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Evidence-Based Complementary and Alternative Medicine
Volume 2014, Article ID 781675, 10 pages
http://dx.doi.org/10.1155/2014/781675
Research Article

Effect of a Comprehensive Health Care Program by Korean Medicine Doctors on Medical Care Utilization for Common Infectious Diseases in Child-Care Centers

1Graduate School of Public Health, Seoul National University, Sillim-dong, Kwanak-gu, Seoul 151-742, Republic of Korea
2Division of Traditional Korean Medicine Industry, Ministry of Health and Welfare, Doum 4-ro, Sejong-si 339-012, Republic of Korea
3Graduate School of Public Health, Seoul National University, Sillim-dong, Kwanak-gu, Seoul 151-742, Republic of Korea

Received 14 May 2014; Revised 28 July 2014; Accepted 28 July 2014; Published 11 September 2014

Academic Editor: Vassya Bankova

Copyright © 2014 Minjung Park et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

As the role of traditional medicine in community health improvement increases, a comprehensive health care program for infectious diseases management in child-care centers by Korean medicine doctors was developed. The purpose of this study is to evaluate the effects of the program intervention on infection-related medical care utilization among children. The study used a quasi-experimental design with nonequivalent control group, comparing pre- and post-intervention data of the same children. The program implemented interventions in terms of management, education, and medical examination for the teachers, parents, and children in 12-week period. The frequency of utilization, cost, and prescription days of drugs and antibiotics due to infectious diseases prior to the intervention were compared with those during the 3-month intervention, using health insurance claim data. A panel analysis was also conducted to support the findings. A significant reduction (12%) in infection-related visit days of hospitals was observed with the intervention (incident rate ratio = 0.88, ). And medical cost, drug prescription days, and antibiotics prescription days were decreased, although not statistically significant. A further cost-effectiveness analysis in terms of social perspectives, considering the opportunity costs for guardians to take children to medical institutions, would be needed.