한방 의료이용 및 한약소비 실태조사

요약·························································································· 1
제1장 서론··························································································69
1. 연구 목적··································································································69
2. 연구내용 및 방법······················································································· 69
제2장 한방 의료이용 실태조사···································································· 77
1. 조사 개요··································································································77
2. 조사 결과··································································································88
제3장 한방 의료이용 실태 전화조사························································· 143
1. 조사 개요································································································143
2. 조사 대상자의 일반적 특성·····································································147
3. 조사 결과································································································150
제4장 한방 건강보험자료 분석·································································· 171
1. 한방 건강보험제도 개요··········································································· 171
2. 분석 개요································································································· 181
3. 분석 결과································································································· 182
제5장 한약소비 실태조사·········································································· 291
1.조사배경··························································································291
2. 국산 및 수입한약재
현황·········································································· 297
3.조사개요··························································································305
4.조사결과··························································································311
5. 한약재 관련 현안에 대한 인식도 조사····················································401
6.조사결과고찰·····················································································418
제6장 한방 병 의원 운영실태조사····························································· 437
1.조사개요·························································································437
2.조사결과·························································································483. 소결································································································484
제7장 결론 및 정책제언··········································································· 487
1.결론······························································································487
2.정책제언·························································································488
참고문헌·················································································· 491
부록······················································································· 493
부록 1. 대한한의사협회 제3차 개정 한국표준질병사인분류(한의) 사용지침···· 495
부록 2. 조사표····························································································· 501
Contents
표 목차
<표 1- 1>연구내용과 자료 수집·활용 방법······························71
<표 1- 2>한방 의료기관의 모집단 및 표본 규모 현황·······················72
<표 1- 3>기관 종류별 모집단 및 표본 규모 현황··························73
<표 2- 1>2011년 한방 의료이용 실태조사의 주요 내용·····················78
<표 2- 2>2011년 한방 의료이용 실태조사의 주요 용어 정의·················79
<표 2- 3>한방 의료기관 종류별 모집단 기관의 수··························80
<표 2- 4>모집단 층화방법···········································80
<표 2- 5>한약 소비 실태조사 표본기관의 수······························81
<표 2- 6>한방 의료이용 실태조사 표본기관의 수··························82
<표 2- 7>한방 의료기관 종류별 한방 의료이용 실태조사 표본추출·············82
<표 2- 8>사전조사 일정표···········································85
<표 2- 9>사전조사 일정표···········································86
<표 2-10>조사 대상자의 인구사회학적 특성······························91
<표 2-11>조사 대상자의 인구사회학적 특성: 시도별························92
<표 2-12>조사 대상자의 진료형태 구분: 시도별···························97
<표 2-13>한방 의료기관의 유형: 시도별································98
<표 2-14>주관적 건강인식 수준······································100
<표 2-15>주관적 건강인식 수준: 지역별·······························101
<표 2-16>진료 및 진료상담을 위해 이용하는 주요 기관····················102
<표 2-17>한방진료시 이용하는 주요 기관······························104
<표 2-18>한방진료를 받게 된 이유 및 주요 증상·························105
<표 2-19>한방진료를 받게 된 이유 및 주요 증상 기타 내용·················106
<표 2-20>외래환자의 한방진료 이용률·································110
<표 2-21>외래환자의 진료비 분포····································111
<표 2-22>외래환자의 증상별 주요 치료법······························112
<표 2-23>외래환자의 치료 방법에 따른 효과 정도························113
<표 2-24>입원환자의 한방병원 이용률·································116
<표 2-25>입원환자의 진료비 분포····································117
<표 2-26>입원환자의 질병별 입원 횟수································119
<표 2-27>질병별 평균 입원 기간 ····································120
<표 2-28>1회 입원 경험이 있는 환자의 질병별 입원 기간 ·················122
<표 2-29>2회 입원 경험이 있는 환자의 질병별 입원 기간 ·················123
<표 2-30>3회 입원 경험이 있는 환자의 질병별 입원 기간 ·················124
<표 2-31>4회 입원 경험이 있는 환자의 질병별 입원 기간 ·················125
<표 2-32>5회 입원 경험이 있는 환자의 질병별 입원 기간 ·················125
<표 2-33>6회 입원 경험이 있는 환자의 질병별 입원 기간 ·················125
<표 2-34>입원환자의 치료 방법에 따른 효과 정도························126
<표 2-35>한방 의료에 대한 인식 수준·································129
<표 2-36>한방 의료에 대한 인식 수준: 지역별··························130
<표 2-37>한방 의료 인식수준에 대한 지역 간 차이 검정 ··················131
<표 2-38>한방 의료에 대한 주요 정보원/지식원·························132
<표 2-39>한방 의료에 대한 신뢰 수준·································133
<표 2-40>한방 의료에 대한 신뢰 수준: 지역별··························134
<표 2-41>한방 의료 신뢰수준에 대한 지역 간 차이 검정···················134
<표 2-42>향후 한방의료 이용 의향···································138
<표 2-43>향후 한방의료 이용 의사: 지역별·····························139
<표 2-44>향후 한방 의료 이용의사에 대한 지역 간 차이 검정···············140
<표 3- 1>모집단과 표본의 지역별 성별 분포····························144
<표 3- 2>모집단과 표본의 성별 연령대별 분포···························145
<표 3- 3>조사 대상자의 일반적 특성··································149
<표 3- 4>진료 및 진료상담을 위해 이용하는 기관························150
<표 3- 5>평생 한방진료 경험률······································152
<표 3- 6>한방진료시 치료방법 및 평생 한방진료 미경험 사유···············153
<표 3- 7>한방 외래진료 및 한방 입원진료 이용 이유······················156
<표 3- 8>한방 외래진료 및 한방 입원진료 이용 이유 기타··················156
<표 3- 9>한방 외래진료 및 한방 입원진료 이용에 따른 진료비 지출···········158
<표 3-10>지금까지 받은 한방진료에 대한 만족도·························158
<표 3-11>한방 의료에 대한 주요 정보원/지식원·························163
<표 3-12>인구사회학적 특성별 한방 의료에 대한 신뢰 수준·················164
<표 3-13>한방의료 이용 특성별 한방 의료에 대한 신뢰 수준················164
Contents
<표 3-14>인구사회학적 특성별 향후 1년간 한방 의료서비스 이용 의사········167
<표 3-15>한방 의료 이용 특성별 향후 1년간 한방 의료서비스 이용 의사······167
<표 4- 1>한방건강보험 비급여 대상···································178
<표 4- 2>한국표준질병사인분류와 제2차 한국표준질병사인분류(한의) 대분류 비교179
<표 4- 3>2010년말 기준 요양기관 현황·······························180
<표 4- 4>한방의료 이용환자의 진료형태 및 상세진료 분석 내용··············181
<표 4- 5>종별 청구건 변화 추이(1999~2010)························183
<표 4- 6>종별 이용 내원일수 추이(1999~2010)······················184
<표 4- 7>요양기관 종별 진료비 추이(1999~2010)·····················185
<표 4- 8>한방요양기관 종별 건당 진료비, 내원일당 진료비 추이·············187
<표 4- 9>한방병원 및 한의원 본인부담 비율(1999~2010)···············188
<표 4-10>성별·연령별 청구건수·····································189
<표 4-11>성별·연령별·입원 및 외래 청구분포 ························190
<표 4-12>성별·연령별 진료비 분포··································191
<표 4-13>성별·연령별 건당 진료비 및 건당 내원일수(입원)···············192
<표 4-14>성별·연령별 건당 진료비 및 건당 내원일수(외래)···············193
<표 4-15>전체 연령군별 본인부담금(2008)····························194
<표 4-16>소아·성인·노인 구성비(2005~2010)······················195
<표 4-17>소아·성인·노인 분류에 따른 진료비 변화 추이·················196
<표 4-18>지역별 전체 청구건 및 진료비(2008~2010)··················198
<표 4-19>지역별 입원 청구건 및 진료비(2008~2010)··················198
<표 4-20>지역별 외래 청구건 및 진료비(2008~2010)··················199
<표 4-21>지역별 평균 건당 진료비 및 건당 내원일수·····················200
<표 4-22>종별 5대 항목 중 건당 진찰료 구성 현황(2008~2010)·········202
<표 4-23>종별 5대 항목 중 건당 입원료 구성 현황(2008~2010)·········202
<표 4-24>종별 5대 항목 중 건당 투약료 구성 현황(2008~2010)·········203
<표 4-25>종별 5대 항목 중 시술 및 처치료 구성 현황(2008~2010)·······203
<표 4-26>종별 5대 항목 중 건당 검사료 구성 현황(2008~2010)·········204
<표 4-27>요양기관 종별 세부항목별 전체 진료실적(2008~2010)··········205
<표 4-28>한방병원의 세부항목별 진료실적(2008~2010)················206
<표 4-29>한의원의 세부항목별 진료실적(2008~2010)··················207
<표 4-30>요양병원의 세부항목별 진료실적(2008~2010)················208
<표 4-31>한방병원 및 한의원의 연령군별 진찰료 구성 현황(2008~2010)···210
<표 4-32>한방병원 및 한의원의 연령군별 입원료 구성 현황(2008~2010)···211
<표 4-33>한방병원 및 한의원의 연령군별 투약료 구성 현황(2008~2010)···212
<표 4-34>한방병원 및 한의원의 연령군별 시술 및 처치료 구성 현황(2008~2010)·· 213
<표 4-35>한방병원 및 한의원의 연령군별 검사료 구성 현황(2008~2010)···214
<표 4-36>한방병원 및 한의원의 지역별 진찰료 구성 현황(2008~2010)·····216
<표 4-37>한방병원 및 한의원의 지역별 입원료 구성 현황(2008~2010)·····217
<표 4-38>한방병원 및 한의원의 지역별 투약료 구성 현황(2008~2010)·····218
<표 4-39>한방병원 및 한의원의 지역별 시술 및 처치료 구성 현황(2008~2010)··219
<표 4-40>한방병원 및 한의원의 지역별 검사료 구성 현황(2008~2010)·····220
<표 4-41>12대 분류별 청구 추이(2005~2007)·······················228
<표 4-42>12대 분류별 청구 추이(2008~2009)·······················229
<표 4-43>한방진료비의 질병군 대분류별 진찰료 구성 현황(2008~2009)····231
<표 4-44>한방진료비의 질병군 대분류별 입원료 구성 현황(2008~2009)····231
<표 4-45>한방진료비의 질병군 대분류별 투약료 구성 현황(2007~2009)····232
<표 4-46>한방진료비의 질병군 대분류별 시술 및 처치료 구성 현황(2008~2009)··232
<표 4-47>한방진료비의 질병군 대분류별 검사료 구성 현황(2008~2009)····233
<표 4-48>12대 질환 중 감염성질환 청구건의 연령군 분포(2008~2009)····235
<표 4-49>12대 질환 중 간계질환 청구건의 연령군 분포(2008~2009)······235
<표 4-50>12대 질환 중 심계질환 청구건의 연령군 분포(2008~2009)······236
<표 4-51>12대 질환 중 폐계질환 청구건의 연령군 분포(2008~2009)······236
<표 4-52>12대 질환 중 신계질환 청구건의 연령군 분포(2008~2009)······237
<표 4-53>12대 질환 중 안이비인후 청구건의 연령군 분포(2008~2009)····237
<표 4-54>12대 질환 중 외과질환 청구건의 연령군 분포(2008~2009)······238
<표 4-55>12대 질환 중 신경정신질환 청구건의 연령군 분포(2008~2009)·· 238
<표 4-56>12대 질환 중 운동기질환 청구건의 연령군 분포(2008~2009)····239
<표 4-57>12대 질환 중 부인질환 청구건의 연령군 분포(2008~2009)······239
<표 4-58>12대 질환 중 소아질환 청구건의 연령군 분포(2008~2009)······240
<표 4-59>다빈도 상병 순위·········································240
<표 4-60>다빈도 상병 건수 및 진료비 분포(2005~2007)···············242
Contents
<표 4-61>다빈도 상병 건수 및 진료비 분포(2008~2009)···············243
<표 4-62>연령별 3단 코드 다빈도 상위 5개 상병(전체)(2007, 2009)·····245
<표 4-63>지역별 전체(입원+외래) 다빈도 상위 5대 상병(2007~2009)····248
<표 4-64>지역별 입원 다빈도 상위 5대 상병(2007~2009)··············250
<표 4-65>지역별 외래 다빈도 상위 5대 상병(2007~2009)··············252
<표 4-66>질병 소분류별 다빈도 상위 30대 상병 급여현황(입원)(2007)·····254
<표 4-67>질병소분류별 다빈도 상병 급여현황(입원)(2008)···············255
<표 4-68>질병소분류별 다빈도 상병 급여현황(입원)(2009)···············256
<표 4-69>질병소분류별 다빈도 상병 급여현황(외래)(2007)···············257
<표 4-70>질병소분류별 다빈도 상병 급여현황(외래)(2008)···············258
<표 4-71>질병소분류별 다빈도 상병 급여현황(외래)(2009)···············259
<표 4-72>한방병원 및 한의원 56종 혼합엑스산제 처방실적(2007)··········260
<표 4-73>한방병원 및 한의원 56종 혼합엑스산제 처방실적(2008)··········262
<표 4-74>한방병원 및 한의원 56종 혼합엑스산제 처방실적(2009)··········264
<표 4-75>한방병원 및 한의원 56종 혼합엑스산제 처방실적(2010)··········266
<표 4-76>입원 한방다빈도 상병에 대응되는 양방상병 코드·················268
<표 4-77>동일질환의 한방과 양방 청구건수(입원)(2007)·················269
<표 4-78>동일질환의 한방과 양방 청구건수(입원)(2009)·················269
<표 4-79>동일질환의 한방과 양방 총진료비(입원)(2007)·················270
<표 4-80>동일질환의 한방과 양방 총진료비(입원)(2009)·················271
<표 4-81>동일질환의 한방과 양방 건당 진료비(입원)(2007)··············272
<표 4-82>동일질환의 한방과 양방 건당 진료비(입원)(2009)··············272
<표 4-83>동일질환의 한방과 양방 건당 내원일수 및 내원일당 진료비(입원)(2007)··· 274
<표 4-84>동일질환의 한방과 양방 건당 내원일수 및 내원일당 진료비(입원)(2009)··· 274
<표 4-85>동일질환의 한방과 양방 지역별 의료이용(입원)(2007)···········276
<표 4-86>동일질환의 한방과 양방 지역별 의료이용(입원)(2009)···········276
<표 4-87>한방 다빈도 상위 10위 상병에 대응되는 양방상병 코드············277
<표 4-88>동일질환의 한방과 양방 청구건수(외래)(2007)·················278
<표 4-89>동일질환의 한방과 양방 청구건수(외래)(2009)·················279
<표 4-90>동일질환의 한방과 양방 총진료비(외래)(2007)·················280
<표 4-91>동일질환의 한방과 양방 총진료비(외래)(2009)·················280
<표 4-92>동일질환의 한방과 양방 건당 진료비 및 평균연령(외래)(2007)·····281
<표 4-93>동일질환의 한방과 양방 건당 진료비 및 평균연령(외래)(2009)·····282
<표 4-94>동일질환의 한방과 양방 건당 내원일수 및 내원일당 진료비(외래)(2007)··· 283
<표 4-95>동일질환의 한방과 양방 건당 내원일수 및 내원일당 진료비(외래)(2009)··· 284
<표 4-96>지역별 의료이용(외래)(2007)······························285
<표 4-97>지역별 의료이용(외래)(2009)······························285
<표 4-98>건강보험 급여범위에서의 본인부담 비율(2007)·················286
<표 4-99>건강보험 급여범위에서의 본인부담 비율(2009)·················287
<표 5- 1>건강보험상 한방병원 및 한의원의 청구건수 및 요양급여 비용········293
<표 5- 2>한방산업의 유발계수별 산업투자 파급효과 비교···················294
<표 5- 3>특용작물 재배면적 및 생산량 추이····························298
<표 5- 4>2008~2010년 특용작물별 국내생산량 현황···················299
<표 5- 5>수급조절대상한약재 생산 현황(2005~2010)··················301
<표 5- 6>한약재 수입 현황(2003~2010)····························302
<표 5- 7>한약재 수입량 상위 30개 품목(2007~2010)·················303
<표 5- 8>표본규모 및 표본오차(2009~2010)·························307
<표 5- 9>한방기관종류별 모집단 기관수································308
<표 5-10>한약소비실태조사 조사대상 한약재 품목························310
<표 5-11>한약소비실태조사 완료율(2009~2010)······················312
<표 5-12>응답기관의 최근 3개년간 환자(이용자) 수 변화 추이·············316
<표 5-13>응답기관의 최근 3개년간 경영수지 변화 추이···················316
<표 5-14>평소 한약재 주요 구입처···································317
<표 5-15>활용하는 한약재의 종류 수··································319
<표 5-16>전체 지출액 중 한약재 구입 비용이 차지하는 비중················321
<표 5-17>지난 1년간 구입이 어려웠던 한약재···························322
<표 5-18>한약재 구입 어려움의 이유··································323
<표 5-19>국내 생산 및 수입량 증가가 필요한 한약재(1~25위)·············325
<표 5-20>주요 한약재 원산지별 구입량(2009~2010)···················328
<표 5-21>주요 한약재 원산지별 구입 비율(2009~2010)················336
<표 5-22>한약소비기관별 한약재 구입량(2009~2010)··················338
<표 5-23>한약소비기관별 원산지별 한약재 구입량(2009~2010)···········339
Contents
<표 5-24>한약재 소비기관별 주요 한약재 총구입량(2009)················340
<표 5-25>한약재 소비기관별 주요 국산 한약재 총구입량(2009)············341
<표 5-26>한약재 소비기관별 주요 수입 한약재 총구입량(2009)············342
<표 5-27>한약재 소비기관별 주요 한약재 총구입량(2010)················343
<표 5-28>한약재 소비기관별 주요 국산 한약재 총구입량(2010)············344
<표 5-29>한약재 소비기관별 주요 수입 한약재 총구입량(2010)············345
<표 5-30>한약소비기관별 한약재 구입량(2009~2010)··················346
<표 5-31>한약소비기관별 원산지별 한약재 구입량(2009~2010)···········348
<표 5-32>지역별 주요 한약재 총구입량(2009)·························349
<표 5-33>지역별 주요 국산 한약재 총구입량(2009)·····················351
<표 5-34>지역별 주요 수입 한약재 총구입량(2009)·····················353
<표 5-35>지역별 주요 한약재 총구입량(2010)·························355
<표 5-36>지역별 주요 국산 한약재 총구입량(2010)·····················357
<표 5-37>지역별 주요 수입 한약재 총구입량(2010)·····················359
<표 5-38>한약소비실태조사 표본설계··································363
<표 5-39>한약소비실태조사 조사문항 비교······························364
<표 5-40>한약소비실태조사 조사대상 한약재 품목························365
<표 5-41>한약재 품목별 총구입량 변화································366
<표 5-42>한약재 구입량 상위 10개 품목(2007~2010)·················368
<표 5-43>한약소비기관 유형별 한약재 총구입량(2007~2010)············369
<표 5-44>원산지별 기관유형별 구입량(2007~2010)···················369
<표 5-45>지역별 한약재 총구입량(2007~2010)·······················371
<표 5-46>지역별 원산지별 구입량(2007~2010)·······················372
<표 5-47>지역별 국산 대비 수입 한약재 구입 비율(2007~2010)··········372
<표 5-48>기관유형별 숙지황 구입량 및 구입 비율(2007~2010)··········374
<표 5-49>기관유형별 생지황 구입량 및 구입 비율(2007~2010)··········375
<표 5-50>기관유형별 지황 구입량 및 구입 비율(2007~2010)············377
<표 5-51>기관유형별 백수오 구입량 및 구입 비율(2007~2010)··········378
<표 5-52>기관유형별 하수오 구입량 및 구입 비율(2007~2010)··········379
<표 5-53>기관유형별 황기 구입량 및 구입 비율(2007~2010)············381
<표 5-54>기관유형별 작약 구입량 및 구입 비율(2007~2010)············382
<표 5-55>기관유형별 천마 구입량 및 구입 비율(2007~2010)············383
<표 5-56>기관유형별 오미자 구입량 및 구입 비율(2007~2010)··········384
<표 5-57>기관유형별 구기자 구입량 및 구입 비율(2007~2010)··········386
<표 5-58>기관유형별 맥문동 구입량 및 구입 비율(2007~2010)··········387
<표 5-59>기관유형별 산수유 구입량 및 구입 비율(2007~2010)··········388
<표 5-60>기관유형별 택사 구입량 및 구입 비율(2007~2010)············390
<표 5-61>기관유형별 황금 구입량 및 구입 비율(2007~2010)············391
<표 5-62>기관유형별 당귀 구입량 및 구입 비율(2007~2010)············393
<표 5-63>기관유형별 천궁 구입량 및 구입 비율(2007~2010)············394
<표 5-64>기관유형별 시호 구입량 및 구입 비율(2007~2010)············395
<표 5-65>기관유형별 복령 구입량 및 구입 비율(2007~2010)············397
<표 5-66>기관유형별 애엽 구입량 및 구입 비율(2007~2010)············398
<표 5-67>기관유형별 감초 구입량 및 구입 비율(2007~2010)············400
<표 5-68>기관유형별 마황 구입량 및 구입 비율(2007~2010)············401
<표 5-69>4개 품목 한약재 생산 현황(2008~2010)····················434
<표 6- 1>지역별 한방병원 분포 현황··································439
<표 6- 2>지역별 한의원 분포 및 조사에 응답한 한의원 현황················440
<표 6- 3>한방병원의 운영주체별 현황·································441
<표 6- 4>한방병원 운영연역 기간별 운영주체····························442
<표 6- 5>한의원 시설물 소유 형태····································443
<표 6- 6>한의원 운영 연역기간별 분포································443
<표 6- 7>한의원 개설 형태·········································444
<표 6- 8>한방병원 원장의 일반적 특성································445
<표 6- 9>한방병원의 직종별 인력 현황 ································446
<표 6-10>한의원 원장의 일반적 특성··································448
<표 6-11>한방병원의 지난 3년간 이용한 환자 수의 변화추이···············451
<표 6-12>한방병원의 지난 3년간 경영수지의 변화 추이···················452
<표 6-13>한방병원의 지난 1년간 경영 손익상태·························452
<표 6-14>한방병원의 지난 3년간 이용한 환자 수의 변화추이 정도별 경영수지···· 453
<표 6-15>한방병원의 지난 3년간 이용한 환자 수의 변화추이 정도별 경영수지
변화추이················································453
Contents
<표 6-16>한방병원의 지난 1년간 월평균 병상가동률······················454
<표 6-17>한방병원의 지난 1년간 월평균 병상가동률 분포별 경영손익상태······454
<표 6-18>한방병원의 지난 3년간 연평균 매출액 규모·····················455
<표 6-19>전국 한의과대학 부속 한방병원 의료수입 현황(2010.3~2011.2)··456
<표 6-20>한방병원의 2010년도 1년간 진료비 수입 총액 및 총액대비 비보험수입
점유율·················································457
<표 6-21>한의원의 지난 3년간 이용한 환자 수의 변화추이·················458
<표 6-22>한의원의 지난 3년간 경영수지의 변화추이······················459
<표 6-23>한의원의 지난 1년(2010)간 손익상태(경영수지)················459
<표 6-24>한의원의 지난 3년간 이용한 환자 수의 변화추이 정도별 경영수지
변화추이···············································460
<표 6-25>한의원의 지난 3년간 연평균 매출액 규모·······················460
<표 6-26>한의원의 2010년도 1년간 진료비 수입 총액 및 총액대비 비보험수입
점유율·················································461
<표 6-27>한의원의 총진료비 구성별 비율(2011.1~5)···················462
<표 6-28>한방병원의 2010년 1년간 첩약제제(비보험 한약) 처방빈도변화
추이 및 감소 이유········································467
<표 6-29>한방병원의 1년간(2010) 한약제제(보험한약) 처방빈도변화 추이··· 468
<표 6-30>한방병원 의과와의 협진여부·································469
<표 6-31>한방병원의 경우 관내 한의원과 진료협약 여부 ··················469
<표 6-32>한방병원의 탕전용 일반치료약 1제(20첩)의 가격 현황············470
<표 6-33>한방병원의 탕전용 보약 1제(20첩)의 가격 현황·················471
<표 6-34>한의원의 프랜차이즈 및 네트워크 가입 여부·····················471
<표 6-35>한의원의 1년간(2010) 첩약제제(비보험 한약) 처방빈도변화 추이와
감소이유···············································472
<표 6-36>한의원의 1년간(2010) 한약제제(보험 한약) 처방빈도변화 추이와
감소이유···············································473
<표 6-37>한의원의 의과와의 협진 여부································473
<표 6-38>한의원의 경우 관내 다른 한방 병 의원과의 진료협약 여부 ·········473
<표 6-39>한의원의 일반치료약 전탕용 1제(20첩)의 가격 현황·············475
<표 6-40>한의원의 보약 전탕용 1제(20첩)의 가격 현황··················475
<표 6-41>한방병원의 자체 탕전실 설치 운영 여부 및 탕전실 설치 면적········478
<표 6-42>한방병원의 자체 탕전실 설치 운영의 가장 큰 장점················479
<표 6-43>한의원의 자체 탕전실 설치 운영 여부 및 탕전실 설치 면적·········479
<표 6-44>한의원의 자체 탕전실 설치 운영의 가장 큰 장점·················480
<표 6-45>한방병원에서 제시한 한의약 분야의 현안에 대한 의견·············481
<표 6-46>한의원에서 제시한 한의약 분야의 현안에 대한 의견···············482
<표 6-47>주요 현안에 대한 비교·····································483
그림 목차
〔그림 2- 1〕조사수행 절차···········································87
〔그림 2- 2〕성별, 연령대별 분포·······································88
〔그림 2- 3〕결혼상태 및 교육 수준·····································89
〔그림 2- 4〕소득 수준 및 직업 유무····································89
〔그림 2- 5〕조사 대상자의 직업 분류···································90
〔그림 2- 6〕진료기관 유형 및 진료형태··································93
〔그림 2- 7〕한방병원 이용 환자의 성별 비교(2008:2011)·················94
〔그림 2- 8〕한의원 이용 환자의 성별 비교(2008:2011)···················94
〔그림 2- 9〕한방병원 이용 환자의 연령 비교(2008:2011)·················95
〔그림 2-10〕한의원 이용 환자의 연령 비교(2008:2011)··················96
〔그림 2-11〕한방 의료기관의 연령별 이용 현황····························96
〔그림 2-12〕한의원 이용 환자의 지역별 이용률 비교(2008:2011)···········99
〔그림 2-13〕진료 및 진료상담을 위해 이용하는 주요 기관 비교(2008:2011)··103
〔그림 2-14〕한약 복용 및 침 치료 경험 유무····························107
〔그림 2-15〕가장 많이 받은 한방 치료법·······························107
〔그림 2-16〕단골 한의원 이용 유무 및 이용 이유·························108
〔그림 2-17〕외래환자의 한방진료 만족 수준 및 불만족 이유·················114
〔그림 2-18〕외래환자의 한방진료 부작용 경험 및 유형·····················114
〔그림 2-19〕입원환자의 한방진료 만족 수준 및 불만족 이유·················127
〔그림 2-20〕입원환자의 한방진료 부작용 경험 및 유형·····················127
Contents
〔그림 2-21〕동일 질병의 타의료기관 이용 경험 비교(2008:2011)··········128
〔그림 2-22〕한방 의료기관을 내원한 이유······························135
〔그림 2-23〕한방 의료의 향후 개선점··································136
〔그림 2-24〕진료비에 대한 의견 및 의료보장 형태 구분····················136
〔그림 2-25〕보험적용이 확대되어야 하는 한방치료법······················137
〔그림 2-26〕한의과와 의과 간 협력진료에 대한 의견······················137
〔그림 3- 1〕조사 대상자의 성별, 연령대별 분포··························147
〔그림 3- 2〕조사 대상자의 결혼 상태 및 의료보장 유형 분포················147
〔그림 3- 3〕조사 대상자의 사회경제적 수준별 분포························148
〔그림 3- 4〕진료 및 진료상담을 위해 이용하는 기관 비교(2008:2011)······151
〔그림 3- 5〕평생 한방진료 경험률 비교(2008:2011)····················153
〔그림 3- 6〕한방 외래진료 이용 빈도··································154
〔그림 3- 7〕한방 외래진료 경험률 및 한방 입원진료 경험률·················155
〔그림 3- 8〕한방진료를 받게 된 증상 비교(2008:2011)·················157
〔그림 3- 9〕한방진료에 대해 만족하지 못하는 이유························159
〔그림 3-10〕한방진료에 대한 만족도 비교(2008:2011)··················160
〔그림 3-11〕한방진료에 불만족하는 이유 비교(2008:2011)···············160
〔그림 3-12〕한방치료로 인한 부작용 경험률 및 부작용 유형·················161
〔그림 3-13〕한방치료로 인한 부작용 경험률 비교(2008:2011)············161
〔그림 3-14〕한방치료로 인한 부작용 유형 비교(2008:2011)··············162
〔그림 3-15〕한방진료에 대한 신뢰 수준 비교(2008:2011)···············165
〔그림 3-16〕향후 한방 의료에서 개선해야 할 점·························165
〔그림 3-17〕한방 의료의 급여 확대 분야·······························166
〔그림 4- 1〕2010년말 기준 요양기관 비율 현황·························180
〔그림 4- 2〕한방병원 및 한의원 본인부담 비율(1999~2010)·············188
〔그림 4- 3〕소아·성인·노인 구성비(2005~2010)····················195
〔그림 4- 4〕소아·성인·노인 분류에 따른 진료비 변화 추이················196
〔그림 4- 5〕동일질환의 한방 건당내원일수 및 내원일당진료비(입원)(2007, 2009)··· 274
〔그림 4- 6〕동일질환의 한방 입원 지역별 청구건수, 총진료비 및 한방이용 비율
(2007, 2009)·······································277
〔그림 4- 7〕동일질환의 한방과 양방 건당 진료비 및 평균연령(외래)(2009)··· 282
〔그림 4- 8〕건강보험 급여범위에서의 한방의료의 본인부담 비율(2007, 2009) 287
〔그림 5- 1〕한방산업의 유발계수별 산업투자 파급효과 비교·················294
〔그림 5- 2〕한약재 유통 경로········································304
〔그림 5- 3〕한방 의료기관 기관유형별 조사 완료율························312
〔그림 5- 4〕조사완료기관의 기관유형별 분포····························313
〔그림 5- 5〕조사완료기관의 지역별 분포································314
〔그림 5- 6〕조사완료기관의 개설기간별 분포····························314
〔그림 5- 7〕조사완료기관의 연평균매출액 규모별 분포·····················315
〔그림 5- 8〕한약재 주요 구입처 변화 양상······························318
〔그림 5- 9〕활용하는 한약재 종류 수 변화······························320
〔그림 5-10〕2009년 구입량 상위 10대 한약재(33개 품목)···············330
〔그림 5-11〕2010년 구입량 상위 10대 한약재(33개 품목)···············330
〔그림 5-12〕2009년 국산 한약재 구입량 상위 10대 한약재(29개 품목 대상)·· 331
〔그림 5-13〕2010년 국산 한약재 구입량 상위 10대 한약재(29개 품목 대상)·· 331
〔그림 5-14〕2009년 수입 한약재 구입량 상위 10대 한약재(33개 품목 대상)·· 332
〔그림 5-15〕2010년 수입 한약재 구입량 상위 10대 한약재(33개 품목 대상)·· 332
〔그림 5-16〕한약재 품목별 2009년 대비 2010년 구입량 변동(전체 한약재)·· 333
〔그림 6-17〕한약재 품목별 2009년 대비 2010년 구입량 변동(국산 한약재)·· 334
〔그림 5-18〕한약재 품목별 2009년 대비 2010년 구입량 변동(수입 한약재)·· 335
〔그림 5-19〕수급조절대상한약재의 국내산 구입 비중(2010)···············337
〔그림 5-20〕2009년 및 2010년 한약소비기관별 한약재 구입량 비중········339
〔그림 5-21〕지역별 한약재 구입량 비중(2010)·························347
〔그림 5-22〕제1차 및 제2차 공통 조사대상 한약재 품목의 총구입량 변화······367
〔그림 5-23〕2007~2010년 기관유형별 전체 구입량 중 수입한약재의 비율···· 370
〔그림 5-24〕숙지황 구입량 변동(2007~2010)························374
〔그림 5-25〕생지황 구입량 변동(2007~2010)························375
〔그림 5-26〕지황 구입량 변동(2007~2010)··························376
〔그림 5-27〕백수오 구입량 변동(2007~2010)························378
〔그림 5-28〕하수오 구입량 변동(2007~2010)························379
〔그림 5-29〕황기 구입량 변동(2007~2010) ·························380
〔그림 5-30〕작약 구입량 변동(2007~2010)··························381
Contents
〔그림 5-31〕천마 구입량 변동(2007~2010)··························383
〔그림 5-32〕오미자 구입량 변동(2007~2010)························384
〔그림 5-33〕구기자 구입량 변동(2007~2010)························385
〔그림 5-34〕맥문동 구입량 변동(2007~2010)························386
〔그림 5-35〕산수유 구입량 변동(2007~2010)························388
〔그림 5-36〕택사 구입량 변동(2007~2010)··························389
〔그림 5-37〕황금 구입량 변동(2007~2010)··························391
〔그림 5-38〕당귀 구입량 변동(2007~2010)··························392
〔그림 5-39〕천궁 구입량 변동(2007~2010)··························393
〔그림 5-40〕시호 구입량 변동(2007~2010)··························395
〔그림 5-41〕복령 구입량 변동(2007~2010)··························396
〔그림 5-42〕애엽 구입량 변동(2007~2010)··························398
〔그림 5-43〕감초 구입량 변동(2007~2010)··························399
〔그림 5-44〕마황 구입량 변동(2007~2010)··························400
〔그림 5-45〕복잡한 한약재 유통 단계에 대한 심각도 인식··················403
〔그림 5-46〕식품용도로 수입된 한약재의 의약품으로의 위변조 문제에 대한
심각도 인식···········································404
〔그림 5-47〕한약재 가격 상승 문제에 대한 심각도 인식····················406
〔그림 5-48〕한약재 잔류농약, 중금속 오염 문제에 대한 심각도 인식··········407
〔그림 5-49〕기원불명의 종자 혼용 재배 문제에 대한 심각도 인식·············408
〔그림 5-50〕국내 농가에서의 미재배에 따른 수급 불안정 문제에 대한 심각도 인식··409
〔그림 5-51〕한약규격 기준 부재 문제에 대한 심각도 인식··················410
〔그림 5-52〕한약재 자가규격제도 폐지 필요성에 대한 인식·················412
〔그림 5-53〕한약 이력추적관리제도 도입 필요성에 대한 인식················413
〔그림 5-54〕한약재 생산자-제조업소간 직거래 지원에 대한 필요성 인식·······414
〔그림 5-55〕수입한약재에 대한 검사 확대 필요성 인식·····················415
〔그림 5-56〕시설 장비 현대화를 위한 보조금 지원 필요성 인식··············416
〔그림 5-57〕식품용 한약재의 의약품으로 위변조 방지 대책 필요성 인식········417
〔그림 5-58〕한약재 총구입량 변화(21개 공통 조사대상 품목)···············431
〔그림 6- 1〕한방 병 의원의 지난 3년간의 이용한 환자 수의 변화 추이·········449
Contents
〔그림 6- 2〕한방 병 의원의 지난 3년간 경영수지의 변화 추이···············449
〔그림 6- 3〕한방 병 의원의 지난 1년간의 경영상의 손익상태················450
〔그림 6- 4〕한방 병의원의 2010년도 1년간의 수입총액 대비 비보험수입 점유율···· 450
〔그림6-5〕한방병의원의2010년1년간첩약제제(비보험한약)처방빈도변화추이····················463
〔그림 6- 6〕한방 병 의원의 2010년 1년간 첩약제제(비보험 한약) 처방빈도감소 이유··463
〔그림 6- 7〕한방 병의원의 2010년 1년간 한약제제(보험 한약) 처방빈도 변화추이··· 464
〔그림 6- 8〕한방 병의원의 2010년 1년간 한약제제(보험 한약) 처방빈도 감소 이유·· 464
〔그림 6- 9〕한방 병원의 협진 현황 ···································465
〔그림 6-10〕한방 병 의원의 탕전용 일반치료약 1제(20첩)의 가격 분포·······466
〔그림 6-11〕한방 병 의원의 탕전용 보약 1제(20첩)의 가격 분포············466
〔그림 6-12〕한방 병 의원의 자체 탕전실 설치 운영의 가장 큰 장점···········477