The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Usage Report of Chuna Manual Therapy in Patients Visiting Korean Medical Institutions -Using Electronic Medical Records(EMR) of 21 Korean Medicine Hospitals and Clinics -

한방의료기관 이용환자의 추나 이용실태 - 21개 한방병의원 전자의무기록 자료를 이용하여 -

  • Kim, Min-Young (Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation) ;
  • Ha, In-Hyuk (Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation) ;
  • Lee, Jin-Ho (Jaseng Hospital of Korean Medicine) ;
  • Kim, Jong-Ho (Jaseng Hospital of Korean Medicine) ;
  • Jung, Boyoung (Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation)
  • Received : 2019.02.21
  • Accepted : 2019.03.15
  • Published : 2019.03.31
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Abstract

Objectives: This study analyzes the electronic medical record (EMR) data of the spine specialist oriental hospital and clinic in various regions, and reports the actual number and used cases of Chuna therapy. Methods: 2,470,772 data was extracted retrospectively from electronic medical records of all inpatients and outpatients who were treated chuna therapy at 21 Korean medicine hospitals and clinics from January 1, 2018 to December 31, 2018. The characteristics of medical treatment using chuna therapy reflect the minimum, maximum and average values of the number of hospitalized patients, length of hospitalization, frequency of hospitalization, number of outpatients, frequency of treatment and frequency of visit. Diseases were classified in the proportion of Chuna treatment according to the KCD, 7th edition. The chuna and blindness charts were derived accordingly from illness and disease of each part of the body. Results: During the study period, a total 1,342,022 inpatients and outpatients visited the study sites. The male proportion was a little higher than the females' (male: 53.7%, female: 46.3%). According to age, the 30s and 40s were more than half the total(30s: 33.0% and 40s: 20.1%). Chuna therapy was treated to more outpatients than hospitalized patients (outpatient: 83.6%, hospitalization: 16.4%), and most treatments were related to musculoskeletal illness(99.06%). Conclusions: As a result of this study, 1,342,389 chuna therapy was performed in 21 hospitals for one year. As highly demanded by the public, we look forward to ensuring national health care options and medical access when health insurance for chuna therapy is applied beginning March 2019.

Keywords

References

  1. Statistics Korea. 2018 Statistics of elderly population. 2018; Available at: http://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=370779. Accessed February 21, 2019
  2. Yun JH, Kang JM, Kim KS, Kim SH, Kim TH, Park YW, et al., Health-related quality of life in Korean patients with chronic diseases. The Journal of the Korean Rheumatism Association, 2004;11(3):263-74.
  3. Health insurance review& assessment service (HIRA). 2017 National health insurance statistical yearbook. 2017; Available at: http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045030000&brdScnBltNo=4&brdBltNo=2387&pageIndex=1#none. Accessed February 21, 2019
  4. Korea sosciety of chuna menual medicine for spine & nerves. Chuna manual medicine. 2. Seoul: Korea sosciety of chuna menual medicine for spine & nerves. 2015:4,46-50.
  5. Oliphant D, Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment. Journal of Manipulative and Physiological Therapeutics, 2004;27(3):197-210. https://doi.org/10.1016/j.jmpt.2003.12.023
  6. Jeong SY, Lee CR, Research about Adverse Effect of Spinal Manipulation Therapy : Systemic Review of Literature in Korea and Pubmed. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, 2015;10(1):15-33.
  7. Lee KB, Ha IH, Kim HS, Bae YH, Kim NH, Seo CY, et al., Chuna Manual Therapy for Neck Pain : A Systematic Review and Meta-analysis. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, 2016;11:11-21.
  8. Moon TW, Choi TY, Park TY, Lee MS, Chuna therapy for musculoskeletal pain: a systematic review of randomized clinical trials in Korean literature. Chinese journal of integrative medicine, 2013;19(3):228-32. https://doi.org/10.1007/s11655-012-1238-0
  9. Jeong B, Chung SH, Lee JS, Magnetic Resonance Imaging Follow-Up Study on the Case of Protruded Lumbar Intervertebral Disc Herniation through Chuna Therapy. The Journal of Oriental Rehabilitation Medicine, 2006;16(3):149-57.
  10. Lee SM, Choi YS, Park YH, Keum DH. Chuna Treatment Cases Report on Neck Pain Patients with Abnormal Cervical curvature. The Journal of Oriental Rehabilitation Medicine, 2002;12(4):154-62.
  11. Shin SH, Han KI, Jeon YT, Ko YS, Lee JH, Systematic Review of Chuna Manual Therapy for Cervicogenic Headache. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, 2017;12(1):1-12
  12. Lee NW, Kim GH, Heo I, Kim KW, Ha IH, Lee JH, et al., Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine, 2017;2017.
  13. National Health Insurance Service(NHIS). Survey of patient's medical expenses for health insurance. 2016; Available at: http://stat.kosis.kr/gen_etl/fileStat/fileStatView.jsp?org_id=350&tbl_id=DT_350005_FILE2016&tab_yn=N&conn_path=I2. Accessed February 21, 2019
  14. Hwang MS, Cho HW, Lee HY, Heo KH, Hwang EH, Shin MS, et al., Research Trends on Chuna Treatment in Korean Medicine - Focused on Type of Clinical Trails. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, 2013;8:49-61.
  15. Byun GJ, Hong HS, Kim YK, Factors Associated with Health Behaviors and Musculoskeletal Disease among Adults. Journal of Korean Biological Nursing Science, 2011;13(3):262-8.
  16. Seo CH. Mental Health Promotion in the Workplace.1. Ulsan: Korea Occupational Safety and Health Agency(KOSHA).2017:5.
  17. Kim KS, Park JK, Kim DS, Status and Characteristics of Occurrence of Work-related Musculoskeletal Disorders. Journal of the Ergonomics Society of Korea, 2010;29(4):405-22. https://doi.org/10.5143/JESK.2010.29.4.405
  18. Jeong BY, Ergonomics' Role for Preventing Musculoskeletal Disorders. Journal of the Ergonomics Society of Korea, 2010;29(4):393-404. https://doi.org/10.5143/JESK.2010.29.4.393
  19. Korea Institute of Oriental Medicine. 2016 Yearbook of Traditional Korean Medicine. 1. Daejeon:Shnjin planing company.2018:250.
  20. Park WW, Image Study of the Thoracolumbar Spine Fracture. Journal of Korean Society of Spine Surgery, 2001;8(3):401-12. https://doi.org/10.4184/jkss.2001.8.3.401
  21. Ha JJ, Kim DH, Lee JH, Lee K, Kwon HP, Kwon JH, et al., Facet joint injuries in acute cervical spine trauma: evaluation with CT and MRI. Journal of the Korean Radiological Society, 1999;40(5):957-63. https://doi.org/10.3348/jkrs.1999.40.5.957
  22. Choo JS, Lim HH, The Study of Oriental Medical Literature Review on JEONG-GOL Chuna. The Journal of Korea CHUNA Manual Medicine, 2001:2(1):5-12.
  23. Yun JT, Lim HH, The Study of Oriental Medical Literature Review on KYUNGKUEN Chuna. The Journal of Korea CHUNA Manual Medicine, 2001;2(1):13-25.
  24. Lim KT, Hwang EH, Kim BJ, Park IH, Heo I, Manual Therapy for Essential Hypertension: A Systematic Review. The Journal of Korea CHUNA manual medicine for spine & nerves, 2017;12(1):29-42.
  25. Hwang MS, Chuna Manual Therapy for Primary Insomnia; A Review of Clinical Study. Journal of Korean Medicine Rehabilitation, 2016;26(3):79-84. https://doi.org/10.18325/jkmr.2016.26.3.79
  26. Lee NW, Kim GH, Shin BC, Chuna Manual Therapy for Chronic gastritis : A Systematic Review. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, 2017;12(2):1-14.
  27. Seo HR, Lee HY, Hwang MS, Chuna Manual Therapy for Irritable Bowel Syndrome; A Systematic Review. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, 2016;11(2):1-9.
  28. Seo HR, Li YC, Lee JE, Lim MK, Chuna Manual Therapy for Primary Dysmenorrhea: A Systematic Review. Journal of Korean Medicine Rehabilitation, 2017;27(3):81-93. https://doi.org/10.18325/jkmr.2017.27.3.81
  29. Park JM, Shin SW, Park JH, A comparative study on the concepts of the Chuna (推拿). Journal of Oriental Medical Classics, 2008;21(2):173-91.
  30. Kang MS, Kim CH. Management of diabetic peripheral neuropathy. The Korean Journal of Medicine, 2015;89(3):277-81 https://doi.org/10.3904/kjm.2015.89.3.277
  31. Ministry of Health and Welfare. Survey on herbal medicine use and herbal medicine consumption. 2018; Available at: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117087N_022&conn_path=I2. Accessed February 21, 2019
  32. Ministry of Health and Welfare. Announcing results of research on herbal medicine usage and herbal medicine consumption in 2017. 2018; Available at: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=344043. Accessed February 21, 2019

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