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논문 상세정보

한의사의 복합과립제 사용 실태 조사 및 복합과립제 건강보험 급여 시행방안에 대한 연구

A Study on Korean Oriental Medical Doctors' Use of Uninsured Herbal Extracts and How to Promote the Insurance Coverage of Such Herbal Extracts

Abstract

Objectives: To research Korean oriental medical doctors' use of uninsured herbal extracts and how to bring about the insurance coverage of such herbal extracts. Methods: We surveyed Korean oriental doctors about the following issues from October 17th to November 15th, 2008: (1) Korean oriental medical doctors' knowledge about herbal extract insurance and the circumstances of oriental medicine in Korea, (2) their opinion on the coverage of currently uninsured herbal extracts and the dispensing of herbal extracts from pharmacies rather than from their clinics, (3) their use of herbal extracts, and (4) how to bring about insurance coverage of uninsured herbal extracts. Results: Over 70% of the respondents said that herbal medicine prescriptions have been reduced recently and that the existence of herbal medicine is in danger. In addition, 63.64% respondents agreed with expanding insurance coverage to include currently uninsured herbal extracts in spite of the fact that patients might have to obtain herbal extracts from pharmacies rather than from Korean oriental medical clinics. The average patient number per month of uninsured herbal extracts was 13.64 people, the average dosage was 5.64g, the average cost per day was 3,859 won, and the average prescription period was 2.65 days. Korean oriental medical doctors asked an average of 12,486 won for the medical examination-prescription fee and 3,292 won in fees for prescriptions obtained outside the hospital. If insurance coverage expands to include these herbal extracts, their usage is expected to increase 2.31 times. Conclusions: This study shows Korean oriental medical doctors' use of herbal extracts and their opinions about execution of herbal extracts' insurance. A periodic study such as this one will hopefully aid in establishing polices for uninsured herbal extracts' insurance.

참고문헌 (9)

  1. Korean oriental medical Hospital Association. Korean oriental healthcare benefit coverage. 2008.1. 
  2. Ministry for health and social. health and social. 1987. 
  3. 보건복지부. '한방건강보험 개선을 위한 합동 T/F 회의' 개최에 대한 보도자료. 2006년 3월23일. 
  4. Kim SY. Uninsured herbal extract's insurance put into operation- Eastern Medical doctors-Pharmacists conflict. Medical today. July 14th. 2007. http://www.mdtoday.co.kr/mdtoday/index.html. Accessed November 22th, 2008. 
  5. Lee JM. Herbal medicine's safety threats on oriental midicine. The minjok oriental medicine news. October 1st. 2007;5. 
  6. Lee JM. Korea China FTA, Chinese herbal extracts invasion. The minjok oriental medicine news. June 2nd. 2008;5. 
  7. Kim YH, Son CH, Moon OR, SY Kim, Lim S. A study of ways of paying insurance benefits and the range of insurance coverage of health insurance for packed herbal medicine. Korean Oriental Med. 2007;28(3):244-260. 
  8. Kim YH, Sung WY, Lee KS, Jung YM, Kim DW, Jung HC et al. The research on ways to insure compound prescription and pills-powders etc. The association Korean Oriental Medicine. 2003. 
  9. Kim JH. A Comparative Analysis of RBRVS for a Doctor's Consultation in Western and Oriental Medicine. Kor. J. Oriental Preventive Medical Society. 2004;8(2):129-139. 

이 논문을 인용한 문헌 (2)

  1. Hwang, Eui-Hyoung ; Shin, Byung-Cheul ; Shin, Mi-Suk ; Sul, Jae-Uk 2010. "A Literatural Study on the Evidence of Using Thermotherapy of Cutaneous and Muscle Meridian in Korean Medicine - Focusing on 『Dongeuibokam』" 韓方再活醫學科學會誌 = Journal of oriental rehabilitation medicine, 20(4): 57~61 
  2. Bak, Yo-Han ; Huang, Dae-Sun ; Shin, Hyeun-Kyoo 2010. "The Analysis of Herbal Medicine Preparations Equipped in Traditional Korean Medical Clinics" 大韓韓醫學方劑學會誌 = Herbal formula science, 18(1): 43~56 

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