- P-ISSN 1010-0695
- E-ISSN 2288-3339
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.
1. Texbook of preventive Korean medicine compilation committee. Preventive Korean Medicine and Public Health. Seoul: GyeChukmunhwasa. 2013.
2. Jeon GS, Choi ES, Lee HY. Gender-related Difference in the Utilization of Health Care Services by Korean Adults. Journal of Korean public health nursing 2010;24(2):182~196.
3. Denton M, Prus S, Walters V. Gender differences in health: Canadian study of the psychosocial, structural and behavioural determinants of health. Social Science & Medicine. 2004;58(12):2585~2600.
4. Lee G, Cafferta. Marital status, living arrangements, and the use of health services access and use among elderly persons. Journal of Gerontology. 1987;42(6):613~618.
5. Lee IS. Study on medical operation in the shape of man and women based in gender difference. Kor. J. Oriental Medical Classics. 2006;19(1):47~109.
6. Heo Jun. Donguibogam. Seoul: Yeogang Publisher. 2001:1283.
7. Sung MK, Lim BM. A Study on Health Seeking Behaviors of Local Residents-Focused on Shopping Around Phenomenon in Yangsan City, Korea. Kor. J. Oriental Preventive Medical Society. 2012;16(2):83~94.
8. Seo YJ, Kang SH, Kim YH, Choi DB, Shin HK. Systematic Review on the Customers’ Use of and Satisfaction with Oriental Medical Services. J Korean Oriental Med. 2010;31(1):69~80.
9. Yoo WK, Ryu KA. Utilization patterns and Determinants of Oriental Medical Services: Focused on the Residents of Taegu City. Kor. J. Oriental Preventive Medical Society. 2000; 4(2):1~24.
10. Lee SD, Jo JG, Kim HD, Park HM, Y JM, Choi SY. Nationwide Study on the Usage and Characteristics of Patients Visiting Korean Medical Facilities- Based on the Treatment of Major Disorders, Effectiveness, Satisfaction and Occurrence Rate of Side Effects From the Ministry of Welfares Report on Usage and Consumption of Korean Medicine in 2011. Kor. J. Oriental Preventive Medical Society. 2013;17(2):29~46.
11. Choi SY, Shin HK, Park HM, Lee SD. A Analysis of Patients Using Korean Medicine Clinics-Analysis of Outpatients and Inpatients by Age, Sex and Regions. Kor. J. Oriental Preventive Medical Society. 2012;16(2):67~81.
12. Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. Reports about usage and consumption of Korean medicine. 2011.
13. Andersen R, Newman JF. Societal and individual determinants of medical care utilization in the United States, The Milbank Memorial Fund Quarterly. Health and Society. 1973;51(1):95~124
14. Park TS, Lee SY. Introduction to categorical data analysis. Seoul: JaYu Academy. 1999
15. Byun JS, Lee SD, Kim JH. Determinants of Utilization of Oriental Medical Services and Policy Implications. Kor. J. Oriental Preventive Medical Society. 1999;3(2):1~23.
16. Jeon MS. Traditional Korean Oriental Medical Tourism Development. Journal of Korean PhotoGeographers. 2012;22(4):111~120.
17. Lee HR, Kang HS, Kim GB, Kim WO, Song MS, Wang MJ, et al. An Attitudinal Study on Oriental Medicine: Q methodological approach. The Seoul Journal of Nursing. 1992;6(1):25~41.
18. Lee SD, Park KS. KAP Study on Oriental Traditional Doctor, Hospital and Medicine in Korea. Kor. J. Oriental Preventive Medical Society. 1997;1(1):27~41
19. Blazer DG, Landerman LR, Fillenbaum G, Horner R. Health services access and use among older adults in North Carolina; Urban vs rural residents. American Journal of Public Health. 1995;85(10):1384~139.
20. Jang YR, Kim GY, Chiriboga DA. Health, health care utilization, and satisfaction with service: Barriers and facilitators for older Korean Americans. Journal of the American Geriatrics Society. 2005;53(9):1613~1617.
21. Kim YG. The study of socioeconomic status and health service use. Soc Sci Stud. 1995; 21:9~24.
22. Lee HJ, Lee TJ, Jeon BY, Jung YG. Factors Related to Health Care Utilization in the Poor and the General Populations. The Korean Journal of Health Economics and Policy 2009;15(1):79~106.
23. Prus SG, Gee E. Gender Differences in the Influence of Economic, Lifestyle, and Psychosocial factors on Later-life Health. Canadian Journal of Public Health. 2003;99(4): 306~309.
24. Park JE, Kwon SM. Determinants of the Utilization of Oriental Medical Services by the Elderly. J Korean Oriental Med. 2011:32(1): 97~108.
25. Denton M, Walters V. Gender differences in structural and behavioral determinants of health: an analysis of the social production of health. Social Science & Medicine. 1999;48:1221~35.
26. Bang YS, Ryu SY, Kim HY. The relationship between the components of ICF and self-rated health status in the elderly who use senior citizen center. The research of local community. 2011;19(4):95~113.
27. Yeom JH, Park JS, Kim DH. A Study of Factors Affecting Self-Rated Health among Korean Elderly: Focusing on Gender Differences. Journal of the Korean Gerontological Society. 2012;32(4):1101~1118.
28. National statistical office. Coinsurance rate in Korean medical institutions including clinics and hospitals. 1999-2010.
29. Rhim KH, Lee JH. Income-related inequality in medical care utilization by provider types. The Korean Journal of Health Economics and Policy. 2010;16(2):39~56.
30. Parslow R, Jorm A, Christensen H, Jacomb P, Rodgers B. Gender differences in factors affecting use of health services: an analysis of a community study of middle-aged and older Australians. Social Science & Medicine. 2004; 59:2121~2129
31. Park YE. Study on the determinants of Korean medical demand. DongSeo Medical Book Publisher. 1992;17(1):16~42
32. Oriental medical dictionary compilation committee. The New Dictionary of Oriental Medicine. Seoul: DongBang Medical Book Publisher. 2001:274