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  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

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견비통의 한양방 진료 및 협진의 경제성 평가

Economic Evaluation of Eastern, Western and Collaborative Treatment for Patients with Frozen Soulder Pain

대한한의학회지 / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2007, v.28 no.1, pp.72-86
장혜정 (경희대학교)
홍상민 (경희대학교)
박유선 (경희대학교)
남동우 (경희대학교)
이두익 (경희대학교)
이재동 (경희대학교)
이윤호 (경희대학교)
임사비나 (경희대학교)
장혜정, 홍상민, 박유선, 남동우, 이두익, 이재동, 이윤호, & 임사비나. (2007). 견비통의 한양방 진료 및 협진의 경제성 평가. 대한한의학회지, 28(1), 72-86.
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Abstract

Objectives:The purpose of this study was to evaluate and compare the cost-effectiveness of Eastern, Western, and collaborative treatments and suggest a cost-effective approach for patients with frozen shoulder pain. Methods:Using the data of fifty-two patients, treatment effectiveness was measured by CSA, SPADI, and ROM scales and changes from the baseline score were evaluated. Data source for cost estimation was based on the national health insurance (NHI) payment system. Because the price in NHI was differentiated by health care institutions, five collaborative types were considered in assessing costs. Cost-effective ratios were computed for economic evaluation. Results:Compared with Eastern treatment, collaborative and Western treatments showed better effects on CSA scale after 4 weeks' treatment. The collaborative approach was also the most effective treatment on SPADI and ROM scales. The direct cost per patient receiving Eastern treatment was less than other treatments. In general, collaborative treatment dominated Eastern and Western treatments in cost-effectiveness analysis. However, the cost-effectiveness ratio of Eastern treatment resulted in ￦9,000 compared to ￦29,000 of collaborative treatment on SPADI. Four different indicators of ROM scales resulted in different approaches as the cost-effective treatment. Conclusions:Considering cost-effectiveness ratios, collaborative treatment was the best treatment on CSA and SPADI scales after 4 weeks' treatment. As for ROM scales, the recommended alternatives were Eastern treatment for patients with abduction and adduction disabilities, Western treatment for those with flexion disability, and collaborative approach for those with extension disability.

keywords
Shoulder, pain, cost effectiveness, Eastern medicine, collaboration


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