33. Wolsko P, "Alternative", Complementary medicine : wider usage than generally appreciated, 2000, pp.6, 321~326
  34. 박성순, "한국인의 한방의료이용에 대한 인식과 행태 요인 분석", 대한보건협회학술지, 25(2), pp.34~50 (1999)
  35. Fylkesnes K, "Determinants and dimensions involved in self-evaluation of health", Social Science and Medicine, 35, pp.271~279 (1992)
  36. Heidrich J, "Self-rated health and its relation to all cause and cardiovascular mortality in southern Germany. in: Results from the MONICA Augsburg cohort study", Annais of Epidemiology, 12, pp.338~345 (2002)
  37. 2004년도 전국 노인생활실태 및 복지 욕구조사, "정경희", 한국보건사회연구원, ~ (2005)
  38. Palinkas L, "The use of complementary and alternative medicine by primary care patients A SURF*NET study", The Journal of Family Practice, 49, pp.1121~1130 (2000)
  39. Cauffield J, "The psychosocial aspects of complementary and alternative medicine", Pharmacotherapy, 20, pp.1289~1294 (2000)
  40. Ziment I, "Alternative medicine for allergy and asthma", Journal of Allergy and Clinical Immunology, 106, pp.603~614 (2000)
  41. Blank PD, "Alternative therapies among adults with a reported diagnosis of asthma or rhinosinusitis : data from a population-based survey", Chest, 120, pp.1461~1467 (2001)
  42. 한문희, "일부지역의 한방의료 이용 실태에 관한 연구", 석사, pp.1991
  43. Danesi MA, "Use of alternative medicine by patients with epilepsy : a survey of 265 epileptic patients in a developing country", Epilepsia, 35, pp.344~341 (1994)
  44. DiGianni LM, "Complementary medicine use among women enrolled in a genetic testing program", Cancer Epidemiol Biomarkers Prev, 12(4), pp.321~326 (2003)
  45. 최희승, "경기도 보건소 이용자의 한방의료 서비스 만족도 조사", 석사, pp.2003
  46. 홍상민, "한ㆍ양방 의료서비스 이용행태 및 의료기관 선택요인에 관한 분석", pp.2008
  47. 조은주, "한의원과 의원을 이용하는 환자의 의료이용행태 비교분석", pp.2000
  48. 이정근, "뇌졸중환자의 양․한방진료 선호성에 관한 연구: 22개 대학병원을 중심으로", 석사, pp.1992
  49. 2008년 제주시 지역보건 의료계획, "제주특별자치도", 제주특별자치도, ~ (2008)
  50. Eisenberg DM, "Unconventional medicine in the United States : prevalence, costs, and patterns of use", NEJM, 328, pp.246~252 (1993)

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