DOI QR코드

DOI QR Code

A National-wide Survey on Utilization of Pattern Identification for Chronic Diseases among Korean Medicine Doctors

전국 한방의료기관 한의사 대상 만성질환의 변증활용 현황 조사

  • Yeo, Minkyung (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Park, Kihyun (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Lee, Youngseop (Mibyeong Research Center, Korea Institute of Oriental Medicine)
  • 여민경 (한국한의학연구원 미병연구단) ;
  • 박기현 (한국한의학연구원 미병연구단) ;
  • 이영섭 (한국한의학연구원 미병연구단)
  • Received : 2017.07.11
  • Accepted : 2017.08.08
  • Published : 2017.08.31

Abstract

Objectives : The aim of this study was to survey the present utilization of pattern identification(PI) by chronic disease and using PI system in the clinical field among Korean medicine doctors. Methods : This survey was conducted from Oct. 1 to Oct. 31, 2014 by face-to-face interview using structured questionnaire. The subjects were 400 Korean medicine doctors who worked in hospitals or clinics. The questionnaire consisted of whether use clinical experience by chronic disease and the utilization of PI, the utilization of PI systems, the PI utilization rate, and the correlation between utilization PI and so on. General elements consisted of sex, age, clinical experience, place of work, district and so on. Results and Conclusions : This study revealed that clinical experience by chronic disease used 24.0-90.8%. The most chronic diseases were chronic fatigue and chronic pain, and least disease was cancer. Experience of the utilization of PI among Korean medicine doctors who have clinical experience was 87.8-97.1%. Also, the most utilized disease was chronic gastritis & gastric ulcer, and least disease was dyslipidemia. In this case, the most common cases were using the one PI between the utilization of PI systems, and the utilization ratio of Visceral PI was the highest. Phi coefficient between the PI systems in chronic diseases divided into positive correlation and negative correlation. The correlation of dementia between Triple energizer PI and Six excesses PI was the highest at positive correlation, and the frequency of occurrence between Defense, Qi, Nutrient and Blood PI was the highest at positive correlation. The correlation of osteoarthropathy between Meridian and Collateral PI and Sasang Constitutional Medicine was the highest at negative correlation. Also the frequency of occurrence between Qi, Blood, Fluid and Humor PI and Sasang Constitutional Medicine was the highest at negative correlation. We hope that additional studies on systematic PI research of chronic disease which needed to be in korean oriental medicine and meet the needs of clinical consumer continue based on this study.

Keywords

References

  1. 한의과대학 예방의학교재편찬위원회. 예방한의학 및 공중보건학. 서울:계축문화사. 2014.
  2. Darnton-Hill. A life course approach to diet, nutrition and the prevention of chronic diseases. Public Health Nutrition. 7(1A). 2004.
  3. Who, Regional Strategic Plan on Traditional Medicine. 2011.
  4. 서숙경, 박보현, 최숙자. 성인의 한방의료서비스 이용 추세와 관련 요인. 한국보건간호학회지. 2016:30(1):136-148. https://doi.org/10.5932/JKPHN.2016.30.1.136
  5. 何思長, 劉志會, 趙大仁, 孫渤星, 張瑞華, 李嬌月, 徐鑫. 2009年-2014年我國中醫醫院醫療服務情況分析. 中國醫療管理科學. 2016:6(5):62-66.
  6. Chen FP, Chen TJ, Kung YY, Chen YC, Chou LF, Chen FJ, Hwang SJ. Use frequency of traditional Chinese medicine in Taiwan. BMC Health Services Research. 2007:7(26).
  7. MacLennan AH, Wilson DH, Taylor AW. Prevalence and cost of alternative medicine in Australia. The Lancet. 1996:347:569-573. https://doi.org/10.1016/S0140-6736(96)91271-4
  8. Boon H. Regulation of complementary/alternative medicine: a Canadian perspective. Complementary Therapies in Medicine. 2002:10(1):14-19. https://doi.org/10.1054/ctim.2002.0499
  9. Reilly D. Comments on complementary and alternative medicine in Europe. The Journal of Alternative Complementary Medicine. 2004: 7(Supplement 1):23-31.
  10. Burg MA, Hatch RL, Neims AH. Lifetime use of alternative therapy: A study of Florida residents. Southern Medical Journal. 1998: 91(12):1126-1131. https://doi.org/10.1097/00007611-199812000-00006
  11. Han MK, Sung YK, Cho SK, Kim D, Won SY, Choi CB, Bang SY, Cha HS, Choe JY, Chung WT, Hong SJ, Jun JB, Jung YO, Kim SK, Kim TH, Koh EM, Lee HS, Lee JS, Lee JH, Lee SS, Nah SS, Shim SC, Yoo DH, Yoo WH, Yoon BY, Jee SH, Bae SC. Factors Associated with the Use of Complementary and Alternative Medicine for Korean Patients with Rheumatoid Arthritis. The Journal of rheumatology. 2015:42(11):2075-2081. https://doi.org/10.3899/jrheum.141447
  12. Koloski NA, Talley NJ, Huskic SS, Boyce PM. Predictors of conventional and alternative health care seeking for irritable bowel syndrome and functional dyspepsia. Alimentary Pharmacology and Therapeutics. 2003:17(6):841-851. https://doi.org/10.1046/j.1365-2036.2003.01498.x
  13. Wood MJ, Stewart RL, Merry H, Johnstone DE, Cox JL. Use of complementary and alternative medical therapies in patients with cardiovascular disease. 2003:145(5):806-812. https://doi.org/10.1016/S0002-8703(03)00084-X
  14. 여민경, 박기현, 장은수, 이영섭. 전국 한방의료기관 한의사 대상 한의 변증활용 현황 조사. 대한예방한의학회지. 2015:19(3):45-55.
  15. 이봉교. 한방진단학. 서울:성보사. 2009.
  16. Lee JC, Dong SO, Lee YS, Kim SH, Lee SW. Recognition of and interventions for Mibyeong (subhealth) in South Korea: a national web based survey of Korean medicine practitioners. Integrative Medicine Research. 2014: 3(2):60-66. https://doi.org/10.1016/j.imr.2013.09.001
  17. 이상재, 이송실, 김도훈. 미병 연구의 경향에 관한 고찰. 대한한의학원전학회지. 2010:23(5):23-34.
  18. 이은영, 이영섭, 박기현, 유종향, 이시우. 미병에 대한 한국 일반인의 인식과 미병률 현황:전국조사. 대한예방한의학회지. 2015:19(3):1-10.
  19. 서영준, 강신희, 김연희, 최대봉, 신현규. 한방의 료서비스 이용과 만족도의 영향요인에 대한 계통적 고찰. 대한한의학회지. 2010:31(1):69-80.
  20. 오종수. 만성질환자의 한의학서비스 이용과 결정요인. 석사학위논문. 2008.
  21. 전상복, 오태환, 정승기, 이형구. 무기력 및 피로에 관한 문헌적 고찰. 대한한방내과학회지. 1990: 11(2):80-92.
  22. 조정효, 유사라, 조종관, 손창규. 만성피로를 주증으로 하는 성인 72명의 변증과 체질별 분석 연구. 대한한방내과학회지. 2007:28(4):791-796.
  23. Donin AS, Nightingale CM, Owen CG, Rudnicka AR, McNamara MC, Prynne CJ, Stephen AM, Cook DG, Whincup PH. Ethnic differences in blood lipids and dietary intake between UK children of black African, black Caribbean, South Asian, and white European origin: the child heart and health study in England(CHASE). American Journal of Clinical Nutrition. 2010:92:776-783. https://doi.org/10.3945/ajcn.2010.29533
  24. Zweifler RM, McClure LA, Howard VJ, Cushman M, Hovater MK, Safford MM, Howard G, Goff DC Jr. Racial and geographic differences in prevalence, awareness, treatment and control of dyslipidemia: the reasons for geographic and racial differences in stroke(REGARDS) study. Neuroepidemiology. 2011:37:39-44. https://doi.org/10.1159/000328258
  25. Goff DC, Bertoni AG, Kramer H, Bonds D, Blumenthal RS, Tsai MY, Psaty BM. Dyslipidemia prevalence, treatment, and control in the multi-ethnic study of atherosclerosis (MESA): gender, ethnicity, and coronary artery calcium. Circulation. 2006:113:647-656. https://doi.org/10.1161/CIRCULATIONAHA.105.552737
  26. 김기욱, 박현국. 온병조변의 온병학설에 관한 연구. 대한한의원전학회지. 2005:18(1):7-32.
  27. 김상현, 백유상, 정창현, 장우창. 온병조변의 삼초변증에 대한 고찰. 2011:24(2):81-100.

Cited by

  1. 만성피로의 한의임상진료현황에 대한 조사 연구 vol.32, pp.2, 2017, https://doi.org/10.15188/kjopp.2018.04.32.2.126