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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

  • Journal of Korean Medicine Rehabilitation
  • Abbr : JKMR
  • 2019, 29(4), pp.89-100
  • DOI : 10.18325/jkmr.2019.29.4.89
  • Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
  • Research Area : Medicine and Pharmacy > Korean Medicine
  • Received : September 3, 2019
  • Accepted : October 2, 2019
  • Published : October 31, 2019

Sung-ae Ye 1 Kim Namkwen ORD ID 2 SONG YUN KYUNG 1

1가천대학교 한의과대학 한방재활의학과교실
2부산대학교 한의학전문대학원

Accredited

ABSTRACT

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. (J Korean Med Rehabil 2019;29(4):89-100)

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