한방재활의학과학회지 (Journal of Korean Medicine Rehabilitation)

  • 제32권3호
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  • Pages.141-151
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  • 2022
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  • 1229-1854(pISSN)
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  • 2288-4114(eISSN)
한방재활의학과학회 (The society of Korean Medicine Rehabilitation)
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족관절염좌 환자 관리를 위한 한의표준임상경로 개발 연구

A Study on the Development of a Clinical Pathway of Korean Medicine for the Management of Patients with Ankle Sprain

  • 윤상도 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 송미연 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 정원석 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 김형석 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 신우철 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 김태오 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 조휘성 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 서연호 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 서상우 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 서준원 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 강준혁 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 유승호 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 김세윤 (경희대학교 대학원 한의과대학 임상한의학과) ;
  • 조재흥 (경희대학교 대학원 한의과대학 임상한의학과)
  • Yoon, Sangdo (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Song, Mi-Yeon (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Chung, Won-Seok (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Hyungsuk (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Shin, Woo-Chul (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Taeoh (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Cho, Whi-Sung (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seo, Yeonho (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seo, Sangwoo (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seo, Joonwon (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kang, Junhyuk (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Yu, Seung-Ho (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Seyun (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Cho, Jae-Heung (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2022.06.21
  • 심사 : 2022.07.09
  • 발행 : 2022.07.31
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초록

Objectives The purpose of this study is to improve the accessibility of Korean medicine by standardizing managements, improving quality of medical services, and reducing medical costs in ankle sprain by develop clinical pathway (CP). Methods The development of CP in this study is based on clinical practice guideline (CPG) for ankle sprain, and aims to maximize the quality of treatment, such as reducing treatment time and medical costs, and increasing patient satisfaction through standardized pathway. The CP was revised after consultation and review by the advisory committee. The advisory committee is consisted of a stakeholder group applying the CP. Results In previous research studies, there were no Korean medicine CP studies on ankle sprain. Based on CPG for ankle sprain and analysis of medical records, 6 types of time task matrix type CP (for Korean medicine doctors, medical assistant, patients) and 4 types of algorithm type CP (for Korean medicine clinics, Korean medicine hospitals, and cooperative practicing hospitals, public medical centers) were derived as a result. Conclusions Ankle sprain CP is expected to not only increase patient satisfaction and maximize the quality of treatment, but also reduce the financial burden of health insurance by reducing medical costs.

키워드

과제정보

본 연구는 한국한의약진흥원 한의표준임상 진료지침 개발사업단(HI6C0275)의 지원으로 수행되었음.

참고문헌

  1. Koutras C, Antoniou SA, Jager M, Heep H. Acute injuries sustained by racing drivers: a cross-sectional study. Acta Orthop Belg. 2017;83(4):512-20.
  2. Swords M, Brilhault J, Sands A. Acute and chronic syndesmotic injury: the authors' approach to treatment. Foot Ankle Clin. 2018;23(4):625-37. https://doi.org/10.1016/j.fcl.2018.07.007
  3. Slater K. Acute lateral ankle instability. Foot Ankle Clin. 2018;23(4):523-37. https://doi.org/10.1016/j.fcl.2018.07.001
  4. Guideline Center for Korean Medicine. Clinical practice guideline of Korean medecine for ankle sprain [Internet] 2020 [cited 2021 Nov 28]. Available from: URL: https://nikom.or.kr/nckm/module/practiceGuide/viewPDF.do?guide_idx=142.
  5. Health Insurance Review & Assessment Service. Medical practice statistics [Internet] 2017 [cited 2021 Nov 28]. Available from: URL: http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do.
  6. Song KY, Kim SN, Park JH. Critical pathway for operable gastric cancer. J Korean Gastric Cancer Association. 2055;5(2):95-100. https://doi.org/10.5230/jkgca.2005.5.2.95
  7. Kim EH, Kim CK, Lee SK, Park SK. Development of a clinical pathway for gastrectomy and effect of its implementation in one tertiary hospital. Quality Improvement in Health Care. 2003;10(2):76-89.
  8. Coffey RJ, Richards JS, Remmert CS, LeRoy SS, Schoville RR, Baldwin PJ. An introduction to critical paths. Qual Manag Health Care. 2005;14:46-55. https://doi.org/10.1097/00019514-200501000-00006
  9. Park HO, Cho KJ, Kim RS, Ko SM, Kim JC, Ock CM. Effect of critical pathway of lumbar posterolateral fusion in spinal stenosis. J of Korean Orthop Assoc. 2002;37:392-7. https://doi.org/10.4055/jkoa.2002.37.3.392
  10. Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ. 2003;326(7386):417. https://doi.org/10.1136/bmj.326.7386.417
  11. Beckenkamp PR, Lin CC, Macaskill P, Michaleff ZA, Maher CG, Moseley AM. Diagnostic accuracy of the Ottawa ankle and midfoot rules: a systematic review with meta-analysis. Br J Sports Med. 2017;51(6):504-10. https://doi.org/10.1136/bjsports-2016-096858
  12. Crosswell S, Leaman A, Phung W. Minimising negative ankle and foot X-rays in the emergency department -- are the Ottawa ankle rules good enough? Injury. 2014;5(12):2002-4. https://doi.org/10.1016/j.injury.2014.09.001
  13. American Society of Orthopedic Surgeons. The core of diagnosis and treatment of the musculoskeletal system, essential. Seoul:Hanwoori. 2009:387.
  14. Halabchi F, Hassabi M. Acute ankle sprain in athletes: clinical aspects and algorithmic approach. World J Orthop. 2020;11(12):534-58. https://doi.org/10.5312/wjo.v11.i12.534
  15. Plishka CT, Rotter T, Penz ED, Hansia MR, Fraser SA, Marciniuk DD; Saskatchewan COPD CPWs Research Group. Effects of clinical pathways for COPD on patient, professional, and systems outcomes: a systematic review. Chest. 2019;156(5):864-77. https://doi.org/10.1016/j.chest.2019.04.131
  16. Isozaki LF, Fahndrick J. Clinical pathways--a perioperative application. AORN J. 1998;67(2):376, 379-86, 389-92; quiz 393-6.
  17. Rotter T, de Jong RB, Lacko SE, Ronellenfitsch U, Kinsman L. Clinical pathways as a quality strategy. Improving Healthcare Quality in Europe. Copenhagen:OECD Publishing. 2019:309.
  18. Cheah J. Development and implementation of a clinical pathway programme in an acute care general hospital in Singapore. International Journal for Quality in Health Care. 2000;12(5):403-12. https://doi.org/10.1093/intqhc/12.5.403
  19. Buchert AR, Butler GA. Clinical pathways: driving high-reliability and high-value care. Pediatr Clin North Am. 2016;63(2):317-28. https://doi.org/10.1016/j.pcl.2015.12.005
  20. Rotter T, Kinsman L, James E, Machotta A, Gothe H, Willis J, Snow P, Kugler J. Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database Syst Rev. 2010;(3):CD006632.
  21. Furaker C, Hellstrom-Muhli U, Walldal E. Quality of care in relation to a critical pathway from the staff's perspective. Journal of Nursing Management. 2004;12(5):309-16. https://doi.org/10.1111/j.1365-2834.2004.00443.x