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사상체질 진단 연구의 전문가 일치도와 진단 정확률

Inter-expert Agreement and Diagnostic Accuracy of Sasang Constitution Medicine

  • 한은경 (채영한의원) ;
  • 권영규 (부산대학교 한의학전문대학원 양생기능의학부)
  • Han, Eunkyung (Chae-Young Primary Care Center of Korean Medicine) ;
  • Kwon, Young Kyu (Division of Longevity and Biofunction Medicine, School of Korean Medicine, Pusan National University)
  • 투고 : 2018.05.08
  • 심사 : 2018.08.06
  • 발행 : 2018.08.25

초록

The purpose of this study is to evaluate the current inter-expert agreement of Sasang Constitution Medicine (SCM), to expand the current knowledge on the causes of imperfect inter-expert agreement, and to explore possible solutions for improving inter-expert agreement. A literature search was conducted to gather data on the studies on diagnosis of SCM. The 127 articles included in this analysis had a mean 4.1 publications per year, 56.0% published in the Journal of Sasang Constitutional Medicine between the year of 1987 and 2017. SCM specialist participated in 96.3% of all the expert judgment cases. Inter-expert agreement was reported in 14.8% of the cases that had two or more experts. We recommend that expert panels integrate the results of current status of diagnostic consensus into guideline development and strengthen expert education and training with the aim of improving SCM diagnostic accuracy.

키워드

참고문헌

  1. Brush JE Jr, Sherbino J, Norman GR. How Expert Clinicians Intuitively Recognize a Medical Diagnosis. Am J Med. 2017;130(6):629-34. https://doi.org/10.1016/j.amjmed.2017.01.045
  2. Gschliesser A, et al. Inter-expert and intra-expert agreement on the diagnosis and treatment of retinopathy of prematurity. Am J Ophthalmol. 2015 Sep;160(3):553-60.e3. https://doi.org/10.1016/j.ajo.2015.05.016
  3. National Academies of Sciences, Engineering, and Medicine. 2015. Improving Diagnosis in Health Care. Washington, DC: The National Academies Press. https://doi.org/10.17226/21794.
  4. Trese MT. Subjectivity in Retinopathy of Prematurity Screening. Am J Ophthalmol. 2015;160(3):406-7. https://doi.org/10.1016/j.ajo.2015.07.015
  5. Song I. Sasang Constitutional Medicine. Jibmoondang; 2008.
  6. Yoo J, Jang E, Lee H, Kim Y, Kim H, Lee S. Knowledge and Attitude of Sasang Constitution Investigatorson the Sasang Constitution Clinical Study in Korea. J Sasang Constitut Med. 2008;20(3):118-32.
  7. Park D, Park K, Jin H. The Web Application to Improve Utilization of Sasang Constitutional Diagnosis Questionnaire - KS-15(Korea Sasang Constitutional Diagnostic Questionnaire). J Sasang Constitut Med. 2017;29(3):224-31. https://doi.org/10.7730/JSCM.2017.29.3.224
  8. Kim S, Jang E, Koh B. The Methodological Review on the Accuracy Study of Questionnaire for Sasang Constitution Diagnosis. J Sasang Constitut Med. 2012;24(3):1-16. https://doi.org/10.7730/JSCM.2012.24.3.1
  9. Hahm T, Hwang M, Lee T, Kim S, Lee S, Koh B. A Study on the Concordance Rate of the Diagnostic Results Among Sasang Constitutional Medicine(SCM) Specialists. J Sasang Constitut Med. 2006;18(3):124-30.
  10. Kim Y, Jang E. Test-Retest Reliability of Brief KS-15 - Korean Sasang Constitutional Diagnostic Questionnaire. J Sasang Constitut Med. 2016;30(3):177-83.
  11. Pak Y, Kim J, Park B, Yoo J, Lee J, Koh B, et al. The Reliability and Validity Test of Sasangin Diagnostic Questionnaire for Specialist(SDQ_S). J Sasang Constitut Med. 2016;18(2):110-22.
  12. Baek Y, Jang E, Park K, Yoo J, Jin H, Lee S. Development and Validation of Brief KS-15 (Korea Sasang Constitutional Diagnostic Questionnaire) Based on Body Shape, Temperament and Symptoms. J Sasang Constitut Med. 2015;27(2):211-21. https://doi.org/10.7730/JSCM.2015.27.2.211
  13. Shin D, Song J. A Study on the Standardization of TS-QSCD. J Sasang Constitut Med. 2009;21(1):99-126.
  14. Kim KK, Kang CW, Kim JW. Stabilization of Sasang Constitution Discrimination Function using Check List Data with Mixed Measurement Scale. Journal of the Korean Data Analysis society. 2008;10(5):2471-85.
  15. Jeon S, Jeong S, Kwon S, Park S, Kim K, Kim J. A Study on the Diagnostic Accuracy Rate of the Sasang Constitution Questionnaire for Doctors Used in the On-line System. J Sasang Constitut Med. 2008;20(3):82-93.
  16. Lee S, Joo J, Lee S, Lee H, Jang E. A Study on the Response Differences to the Sasang Constitution Questionnaire by Sasang Constitutions. J Sasang Constitut Med. 2007;19(3):89-98.
  17. Kim J, Choi M, Jung W, Shin W, Kim S, Yoo J. A Study on the Sasang Constitutional Checkup List and Inspection Diagnosis of Face and Tongue. J Sasang Constitut Med. 2007;19(3):156-75.
  18. Lee J, Kim Y, Hwang M, Kim J, Lee E, Song I, et al. Survey Study about Sasangin's Characteristics of Face, Voice, Skin and Pulse Diagnosis. J Sasang Constitut Med. 2007;19(3):126-43.
  19. Shin D, Kim J, Choi D, Lim M, Lee K, Song J, et al. A Development of the Two Step Questionnaire for the Sasang Constitution Diagnosis (TS-QSCD). J Sasang Constitut Med. 2006;18(1):75-90.
  20. Kim J, Lee E, Kim K. Comparisons of Diagnosis Accuracy of Sasang Constitution Discrimination Function for Doctors based on Sex, Age and BMI, Journal of the Korean Data Analysis society. 2007;9(3):1077-88.
  21. Sul Y, Jeon S, Kwon S, Kim H, Lee E, Kim K, et al. Importance Analysis of Questionnaire for Doctors and Questionnaire for Patients. J Sasang Constitut Med. 2006;18(3):94-123.
  22. Kim J, Jeong S, Kim K, Lee E, Kim J, Lee Y. Validity Study of the Questionnaire for Doctors for Sasang Constituion Diagnosis. J Physiol & Pathol Korean Med. 2006;20(1):209-14.
  23. Kim K, Kim J, Lee E. Comparative Study on Categorical Error Rate of Check List used in Sasang Constitution Discrimination. Journal of the Korean Data Analysis Society. 2005;7(5):1571-81.
  24. Kim J, Jung S, Choi M, Kim K, Lee E, Kim J, Lee Y. Study on Golden Standard for Sasang Constitution Diagnosis. J Physiol & Pathol Korean Med. 2005;19(6):1504-12.
  25. Lee E, Kim J, Kim K, Kim JY, Kwak C, Yoo J, et al. The test for the item-branch of Sasangin Diagnosis Questionnaire-on the differences of 2 item-branch and 3 item-branch questionnaire. Journal of the Korean Data Analysis society. 2005;7(1):101-11.
  26. Kim J, Lee E, Kim K, Kim JY, Lee Y. Study on Methods for Sasang Constituion Diagnosis. J Physiol & Pathol Korean Med. 2005;19(6):1471-4.
  27. Park J, Wang M, Kim J. A Study on the Simplification of Questionnaire for Sasang Constitution Classification(QSCC 2). Journal of Korean Academy of Community Health Nursing. 2003;14(2):334-50.
  28. Lee E, Choi S, Kim J, Jung S, Lee H, Kim J, et al. The Study About The QSCC II For The Diagnosis Of Sasang Constitution (Around The Analysis of subjects). J Sasang Constitut Med. 2003;15(3):11-21.
  29. Yoo J, Lee E, Koh B, Song I, Kim T. The Study on the Upgrade of QSCC II (I). 2003;15(1):27-38.
  30. Choi J, Park S. The Characteristics of Questionnaire Response Using decision tree method. J Sasang Constitut Med. 2003;15(3):177-86.
  31. Kim S, Lee S, Lee E, Choi S, Koh B, Song I, et al. Revision of the Questionnaire for the Sasang Constitution Classification. J Sasang Constitut Med. 2003;15(3):100-17.
  32. Kim Y, Lee E, Choi S, Jung S, Lee Y, Jo H, et al. The Study About The QSCC II For The Diagnosis Of Sasang Constitution (Around The Analysis of subjects). J Sasang Constitut Med. 2003;15(3):1-10.
  33. Choi S, Yoon Y, Nam B, Moon J, Kang B, Yoo Y. I. Study on development of Sasang Constitution Diagnosis Questionnaire. KIOM Report. 2003;12:2-147.
  34. Park J. Comparison of the Results of Clinical Diagnostic Assay according to Sasang Constitution Classification. The Journal of Korean Academic society. of Adult Nursing. 2003;15(2):215-25.
  35. Jang H, Lee E, Goh B, Song I. Validation Study on Diagnosis of Taeeum-In in Sasang Constitutional Medicine. J Sasang Constitut Med. 2001;13(1):45-50.
  36. Park E, Park S. A Study on Comparison of responses to the questionnaire based on Sasang institution's differences-Questionnaire of Sasang Constitution Classification II (QSCCII). J Sasang Constitut Med. 2000;12(2):78-93.
  37. Kim T, Kim J. The Study for clinical application of the New Sasang Constitution Questionnaire. J Sasang Constitut Med. 2000;12(1):173-85.
  38. Lee S, Lee E, Goh B, Song I, Kim S. Validation Study on Diagnosis of Soeum-In in Sasang Constitutional Medicine. J Sasang Constitut Med. 2000;12(1):94-103.
  39. Kim Y, Kim j. A CLINICAL STUDY OF THE TYPE OF DISEASE AND SYMPTOM ACCORDING TO SASANG CONSTITUTION CLASSIFICATION II. J Sasang Constitut Med. 1999;11(1):119-35.
  40. Park S, Park E, Choi J. Analysis of Inter-Questionnaire Agreement in Determining Sasang Constitution. J Sasang Constitut Med. 1999;11(1):103-17.
  41. Kim Y, Kim J,. The Study in Objectification of the diagnosis of Sasang Constitution(According to Analysis of the Past Questionnaires). J Sasang Constitut Med. 1999;11(2):151-83.
  42. Kim S, Go B, Song I. A Study on the Standardization of QSCCII (Questionnaire for the Sasang Constitution Classification II). J Sasang Constitut Med. 1996;8(1):187-246.
  43. Kim S, Go B, Song I. A Study on the Standardization of QSCCII (Questionnaire for the Sasang Constitution Classification II). J Sasang Constitut Med. 1996;8(1):187-246.
  44. Kim Y, Kim j. A CLINICAL STUDY OF THE TYPE OF DISEASE AND SYMPTOM ACCORDING TO SASANG CONSTITUTION CLASSIFICATION II. J Sasang Constitut Med. 1999;11(1):119-35.
  45. Lee EJ, Ko BH, Song IB. The Study on The Validity of "Questionnaire of Sasang Constitution Classification(I). J Sasang Constitut Med. 1995;7(2):89-100.
  46. Kim S, Go B, Song I. A Validation Study of Questionnaire of Sasang Constitutional Classification (QSCC). J Sasang Constitut Med. 1993;5(1):67-85.
  47. Goh B. Study on Sasang Constitution medicine. Method. Journal of Korean medicine. 1987;8(1):139-60.
  48. Kim D, Lee J, Kim K. A Comparison of Statistical Methods for Sasang Constitution Classification. Journal of the Korean Data Analysis society. 2014;16(3):1249-58.
  49. Jin H, Lee H, Kim M, Kim H, Kim J. Two-Stage Decision Tree Analysis for Diagnosis of Personal Sasang Constitution medicine. Type. J Sasang Constitut Med. 2010;22(3):87-97.
  50. Shin SS, Beum S, Kim KK, Cho JC, Woo YW. Sasang Constitution Classification Using Fuzzy Method. The Journal of the Korea Institute of Electronic Communication Sciences. 2010;4:224-7.
  51. Chae H, Hwang S, Eom I, Kim B, Kim Y, Kim B, Kwon Y. Development of Sasang Type Diagnostic Test with Neural Network. J Physiol & Pathol Korean Med. 2009;23(4):765-71.
  52. Hwang SM, Park SP, Gang K, Kwon Y, Chae H. Generalized Analysis on Validity of Sasang Type Diagnosis. J Physiol & Pathol Korean Med. 2009;23(5):950-7.
  53. Hong JW, Kim YI, Park SJ, Kim BC, Eom IK, Hwang MW, et al. Data mining Algorithms for the Development of Sasang Type Diagnosis. J Physiol & Pathol Korean Med. 2009;23(6):1234-40.
  54. Lee SJ, Kim M, Chae H. Multi-facet Analysis on Validity of Sasang Type Diagnostic Test. Journal of Korean Medicine. 2008;29(1):7-14.
  55. Beom S, Kim K, Kim JW. Study on Implementation of Diagnosis System of Sasang Constitution Using Discriminant Analysis Model. Journal of the Korean Data Analysis Society. 2007;9(2):585-95.
  56. Jin H, Moon J, Go S, Ku I, Lee S, Lee D, et al. Preliminary Study to Establish a Decision Support System in Sasang Constitutional medicine with Clinical Data. Korean Journal of Oriental Medicine. 2007;13(2):75-81.
  57. Jang ES, Baek YH, Kim HS, Lee SW. The Study on Sensitivity and Specificity of Sasang Constitution Diagnosis Methods). Korean Journal of Oriental Medicine. 2007;13(3):125-31.
  58. Kim K, Kang C, Kim J. Comparisons of Discriminant Analysis Model and Generalized Logit Model in Sasang Constitution Classification. Journal of the Korean Data Analysis Society. 2007;9(1):2173-81.
  59. Kim K. Study on Methods of Improving Correct Rate in Sasang Constitution Discriminant Function. Journal of the Korean Data Analysis Society. 2007;9(6):2689-702.
  60. Kim J, Lee E, Kim K. Establishment of Indeterminate Range in Sasang Constitution Discrimination. Journal of the Korean Data Analysis Society. 2007;9(4):1639-52.
  61. Lee Y, Kim H. The Development of Constitution Classification Model at Oriental medicine. Using the Data Mining Techniques -Focus on Ordinary Symptoms. Journal of the Korean Data Analysis Society. 2007;9(2):597-609.
  62. Jang E, Kim H, Lee S, Kim J. The research on agreement statistics analysis between factors of diagnosis. Korean Journal of Oriental Medicine. 2006;12(2):103-13.
  63. Kim K, Kim J, Lee E. Comparative Study on Discriminant and Cluster Analysis used in Development of Sasang Constitution Classification Function. Journal of the Korean Data Analysis Society. 2006;8(1):93-104.
  64. Choi S, Lee S, Yoon Y, Kim J. The Study of Data Factors for SCIB(Sasang Constitution Information Bank. 2005;17(1):45-55.
  65. Kim K, Kim J, Lee E. Transformation Methods of Anthropometric Data used in Sasang Constitution Classification. Journal of the Korean Data Analysis Society. 2005;7(4):1175-85.
  66. Kim K, Kim J, Lee E. Development Methods of Sasang Constitution Discrimination Function When Sample Size are Very Different. Journal of the Korean Data Analysis society. 2005;7(6):1957-69.
  67. Kim KK, Kim JW, Lee EJ, Kim JY, Choi S. Study on Classification Function into Sasang Constitution Using Data Mining Techniques. Korean Journal of Oriental Physiology & Pathology. 2004;18(6):1938-44.
  68. Kim K, Cho M. Study on Development of Classification Function into Sasang Constitution. Journal of the Korean Data Analysis Society. 2004;6(1):303-15.
  69. Kim K, Kim J, Lee E, Choi S, Cho M, Kim D, et al. Study on Development of Classification Function into Sasang Constitution using Discriminant Analysis Model (I) - Variable Selection based on Cronbach's Alpha Coefficients. Journal of the Korean Data Analysis society. 2004;6(2):493-504.
  70. Kim K. Study on Development of Classification Function into Sasang Constitution using Decision Trees Model (I) - Variable Selection based on Cronbach's Alpha Coefficients. Journal of the Korean Data Analysis Society. 2004;6(3):751-66.
  71. Lee Y, Park S, Park E. A study of constitution diagnosis using decision tree method. J Sasang Constitut Med. 2001;13(2):144-55.
  72. Kim DY, Lee JW. A Statistical Study on Generalization of Sasang Constitution Medicine. Journal of Korean Statistics Society. 1999:228-33.
  73. Park HJ, Kim J, Jang J. A Study about Reliability of Sasang Constitutional Voice Diagnosis according to Operator Presence. J Sasang Constitut Med. 2016;28(4):309-19. https://doi.org/10.7730/JSCM.2016.28.4.309
  74. Kim Y, Nam J, Kim JY, Jang J. Robustness Evaluation of Sasang Constitutional Voice Diagnosis System in Different Recording Environments. Journal of Institute of Electronics and Information Engineers. 2013;7:1817-9.
  75. Kang JK, Lee H,. Voice Classification Algorithm for Sasang Constitution. Journal of Korean Institute of Electrical Engineers. 2009;7:1982-3.
  76. Kim BH, Lee SH, Cho DU. Classification of Sasang Constitutution Taeumin by Comparative of Speech Signals Analysis. The KIPS Transactions : Part B. 2008;15(1):17-24.
  77. Kim BH, Lee SH, Cho DU, Park SA, Ka MK. Generation Sasang Constitution Diagnosis and Classification Using Acoustics Analysis Element. The Journal o fKorea Information and Communications Society. 2006;11(614):617.
  78. Yoo J, Kim D. A Study on the Sasang Constitutional Diagnosis by Perceptual Voice Analysis. J Sasang Constitut Med. 2004;16(3):46-58.
  79. Kim S, Shin M, Kim D, Kwon K. A study on the correlation between Sound Characteristic and Sasang Constitution by Laryngograph, EGG. J Sasang Constitut Med. 2000;12(1):144-56.
  80. Shin M, Kim D. An Study on the Correlation between Sound Characteristics and Sasang Constitution by CSL. J Sasang Constitut Med. 1999;11(1):137-57.
  81. Kim D, Park S, Gun G. An objective study of sasang constitution diagnosis by sound analysis. J Sasang Constitut Med. 1998;10(1):65-80.
  82. Jun J, Jin Y. Relations Between Sasang Constitution and Human Vocal Signals. Korean Journal of the society. of Body.Mind.Spirit Science. 1998;8:37-46.
  83. Roh M, Kim J, Do J. A Preliminary Study on the Repeatability of Facial Feature Variables Used in the Sasang Constitutional Diagnosis. J Sasang Constitut Med. 2017;29(1):29-39. https://doi.org/10.7730/JSCM.2017.29.1.29
  84. Lee S, Koh B, Lee E, Lee J, Hwang M. Systematic Review on Researches of Sasang Constitution Diagnosis Using Facial Feature. J Sasang Constitut Med. 2012;24(4):17-27. https://doi.org/10.7730/JSCM.2012.24.4.17
  85. Do J, Kim JY. Technologies in Sasang Constitution Diagnosis through Recognizing Human Facial Information. Magazine of the IEEK. 2010;37(7):53-61.
  86. Jang K. Facial Impression Classification for Sasang Constitution Diagnosis. Journal of the Korea Institute of Maritime Information and Communication Engineering. 2008;12(1):196-204.
  87. Cho DU, Kim BH, Lee SH. Image Processing : Sasang Constitution Classification System Using Face Morphologic Relation Analysis. The KIPS Transactions : Part B. 2007;14(3):153-62.
  88. Seok J, Yoon J, Lee J, Hwang M, Cho Y, Kho B, et al. The Upgrade of Sasangin Classification System by the Morphologic Study of Head and Face : Facial Differences on Sex and Age. J Sasang Constitut Med. 2007;18(3):30-50.
  89. Kwak C, Seok J, Song J, Kim H, Hwang M, Yoo J, et al. An Error Analysis of the 3D Automatic Face Recognition Apparatus (3D-AFRA) Hardware. J Sasang Constitut Med. 2007;19(2):22-9.
  90. Park H, n Kim H, Kim K, Lee S. The Suggestion of the clinical application of Sasang Constitutional Diagnosis. J Sasang Constitut Med. 2001;13(2):138-43.
  91. Hong S, Lee E, Lee S, Han G, Kho B, Song I. A Morphological Study On The Upper Face Of Moire According To The Sasang Constitution. J Sasang Constitut Med. 1998;10(2):271-81.
  92. Ko B, Song I, Cho Y, Choi C, Kim J, Hong S, et al. A Morphologic Study of head and face for Sasang Constitution. J Sasang Constitut Med. 1996;8(1):101-86.
  93. Kim JW, Sul YK, Choi JJ, Kwon SD, Kim KK, Lee YT. Comparative Study of Diagnostic Accuracy Rate by Sasang Constitutions on Measurement Method of Body Shape. Korean Journal of Oriental Physiology & Pathology. 2007;21(1):338-46.
  94. Sul Y, Lee E, Kim K, Kim J. Comparative Study of Sasang Constitutions Diagnostic Accuracy Rate on Measurement Method of Body Shape by IBS-2000 Compensator. J Sasang Constitut Med. 2007;19(1):71-85.
  95. Kwon S, Sul Y, Lee E, Kim K, Kim J. Diagnosis Accuracy Rate Comparative Study of Each Sasang Constitutions and Sex Distinction by Body Measurement Method between 3D Body Measuring Instrument and Hand-operating. J Sasang Constitut Med. 2007;19(1):60-77.
  96. Jeon S, Sul Y, Kim K, Lee E, Kim J. A Study on the Body Shape Classified by Sasang Constitutions and Gender Using Physical Measurements. J Sasang Constitut Med. 2006;18(1):54-61.
  97. Park E, Park S. A Morphological Study of Hand and Foot according to the Sasang Constitution. J Sasang Constitut Med. 1999;11(2):195-208.
  98. Hong S, Lee S, Lee E, Han G, Chou Y, Choi C, et al. A Study on the morphologic characteristics of each constitution's trunk. J Sasang Constitut Med. 1998;10(1):101-42.
  99. Choi S, Hong J, Chi S, Jung B, Ahn K. A Study on the Association between Sasang Constitutions(QSCCII)and Huh's Morphological Diagramming). Korean Journal of Oriental medicine. 2002;8(1):75-92.
  100. Choi S, Chi S, Jung B, Sung H, Ahn K, Koh B. A Study on the Association between Sasang Constitutions and Body Composition. J Sasang Constitut Med. 2001;13(1):24-34.
  101. Lee S, Lee U, Hong S, Ko B. An analysis on the characteristics of Sa-sang constitution - centering on the body measures and diagnosis results. J Sasang Constitut Med. 1996;8(1):349-76.
  102. Huh MH, Song J, Kim D, Go B. A Study on the Morphological Diagrgmmings of Four Constituents. J Sasang Constitut Med. 1992;4(1):107-48.
  103. Hong S, Lee U, Lee S, Han G, Go B, Song I1. A Morphological Study for Generalization of Sasang Constitution Diagnosis: So-Eum-In Type. J Sasang Constitut Med. 1998;10(1):171-80.
  104. Huh MH, Go B, Song I. A Study on the Morphological Diagrgmmings of Sasang Constitution. J Sasang Constitut Med. 1989;1(1):29-39.
  105. Lee H, Ryu D, Jeon S, Kim K, Kim J. A Comparative Study of Sasang Constitution Diagnostic Accuracy Rate between Herb medicine. Taking and Non Taking Patients. J Sasang Constitut Med. 2011;23(2):208-17.
  106. Shin S, Kim JK. Comparisons of the Accuracy of Classification Methods in Sasang Constitution Diagnosis with Pulse Waves. Journal of the Korea Contents Society. 2009;9(10):249-57.
  107. Song J, Song B, Kwon K. Clinical Study of Discrimination of Sasang Constitution with 7-Zone-Diagnostic System(VEGA-DFM722). J Sasang Constitut Med. 2007;19(2):82-3.
  108. Park SJ, Kwon YK. Analysis of Reproducibility of Constitutions by IGM(InyoungGigu Macjin:人迎氣口脈法) and Agreement Rate between Sasang Constitutions by QSCCII and Constitutions by IGM. Korean Journal of Oriental Physiology & Pathology. 2006;20(1):262-7.
  109. Park S, Kim DK. Implementation of the automatic pulse-power diagnostic system and the discrimination algorithm of four constitutions. Journal of the institute of electronics engineers of Korea 2004;41(2):53-60.
  110. Hwang W. Study to compare interrelation between Sasang and Iris Constitution. The Journal of Traditional Korean Medicine. 2000;10(2):221-9.
  111. Park S, Choi J, Chung M, Kim Y, Lee J, Lee K, et al. A Morphological Study of Fingerprints and Palm Prints in Sasang Constitution. J Sasang Constitut Med. 1998;10(1):81-99.
  112. Yang KM, Kim YY, Kim JM, Lee EW, Jeong DM. Development of O-Ring Measurement Systems of Muscular Meridians for objectification of the constitutional diagnosis. Journal of the institute of electronics engineers of Korea. 1995;6:388-92.
  113. Kim Y, Kim J, Lee E, Jung D. A Study on Objective Diagnosis of Constitutions by Laser Stimulation and O-Ring Measurement Systems of Muscular Meridians. Journal of the institute of electronics engineers of Korea. 1995;5:173-8.
  114. Kang M. Review on the Diagnosis of Sasang Constitution and Won-Hyul-Diagnosis using O-Ring Test. Journal of Korean acupuncture & moxibustion medicine society. 1994;11(1):549-58.
  115. Oh MJ, Shim YS, Song HS. Original Article : Sasang Constitutional Diagnosis by Portable Ryodoraku Device: Comparative Study with QSCC II Questionnaire. Journal of Korean acupuncture & moxibustion medicine society. 2013;30(4):161-7.
  116. Park H, Chung C. Sasang Constitutional Diagnosis by Iridology: Comparative Study with QSCCII Questionnaire. Korean Journal of Oriental Preventive Medical Sociaty. 2008;12(2):131-43.
  117. Jang E, Kim H, Jung J, Yoo J, Lim J, Lee S. The Pilot Study on the Association of Diagnosis Results between Sasang Constitutional medicine. and Eight Constitutional Medicine. Korean Journal of Oriental medicine. 2008;14(2):93-9.
  118. Park C, Park C. Comparion on different methods in Sasang Constitution Diagnosis. GoHwang Non Jib. 1998;23:181-7.
  119. Do J, Nam J, Jang E, Jang J, Kim J, Kim Y, et al. Comparison between Diagnostic Results of the Sasang Constitutional Analysis Tool (SCAT) and a Sasang Constitution Expert. J Sasang Constitut Med. 2013;25(3):158-66. https://doi.org/10.7730/JSCM.2013.25.3.158
  120. Jang E, Park K, Baek Y, Lee S, Kim S, Joo J. A Development of Sasang Constitution Diagnosis Program Based on Characteristics of Body Shape Face Physiological Symptom and Personality. J Sasang Constitut Med. 2012;24(1):21-31. https://doi.org/10.7730/JSCM.2012.24.1.021
  121. Jeon Y, Kim J, Kim J, Bae J, Kim J, Kim K. Development and Evaluation of Repeatability of the Integrated Constitutional Diagnosis System. J Sasang Constitut Med. 2012;24(3):34-41. https://doi.org/10.7730/JSCM.2012.24.3.34
  122. Jang E, Jin H, Do J, Lee S, Kim J. The Preliminary Study on the Coincidence between Sasang Constitutional Analysis Tool ${\beta}$-version and Expert of Sasang Constitution. J Sasang Constitut Med. 2012;24(2):1-7. https://doi.org/10.7730/JSCM.2012.24.2.001
  123. Baek Y, Kim H, Lee S, Jang E. The Concordance and Validity Assessment of Diagnosis for the Expert in Sasang Constitution. J Sasang Constitut Med. 2014;26(3):295-303. https://doi.org/10.7730/JSCM.2014.26.3.295
  124. Lee J, Lee H, Lee Y, Kim K, Kim S, Lee S, et al. Relations between the Questionnaire and Health State in each Sasang Constitution based on the Oriental medical doctors diagnoses. J Sasang Constitut Med. 2011;23(1):108-14.
  125. Jang E, Kim H, Yoo J, Kim S, Baek Y, Lee S. The Verification of Concordance Coefficient in Sasang Constitutional Factors by Expert. J Sasang Constitut Med. 2008;21(2):79-86.
  126. Kim J, Jung W. The Study on the Clinical Application of the Methods of Sasang Constitution Diagnosis. J Sasang Constitut Med. 2000;12(2):34-42.
  127. Kim YY, Kwon JH, Lee SW, Yoo JH. Trends in Nursing Research using Sasang Constitutional Theory. Journal of East-West nursing research. 2012;18(1):40-6.
  128. Kim JY, Lee YJ, Kim KH. Development of Elder-friendly Diagnosis and Treatment System based on Sasang Constitution. Journal of the institute of electronics engineers of Korea. 2010;6:1933-5.
  129. Ban D, Lee S, Park S. The study about Sasang Constitution diagnosis and research trendsin the case reports. J Sasang Constitut Med. 2009;21(2):107-14.
  130. Lee S, Hwang J, Yoo J, Oh S, Joo J, Jang E. A Survey on the Sasang Constitution Clinical Study. J Sasang Constitut Med. 2008;20(2):21-9.
  131. Song I. The Future Prospect of the Studies on the Objectification of Sasang Constitution. J Sasang Constitut Med. 1998;10(1):1-11.
  132. Jung W, Kim J. The Bibliographical Investigation of Sasang Constitution Diagnosis. J Sasang Constitut Med. 1999;11(2):95-117.
  133. Song I. A Study on the Symptomatic-pharmacology of Sasang Constiution. J Sasang Constitut Med. 1998;10(2):1-14.
  134. Landis JR, Koch GG. The Measurement of Observer Agreement for Categorical Data. Biometrics. 1977;33(1):159-74. https://doi.org/10.2307/2529310
  135. Zwann L, Moneteiro S, Sherbino J, Ilgen J, Howey B, Norman G. Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. BMJ Qual Saf. 2017;26:104-10. https://doi.org/10.1136/bmjqs-2015-005014
  136. Croskerry P. From nindless to mindful practice-cognitive bias and clinical decision making. N Engl J Med. 2013;368:2445-8. https://doi.org/10.1056/NEJMp1303712
  137. Nakhleh RE, Nose V, Colasacco C, Fatheree LA, Lillemoe TJ, McCrory DC, et al. Interpretive Diagnostic Error Reduction in Surgical Pathology and Cytology: Guideline From the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. Arch Pathol Lab Med. 2016 Jan;140(1):29-40. https://doi.org/10.5858/arpa.2014-0511-SA
  138. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336(7650):924-6. https://doi.org/10.1136/bmj.39489.470347.AD
  139. Clark LA, Cuthbert B, Lewis-Fernandez R, Narrow WE, Reed GM. Three Approaches to Understanding and Classifying Mental Disorder: ICD-11, DSM-5, and the National Institute of Mental Health's Research Domain Criteria (RDoC). Psychol Sci Public Interest. 2017 Sep;18(2):72-145. https://doi.org/10.1177/1529100617727266
  140. Appelbaum PS. Moving Toward the Future in the Diagnosis of Mental Disorders. Psychological Science in the Public Interest. 2017;18(2):67-71. https://doi.org/10.1177/1529100617727267
  141. Graber ML, Wachter RM, Cassel CK. Bringing diagnosis into the quality and safety equations. JAMA. 2012 Sep 26;308(12):1211-2. https://doi.org/10.1001/2012.jama.11913

피인용 문헌

  1. 사상체질 진단 도구(SCAT)와 전문가에 의해 판정된 사상체질별 신체적 특성 vol.11, pp.12, 2018, https://doi.org/10.15207/jkcs.2020.11.12.363