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Telephone Survey for Developing Clinical Trial Protocol on Individualized Acupuncture Treatment for Knee Osteoarthritis (퇴행성 슬관절염의 맞춤형 침구 임상시험 프로토콜 개발을 위한 전화조사)

  • Seo, Byung-Kwan;Lee, Sang-Hoon;Seo, Jung-Chul;Lee, Seung-Deok;Kim, Sun-Woong;Choi, Sun-Mi;Kim, Yong-Suk
    • Journal of Acupuncture Research
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    • v.22 no.5
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    • pp.141-150
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    • 2005
  • Objectives : This study was accomplished in order to find out how Korean medical doctors take acupuncture prescription for knee osteoarthritis in clinical practice Methods : The survey questions were developed by the consensus from 4 professors and 10 residents who major in acupuncture & moxibustion for developing clinical trial protocol on individualized acupuncture treatment for knee osteoarthritis. 206 persons having more than 10 years experience were randomly selected from a list of Korean medical doctors. Telephone interviews with them were conducted by the well-trained interviewers between May 21 and May 27 in 2005. Results : 139 of 206 Korean medical doctors made an acupuncture prescription prior to treatment of knee osteoarthritis. 103 of 139 Korean medical doctors used both local and remote points, and 26 of them used remote points only, and 10 of them used local points only. In case of doctors who use remote points, the five element (45 of 129) or Saam (28 of 129) acupoints were used dominantly, and its was based on the pattern identification of the Jangbu organs related with the pain (56 of 129) or of the pain location (35 of 129). Conclusion : This study showed that Koran medical doctors prefer to use remote points such as five element or Saam acupoints based on the pattern identification of the Jangbu organs related with the pain or the pain location. These result may be useful for developing protocols for clinical trial on acupuncture on knee osteoarthritis.

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Telephone Survey for Grasping Clinical Actual State of Bloodletting Therapeutics in Korea (국내 자락(사혈)요법 임상 실태 파악을 위한 전화조사)

  • Han, Chang-Hyun;Kim, Seon-Woong;Lee, Seung-Deok;Shin, Mi-Suk;Shin, Seon-Hwa;Choi, Sun-Mi
    • Journal of Acupuncture Research
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    • v.23 no.6
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    • pp.177-187
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    • 2006
  • Objectives : Bloodletting therapeutics is one of the most popular oriental treatments in Korea. In this study, we operate the Telephone Survey for grasping clinical actual state bloodletting therapeutics in Korea. Methods : The list of the Korean medical doctors with experiences more than 10 years is provided by the Association of the Korean Oriental Medicine. A stratified random sample of Korean medical doctors is drawn for the telephone interviews. We choose a bound on the error of estimation equal to 3.2 percentage, and the sample size is 321 for the national sample. We develop a questionnaire for telephone interviews. We carefully design the questionnaire to minimize non-sampling errors by using the focus group activities and the pretest. We give the details of the results based on the sample design. Also, we present some socialdemograhpic characteristics for the samples. Telephone interviews with them were conducted by the well-trained interviewers of College of Korean Medicine student from 11th May 2006 to 17th May 2006. Results : 1. Two hundred eighty eight(89.4%) out of 322 Korean oriental medical doctors used bloodletting therapeutics. 2. The most common main bloodletting treatment is reported by patients was musculo-skeletal disorder(60.2%). 3. Two hundred ninety one(90.3%) out of 322 Korean oriental medical doctors opposed that commercial using bloodletting without medical diagnosis. Conclusion : Bloodletting therapeutics is one of the most popular oriental treatments in Korea. The majority(89.4%) of Korean medical doctors used bloodletting therapeutics in this survey.

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Korean Medical Doctors' Perception Survey Regarding the Establishment of an Oriental Medicine Support System for Sexual Violence Victims (성폭력 피해자 한의의료지원시스템 구축을 위한 한의계 인식 조사연구)

  • Kim, Jae-won;Cho, You-kyung
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1179-1192
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    • 2019
  • Objectives: The purpose of this study was to prepare basic data to build an Oriental medicine support system for sexual violence victims through a survey on perceptions of Korean medical doctors about sexual violence. Methods: From 18 September 2019 to 24 September 2019, the online survey was conducted by both Korean medical doctors and students of the Korean Medical College. Thereafter, a quantitative statistical analysis was conducted on data from a total of 1,011 respondents, including 749 doctors and 262 students. Results and Conclusions: Many of the doctors and the students who answered were not fully aware of public services and legal systems related to sexual violence. Most Korean doctors had very little experience in treating victims of sexual violence. Most respondents thought that the number of designated Oriental medicine institutions for sexual violence victims should increase, and related education and Oriental medicine manuals would be essential. Most respondents said that information about trauma treatment would be essential. In addition, the Korean medicine group showed overall good scores in the perception of sexual violence. However, there were statistically significant differences in perception between males and female, and among age groups. We hope that this study could be used as basic data for establishing an Oriental medicine support system for sexual violence victims.

Effect of Doctors' Patient-centered Communication on the Patient Satisfaction and Treatment Outcomes : Focusing on Mediating Effect of Patient Participation (의사의 환자중심 커뮤니케이션이 환자만족과 치료성과에 미치는 영향 : 환자참여의 매개효과를 중심으로)

  • Lee, Jong-Hak;Kim, Chan-Jung
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.249-260
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    • 2013
  • The main purpose of this study is to examine the effect of doctors' patient-centered communication on patient satisfaction and treatment outcomes, and the mediating effect of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. For the purpose of this study's goal, the 339 samples for this empirical study were collected from general hospital outpatient in C. The results of this study are as follows, First, except prohibition factor there are positive effect careful listening factor, consideration factor on patient satisfaction and treatment outcomes. Second, there are positive effects of careful listening factor, consideration factor on emotional factor and informational factor, but there are no significant effect of prohibition factor on three factors of patient. Third, There are partial mediating effects of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. Last, based on the results of this study, we suggested implications for heighten the alternatives of patient satisfaction and treatment outcomes.

A Study on Korean Oriental Medical Doctors' Use of Uninsured Herbal Extracts and How to Promote the Insurance Coverage of Such Herbal Extracts (한의사의 복합과립제 사용 실태 조사 및 복합과립제 건강보험 급여 시행방안에 대한 연구)

  • Son, Chi-Hyoung;Kim, Yong-Ho;Lim, Sabina
    • The Journal of Korean Medicine
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    • v.30 no.4
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    • pp.64-78
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    • 2009
  • Objectives: To research Korean oriental medical doctors' use of uninsured herbal extracts and how to bring about the insurance coverage of such herbal extracts. Methods: We surveyed Korean oriental doctors about the following issues from October 17th to November 15th, 2008: (1) Korean oriental medical doctors' knowledge about herbal extract insurance and the circumstances of oriental medicine in Korea, (2) their opinion on the coverage of currently uninsured herbal extracts and the dispensing of herbal extracts from pharmacies rather than from their clinics, (3) their use of herbal extracts, and (4) how to bring about insurance coverage of uninsured herbal extracts. Results: Over 70% of the respondents said that herbal medicine prescriptions have been reduced recently and that the existence of herbal medicine is in danger. In addition, 63.64% respondents agreed with expanding insurance coverage to include currently uninsured herbal extracts in spite of the fact that patients might have to obtain herbal extracts from pharmacies rather than from Korean oriental medical clinics. The average patient number per month of uninsured herbal extracts was 13.64 people, the average dosage was 5.64g, the average cost per day was 3,859 won, and the average prescription period was 2.65 days. Korean oriental medical doctors asked an average of 12,486 won for the medical examination-prescription fee and 3,292 won in fees for prescriptions obtained outside the hospital. If insurance coverage expands to include these herbal extracts, their usage is expected to increase 2.31 times. Conclusions: This study shows Korean oriental medical doctors' use of herbal extracts and their opinions about execution of herbal extracts' insurance. A periodic study such as this one will hopefully aid in establishing polices for uninsured herbal extracts' insurance.

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Physicians' perception of and attitudes towards patient safety culture and medical error reporting (환자안전 문화와 의료과오 보고에 대한 의사의 인식과 태도)

  • Kang, Min-Ah;Kim, Jeong-Eun;An, Kyung-Eh;Kim, Yoon;Kim, Suk-Wha
    • Health Policy and Management
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    • v.15 no.4
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    • pp.110-135
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    • 2005
  • The objectives of this study were (1) to describe doctors' perception and attitudes toward patient safety culture and medical error reporting in their working unit and hospitals, (2) to examine whether these perception and attitudes differ by doctors' characteristics, such as sex, position, and specialties, and (3) to understand the relationship between overall perception of patient safety in their working unit and each sub domain of patient safety culture. A survey was conducted with 135 doctors working in a university hospital in Korea. After descriptive analyses and chi-square tests of subgroup differences, a multivariate-regression of overall perception of patient safety in their unit with sub-domains of patient safety culture was conducted. Overall, a significant proportion of doctors expressed negative perception of their working units' patient safety culture, many reporting potentials for patient safety problems to occur in their unit. They also negatively viewed their hospital leadership's commitment on patient safety. Regarding the patient safety in their working unit, doctors were most worried about staffing level and observance of safety procedures. Most doctors did not know how and which medical error to report. They also perceived that medical errors would work against them personally and penalize them. About 22 percent of respondents believed that even seriously harmful medical errors were not reported.

Importance Analysis of Questionnaire for Doctors and Questionnaire for Patients (의사용, 환자용 설문지의 중요도 분석)

  • Sul, Yu-Kyung;Jeon, Soo-Hyung;Kwon, Suk-Dong;Kim, Hoon;Lee, Eui-Ju;Kim, Kyu-Kon;Kim, Jong-Won
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.3
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    • pp.94-123
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    • 2006
  • 1. Objectives This study integrates and studied variable of Questionnaire for doctors and Questionnaire for patients. After, found extremely useful variable. 2. Methods Through the medium of statistical method and advice of the Department of Sasang Constitution Medicine specialist, found extremely useful variable. 3. Results and Conclusions 1) Through the medium of statistical method (STEPDISC, DISCRIM), The variable which is selected lastly above once from 36 taxon, In the Questionaire for doctors Taeyang items is 18, Soyang items is 16, Taeumin items is 21, Soeumin items is 20. In the Question patients Taeyang items is 50, Soyang items is 53, Taeumin items is 63, Soeumin items is 64. 2) The variable which got above 25 from the Department of Sasang Constitution Medicine specialist, In the Questionaire for doctors Taeyang items is 5, Soyang items is 8, Taeumin items is 7, Soeumin items is 12. items is 32. 3) The variable which got above 25 from the Department of Sasang Constitution Medicine specialist and got above 3 the selection frequency, the Questionaire for doctors Taeyang items is 4, Soyang items is 4, Taeumin items is 5, Soeumin items is 8. In the Questionaire for patients Taeyang items is 10, Soyang items is 17, Taeumin items is 24, Soeumin items is 23.

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Huizhou Medicine (Xīn'ān medicine) in the Ming-Ching Dynasty -The Confucian-Merchants-Doctors triad(triarchy) in the culture & structure (명(明)·청시대(淸時代)의 신안(新安)(휘주(徽州))의학(醫學)-유(儒)·상(商)·의(醫) 삼위일체(三位一體)의 문화구조(文化構造))

  • Lee, Minho;Ahn, Sangwoo
    • The Journal of Korean Medical History
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    • v.22 no.2
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    • pp.15-22
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    • 2009
  • In this thesis, the emphasis is laid especially on the culture & structure of Huizhou Province, China as the prime mover of the specifically-regional Huizhou $X{\bar{i}}n^{\prime}{\bar{a}}n$ medicine. Huizhou was the home town & stronghold of Neo-coufucian masters Cheng-Zhu (Cheng brothers and Zhu-hsi)". The tradition of the region as "The arts province" resulted in the flourishing trend of nurturing prominent Confucian-doctors. The remarkable all round activities of Huizhou Merchants (新安商人 $X{\bar{i}}n^{\prime}{\bar{a}}nsh{\bar{a}}ngr{\acute{e}}n$), as the reigning power merchant at the period were the second mover of the Zeitgeist. Their nation-wide network all over China made it possible to gain valuable inlormation and access to news including the field of medicine in time. Some merchants actually have "abandoned their own jobs to become doctors of medicine". This Confucian-Merchant culture was one of intrinsic characteristics of Huizhou region, inducing "Pragmatic Scholarship". With the enlargement of the population of Confucian-tumed doctors and improvement of the societal status of doctors, the resultant occupational triad of local Confucian govemment officials, local $X{\bar{i}}n^{\prime}{\bar{a}}nsh{\bar{a}}ngr{\acute{e}}n$ merchants, and local doctors was established after the Middle-Ming Dynasty. Ultimately, the two prime movers of the concomitant development of medicine in the Province Huizhou in this study are concluded to be the synergy effects of the Neo-Confucian tradition and economic power of the prevalent Huizhou Merchants ($X{\bar{i}}n^{\prime}{\bar{a}}nsh{\bar{a}}ngr{\acute{e}}n$).

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Roles and Functions of the Rehabilitational Nurse Practitioner Expected by Nurses and Doctors in Rehabilitation Hospital (재활전문간호사에게 기대되는 역할과 기능)

  • Kim, Keum-Soon;Lim, Nan-Young;Cho, Bok-Hee;So, Hee-Young;Chon, Mi-Young;Park, Song-Ja;Lee, Hea-Young;Kim, Jong-Il;Cho, Nam-Ok
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.85-93
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    • 2005
  • Purpose: This study aims to identify the role and function of the RNP(rehabilitational nurse practitioner) expected by nurses and doctors. Method: This study was a survey. The data were collected 188 nurses and 21 doctors who worked for disabled patients in the rehabilitation hospital during months of June, 2004 and August, 2005. Results: 98.4% of nurse and 61.9% of doctors agreed at opening of RNP course. The major role of RNP expected by nurses were educator, counsellor and case manager. The major role of RNP expected by doctors were direct care, self care promoter & exercise and emotional care. There was a significant difference about the need for opening of RNP course and major role and function of RNP between the group of nurses and doctors. Conclusion: The results of this study showed that the need for opening of RNP was identified and the major role of RNP was educator, counsellor, case manager and direct care. So there is a need for further research about major role of RNP related to various setting including rehabilitation hospital, nursing home, home care etc.

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Physicians' behavior and attitude toward Review system of National Health Insurance claim in Korea (진료비 심사제도에 대한 개원의 들의 태도 및 만족도)

  • Jo, Heui-Sug;Jeong, Heon-Jae;Hwang, Moon-Sun
    • Korea Journal of Hospital Management
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    • v.10 no.2
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    • pp.45-63
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    • 2005
  • The purposes of this study are to understand the doctors' attitude and satisfaction about the review system of national health insurance claim in Korea and to suggest the way to improve this system This study conducted a survey of the doctors registered in the medical association in Seoul city. The survey was performed as a form of self-administered questionnaire from January 2004 to February 2004. The contents of questionnaire dealt with doctors' attitude and satisfaction about the review system of medical service claim. Totally, 1,037 members replied to our survey and we analysed 981 doctors' data, excluding incomplete responses. As a result, 89.7% of repliers showed a negative attitude about the influences of the review system on improvement of medical service quality, 98.0% of repliers have had experiences that they have given distorted insufficient medical services in order to evade the curtailment of service claim. Also, 91.6% of repliers stated that they have had experiences of intentional modification or alteration of diagnostic code to shun the curtailment. Most of the doctors showed negative attitude to the curtailment procedure and the review system of service claim originally intended to be one of the quality control methods of medical service in Korea also, the development of both scientific and reasonable parameters and criteria for claim is needed. 'Through the improvement of review system for appropriate medical service, there is a need of a way to increase the satisfaction of medical service providers, and to encourage the motivation for quality control. Also, education is strongly needed to provide doctors with sufficient information about review criteria and curtailment cases.

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