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KMID : 0861120130170030001
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Korean Journal of Oriental Preventive Medicine
2013 Volume.17 No. 3 p.1 ~ p.18
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Identifying Complementary and Substitute Relationships between Korean Medicine and Western Medicine using Korea Health Panel dataset
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Choi Byung-Hee
Kim Dong-Su
Yoo Wang-Keun
Yun Young-Ju
Kwon Young-Kyu
Lee Sang-Jae
Lim Byung-Mook
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Abstract
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Objectives : Korea has a dual medical system where traditional Korean Medicine (KM) and Western Medicine (WM) exist on equal terms with exclusive practice boundaries. The aim of this study was to identify complementary and substitute relationships between KM and WM in Korea.
Methods : The data of 19,413 respondents were collected from the 2009 Korea Health Panel dataset. General characteristics and the medical utilization of respondents were analyzed descriptively. the Univariable Analysis was used to compare the factors that affected KM and WM utilization, and the Multivariable Analysis was applied to identify complementary or substitute relationships between the respondents’ choices for KM and WM. The data were analyzed by the seven disease groups; diseases of nervous system, circulatory system, respiratory system, digestive system, skin and subcutaneous tissue, musculoskeletal system, and connective tissue, injury, poisoning and others.
Results : 13.6% and 76.9% of respondents used KM and WM respectively last 12 months. 12.7% used both, and 0.9% used KM only. In overall, respondents who visited KM institutions used also WM. However, according to the analysis of choices of medical institutions, non-pharmacological KM treatment and WM has been used as a substitute for another in the diseases of the skin and subcutaneous tissue, diseases of the musculoskeletal system, and connective tissue, injury, poisoning and others.
Conclusions : Despite some exceptional disease areas, Korean people use KM complementarily to WM, and this result can rationalize the recent Korean government policies encouraging the cooperation of KM and WM. This study can be used for the future policies development for KM service delivery.
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KEYWORD
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Complementary and Substitute, Korean Medicine, Western Medicine, Medical Expenses, Medical Utilization
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