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KMID : 0895820190290040089
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Journal of Oriental Rehabilitation Medicine
2019 Volume.29 No. 4 p.89 ~ p.100
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Analysis of Medical and Korean Medical Services Utilization after Lumbar Surgery Patients: Using Health Insurance Review and Assessment Service’s Patients Sample Data
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Ye Sung-Ae
Kim Nam-Kwen
Song Yun-Kyung
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Abstract
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Objectives: We are going to analyze patient‘s medical and Korean medicine use trends after lumbar surgery, and examine the percentage of use of Korean medicine after surgery and its relevance to the medical care outcome after lumbar surgery.
Methods: Using 3% patients’ sample data of the Health Insurance Review and Assessment Service, two groups were compared the treatment progress of the Korean Medicine treatment group and the untreated group after lumbar surgery by hierarchical logistic regression analysis. After hierarchical logistic regression analysis(including propensity scores), two groups were compared after lumbar surgery, the Korean Medicine treatment group within 50days and untreated group within 50days.
Results: Lumbar surgery was performed in 2750 patients in 2015. It was 3.72 that the risk(odds ratio) of finished treatment of patients treated without Korean Medicine, compared to patients with Korean Medicine. It was 0.12 that the risk of continuing treatment(odds ratio) of patients treated with Korean Medicine within 50 days, compared to patients treatment more than 50 days.
Conclusions: The ratio of Korean Medicine treatment after lumbar surgery was 14.8%. The group that did not have Korean Medicine showed a higher possibility of treatment termination than the group who did not. Among the groups treated with Korean Medicine, the early treatment group was more likely to end treatment than the late treatment group. Considering various situations in the medical environment, further studies such as prospective studies and long-term data analysis are considered to be necessary.
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KEYWORD
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Lumbar vertebrae, Surgery, Intervertebral disc, Spinal stenosis, Health services
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