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한약제제 보험급여 확대 및 활성화 방안에 대한 한의사 인식도 조사

Survey on the Korean Medicine Doctor’s Awareness of the Extension and Activation of Herbal Medicine Preparations Insurance Benefits

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초록

Objectives : The aim of this study was to investigate the Korean medicine doctor’s perception of the extension and activation of herbal medicine preparations insurance benefits. Methods : The sample of Korean medicine doctors’ panel pool which is extracted by examining the square root quota of city location of Korean medicine clinics was used. In case of a vacancy in some participants, the number of Korean medicine doctors were supplemented and placed for investigation. Results : It has 54.0% awareness of the separation of prescribing and dispensing herbal preparations, 87.0% agreed on the need to be insured, but the separation as a necessary condition for being insured was only 60.3% agreed. When a large number of herbal preparations are being insured, it was expected that 30% to 50% of patients(30.3%) will be prescribed herbal preparations and the number of new patients will increase by 5 to 15 for the purpose of prescriptions only(49.3%). Increase amount of medical expense(₩3,000) as a result of the separation of prescribing and dispensing herbal preparations are insufficient(54.3%). Conclusions : From the results of this study, extension of national health insurance to cover herbal preparations must be needed to activate herbal medicine preparations and improve Korean medical services.

Abstract

Objectives : The aim of this study was to investigate the Korean medicine doctor’s perception of the extension and activation of herbal medicine preparations insurance benefits. Methods : The sample of Korean medicine doctors’ panel pool which is extracted by examining the square root quota of city location of Korean medicine clinics was used. In case of a vacancy in some participants, the number of Korean medicine doctors were supplemented and placed for investigation. Results : It has 54.0% awareness of the separation of prescribing and dispensing herbal preparations, 87.0% agreed on the need to be insured, but the separation as a necessary condition for being insured was only 60.3% agreed. When a large number of herbal preparations are being insured, it was expected that 30% to 50% of patients(30.3%) will be prescribed herbal preparations and the number of new patients will increase by 5 to 15 for the purpose of prescriptions only(49.3%). Increase amount of medical expense(₩3,000) as a result of the separation of prescribing and dispensing herbal preparations are insufficient(54.3%). Conclusions : From the results of this study, extension of national health insurance to cover herbal preparations must be needed to activate herbal medicine preparations and improve Korean medical services.

참고문헌 (12)

  1. World Health Organization, "WHO Traditional Medicine Strategy 2014-2023", ~ (2013)
  2. "Global Industry Analysts", ~ (2012)
  3. Minstry of Health and Welfare, "Third comprehensive plan for the development of Korean medicine 2016-2020", ~ (2016)
  4. Study on expansion of herbal medicines, "Kim JH", Seoul National University⋅Association of Korean Medicine, ~ (2012)
  5. Pharmaceutical Industry Analysis Report for 2017, "Korea Health Industry Development Institute", ~ (2017)
  6. Shin HK, "Study on the Direction of Policies to Manage and Develop Herbs and their Products", The Society of Korean Medicine, 21(2), pp.14~24 (2000)
  7. "Korea Institute of Oriental Medicine"[URL]
  8. 손지형, "한의사의 복합과립제 사용 실태 조사 및 복합과립제 건강보험 급여 시행방안에 대한 연구", 대한한의학회지, 30(4), pp.64~78 (2009), 대한한의학회
  9. 권용찬, "한방건강보험 약제 투약 실태 및 활성화 방안 연구", 대한본초학회지, 27(2), pp.1~16 (2012), 대한본초학회
  10. Korea Ministry of Government Legislation, "약사법 부칙 제8조 법률 제8365호", ~ (2007)
  11. Jeong DB., "Analysis of the behavior of Korean medical doctors before and after upward revision of elderly outpatients copayment system", pp.2017
  12. 최병호, "국민건강보험의 재정위기 원인분석과 평가", 사회보장연구, 18(1), pp.37~66 (2002), 한국사회보장학회

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