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KMID : 0363620230440010001
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Journal of Korean Oriental Medicine
2023 Volume.44 No. 1 p.1 ~ p.15
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Study on the distribution in major disease category and frequency of clinical usage of national health insurance herbal prescription based on analysis on KCD8 disease code of indications
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Lim Dong-Woo
Ahn Jung-Yun
Yu Ga-Ram
Kim Jai-Eun
Park Won-Hwan
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Abstract
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Objective s: National health insurance herbal prescription of Korean medicine has been serving important role in public healthcare in spite of continuous demand on revision of system. However, the categories of insurance herbal prescriptions are not equally distributed throughout the KCD-based major disease categories. We analyzed statistical database of claimed national health insurance classified as major disease categories by years. We classified all 56 herbal prescriptions as per their total medical indications into 22 major disease categories to analyze their distribution.
Significant increase of M and S-T code claims were found, whereas decrease of U code claims by years. We figured out that the 56 prescriptions were unequally distributed along with enrichment of certain codes such as K and J.
Meanwhile, the insurance claim of each prescription was positively correlated with number of code types of their indications. As a result, we believe that the reform of national health insurance herbal prescription list is necessary to promote use of it in clinic.
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KEYWORD
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KCD8 disease code, indications, national health insurance herbal prescription, frequency of usage, major disease category
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