Use of Western Medicine and Traditional Korean Medicine for Joint Disorders: A Retrospective Comparative Analysis Based on Korean Nationwide Insurance Data

Table 5

Average treatment amount and benefit per patient by year.

Category	2011			2012			2013			2014
	Total	185,933	140,190	45,052	192,290	144,552	47,009	202,967	152,456	49,617	208,739	156,519	51,398
Gender
Male	130,549	95,580	33,405	135,980	99,443	34,934	145,561	106,375	37,180	153,724	112,670	39,211
Female	225,139	171,769	53,297	232,227	176,546	55,573	243,557	185,039	58,411	248,061	187,859	60,108
Age (yr)
≦29	72,576	50,798	21,766	75,827	53,013	22,798	80,484	56,216	24,252	86,426	60,587	25,825
30–39	84,267	58,835	25,372	89,666	62,667	26,939	92,840	64,659	27,997	98,049	68,492	29,482
40–49	121,156	86,493	34,503	127,488	91,277	36,107	134,378	96,345	37,875	141,772	101,542	40,027
50–59	193,314	139,945	52,833	196,220	141,450	54,582	207,876	150,072	57,232	216,450	157,025	59,170
60–69	309,243	236,773	70,029	311,086	237,807	70,698	321,981	245,078	73,736	322,749	244,490	75,304
70–79	377,448	305,038	71,346	382,637	306,720	74,275	391,056	313,167	76,574	388,445	309,676	77,258
Medical insurance type
NHI	180,246	132,778	46,862	187,175	137,685	48,839	198,249	146,009	51,511	204,759	150,730	53,296
Medicaid	298,500	288,278	9,262	300,467	291,371	8,384	307,033	295,660	8,220	298,439	289,135	8,745
Others	302,890	0	0	281,712	720	0	193,558	0	0	285,501	0	0
Lesion of joint
M17	318,775	247,050	70,286	321,522	247,790	72,013	334,876	258,239	74,930	335,457	257,336	76,387
M17^&	214,173	161,693	51,469	228,679	172,504	55,286	246,375	185,404	59,464	250,494	188,780	60,578
M75	273,798	204,867	68,361	287,629	215,195	71,603	299,415	223,468	75,254	322,791	240,597	81,185
S63	59,589	41,837	17,681	60,432	42,435	17,970	62,989	44,297	18,650	67,402	47,452	19,899
S63^&	145,409	103,545	41,771	154,690	110,097	44,542	162,736	116,024	46,700	173,306	123,653	49,639
S93	80,779	56,892	23,850	83,765	58,891	24,844	88,453	62,166	26,253	94,310	66,510	27,765
Severity (CCI)
0	203,081	153,881	48,398	209,020	157,743	50,440	221,676	167,186	53,420	157,944	115,659	42,148
1	199,087	150,625	47,563	211,708	159,868	50,817	223,060	168,461	53,604	273,424	207,024	65,595
2	212,462	161,156	50,725	204,987	155,273	49,011	230,624	174,488	55,662	371,890	287,348	82,390
3+	204,016	154,551	48,973	247,400	188,624	57,910	244,925	186,833	57,180	470,263	368,719	93,844
Hospital admission
No	120,367	88,290	31,661	121,813	89,057	32,334	126,287	92,267	33,586	131,932	96,429	35,035
Yes	3,192,333	2,519,960	659,078	2,972,861	2,334,061	625,995	2,932,509	2,294,974	620,271	2,689,568	2,097,376	579,924
Inpatient visit
1≦	172,322	129,370	42,262	178,367	133,526	44,130	187,228	140,111	46,235	192,414	143,780	47,833
Outpatient visit
1	61,372	44,201	16,944	58,572	42,469	15,878	61,113	44,077	16,623	65,319	47,296	17,866
2-3	167,073	123,186	43,449	156,721	114,800	41,323	165,529	121,119	43,911	172,643	125,955	46,092
4≦	511,061	393,692	115,248	536,884	410,668	124,195	562,200	430,102	129,674	572,730	437,335	132,812
Type of medicine
Traditional	82,019	61,845	20,154	86,266	65,161	21,076	90,827	68,827	21,979	96,325	73,323	22,966
Both	368,924	280,760	87,644	382,499	290,307	91,415	410,128	310,688	97,825	421,279	318,877	101,784
Western	181,225	135,985	44,240	186,151	139,155	46,017	194,305	145,102	48,164	198,661	147,900	49,621
Hospital type
Tertiary and General Hospital	489,902	358,403	120,547	499,923	365,372	124,248	521,851	379,551	129,039	513,518	373,917	129,108
Hospital	400,853	302,498	97,522	400,137	301,007	97,878	403,412	303,041	99,363	401,838	299,704	101,105
Western Clinic	439,283	346,145	92,816	490,846	388,042	102,269	549,396	431,928	117,009	601,268	473,599	125,127
Long-term care hospital	151,730	115,386	36,252	152,247	115,222	36,955	161,165	121,970	39,115	164,468	124,275	40,104
Traditional Hospital	170,319	116,816	53,366	190,266	132,261	57,678	206,204	143,719	62,073	254,941	178,466	76,299
Traditional Clinic	123,954	93,265	30,612	126,000	94,782	31,157	133,370	100,470	32,823	138,372	104,463	33,798
Region
Seoul (Urban)	193,889	144,031	48,933	204,091	151,668	51,127	207,939	153,673	52,466	217,649	161,097	55,268
Metropolitan city	206,956	156,123	49,511	205,397	154,325	49,914	222,903	167,268	54,395	224,130	168,026	54,704
Other (Rural)	173,384	131,459	41,609	181,856	137,378	44,157	191,688	144,969	46,317	198,235	149,414	48,438
Ownership
Private	356,865	272,144	78,988	502,172	389,016	108,319	458,967	355,555	96,233	446,919	343,020	100,664
Corporation	399,808	296,961	96,104	395,387	293,375	95,243	414,433	306,100	100,105	428,235	315,244	105,371
Public	166,882	126,175	40,558	171,357	129,080	42,132	181,359	136,620	44,574	185,744	139,770	45,822

sum of INSUP and SLF paid to the medical care institution. The total costs of items determined to be eligible for reimbursement by the HIRA (Health Insurance Review and Assessment Service) out of the total treatment amount were indicated in the submitted insurance claim statement. : the cost reimbursed by the Korean National Health Insurance Service as the insurer. : the self-payment amount paid by the beneficiary. case involving one or more of the other three joint disorders which were included in this study.