Utilization Trends and Concentration Ratio of Korean Medicine: Based on the National Health Insurance Data.
J Pharmacopuncture
; 24(3): 142-151, 2021 Sep 30.
Article
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| MEDLINE
| ID: mdl-34631196
ABSTRACT
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 â©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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MEDLINE
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Revista:
J Pharmacopuncture
Año:
2021
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Article