DOI QR코드

DOI QR Code

근골격계질환자의 양.한방 외래 의료이용과 관련요인

The Utilization of Western and Oriental Medical Services by Outpatients with Musculoskeletal System Disorders and Its Related Factors

  • 김성영 (경북대학교 대학원 보건학과) ;
  • 박재용 (경북대학교 보건대학원)
  • Kim, Sung-Young (Dept. of Public Health, Graduate of Kyungpook National University) ;
  • Park, Jae-Young (Dept. of Public Health, Graduate of Kyungpook National University)
  • 투고 : 2011.10.14
  • 심사 : 2012.02.21
  • 발행 : 2012.03.30

초록

This study is to find out the correlation among the predisposing, enabling, and need factors in Anderson Behavioral Model using the data from Korea Medical Panel Survey conducted in the early part (April 1 - October 31) of 2008. The findings are as follows. It was found that the utilization rate of western medical service was far higher. the influential factor to choose western or oriental medical service taking western medical institutions as the reference group, the influential factor to choose oriental medical institution has significantly increased when the patient who have covered by medical insurance has one accompanied disease and their age was between 45 - 74, compared to the people less than 45 years old. It also increased when the age of the patient was between 45-54 years old, and in the event those who are not covered by medical insurance have accompanied disease and that the disease mobility period is 2-4 years. reviewing the several characteristics of the utilization of western and oriental medical services by the patient with musculoskeletal system disorders, the number of accompanied disease is an influential factor for the utilization of oriental medical services. And, disease mobility period is a significant factor for the utilization of both western and oriental medical services together, though it is not identified in this study. Therefore, it is expected that mutual cooperation between western and oriental medical services is more required for the patient with musculoskeletal system disorders as the aging society rapidly develops. In order to foster oriental medicine, it is required to specialize in competitive disease such as musculoskeletal system disorders.

키워드

참고문헌

  1. 건강보험심사평가원(2010), 2009 건강보험 통계연보, pp.77-78.
  2. Woolf AD, Pfleger B(2003), Burden of major musculoskeletal conditions. Bulletin of the World Health Organization, Vol.81;646-656.
  3. 김건엽, 이영숙, 박기수, 손재희, 감신, 천병렬, 박재용, 예빈해(1998), 지체장애인의 의료이용에 영향을 미치는 요인, 예방의학회지, Vol.31(2);323-
  4. 김민영, 박종구, 고상백, 김춘배(2010), 우리나라 골관절염 환자의 의료이용과 관련된 요인, 예방의학회지, Vol.43(6);513-522.
  5. 유왕근(2003), 한방의료서비스 이용행태 및 결정요인에 관한 연구, 서울대학교 보건학 박사학위논문, pp.25-42.
  6. 조경숙(2000), 양.한방 의료이용행태의 차이, 연세대학교 보건학박사학위논문, pp.30-65.
  7. 김대환(2004), 양.한방 의료이용 및 의료기관 선택에의 영향요인에 관한 연구, 인제대학교 보건학 박사학위논문, pp.32-55.
  8. 이한울, 정명수, 이기남(2007), 계층별 한방의료 이용 실태에 관한 연구, 대한예방한의학회지, Vol. 11(2);71-86.
  9. 양희경(2008), 양.한방 의료이용형태별 대상자 및 고객만족도, 연세대학교 석사학위논문, pp.26-40.
  10. 전혜연(2010), 퇴행성관절염 노인의 통증과 보완 대체요법사용실태에 대한 조사, 이화여자대학교 석사학위논문, pp.25-46.
  11. Andersen RM(1995), Revisiting the behavioral Model and access to medical care does it matter?, Journal of Health and Social Behavior, Vol.36(March);1-10. https://doi.org/10.2307/2137284
  12. Suchman EA(1970), Health attitudes and behavior, Arch Environ Health, Vol.20(1);102-110.
  13. 허남욱 최진범, 엄완식, 배상철(2008), 국민건강영양조사를 이용한 한국인 관절염의 유명률 현황과 연도별 변화, 대한류마티스학회지, Vol.15(1);11-26.
  14. 최효진, 한우진, 임정수, 백한주(2009), 만성질환 관리사업 보건지표 조사 결과를 이용한 인천지역의 근골격계 및 류마티스 질환의 유병률 및 특성, 대한류마티스학회지, Vol.16(4);281-291.
  15. Compbell SM, Rolan MO(1996), Why do people consult the doctor?, Family practice, Vol. 143(1);75-83.
  16. Nie J., Wang L., Tracy C., Moineddin R., Upshur, R.(2007), Health care service utilization among the elderly, findings the Study to understanding the Chronic Condition Experience of the Elderly and the Disabled, Journal lf education Clinical Practice, Vol.14;1044-1049.
  17. Hlatky MA, Owens DK, Sanders GD(2006), Cost-effectiveness as an outcome in randomized clinical trials, Clin Trials, Vol.3(6);543-551. https://doi.org/10.1177/1740774506073105
  18. 이상무(2002), 일부 한방병원에 내원한 요통환자의 중복의료이용에 관한 연구, 연세대학교 석사학위논문, pp.23-43.

피인용 문헌

  1. Benchmarking the Regional Patients Using DEA : Focused on A Oriental Medicine Hospital vol.19, pp.3, 2014, https://doi.org/10.7838/jsebs.2014.19.3.091
  2. Use of Traditional Korean Medicine by Patients with Musculoskeletal Disorders vol.8, pp.5, 2013, https://doi.org/10.1371/journal.pone.0063209
  3. The Analysis on Annual Utilization Patterns of Inpatients in Korean Medical Hospitals for the Past 10 years vol.33, pp.2, 2016, https://doi.org/10.13045/acupunct.2016017
  4. Research on the Subjective Symptoms of Musculoskeletal Disorders for Dental Hygienists in Daegu vol.8, pp.4, 2014, https://doi.org/10.12811/kshsm.2014.8.4.121
  5. The Determinants of Choosing Traditional Korean Medicine or Conventional Medicine: Findings from the Korea Health Panel vol.2015, 2015, https://doi.org/10.1155/2015/147408
  6. The Relationship between the Use of Korean and Western Medicine in treating Musculoskeletal Disease vol.35, pp.3, 2014, https://doi.org/10.13048/jkm.14027
  7. 입원환자 의료비 부담에 영향을 미치는 요인 vol.6, pp.4, 2012, https://doi.org/10.12811/kshsm.2012.6.4.143
  8. A Study on Dental Hygienists’ Subjective Symptoms of Musculoskeletal Disorders in Their Work Conditions vol.16, pp.4, 2012, https://doi.org/10.15236/ijcpd.2020.16.4.170
  9. 한방의료이용 선택 요인에 관한 연구 - 2017 한방의료이용실태조사를 중심으로 vol.42, pp.1, 2021, https://doi.org/10.13048/jkm.21002