Disease-specific differences in the use of traditional Korean medicine in Korea.
BACKGROUND
Though traditional Korean medicine plays an important role in the Korean parallel health care system, there is limited information about the preference and usage of traditional Korean medicine compared to Western medicine because they have different disease classification systems. The aim of this study is to determine the relative preference for traditional Korean medicine using data acquired nationwide.


METHODS
Data from the 2008 Korea Health Panel were analyzed to determine the preference of medical services by disease. The use of traditional Korean medicine use is defined by the type of medical institution they used. Disease types, number of visits and out of pocket expenditures were analyzed.


RESULTS
Traditional Korean medicine was used in only a small number of cases that were emergencies or hospitalization. However, in terms of outpatient services, traditional Korean medicine was used in 7.8% of all cases and represented 9.9% of total medical costs. Among disease groups, traditional Korean medicine use was higher in patients with nervous system and musculoskeletal system diseases. And patients with musculoskeletal and nervous system diseases such as arthrosis were the most likely to use traditional Korean medicine particularly in an outpatient setting.


CONCLUSIONS
Korean characteristics of service use resemble the complementary and alternative medicine use in other countries in terms of disease group, and the complementary and alternative medicine should be considered to estimate the burden of disease in countries with parallel health care systems, such as Korea. This is the first study determined the actual preference of traditional Korean medicine for specific chronic diseases.
Department of Preventive Medicine, School of Medicine, Kyung Hee University, 1, Seoul, Heogi-Dong, Dongdaemun-gu, 130-701, Korea. parenchyme@gmail.com.
In-Hwan
IH
Oh
Department of Preventive Medicine, College of Medicine, Korea University, 5-Ga, Anam-dong, Seoul, Seongbuk-gu, 136-705, Korea. yoonsj02@korea.ac.kr.
Seok-Jun
SJ
Yoon
Graduate School of Public Health, Seoul National University, Seoul, Daehak-dong, Gwanak-gu, 151-742, Korea. mjimage@hanmail.net.
Minjung
M
Park
Department of Preventive Medicine, School of Medicine, Kyung Hee University, 1, Seoul, Heogi-Dong, Dongdaemun-gu, 130-701, Korea. hygienist81@nate.com.
SoHee
S
An
D000553:Ambulatory Care; D002908:Chronic Disease; D000529:Complementary Therapies / Q000379:methods / Q000706:statistics & numerical data*; D003695:Delivery of Health Care; D004630:Emergencies; D017048:Health Care Costs; D006760:Hospitalization; D006801:Humans; D055670:Medicine, Korean Traditional; D009140:Musculoskeletal Diseases / Q000628:therapy*; D009422:Nervous System Diseases / Q000628:therapy*; D010003:Osteoarthritis / Q000628:therapy*; D010045:Outpatients; D010342:Patient Acceptance of Health Care; D056910:Republic of Korea