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KMID : 1138520210240030142
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Journal of Pharmacopuncture
2021 Volume.24 No. 3 p.142 ~ p.151
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Utilization Trends and Concentration Ratio of Korean Medicine: Based on the National Health Insurance Data
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Lee Hye-Jae
Jeong Hye-In
Kim Kyeong-Han
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Abstract
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Objectives: Although Korean Medicine (KM) subsidized by the National Health Insurance (NHI) has been used for a long time, there has been no active analysis using claims data . Therefore, the purpose of this study was to examine the NHI KM utilization trend using NHI statistics and to measure the level of market concentration by year.
Methods: By restructuring the contents of NHI Statistics for Pharmaceuticals for 2010-2019, the claim cases, costs, and annual growth rates of KM were demonstrated by year, sex, age group, region, therapeutic group, and KM treatment. The proportion of highly used k treatments in cost was calculated as the concentration ratio (CR) k and its trend by year was investigated.
Results: In 2019, the NHI cost on KM amounted to \38.2 billion KRW, increasing by 11.6% per year on average in 2010-2019. Notably, KM was used more frequently among women and patients aged ≥ 65 years, and the mixed formulation accounted for 95% of the total cost of KM. The CR of the simple formulation increased rapidly, whereas that of the mixed formulation remained constant. In 2019, three simple formulation treatments-peony, licorice, and ginseng- accounted for 93.8% of the total cost for KM (CR3 = 93.8%).
Conclusion: NHI KM is rapidly increasing. Investigating the CR of KM confirmed that KM prescriptions have been concentrated in small numbers over the past 10 years.
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KEYWORD
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korean medicine, herbal preparation, national health insurance, concentration ratio, utilization trend
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