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JKM > Volume 35(1); 2014 > Article
Jung, Park, and Lee: Nationwide Study on the Characteristics of Patients Visiting and Using Korean Medical Facilities by Sex

Abstract

Objectives

This study aimed to analyze the utilization of Korean medical clinics by sex.

Methods:

Data was based on reports about usage and consumption of Korean medicine in 2011 by the Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. 171 Korean medical hospitals and more than 300 Korean medical clinics were selected after 2 rounds of extraction, from the 12,250 Korean medical institutions throughout the country. The investigation was carried out between August 25 and September 30, 2011. The study group was composed of 290 men and 813 women; Korean medical institutions including clinics and hospitals were mainly used for their health care.

Results:

  1. For sociodemographic distribution, sex, marital status, education level, occupation status, and income level showed statistically significant differences.

  2. Females had a lower subjective health status than did males. Muscle injury, hwa-byung, gastric disorder, lumbago, common cold, weight loss, and herbal tonics showed differences in prevalence rates between the sexes.

  3. Arthritis, muscle injury, gastric disorder, ankle sprain, herbal tonics, and stroke showed differences in usage rates between the sexes. Likewise, major treatment methods had differences between the sexes.

  4. There were no statistically significant differences between the sexes concerning acupuncture.

Conclusions:

Females were lower than males in several aspects of income and education level and occupation status. Males had a higher subjective health status than did females. Differences by sex of treatment methods and prevalence rates of several diseases existed.

Fig. 1
Flow Chart of Study
jkm-35-1-75-8f1.tif
Table 1
Sociodemographic Characteristics of Research Subjects
한방의료기관 이용자 전체 및 성별빈도 전체 한방의료기관 이용자 남성 한방의료기관 이용자 여성 한방의료기관 이용자 p-value

인구사회학적 특성

전체 1,103(100.0) 217(26.3) 886(73.7)

나이1) 10 대 미만 7(0.6) 4(1.4) 3(0.4) 0.1244
10대 33(3.0) 13(4.5) 20(2.5)
20대 112(10.2) 31(10.7) 81(10.0)
30대 181(16.4) 47(16.2) 134(16.5)
40대 254(23.0) 77(26.6) 177(21.8)
50대 183(16.6) 43(14.8) 140(17.2)
60대 185(16.8) 40(13.8) 145(17.8)
70대 129(11.7) 32(11.0) 97(11.9)
80대 이상 19(1.7) 3(1.0) 16(2.0)

혼인상태 미혼 150(13.6) 56(19.3) 94(11.6) 0.0001
기혼 793(72.0) 216(74.5) 577(71.1)
사별 139(12.6) 14(4.8) 125(15.4)
이혼 15(1.4) 3(1.0) 12(1.5)
별거 4(0.4) 0(0.0) 4(0.5)
기타 1(0.1) 1(0.3) 0(0.0)

교육정도2) 무학 75(6.9) 11(3.8) 64(7.9) 0.0001
초등학교 169(15.4) 23(8.0) 146(18.1)
중학교 134(12.2) 30(10.4) 104(12.9)
고등학교 357(32.6) 91(31.6) 266(33.0)
대학교 358(32.7) 132(45.8) 226(28.0)

직업유무 554(50.6) 201(69.8) 353(43.7) 0.0001
아니오 541(49.4) 87(30.2) 454(56.3)

소득수준 100만원 이하 243(22.1) 47(16.3) 196(24.2) 0.0065
101만원∼200만원 253(23.0) 61(21.1) 192(23.7)
201만원∼300만원 213(19.4) 69(23.9) 144(17.8)
301만원∼400 만원 156(14.2) 43(14.9) 113(14.0)
401만원∼500만원 111(10.1) 26(9.0) 85(10.5)
501만원 이상 123(11.2) 43(14.9) 80(9.9)

건강보험종류 지역가입 407(36.9) 117(40.3) 290(35.7) 0.1595
사업자(직장) 가입 632(57.4) 161(55.5) 471(58.0)
의료급여 1종 36(3.3) 10(3.5) 26(3.2)
의료급여 2종 18(1.6) 1(0.3) 17(2.1)
기타 9(0.8) 1(0.3) 8(1.0)

1) 항목별 무응답 건수: 혼인상태 무응답 : 1건, 교육정도 : 8건, 소득수준 : 4건, 건강보험종류 : 1건

2) 중복된 항목 제외: 미취학2건

Table 2
Health Status, Types of Frequently Visited Medical Clinics, Type of Frequently-Visited Korean Medical Clinics, and the Usage Frequently of Korean Medical Clinics When In Need of Treatment*
단위: 명(%)
한방의료기관 이용자 전체 및성별 빈도 전체 한방의료기관 이용자 남성 한방의료기관 이용자 여성 한방의료기관 이용자 p-value1)

세부항목

주관적 건강상태2) 매우 좋음 36(3.3) 14(4.8) 22(2.7) 0.0119
좋음 237(21.5) 77(26.6) 160(21.5)
보통 476(43.2) 123(42.4) 353(43.2)
나쁨 318(28.9) 71(24.5) 247(28.9)
매우 나쁨 35(3.2) 5(1.7) 30(3.2)

한방진료시 이용하는 진료기관3) 한의원 816(76.1) 199(70.3) 617(78.1) 0.0465
한방병원 226(21.1) 74(26.2) 152(19.2)
한약방 4(0.4) 1(0.4) 3(0.4)
약국 4(0.4) 3(1.1) 1(0.1)
침술원 4(0.4) 1(0.4) 3(0.4)

한방의료기관 이용환자의 주요 질환 고혈압 46(4.2) 8(2.8) 38(4.7) 0.1613
화병 58(5.3) 5(1.7) 53(6.5) 0.0017
불임 4(0.4) 0(0.0) 4(0.5) 0.2314
관절염 274(24.8) 49(16.9) 225(27.7) 0.0003
위장장애 208(18.9) 28(9.7) 180(22.1) 0.0001
발목을 삠 189(17.1) 50(17.2) 139(17.1) 0.9554
요통 418(37.90) 80(27.6) 338(41.6) 0.0001
감기 156(14.1) 28(9.7) 128(15.7) 0.0106
근육 부상 264(23.9) 94(32.4) 170(20.9) 0.0001
당뇨병 22(2.0) 5(1.7) 17(2.1) 0.7012
아토피 25(2.8) 5(1.7) 20(2.5) 0.4698
허리를 삠 235(21.3) 69(23.8) 166(20.4) 0.2282
중풍 64(5.8) 23(7.9) 41(5.0) 0.0709
3(0.3) 1(0.3) 2(0.3) 0.7815
오십견 105(9.5) 29(10.0) 76(9.4) 0.7454
생리통 53(4.8) - 53(6.5) -
천식 18(1.6) 3(1.0) 15(1.9) 0.3496
골절 39(3.5) 11(3.8) 28(3.4) 0.7823
다이어트(비만) 43(3.9) 2(0.7) 41(5.0) 0.0010
피부미용 11(1.0) 2(0.7) 9(1.1) 0.5392
체형교정 21(1.9) 2(0.7) 19(2.3) 0.0780
체질개선 80(7.3) 15(5.2) 65(8.0) 0.1116
보약처방 289(26.2) 51(17.6) 238(29.3) 0.0001
키(성장) 7(0.6) 2(0.7) 5(0.6) 0.8907
교통사고 후유증 71(6.4) 19(6.6) 52(6.4) 0.9261

* 복수 응답 허용

1) χ2 검증 검정

2) 전체 대상자 중 해당 질병의 숫자와 비율임

3) 양방병원이라고 응답한 4명 제외

Table 3
Usage Frequency of Korean Medicine by Treatment Methods
단위: 명(%)
전체 및 성별빈도 전체 한방의료기관 이용자 남성 이용자 여성 이용자 p-value

한방치료법

한약 6(0.6) 4(1.4) 2(0.3) 0.1346
한약+한약제제 10(0.9) 4(1.4) 6(0.8)
한약+침 296(27.5) 59(20.7) 237(29.9)
한약+뜸 2(0.2) 0(0.0) 2(0.3)
한약+부항 4(0.4) 0(0.0) 4(0.5)
한약+추나 5(05) 1(0.4) 4(0.5)
한약+기타 1(0.1) 0(0.0) 1(0.1)
한약제제 1(0.1) 0(0.0) 1(0.1)
한약제제+침 29(2.7) 11(3.9) 18(2.3)
한약제제+뜸 1(0.1) 1(0.4) 0(0.0)
19(1.8) 6(2.1) 13(1.6)
침+뜸 127(11.8) 33(11.6) 94(11.9)
침+부항 139(12.9) 43(15.1) 96(12.1)
침+추나 25(2.3) 6(2.1) 19(2.4)
침+한방 물리요법 401(37.2) 114(40.0) 287(36.2)
침+기타 3(0.3) 1(0.4) 2(0.3)
뜸+부항 1(0.1) 0(0.0) 1(0.1)
뜸+한방 물리요법 2(0.2) 0(0.0) 2(0.3)
부항+추나 1(0.1) 0(0.0) 1(0.1)
부항+한방 물리요법 1(0.1) 1(0.4) 0(0.0)
Table 4
Ten Major Symptoms and Treatment Methods that Prompted Patients to Receive Treatment at Korean Medical Facilities during the Last Three Months*
단위: 명(%)
한방의료기관 이용자 전체및 성별 빈도 전체 한방의료기관이용자 남성 한방의료기관 이용자 여성 한방의료기관 이용자 p-value1)

질병별 한방치료법

요통2) 338(30.6) 78(26.9) 260(32.0) 0.1069

치료법3) 한약 68(6.2) 13(4.5) 55(6.8) 0.1653
한약제제 33(3.0) 9(3.1) 24(3.0) 0.8966
328(29.7) 76(26.2) 252(31.0) 0.1256
130(11.8) 25(8.6) 105(12.9) 0.0515
부항 172(15.6) 38(13.1) 134(16.5) 0.1733
추나 28(2.5) 4(1.4) 24(3.0) 0.1438
한방물리요법 235(21.3) 58(20.0) 177(21.8) 0.5271
기타 5(0.5) 1(0.3) 4(0.5) 0.7487

관절염 197(17.9) 40(13.8) 157(19.3) 0.0352

치료법 한약 40(3.6) 6(2.1) 34(4.2) 0.0984
한약제제 16(1.5) 1(0.3) 15(1.9) 0.0666
193(17.5) 40(13.8) 153(18.8) 0.0531
80(7.3) 12(4.1) 68(8.4) 0.0172
부항 82(7.4) 11(3.8) 71(8.7) 0.0059
추나 7(0.6) 0(0.0) 7(0.9) 0.1129
한방물리요법 134(12.2) 26(9.0) 108(13.3) 0.0533
기타 3(0.3) 1(0.3) 2(0.3) 0.7815

근육부상 182(16.5) 70(24.1) 112(13.8) 0.0001

치료법 한약 25(2.3) 9(3.1) 16(2.0) 0.2647
한약 14(1.3) 7(2.4) 7(0.9) 0.0426
175(15.9) 68(23.5) 107(13.2) 0.0001
63(5.7) 24(8.3) 39(4.8) 0.0284
부항 89(8.1) 40(13.8) 49(6.0) 0.0001
추나 16(1.5) 6(2.1) 10(1.2) 0.3049
한방물리요법 118(10.7) 45(15.5) 73(9.0) 0.0020

허리삠 168(15.2) 48(16.6) 120(14.8) 0.4660

치료법 한약 39(3.5) 10(3.5) 29(3.6) 0.9251
한약제제 15(1.4) 3(1.0) 12(1.5) 0.5773
162(14.7) 47(16.2) 115(14.2) 0.3945
66(6.0) 21(7.2) 45(5.5) 0.2929
부항 77(7.0) 25(8.6) 52(6.4) 0.2018
추나 23(2.1) 3(1.0) 20(2.5) 0.1447
한방물리요법 96(8.7) 33(11.4) 63(7.8) 0.0597
기타 1(0.1) 0.(0.0) 1(0.1) 0.5502

위장장애 153(13.9) 22(7.6) 131(16.1) 0.0003

치료법 한약 61(5.5) 12(4.1) 49(6.0) 0.2269
한약제제 47(4.3) 9(3.1) 38(4.7) 0.2556
133(12.1) 16(5.5) 117(14.4) 0.0001
56(5.1) 5(1.7) 51(6.3) 0.0024
부항 17(1.5) 3(1.0) 14(1.7) 0.4145
추나 1(0.1) 0(0.0) 1(0.1) 0.5502
한방물리요법 18(1.6) 5(1.7) 13(1.6) 0.8852
기타 3(0.3) 1(0.3) 2(0.3) 0.7815

발목삠 117(10.6) 40(13.8) 77(9.5) 0.0402

치료법 한약 11(1.0) 6(2.1) 5(0.6) 0.0324
한약제제 9(0.8) 3(1.0) 6(0.7) 0.6299
111(10.1) 39(13.5) 72(8.9) 0.0256
43(3.9) 14(4.8) 29(3.6) 0.3410
부항 45(4.1) 19(6.6) 26(3.2) 0.0132
추나 7(0.6) 0(0.0) 7(0.9) 0.1129
한방물리요법 59(5.4) 19(6.6) 40(4.9) 0.2891
기타 1(0.1) 0(0.0) 1(0.1) 0.5502

감기 102(9.3) 23(7.9) 79(9.7) 0.3674

치료법 한약 61(5.5) 16(5.5) 45(5.5) 0.9909
한약제제 37(3.4) 3(1.0) 34(4.2) 0.0106
41(3.7) 7(2.4) 34(4.2) 0.1718
8(0.7) 2(0.7) 6(0.7) 0.9336
부항 6(0.5) 1(0.3) 5(0.6) 0.5912
추나 0(0.0) 0(0.0) 0(0.0) -
한방물리요법 7(0.6) 0(0.0) 7(0.9) 0.1129
기타 1(0.1) 1(0.3) 0(0.0) 0.0939

보약 83(7.5) 13(4.5) 70(8.6) 0.0222

치료법 한약 82(7.4) 13(4.5) 69(8.5) 0.0256
한약제제 1(0.1) 0(0.0) 1(0.1) 0.5502
5(0.5) 0(0.0) 5(0.6) 0.1807
0(0.0) 0(0.0) 0(0.0) -
부항 1(0.1) 0(0.0) 1(0.1) 0.5502
추나 0(0.0) 0(0.0) 0(0.0) -
한방물리요법 0(0.0) 0(0.0) 0(0.0) -

오십견 55(5.0) 17(5.9) 38(4.7) 0.4249

치료법 한약 13(1.2) 3(1.0) 10(1.2) 0.7911
한약제제 7(0.6) 1(0.3) 6(0.7) 0.4691
54(4.9) 17(5.9) 37(4.6) 0.3744
18(1.6) 3(1.0) 15(1.9) 0.3496
부항 26(2.4) 11(3.8) 15(1.9) 0.0605
추나 8(0.7) 1(0.3) 7(0.9) 0.3738
한방물리요법 24(2.2) 10(3.5) 14(1.7) 0.0836

중풍 48(4.4) 20(6.9) 28(3.4) 0.0134

치료법 한약 19(1.7) 6(2.1) 13(1.6) 0.5975
한약제제 3(0.3) 2(0.7) 1(0.1) 0.1117
47(4.3) 20(6.9) 27(3.3) 0.0096
21(1.9) 10(3.5) 11(1.4) 0.0250
부항 15(1.4) 7(2.4) 8(1.0) 0.0711
추나 1(0.1) 0(0.0) 1(0.1) 0.5502
한방물리요법 30(2.7) 13(4.5) 17(2.1) 0.0316
기타 1(0.1) 1(0.3) 0(0.0) 0.0939

* 복수 응답 허용

1) χ2 검증 검정

2) 전체 대상자 중 해당 질병의 숫자와 비율임

3) 치료법은 해당질병의 유병자 중에서 치료법을 사용하고 있는 환자의 수와 비율을 나타내고 있음

Table 5
Treatment Effectiveness by Each Method
단위: 명(%)
한방의료기관 이용자 전체 및 성별 빈도 전체 한방의료기관 이용자 남성 한방의료기관 이용자 여성 한방의료기관이용자 p-value

한방치료방법별 치료효과

한약 (탕약) 매우 효과 좋음 239(56.5) 47(49.0) 192(58.3) 0.1496
약간 효과 있음 139(32.9) 34(35.4) 105(32.2)
보통 27(6.4) 11(11.5) 16(4.9)
거의 효과 없음 6(1.4) 1(1.0) 5(1.5)
잘 모름 11(2.6) 3(3.1) 8(2.5)

한약제제 매우 효과 좋음 73(37.4) 14(30.4) 59(39.6) 0.1036
약간 효과 있음 92(47.2) 22(47.8) 70(47.0)
보통 24(12.3) 7(15.2) 17(11.4)
거의 효과 없음 2(1.0) 0(0.0) 2(1.3)
잘 모름 4(2.1) 3(6.5) 1(0.7)

매우 효과 좋음 601(56.1) 141(50.0) 460(58.2) 0.0443
약간 효과 있음 376(35.1) 108(38.3) 268(33.9)
보통 79(7.4) 29(10.3) 50(6.3)
거의 효과 없음 7(0.7) 1(0.4) 6(0.8)
전혀 효과 없음 1(0.1) 1(0.4) 0(0.0)
잘 모름 8(0.8) 2(0.7) 6(0.8)

매우 효과 좋음 198(43.6) 46(43.0) 152(43.8) 0.7632
약간 효과 있음 188(41.4) 44(41.1) 144(41.5)
보통 58(12.8) 13(12.2) 45(13.0)
거의 효과 없음 2(0.4) 1(0.9) 1(0.3)
전혀 효과 없음 1(0.2) 0(0.0) 1(0.3)
잘 모름 2(1.5) 3(2.8) 4(1.2)

부항 매우 효과 좋음 215(46.7) 60(47.6) 155(46.4) 0.7528
약간 효과 있음 182(39.6) 50(39.7) 132(39.5)
보통 53(11.5) 15(11.9) 38(11.4)
거의 효과 없음 6(1.3) 1(0.8) 5(1.5)
잘 모름 4(0.9) 0(0.0) 4(1.2)

추나 매우 효과 좋음 59(58.4) 11(52.4) 48(60.0) 0.6902
약간 효과 있음 28(27.7) 8(38.1) 20(25.0)
보통 10(9.9) 2(9.5) 8(10.0)
거의 효과 없음 2(2.0) 0(0.0) 2(2.5)
잘 모름 2(2.0) 0(0.0) 2(2.5)

물리요법 매우 효과 좋음 281(41.6) 66(36.3) 215(43.6) 0.0758
약간 효과 있음 301(44.6) 87(47.8) 214(43.4)
보통 83(12.3) 24(13.2) 59(12.0)
거의 효과 없음 5(0.7) 1(0.6) 4(0.8)
전혀 효과 없음 1(0.2) 1(0.6) 0(0.0)
잘 모름 4(0.6) 3(1.7) 1(0.2)
Table 6
Treatment Satisfaction, Rates of Patients Experiencing Side Effects and the Types of Side Effects
단위: 명(%)
한방의료기관 이용자 전체 및 성별 빈도 전체 한방의료기관 이용자 남성 한방의료기관 이용자 여성 한방의료기관 이용자 p-value

진료만족도, 부작용 경험률 및 종류
진료 만족도 매우 만족 399(36.2) 90(31.0) 309(38.1) 0.0194
만족 574(52.1) 152(52.4) 422(52.0)
보통 113(10.3) 42(14.5) 71(8.8)
불만족 6(0.5) 3(1.0) 3(0.4)
잘 모름 9(0.8) 3(1.0) 6(0.7)
부작용 경험률 22(2.0) 3(1.0) 19(2.3) 0.1751
부작용 종류 배탈ㆍ설사 등 소화기 질환 5(22.7) 0(0.0) 5(26.3) 0.3837
두드러기, 가려움증 등 피부질환 5(22.7) 0(0.0) 5(26.3)
마비 등 신경계질환 1(4.6) 0(0.0) 1(5.3)
신장기능 이상(예: 얼굴 및 손발 부종) 1(4.6) 0(0.0) 1(5.3)
기타 10(45.5) 3(100.0) 7(36.8)

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