The aim of this study was to identify the complementary and substitute relationships between the use of Korean medicine (KM) and that of Western medicine (WM) in the treatment of musculoskeletal disease.
Methods:
We analyzed the 2009 Korea Health Panel dataset. General characteristics and the medical utilization of respondents were analyzed descriptively. Logistic regression, negative binominal regression, and Tobit regression analysis were used to identify the relationships between the use of KM and the use, visit frequency, and expenses of WM, respectively.
Results:
In the treatment of musculoskeletal disease, KM use and non-herbal treatments with Korean medicine significantly reduced WM use. Herb medication use significantly increased WM visit frequency. There were no significant relationships between KM use and WM expenses.
Conclusions:
There are substitute relationships between WM use and KM use, especially non-herbal treatments in KM. Therefore we need to develop the clinical protocols of KM and WM treatments in the treatment of musculoskeletal disease for proper distribution medical resources.
The Negative Binominal Regression Results on the Relations between WM Service Visit Frequency and KM Service Use in the Patients with Musculoskeletal Disease
1.. Health Insurance Review & Assessment Service. 2012 Health Insurance Statistics. Health Insurance Review & Assessment Service;(2012). 359606
2.. Jacobs JJ, Andersson GJ, Bell JE, Weinstien SL, Gnatz SM, Dormans JP, et al. The Burden of Musculoskeletal Diseases. Bone and joint decade. 2011. 1
3.. Jung G, & Kim JH. Comparison of Conventional Medicines and Complementary- Alternative Therapy Utilization on Musculoskeletal Pain. Health and Social Welfare Review;(2011). 31(4):478-493.
4.. Kim SY, & Park JY. The Utilization of Western and Oriental Medical Services by Outpatients with Musculoskeletal System Disorders and Its Related Factors. The Korean Journal of Health Service Management;(2012). 6(1):27-38.
5.. Andersen RM, & Aday LA. Access to medical care in the US : realized and potential. Medical Care;(1978). 16(7):533-546.
6.. Seo NG, An SJ, Hwang YH, Kang TW, Choi JS, & Jung YH, et al. (2013). Korean Health Panel In-depth Analysis Report. Korea Institute for Health and Social Affairs·National Health Insurance;(2013). 13
7.. Kim YA. The Comparison of Outpatient Clinic Use Factors, Medical Expenses and QOL with Western Medicine and Western·Korean Medicine. In : 4th Korean Health Panel Conference; 2012; p. 227-238.
8.. Oh IH, Yun SJ. The Analysis of Korean and Western Medical Use Ratio according to the Disease Using Korean Health Panel Data. In : 3th Korean Health Panel Conference; 2013; p. 165-176.
9.. Park MJ. The Research about Socioeconomical Dicision Factor of Korean Medicine Outpatients Clinic Use. In : 4th Korean Health Panel Conference; 2012; p. 213-225.
10.. Yoo WK. A Study on Recognition Level of the People on Oriental Medical Services and the Need for its Improvement. Korean Journal of Oriental Preventive Medical Society;(2003). 7(2):45-64.
11.. Choi BH, Kim DS, Yoo WK, Yun YJ, Kwon YK, & Lim BM, et al. Identifying Complementary and Substitute Relationships between Korean Medicine and Western Medicine using Korea Health Panel dataset. Korean Journal of Oriental Preventive Medical Society;(2013). 17(3):1-18.
12.. Paramore LC. Use of alternative therapies : estimates from the 1994 Robert Wood Johnson Foundation National Access to Care Survey. Journal of Pain and Symptom. Management;(1997). 13(2):83-89.
13.. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, & Kessler RC, et al. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. JAMA;(1998). 280(18):1569-1575.
14.. Kim NK, Yang BM, Lee TJ, & Kwon SM. An economic analysis of usual care and acupuncture collaborative treatment on chronic low back pain: a Markov model decision analysis. BMC Complement Altern Med;(2010). 2510-74. 10.1186/1472-6882-10-74
15.. Trinh KV, Graham N, Gross AR, Goldsmith CH, Wang E, Cameron ID, et al. Acupuncture for neck disorders. Cochrane Database Systematic review. 2006. 3:CD004870
16.. Furlan AD, van Tulder M, Cherkin D, Tsukayama H, Lao L, & Berman B, et al. Acupuncture and dry-needling for low back pain: an updated systematic review within the framework of the Cochrane collaboration. Spine;(2005). 30944-63.
17.. Witt C, Brinkhaus B, Jena S, Streng A, Wagenpfeil S, & Hummelsberger J, et al. Acupuncture in patients with osteoarthritis of the knee: a randomised trial. Lancet;(2005). 366136-43.
18.. Casimiro L, Barnsley L, Brosseau L, Milne S, Robinson VA, Tugwell P, et al. Acupuncture and electroacupuncture for the treatment of rheumatoid arthritis (review). Cochrane Database Systematic review. 2005. 4:CD003788
19.. Xu KT, & Farrell TW. The Complementary and Substitution between Unconventional and Mainstream Medicine among Racial and Ethnic Groups in the United States. Health Services Research;(2006). 42(2):811-826.