Journal of Acupuncture Research

  • 제33권4호
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  • Pages.109-119
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  • 2016
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  • 2586-288X(pISSN)
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  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
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한방병원 침구과로 협진의뢰된 한양방 협진 환자 1,549명에 대한 후향적 분석

An Retrospective Analysis of 1549 patients under the Cooperative Medical Care consulted to the Department of Acupuncture and Moxibustion in a Korean medical hospital

  • 조희진 (경희대학교 한의과대학 침구의학교실) ;
  • 권민수 (경희대학교 한의과대학 침구의학교실) ;
  • 김정환 (경희대학교 한의과대학 침구의학교실) ;
  • 조대현 (경희대학교 한의과대학 침구의학교실) ;
  • 최지은 (경희대학교 한의과대학 침구의학교실) ;
  • 한지선 (경희대학교 한의과대학 침구의학교실) ;
  • 이승훈 (경희대학교 한의과대학 침구의학교실) ;
  • 김용석 (경희대학교 한의과대학 침구의학교실) ;
  • 남상수 (경희대학교 한의과대학 침구의학교실)
  • Jo, Hee Jin (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kwon, Min Soo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Jung Hwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Jo, Dae Hyun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Choi, Ji Eun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Han, Ji Sun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Seung Hoon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Yong Suk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Nam, Sang Soo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2016.11.16
  • 심사 : 2016.12.02
  • 발행 : 2016.12.20
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초록

Objectives : The aim of this study is to give a statistical basis for the characteristics of patients who received cooperative medical care after being referred from Western medical departments to the Department of Acupuncture and Moxibustion in a Korean medical hospital. Methods : The request records were searched for cooperative medical treatment at the Department of Acupuncture and Moxibustion in a Korean medical hospital between September 1st, 2011 and August 31, 2016, based on the Order Communication system(OCS). The records were reviewed and retrospectively analyzed according to the patient's general characteristics, the chief diagnosis code based on the 7th Korean standard classification of diseases(KCD-7) before and after the cooperative medical care in the Department of Acupuncture and Moxibustion, and the actual treatment measures which patients received as a result of the cooperative medical care. Results : Among the 2702 records, 1549 patients were included in the analysis. The male to female ratio was 1 : 1.17. Sexagenarians formed the highest age group and the number of patients whose age was over 50 was 1176(75.92 %). The surgery department requested the cooperative care from the department of Acupuncture and Moxibustion for the highest number of patients, 1194(77.08 %). When analysing specific medical departments, Neurosurgery, General Surgery, Neurology, Otorhinolaryngology, and Physical medicine and rehabilitation followed. The frequency of chief diagnosis code used before the cooperative medical care was in the order of I, C, G, S, and M code, from highest to lowest. The order of the codes after the cooperative medical care was the same. Acupuncture treatment was the most frequently-used measure after the cooperative medical care. Following were infrared, moxibustion, transfer, herbal acupuncture, cupping, electroacupuncture, and so on. Conclusion : This study provides a statistical basis for the demands placed on the Department of Acupunture and Moxibustion for cooperative medical care with the Western medical department. Based on the present condition of cooperative medical care, more preparation and effort is required for its activation.

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참고문헌

  1. McDonald KM, Schultz E, Albin L et al. Care Coordination Measures Atlas. [Internet]. Rockville(USA) : Agency for Healthcare Research and Quality ; 2014. [updated 2014 Jun] Chapter 2. What is Care Coordination? [cited 2016 Nov 9]. Available from : http://www.ahrq.gov/sites/default/files/publications/files/ccm_atlas.pdf.
  2. National Evidence-based Healthcare Collaborating Agency. Research on Tasks of Development of the Cooperative Medical Care System. [updated 2010 Oct] [Internet]. Sejong : Ministry of Health and Welfare [cited 2016 Nov 9]. available from : http://www.prism.go.kr/homepage/entire/retrieveEntireDetail.do?pageIndex=1&research_id=1351000-201100045&leftMenuLevel=160&cond_research_name=%ED%98%91%EC%A7%84&cond_research_start_date=&cond_research_end_date=&pageUnit=10&cond_order=3.
  3. Institute for Research & Industry Cooperation, PNU. Basic Research on the selection of manageable diseases with the Korean-Western Cooperative Medical Care considering the effectiveness of treatment. [Internet]. Sejong : Ministry of Health and Welfare, Division of Traditional Korean Medicine Policy]. [updated 2012 Dec] [cited 2016 Nov 9]. available from : http://www.prism.go.kr/homepage/entire/retrieveEntireDetail.do?pageIndex=1&research_id=1351000-201300071&leftMenuLevel=160&cond_research_name=%ED%98%91%EC%A7%84&cond_research_start_date=&cond_research_end_date=&pageUnit=10&cond_order=3.
  4. Jeong IS, Kim YJ, Lee WC. Utilization and Attitude toward the East-West Collaborative Medical Practices among Healthcare Consumers. SPKOM. 2010 ; 14(2) : 43-56.
  5. Jeong YM. Survey on Perception Level of the East-West Collaborative Medical Practices Among the General Public [dissertation]. Busan : Dong-Eui Univ. 2016. Korean.
  6. Lim SM, Song SE. The Survey about the Recognition and Demand on Cooperative System between Western and Oriental Medicine of Stroke Patients in National Rehabilitation Center. SPKOM. 2011 ; 15(1) : 131-43.
  7. Min HJ, Ryu JS, Yun YJ. Changes in the Attitudes of Doctors toward Cooperative Practices between Western Medicine and Traditional Korean Medicine : A Systematic Review in Korean Literature. SPKOM. 2012 ; 16(1) : 15-29.
  8. Lee EJ, Park HS, Lee SY, Bae DJ, Lee TG, Shin HK. Recognition of Medical Doctors Employed to University Hospital on the Cooperative Medical System between Korean Traditional and Western Medicines. Korean J. Orient. Int. Med. 2012 : 33(3) ; 298-305.
  9. Song MS, Yoo YK, Choi CH. Study on Attitudes of Officials Depending on System of Collaborative Practice between Traditional Korean Medicine and Western Medicine. JPPKM. 2014 ; 28(4) : 446-51.
  10. Shin AS, Lee IW, Kim NH et al. Clinical Observation on East-West Integration Treatment in Stroke and Brain Disease. The Korean Journal of Joongpoong. 2010 ; 11(1) : 9-17.
  11. Lee SJ, Shin BC, Song GS, Hwang BH, Yun YJ, Cho HW. A Systematic Review of the Effectiveness of Eastern-Western Integrative Medicine for Musculoskeletal Disorders. JORM. 2011 ; 21(4) : 87-96.
  12. Suk KH, Lee JH, Ryu SH et al. Effectiveness of East-West cllaborative hospital treatment on the prognosis of Bell's palsy : A retrospective study. The Acupunct. 2015 ; 32(4) : 167-75. https://doi.org/10.13045/acupunct.2015071
  13. Lee SH, Lee IS, Cho HS, Kim KK. Effect on Orietnal-Western Medicine Integrative Care after Gynecology Surgery. The Journal of Oriental Obstetrics & Gynecology. 2011 ; 24(3) : 127-45.
  14. Lee WC, Cho SG, Park SS et al. A statistical report of combined treatment of Oriental and Western medicine for inpatients. The Journal of Dong Guk Oriental Medicine. 1995 ; 4(3) : 53-66.
  15. Kim SL. Characteristics and Medical Utilization of Patients Cured by the Oriental-Western Cooperative treatment [dissertation]. Seoul : The Catholic Univ of Korea. 2009. Korean.
  16. Lim SM. An Actual utilization and development plan study of interdisciplinary medical care at the National Rehabilitation Center. J Korea Instit Orient Med Diagn. 2014 ; 18(1) : 25-31.
  17. Statistics Korea. Revision notice of 7 th Korean standard classification of diseases [Internet]. Daejeon : Korea ; c1996-2016. [cited 2016 Nov 9]. available from : http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=346904.
  18. Statistics Korea. Korean standard classification of diseases [Internet]. Daejeon : Korea ; c1996-2016. [cited 2016 Nov 9 ]. available from : http://kssc.kostat.go.kr/ksscNew_web/kssc/common/ClassificationContent.do?gubun=1&str-CategoryNameCode=004&categoryMenu=007&addGubun=no.
  19. Skovgaard L, Haahr N, Bjerre L, Launso L. Types of treatment collaboration between conventional and alternative practitioners - results from a research project at a Danish MS hospital. IJIC. 2010 ; 10(23) : 1-16.
  20. Lee GS. A Survey on A Survey on Satisfaction in Utilization of Long-Term Care Hospitals and Effects of Collaboration of Estern-Western Medicine on Satisfaction Factor -Focused on Jeonbuk Area- [dissertation]. Iksan : WonKwang Univ. 2014. Korean.
  21. Kim JY, Kim JY, Kim NS et al. Review on Clinical Trials of Chemotherapy Induced Toxicity with Acupuncture in PubMed Database. The Acupunct. 2013 ; 30(2) : 43-54. https://doi.org/10.13045/kamms.2013013
  22. Han CW, Hwang EH, Kim HJ, Shin HJ. Acupuncture for Chemotherapy-induced Peripheral Neuropathy : a Pilot Study. JPPKM. 2014 ; 28(4) : 460-3.
  23. Lee CI, Shim KY, Kim HY, Choi SY, Bang DG, Cho KS. Clinical Study of the Efficacy of Combined Western-Oriental Medicine for Gastric Cancer and Hepatocellular Carcinoma. J. of Kor. Oriental Oncology. 2001 ; 7(1) : 117-29.
  24. Kim SH, Lee GM. Effect of Acupuncture Treatment for Bell’s Palsy with Digital Infrared Thermographic Imaging. J Korean Med. 1995 ; 16(2) : 36-43.
  25. Sun YC, Moon BS, Yun JM. Study on the Correlation between Bell's Palsy Severity and Facial Thermography. Korean J. Oriental Physicology& Pathology. 2014 ; 28(1) : 89-93.
  26. Nahm FS. Infrared Thermography in Pain Medicine. Korean J Pain. 2013 : 26(3) : 219-22. https://doi.org/10.3344/kjp.2013.26.3.219
  27. E F J Ring, K Ammer. Infrared thermal imaging in medicine. Physiol. Meas. 2012 ; 33(3) : R33-46. https://doi.org/10.1088/0967-3334/33/3/R33
  28. Lim DJ, Hwang GH, Hwang JS, Cho HS, Kim KH, Kim KS. Study of the Relation of Autonomic Nerve System and Peripheral Facial Palsy by the Heart Rate Variability. The Acupunct. 2006 ; 22(6) : 51-60.
  29. Zhou X. Ma Z, Zhang L et al. Heart rate variability in the prediction of survival in patients with cancer : A systematic review and metaanalysis. J Psychosom Res. 2016 ; 89 : 20-5. https://doi.org/10.1016/j.jpsychores.2016.08.004
  30. Song MH, Yang SJ, Lee CW, Lee BR, Kwon JN. A Review Study on Ryodoraku Diagnosis and Evaluation of Low Back Pain. J Korean Med. 2014 ; 35(3) : 116-24. https://doi.org/10.13048/jkm.14035
  31. Oh MJ, Shim YS, Song HS. Sasang Constitutional Diagnosis by Portable Ryodoraku Device : Comparative Study with QSCC II Qeustionnaire. The Acupunct. 2013 ; 30(4) : 161-7. https://doi.org/10.13045/acupunct.2013032