본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

사망전 노인의 전체보건의료비용에서 보완대체요법 비용과 비용분율에 관한 연구
A Study on the Cost and Proportion of Complementary and Alternative Medicine in Total Healthcare Cost among Elderly in the Last 6 Months of Life

이지전   (연세대학교 보건대학원UU0000936  ); 오희철   (연세대학교 의과대학 예방의학교실UU0000936  ); 이상욱   (관동대학교 의과대학 예방의학교실UU0000185  );
  • 초록

    Objectives : To evaluate the cost and proportion of complementary and alternative medicines (CAM) in the total healthcare costs among the elderly in the last 6 months of life. Methods : The care-giving families of 301 persons older than 65 years, who died between July 1st and December 31st of 2001, and were also registered in Self-Employed Health Insurance Programs in Seoul, were interviewed. Results : The cost of CAM was 1.09 million Won, which as a proportion of the total healthcare cost was 38.1%. The elderly aged between 65 and 69 year-old, male, living with their spouse, Buddhist and having cancers had higher CAM costs in an ANOVA and simple regression analysis. After controlling of various factors, age was the only significant factor associated with the cost of CAM. The elderly above 80 years old, female, bereaved and Buddhist had higher proportional CAM costs, and the elderly having cancers or cardiovascular diseases had lower proportional CAM costs in an ANOVA and simple regression analysis. After adjusting for various factors, the elderly above 85 years old, female and Buddhist had higher proportional CAM costs, and the elderly having cancers had lower proportional CAM costs. Conclusion : The very old and Buddhist, and/or the ill with no clear diagnosis, may depend more on CAM. Further research will be needed on the meaning and impact of CAM and their costs to public health and the total healthcare system.


  • 주제어

    Complementary medicine .   Alternative medicine .   Healthcare cost.  

  • 참고문헌 (22)

    1. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC. Trends in Alternative Medicine Use in the United State, 1990-1997: Results of a Follw-up. National Survey. JAMA 1998; 280: 1569-1575 
    2. Green LA, Fryer GE Jr, Yawn BP, Lanier D, Dovey SM. The ecology of medical care revisited. N Engl J Med. 2001; 344: 2021-2025 
    3. Ernst E. The current position of comple mentary/alternative medicine in cancer. Eur J Cancer2003; 39: 2273-2277 
    4. Yeh GY, Eisenberg DM, Davis RB, Phillips RS. Use of complementary and altemative medicine among persons with diabetes melltus: results of a national survey. Am I Public Health 2002; 92: 1648-1652 
    5. Lee SI, Khang YH, Lee MS, Koo HJ, Kang W, Hong C. Complementary and Alternative Medicine Use in Korea: Pre valence, Pattern of Use, and Out-of-pocket Expenditures. Korean J Prev Med 1999; 32: 546-555 (Korean) 
    6. Jun ES, Park KH, Park HK, Lee JW, Yoo DH, Kim SY. Use of complementary therapies for rheumatologic conditions among patients of rheumatologist. J Koren Acad Fam Med 2001; 22(3): 371 385(Korean) 
    7. Lee MS, A Survey of Utilization of Complementary AIternative Medicine in Diabetes Mellitus. J Korean Acad Nurs 2001; 31(1): 7-19(Korean) 
    8. Yi JJ, Park KS, Yu SH, Kim JI, Park lY, Yu WG, Yi SW. Medical Service Utilization and Trends among Korean Elderly in the Last One Year of Life Korean J Prev Med 2003; 36(4): 332-338 (Korean) 
    9. Wong SS, Nahin RL. National Center for Complementary and Alternative Medicine perspectives for complementary and alternative medicine research in cardiovascular disease. Cardiol Rev 2003; 11: 94-98 
    10. Foote-Ardah CE. The meaning of complementary and alternative medicine practices among people with HIV in the United States: starategies for managing everyday life. Soc Health Illn 2003; 25:481- 500 
    11. 이상욱, 이지전, 박종연.종말기 노인환자의 보건의료 비용과 삶의질. 관옹의대예 방의학교실. 2002 
    12. Cheong YS, Park EW,Yoo SM, Kim KS, Jung HW, Shim SK, Kim GH, Lee JM, Park YJ, Yeoum HT. Use of Traditional Medicine and Folk Remedies in Hypertensive Patients J Korean Acad Fam Med 1998; 19: 141-149(Korean) 
    13. Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL Unconventional Medicine in the United States: prevalence, Costs, and Patterns of Use. N Engl J Med 1993; 328: 246-252 
    14. Http://nccam.nih.gov/health/whatiscam/index .htm accessed on October 20, 2003 
    15. Park HS, Lee YM. A Study on Use of Alternative Therapy in Cancer. Korean J Reh Nurs 2000; 3(2): 212-227 (Korean) 
    16. 박노례. 암 환자의 사망천 1년간 의료이용행태 및 진료비 변동양상 인제대학교 대학원보건학과박사학위논문, 2000 
    17. Lee KS, Ahn HS. Hwang LI, Lee YS, Koo BH Utilization of Alternative Therapies in Cancer Patients. J Korean Cancer Assoc 1998; 30: 203-213 (Korean) 
    18. Nilsson M, Trehn G, Asplund K. Use of complementary and alternative medicine remedies in Sweden. A population-based longitudal study within the northern Sweden MONICA Project. Multinational Monitoring of Trends and Determinantsof Cardiovascular Disease. J Intern Med 2001; 250: 225-233 
    19. Song MS, Chun KH, Song HJ, Park IW, Yoo SC. Attitudes toward Comple mentary and Alternative Medicine in Suwon City. Korean J Prev Med 1999; 32: 162-169 (Korean) 
    20. Yi JJ, Lee HN, Ohrr H,Jung HY, Yi SW. A Study on the Association between Healthcare Utilization and the Burden of Families Caring for the Elderly in the Last 6 Months of Life. Korean J Prev Med 2003; 36(4): 325- 331 (Korean)     
    21. Maclennan AH, Wilson DH, Taylor AW. Prevalence and cost of alternative medicine in Australia. Lancet 1996; 347: 569- 573 
    22. Choi YJ, Chung HW, Choi SY. A Study on the Use of Alternative Medicine for Caner Patients Admitted at a Hospital J Korean Public Health Assoc 1998; 24(1): 167-168 (Korean) 
  • 이 논문을 인용한 문헌 (3)

    1. Kam, Sin ; Park, Ki-Soo 2008. "Utilization and Out-of-pocket Expenditure of Complementary and Alternative Medicine in Low-income Patients with Osteoarthritis in a City" 農村醫學·地域保健 = Journal of agricultural medicine & community health, 33(2): 181~192     
    2. Moon, Gi-Won ; Kim, Jun-Ho ; Kim, Chun-Bae 2013. "Utilization Behaviour and Influencing Factors of Complementary and Alternative Medicine Therapies Among the Elderly" 農村醫學·地域保健 = Journal of agricultural medicine & community health, 38(1): 25~38     
    3. Chung, Myung-Sill ; Lim, Kyung-Choon 2015. "Health Status and the Use of Complementary and Alternative Therapies in the Community Dwelling Pre-elderly and Elderly" 재활간호학회지 = The Korean journal of rehabilitation nursing, 18(1): 46~56     

 저자의 다른 논문

  • 이지전 (11)

    1. 2000 "병원 조직의 특성이 언론홍보실적에 미치는 영향" 병원경영학회지 = Korea journal of hospital management 5 (1): 176~199    
    2. 2001 "장기요양시설 노인의 환자구성에 관한 연구" 병원경영학회지 = Korea journal of hospital management 6 (3): 130~147    
    3. 2001 "RUG-III를 이용한 노인환자군분류의 타당성검증" 병원경영학회지 = Korea journal of hospital management 6 (3): 148~166    
    4. 2003 "유료 노인전문요양원 이용 경험에 관한 질적 연구" 보건행정학회지 = Korean journal of health policy and administration 13 (1): 1~22    
    5. 2003 "전국 관청의 금연프로그램 실시 현황과 문제점" 保健敎育健康增進學會誌 = Korean journal of health education and promotion 20 (1): 77~90    
    6. 2003 "노인의 사망 전 1년간 의료이용 수준과 추이분석" 예방의학회지 = Korean journal of preventive medicine 36 (4): 325~331    
    7. 2003 "노인의 사망 전 6개월간 의료이용수준과 간병가족의 가족부담과의 관련성" 예방의학회지 = Korean journal of preventive medicine 36 (4): 332~338    
    8. 2004 "노인병원과 종합병원의 선택요인 및 환자만족도 분석" 병원경영학회지 = Korea journal of hospital management 9 (2): 46~75    
    9. 2004 "즐겨 마시는 술의 종류와 음주 및 건강특성의 관련성" Journal of preventive medicine and public health = 예방의학회지 37 (2): 133~140    
    10. 2004 "장기요양환자에서 환자 특징 및 기능상태와 환자돌봄 시간과의 관련성" Journal of preventive medicine and public health = 예방의학회지 37 (3): 282~291    
  • 오희철 (31)

  • Yi, Sang-Wook (20)

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
유료다운로드
  • 원문이 없습니다.

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 출판된 논문 + 더보기