鍼灸治療 利用實態 및 選好에 관한 硏究 - 河南産業團地 入柱業體를 中心으로

Abstract

Acupuncture has been used in Asian countries including Korea, China and Japan for such a long time. According to the recent boom of the Complementary Alternative Medicine(CAM), many doctors in U.S.A. and Europe are using acupuncture. The World Health Organization(WHO) and the National Institute of Health(NIH) recognized the effect of acupuncture officially, and recommended that it should be accompanied by modern medical treatment and the native medicine of each country should be used for the 1st treatment. Many acupuncture research organizations worldwide have accelerated its research. It indicates that the outstanding effect of the acupuncture treatment was recognized by world medical fields. However, in our country, it seems that acupuncture is considered as an assistant treatment means to take care of diseases in muscular-skeletal systems. In reality, the acupuncture and moxibustion is a medical action limited to Oriental doctors and the added value of oriental medicine is very low as it is considered as an academic field focusing on medicine prescription. So only medical treatment focusing on medicine prescription is provided as it has high-added value. Therefore, acupuncture is considered as insignificant and as western medicine which is easily available as Evidence Based Medicine(EBM) is easy to satisfy the medical needs of contemporary people, our medical policy has been enacted centering on western medicine and implemented. Acupuncture has been isolated from medical administration and institution, which caused less organized research and low academic development on it. As many problems in contemporary medicine have been found, more attention has been paid to the CAM and traditional medicine, especially. acupuncture. To meet such trend, this study is to identify the use status of acupuncture and moxibustion and preferences to improve recognition on it using critical views on acupuncture and social problems as a chance. For this purpose, this study targets 500 subjects who are working in enterprises in Hanam industrial complex from September 2007 to October of the same year. And it analyses the responses from 435. The results are outlined as follows: For general characteristics of the subjects, the number of the male subjects is 230 (52.9%), and that of female ones is 205(47.1%); 156 are below 29 years old (35.9%), 248 ranges from 30 to 49 (57.0%), and 31 are above 50 (7.1%); in respect to working types, 163 work in offices (37.5%), 255 are engaged in process line (58.6%), and 17 works for other areas (3.9%). Because of characteristics of the enterprises in the complex, as most of them works in electronic and assembling line, they are relatively young and there are many female workers. In respect to the experiences of acupuncture and moxibustion, 150 male ones have it (65.2%), and 133 female ones have it (64.9%). More male subjects have experiences of acupuncture, but no statistically significant difference is found. The older they are. the more experience they have, but no difference is found according to working types. As places of acupuncture and moxibustion, 199 use oriental clinics (70.3%) and 52 use oriental hospitals (18.4%)., which indicates that most of the subjects use authorized medical institutes. 188 have acupuncture treatment because of diseases in muscular-skeletal systems (66.4%), 38 have it because of diseases in internal organs (13.4%), and 36 have it because of diseases in neural system (12.7%). The subjects who have diseases in the muscular-skeletal systems usually use it, thinking that the effect is the best, but in satisfaction after the treatment, there is no significant difference according to kinds of diseases and for treatment of diseases in internal organs, neural system, and throat and nose, their satisfaction is high. The reason why they decide to take acupuncture and moxibustion treatment is presented as follows: A total 258 subjects select acupuncture because they expect the treatment to have a good effect (91.1%), and as some of them are afraid of pain during treatment and do not trust it, they do not select the acupuncture treatment. After the treatment, 177 (62.5%) are satisfied with it and the more satisfied they are with, the more intention to take the treatment. So the treatment effect and absence of pain are the most important reasons why they decide to take it. As many subjects answer that they will take the treatment if the reason people are unwilling to take it disappear, relatively high preferences are shown. Based on the results above, to improve preferences and use rate of acupuncture and moxibustion, we should study the effect of acupuncture and develop its new paradigm as EBM through clinical experiments. At the same time, more attention should be paid to use of Bosabeop and Meridian Passways Adjustment, and skillful techniques to use needles should be developed so that patients have no pain during treatment followed by development of new treatment tools such as laser needle. With increased average life span, as the population of old people has also increased, it is expected that medical expenses and regenerative and chronic diseases have increased, which will contribute to constant development of acupuncture and moxibustion market. Most of the international countries including advanced countries such as the U.S.A. and Japan encourage the use of acupuncture and moxibustion as an alternative to save medical expenses, and due to globalized medical markets, our acupuncture markets are under pressure to open. To lead the world acupuncture market as a suzerain state of acupuncture and moxibustion, we need to innovate acupuncture and reorganize the institutions according to the global trend.