한방 난임 치료의 특성과 결과에 대한 분석 -2011년 주요 한의과대학 부속한방병원 및 연구 참여 한의원을 중심으로- Investigation of the Current Clinical Result of Korean Medical Treatment of Infertility -In Major University Korean Medicine Hospitals and Local Korean Medicine Clinics Participated in the Research-원문보기
Objectives: We analyzed retrospective clinical data of Korean medical institutes for infertility care and investigated current status and outcome of the Korean medical treatment of infertility as a part of foundational research for verifying validity of constructing national support system and devel...
Objectives: We analyzed retrospective clinical data of Korean medical institutes for infertility care and investigated current status and outcome of the Korean medical treatment of infertility as a part of foundational research for verifying validity of constructing national support system and developing appropriate policy on Korean medical treatment of infertility. Methods: We investigated data uploaded on the homepage of The Society of Korean Medicine for Subfertility (http://www.okinfertility.org) by Korean medical institutes for infertility care to get informations such as patients' age, body height, weight, methods of Korean medical treatment, cost and duration of treatment, success or failure of pregnancy and result of treatment. Results: The average age of patients was $33.1{\pm}3.8$ and the average body height was $161.2{\pm}5.3cm$ and the average body weight was $55.2{\pm}8.5kg$. The method of Korean medical treatment was Herbal medicine (97.5%), acupuncture (80.4%), moxibustion (57.7%), cupping (32.7%). The average cost of treatment was $1,160,625{\pm}882,499$ won, and the average medical cost per visit was $357,845{\pm}241,602$ won. The average duration of treatment was $11.26{\pm}10.58$ weeks, and the average number of visits per patient was $4.78{\pm}6.10$ times. The average duration of treatment was the longest in the group of infertile patients with the highest average medical cost per visit. The average pregnancy success rate was 30.9% overall, and that of the group of infertile patients was 25.8%. Conclusions: When we develop the standard project model with expectation for about 25% success rate of pregnancy and delivery in the group of patients who have idiopathic and ovulatory factors, it is desirable to perform acupuncture and moxibustion treatment 1-2 times a week with herbal medicine. The treatment period is set to at least 12 weeks. Average treatment fee maybe calculated by converting the averaged treatment cost of clinic's one month worth of daily treatment fee and medical hospital's ten day treatment fee into weekly treatment cost.
Objectives: We analyzed retrospective clinical data of Korean medical institutes for infertility care and investigated current status and outcome of the Korean medical treatment of infertility as a part of foundational research for verifying validity of constructing national support system and developing appropriate policy on Korean medical treatment of infertility. Methods: We investigated data uploaded on the homepage of The Society of Korean Medicine for Subfertility (http://www.okinfertility.org) by Korean medical institutes for infertility care to get informations such as patients' age, body height, weight, methods of Korean medical treatment, cost and duration of treatment, success or failure of pregnancy and result of treatment. Results: The average age of patients was $33.1{\pm}3.8$ and the average body height was $161.2{\pm}5.3cm$ and the average body weight was $55.2{\pm}8.5kg$. The method of Korean medical treatment was Herbal medicine (97.5%), acupuncture (80.4%), moxibustion (57.7%), cupping (32.7%). The average cost of treatment was $1,160,625{\pm}882,499$ won, and the average medical cost per visit was $357,845{\pm}241,602$ won. The average duration of treatment was $11.26{\pm}10.58$ weeks, and the average number of visits per patient was $4.78{\pm}6.10$ times. The average duration of treatment was the longest in the group of infertile patients with the highest average medical cost per visit. The average pregnancy success rate was 30.9% overall, and that of the group of infertile patients was 25.8%. Conclusions: When we develop the standard project model with expectation for about 25% success rate of pregnancy and delivery in the group of patients who have idiopathic and ovulatory factors, it is desirable to perform acupuncture and moxibustion treatment 1-2 times a week with herbal medicine. The treatment period is set to at least 12 weeks. Average treatment fee maybe calculated by converting the averaged treatment cost of clinic's one month worth of daily treatment fee and medical hospital's ten day treatment fee into weekly treatment cost.
1년 간 정상적인 부부생활을 하였음에도 불구하고 임신이 되지 않는 상태를 ‘불임’이라 하는 데1), 불임이 주는 부정적 의미를 순화하기 위해 최근에는 ‘난임’이란 용어로 대체하는 추세에 있다2).
정부의 난임치료 지원은 어떤것이 있는가?
불임증은 오래전부터 한의학적으로 치료 가능한 질환으로 인식하고, 현대의학이 발전한 오늘날에도 난임치료를 위해 한방의료기관을 찾는 환자는 많았다3,4). 그러나 최근 정부는 심화된 저출산 현상을 극복하고자, 출산장려정책의 일환으로 체외수정시술 및 인공수정시술 등 특정 난임시술에 시술비의 일부를 지원하는 「난 임부부 국가 지원사업」을 양방의료기관을 중심으로 시행된 이후, 한방의료기관을 찾는 불임 환자의 수가 줄어들고 있다3,4). 정부가 주관하는 이 사업은 2006년 시범 사업을 실시한 이후, 매년 확대되고 있다.
불임이란?
1년 간 정상적인 부부생활을 하였음에도 불구하고 임신이 되지 않는 상태를 ‘불임’이라 하는 데1), 불임이 주는 부정적 의미를 순화하기 위해 최근에는 ‘난임’이란 용어로 대체하는 추세에 있다2).
국가법령정보센터. 모자보건법(제.개정이유), (cited July 14, 2014), Available from: http://www.law.go.kr/LSW/lsInfoP.do?lsiSeq125554&lsId&viewClslsRvsDocInfoR&chrClsCd010102#0000.
세명대학교 한국건강증진재단. 한의약생식건강증진과 난임치료제도 마련을 위한 정책연구. 건강증진연구사업 정책보고서. 2012;87-109.
한국보건사회연구원 건강증진기금사업지원단. 우리나라 불임 및 불임관련 의료이용실태와 문제해결을 위한 연구. 건강증진기금연구사업 정책보고서. 2003;72-107.
포천중문의과대학교 건강증진사업지원단. 불임시술 성공률 증가를 위한 시술기관 질관리 및 평가시스템 구축. 건강증진기금연구사업 연구보고서. 2006;28-36.
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