Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment S...
Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service's Patients Sample Data. Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted. The claim data were rebuilt with the operational concept of 'episode of care' and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method. Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy. As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group. Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future.
Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service's Patients Sample Data. Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted. The claim data were rebuilt with the operational concept of 'episode of care' and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method. Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy. As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group. Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future.
Lim SM. An actual utilization and development plan study of interdisciplinary medical care at the National Rehabilitation Center. The Journal of Society of Korean Medicine Diagnostics. 2014;18(10):25-31.
Ryu JS, Lim BM, Chok BM, Lee YC, Yoon TH. Consciousness on co-operative practices between doctors who working in cooperative practicing hospitals and general hospital, Journal of Society of Preventive Korean Medicine. 2009;13(3):29-41.
Kim KH. A study on utiization of medical doctors co-operated with traditional Korean medicine. Seoul:Korean Medical Association. 2004:1-88.
Ministry of Health and Welfare. Korean medicine and west medicine collaboration 1st demontration project guide. Seoul:Ministry of Health and Welfare. 2016:1-36.
Ministry of Health and Welfare. Korean medicine and west medicine collaboration 2nd demontration project guide. Seoul:Ministry of Health and Welfare. 2017:1-63.
Ministry of Health and Welfare. Announcement of tasks subject to new support for the 2020 integrated medical research support project [Internet] 2020 [cited 2021 Sep 13]. Available from: URL: https://www.htdream.kr/.
Jun EH, Lee HJ, Cho MK, Kim NK, Lee I. Trend analysis of Korean-Western medicine collaboration studies by disease group. Journal of Korean Internal Medicine. 2020;41(4):658-67.
Uhm TW, Kim NK, Kim S. An analysis on present condition of the cooperative medical care using the episode of care : claims data of Health Insurance Review & Assessment Service. Journal of Society of Preventive Korean Medicine. 2015;19(2):51-6.
Jang EJ. Study on the improvement of healthcare big data utilization [Internet] Health Insurance Review and Assessment; 2016 [cited 2021 Aug 23]. Available from: URL: https://repository.hira.or.kr/handle/2019.oak/2465.
Ye SA, Kim NK, Song YK. Analysis of medical and Korean medical services utilization after lumbar surgery patients: using Health Insurance Review and Assessment Service's Patients Sample Data. J Korean Med Rehabil. 2019;29(4):89-100.
Kim LG, Sakong J, Kim Y, Kim S, Kim SK, Tchoe BH, Jeong HS, Lee TR. Developing the inpatient sample for the National Health Insurance Claims Data. Health Policy and Management. 2013;23(2):152-61.
Park HY, Park YS. Construction of medical episode data using National Health Insurance Service Data. Journal of Convergence for Information Technology. 2019;9(9): 195-200.
De Vet HC, Heymans MW, Dunn KM, Pope DP, Van der Beek AJ, Macfarlane GJ, Bouter LM, Croft PR. Episodes of low back pain: a proposal for uniform definitions to be used in research. Spine. 2002;27(21):2409-16.
Park HS, Uhm TW, Kim NK. A study on the facial palsy patients' use of Western-Korean collaborative treatment: Using HIRA-NPS. Journal of the Korean Data & Information Science Society. 2017;28(1):75-86.
Quan H, Sundararajan V, Halfon P, Fong A, Burnand B, Luthi JC, Saunders LD, Beck CA, Feasby TE, Ghali WA. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005;43(11):1130-9.
Lee CH, Chung CK, Kim CH, Kwon JW. Health care burden of spinal diseases in the Republic of Korea: analysis of a nationwide database from 2012 through 2016. Neurospine. 2018;15(1):66-76.
Lee CH, Chung CK, Jang JS, Chin DK, Lee JK. 'Lumbar degenerative kyphosis' is not byword for degenerative sagittal imbalance: time to replace a misconception. Journal of Korean Neurosurgical Society. 2017;60:125-9.
Lee JH, Choi KH. Kang S, Kim DH, Kim DH, Kim BR, Kim W, Kim JH, Do KH, Do JG, Ryu JS, Min K, Bahk SG, Park YH, Bang HJ, Shin KH, Yang S, Yang HS, Yoo SD, Yoo JS, Yoon KJ, Yoon SJ, Lee GJ, Lee SY, Lee SC, Lee SY, Lee SC, Lee SY, Lee IS, Lee JS, Lee CH, Lim JY, Han JY, Han SH, Sung DH, Cho KH, Kim SY, Kim HJ, Ju W. Nonsurgical treatments for patients with radicular pain from lumbosacral disc herniation. Spine Journal. 2019;19(9):1478-89.
Korean Medicine Standard Clinical Care Guidelines Development Project Group. Korean medicine clinical practice guideline for lumbar herniated intervertebral disc. Seoul:Koonja. 2020:1-166.
Jeong YM, Cho SW. Survey on perception level of the east-west collaborative medical practices among the general public. J Korean Med Rehabil. 2019;29(1):41-61.
Yoon KJ, Lee AY, Kim HS, Choi JH, Lee JA, Kim NK, Hwang DK, Lee SY. Korean medicine and western medicine collaboration 2nd pilot project evaluation research. Sejong:Korea Institute for Health & Social Affairs. 2018:1-273.
AI-Helper
※ AI-Helper는 부적절한 답변을 할 수 있습니다.