• 대한한의학회지
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• 제44권1호
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• pp.65-75
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• 2023

Objectives: Objectives: In this study, we define a medical service type that combines Western medicine, Korean medicine, and complementary and alternative medicine (CAM) as an integrated medical service. This study, as part of tertiary hospital-based integrated medical service model and clinical field application, aims to collect status and opinions on integrated medical service for medical staff in the field. Methods: This is a survey study, and was conducted on doctors from Kyung Hee University Hospital and Korean medicine doctors from Kyung Hee University Korean Medicine Hospital. Respondents were recruited on a first-come, first-served basis until the number of respondents reached 120. The investigation was conducted for a total of 16 days from October 4, 2021 to October 19, 2021 by e-mail. Results: Recognition of integrated medical services was confirmed to be 45.8%, and 49.2% responded positively to the necessity of it. As a group of diseases that require the establishment of integrated medical services in the future, 'disorders of musculoskeletal systems and connective tissues' was the highest. The most expected advantages of providing integrated medical services were 'increased satisfaction of patients and guardians' and 'increased treatment effects.' Conclusions: In this study, we investigated the perception of doctors and Korean medicine doctors on integrated medical services that combine Western medicine, Korean medicine, and CAM. It has been confirmed that medical staff generally have a positive perception of integrated medical services, and if the scientific basis for the effect of integrated medical services is supported, the rate of positive perception is expected to increase.

• 한국콘텐츠학회논문지
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• 제12권2호
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• pp.349-357
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• 2012

유헬스케어 서비스는 오랫동안 만성질환 관리에 대한 효과적인 대안으로 부각되고 있으나 아직까지 활성화되지 못하고 있다. 본 연구는 유헬스케어 서비스 도입에 있어 중요 의사결정자인 의사들의 유헬스케어 서비스에 대한 인식과 사용의도에 영향을 주는 요인에 대해 고찰해 보고자 한다. 이를 위해 유헬스케어 서비스 제공자인 의사들을 대상으로 설문조사를 실시하여 유헬스케어 서비스 사용의도에 따른 집단별 특성을 비교하고, 사용의도에 영향을 주는 요인을 고찰하기 위해 로지스틱 회귀분석을 실시하였다. 분석 결과 의사들의 유헬스케어 서비스 사용경험은 16.0%로 낮으나 사용의도는 70.1%로 높게 나타났다. 또한 유헬스케어 서비스 적용은 만성질환과 예방분야가 적절하다고 응답하였으며, 적용이 적합한 질환은 당뇨병과 고혈압등의 순으로 나타났다. 의사 특성에 따른 사용의도의 차이에 관한 로지스틱 분석 결과 유헬스케어 서비스 사용의도는 대학병원에 비해 비대학병원 의사들의 사용의도가 3.7배 높았다. 본 연구는 유헬스케어 서비스에 대한 의사들의 인식 그리고 사용의도에 대한 집단 간 차이를 파악함으로써 유헬스케어 서비스의 활성화와 효과적인 비즈니스 모델 개발에 기여할 것이다.

• 대한한방부인과학회지
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• 제35권4호
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• pp.105-120
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• 2022

Objectives: The purpose of this study is to investigate the perception of Korean Medicine (KM) doctors toward infertility treatment evaluation tools and develop a standard evaluation tool for mental and physical function improvement following Korean medicine treatment. Methods: An online survey (Moaform) was conducted, and responses were analyzed for members of the Society of Korean Medicine Obstetrics and Gynecology and KM doctors who participated in the 2021-2022 traditional Korean medicine treatment infertility support program in Gyeonggi-do. Results: In fertility treatment, the most effective indicators that KM doctors wanted to evaluate other than pregnancy and childbirth were reproductive health indicators, overall health improvement, and stress improvement (33.1%, 21.2%, 18.9%). Furthermore, 45.1% of the respondents had experience using the presented infertility stress evaluation tools. For each evaluation tool, 52.1% and 54.6% of the respondents answered that it 'does not reflect the changing circumstances of the times' and that there were 'too many questions'. As for the developing a standard evaluation tool for infertility treatment in KM, KM doctors expected a simple and clear tool focusing on the pregnancy rate. They also wanted the tool to include a reproductive health index, overall function improvement and stress improvements. Conclusions: The survey confirmed the need to evaluate indicators for reproductive health, mental health, and infertility stress in addition to pregnancy rate to assess the effectiveness of KM infertility treatment. It also confirms the necessity of developing an infertility stress evaluation tool with simplified questions that reflects the changing time.

• 의료법학
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• 제15권2호
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• pp.317-343
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• 2014

In order to account for whether a doctor should indemnify damages resulted from violation of duty of care, the fact that a doctor violated duty of care, that damages were incurred, and the link between violation of duty of care and damages incurred, respectively, should be verified. So even though a doctor violated duty of care to patients, he or she will not bear the responsibility to indemnify damages unless it is not verified. If a doctor's negligence in medical practices is assessed that obviously unfaithful medical practice far exceeds the limit of admission of a patient, it will not go against people's general perception of justice or law and order to constitute a medical malpractice itself as an illegal action that will require liabiliy for damage. However, when the limit of admission is set too low, a patient's benefit and expectation of proper medical treatment can be violated. In contrast, if the limit of admission is set high, it can leave too little room for doctors' discretion for treatments due to a bigger risk of indemnification for damages. Thus, a reasonable balance that can satisfy both benefit and expectation of patients and doctors' right to treatment is needed.

• 대한지역사회영양학회지
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• 제16권4호
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• pp.488-496
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• 2011

The purpose of this study was to investigate the perception and utilization of Complementary and Alternative Medicine (CAM) for diabetic patients in Busan. The subjects were 227 patients at two general hospitals (over 400 bed). This study was performed through the interviewing process using questionnaires conducted from January to April, 2010. Of a total of subjects, 109 patients (48.0%) had taken CAM at least one time. The patients used CAM recognized that they were 'auxiliary medicines' (39.4%), 'supplementary health foods' (32.1%) and 'medicines' (19.3%), but inexperienced patients perceived them as 'supplementary health foods' (29.6%), 'unscientific treatment' (22.6%) and 'medicines' (20.2%), It was significantly different between two groups of patients (p < 0.001). The number of CAM types used for the patients was 51. The CAM types were plant foods (64.3%), dietary supplement (23.6%) and animal diets (12.1%). The patients used an average of 5.9 different kinds of CAM and an average of 3.8 years them and paid \93,345 per month. The patients with diabetic complications and for longer morbidity periods used CAM for significantly (p < 0.05) longer periods. The mean effectiveness scores of the patients used CAM were 3.31/5.00 for efficacy satisfaction, 3.58/5.00 for fewer side effects compared to those of oral drugs, 3.60/5.00 for psychological stability, 3.81/5.00 for easiness to use, and 3.06/5.00 for economic satisfaction. Of the patients that used CAM, 55.9% did not consult with doctors about CAM. More than two-thirds of the patients (77.1%) did not feel the need to consult with doctors.

• 대한예방한의학회지
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• 제22권2호
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• pp.125-132
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• 2018

Objectives : This survey assessed Korean medical doctors' (KMDs') use and perception of smoking cessation therapies in traditional Korean medicine (TKM) and their drawbacks. Methods : A total of 14,485 KMDs affiliated with the Association of Korean Medicine were sent surveys via email. They were asked the use and perception of smoking cessation therapies in TKM and their drawbacks: Present use of Korean medicine treatment for smoking cessation, ideal treatment for smoking withdrawal symptoms, advantages and disadvantages of smoking cessation treatments in Korean medicine were asked with closed-ended questionnaire. Results : Two hundred fifty-three KMDs (1.75%) responded to the questionnaire. According to the results of the study, more than half of KMDs (51.4%) answered that they have practiced smoking cessation therapy. The most frequently used treatments for smoking cessation were ear acupuncture (EA) (74.6%) and acupuncture (15.4%), and the most of TKM doctors said that they were the most effective treatments. The advantages of smoking cessation treatment in TKM were the fewer adverse events (53.4%), availability to stimulate acupoints continuously in everyday life (48.2%), and the possibility of controlling withdrawal symptoms. Disadvantages included the long treatment duration and the necessity of frequent visits to the doctor. The greatest disadvantage was the lack of sufficient evidence for the effectiveness of TKM smoking cessation protocols. Conclusions : Despite of the low response rate, the survey results show that the main treatment modalities for smoking cessation are acupuncture, and this was also estimated effective for stop smoking. However, to improve smoking cessation rate, the more various smoking cessation treatments should be developed.

• 대한한방내과학회지
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• 제42권4호
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• pp.532-546
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• 2021

Objective: This study investigated the perception, diagnosis, and treatment of irritable bowel syndrome (IBS) in the general population, in patients, and in Korean medicine doctors (KMDs) in order to provide basic information for the development of Korean medicine clinical practice guidelines for IBS. Methods: A questionnaire was developed in two versions, one for the general population/patients and one for KMDs. The questions were about the general perception, diagnosis, and treatment of IBS. Both online and offline surveys were conducted using these questionnaires. Results: In total, 213 general population/patients and 435 KMDs responded to the survey. The results of the analysis were as follows. Most of the KMDs diagnosed IBS based on clinical aspects. Acupuncture was the most common treatment, followed by prescription herbal medicine, moxibustion, and manufactured herbal medicine. 34.3% of KMDs used clinical practice guidelines for IBS patient treatment. 57.8% of patients were diagnosed with IBS by doctors at primary medical institutions, and 53.1% were diagnosed with colonoscopy. More than half of the IBS patients who have been treated with Korean medicine said they experienced improvement of symptoms and prevention of recurrence, but more than 70% of the respondents said future safety and effectiveness studies of Korean medicine were needed. Conclusions: In spite of the positive perception of IBS treatment with Korean medicine, actual utilization was relatively low. The development and promotion of, as well as education about, appropriate and reasonable Korean medicine practice guidelines for IBS is necessary.

• 대한간호학회지
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• 제36권8호
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• pp.1340-1351
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• 2006

Purpose. To determine and compare the perception among nurses and doctors of the roles and tasks of critical care advanced practice nurses (APNs) in order to establish standardized and formally agreed role criteria for such critical care APNs. Method. This study measured and analyzed the necessity of each of the roles and tasks of critical care APNs, as perceived by nurses and doctors, through a survey of 121 participants: 71 nurses in 7 intensive care units (ICUs) at a general hospital in Seoul, and 50 doctors who used ICUs. Data collection utilized a questionnaire of 128 questions in the following fields: direct practice (79), leadership and change agent (17), consultation and collaboration (15), education and counseling (11), and research (6). Results. Both the nurses' and the doctors' groups confirmed the necessity of critical care APNs, with doctors who frequently used ICUs indicating a particularly strong need. As for the priority of each role of critical care APNs, the nurses considered direct practice to be the most critical, followed by education and counseling, research, consultation and collaboration, and leadership and change agent. The doctors also considered direct practice to be the most critical, followed by education and counseling, consultation and collaboration, research, and leadership and change agent. There was a statistically significant difference between how the two groups regarded all the roles, except for the consultation and collaboration roles. As for the necessity of each role of critical care APNs, the nurses considered research to be the most necessary, followed by education and counseling, consultation and collaboration, leadership and change agent, and direct practice. The doctors, on the other hand, considered education and counseling to be the most necessary, followed by research, consultation and collaboration, leadership and change agent, and direct practice. The responses of the two groups to all the roles, except for education and counseling roles, were significantly different. Conclusion. Nurses and doctors have different perceptions of the roles and tasks of critical care APNs. Thus, it is necessary for the combined nursing and medical fields to reach an official agreement on a set of criteria to standardize for the roles and tasks of critical care APNs.

• 한국사회복지학
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• 제59권2호
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• pp.223-249
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• 2007

학제간 팀 접근을 통해 사회복지서비스를 제공하는 의료현장에서는 의료팀의 사회복지사 역할에 대한 명확한 인식과 기대를 파악하는 것이 사회복지사의 효과적인 역할수행에 매우 중요하다. 이에 본 연구는 의사, 간호사, 영양사 등의 의료팀성원을 대상으로 의료사회복지사의 역할에 대한 인식유형과 각 유형의 특성을 Q방법론을 활용하여 조사하였다. 연구결과 의료사회복지사에 대한 인식은 심리사회적 상담자 유형, 자원개발 및 연결자 유형, 복합기능수행자 유형의 3가지 유형으로 도출되었다. 이상의 결과를 바탕으로 의료사회복지실천의 함의를 찾아보았다.

• Journal of Acupuncture Research
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• 제25권6호
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• pp.23-33
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• 2008

Objectives : The study was accomplished to find out how korean medical doctor take oriental medical service for hypertension patients in clinical practice Methods : Survey questions were developed based on consensus of 2 clinician, 2 oriental internal medicine specialist and 1 acupuncture specialist. The list of the Korean oriental medical doctors is provided by the Association of the Korean Oriental Medicine. The questionnaire were distributed via E-mail to 9,465 members of Korean oriental medical doctors from 19th August 2008 to 11th September 2008. One thousand sixty three(11.24% of 9,465) members completed answer and the computerized data were analyzed by SAS statistical program Results : Fifty-one percent of Korean oriental medical doctors has experienced hypertension treatment. The most common medical diagnosis method was pattern diagnosis(64.2%). Saam and five element acupuncture were as frequent as 32.3% of acupuncture prescription principle. The most common acupuncture points were region of shoulder and back acupoints inclued $GB_{21}$, $GV_{14}$(25%). The most common herbs prescription principle were 'constitution prescription'(35.4%), 'pattern prescription'(12.6%). The most common opinion for the revitalization of oriental medical service were 'medical insurance system of herbal medicine'(28.8%) and 'research of oriental medical treatments in hypertensive patients'(26.8%). Conclusions : This survey provides unique insight into the perception, treatment method of the Korea medical doctor at oriental medical service for hypertension patient. This study provides a wealth of information and a fresh raft of questions which will inform future research and policy-making.