Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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A Study on the Development of a Korean Medicine Clinical Pathway for Primary Care of Patients with Dementia Based on Clinical Pathway Methodology

한의표준임상경로에 기반한 치매 안심 한의주치의 모형 개발 연구

  • Doyoung Kwon (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kee-Tae Kweon (Research Institute of Korean Medicine Policy, The Association of Korean Medicine) ;
  • Young-Jin Hur (Hur Young Jin Korean Medical Clinic) ;
  • Dongsu Kim (Department of Preventive Medicine, College of Oriental Medicine, Dongshin University) ;
  • Seung-Hun Cho (College of Korean Medicine, Kyung Hee University)
  • 권도영 (경희대학교 일반대학원 임상한의학과) ;
  • 권기태 (대한한의사협회 한의약정책연구원) ;
  • 허영진 (허영진한의원) ;
  • 김동수 (동신대학교 한의과대학 예방한의학교실) ;
  • 조성훈 (경희대학교 한의과대학)
  • Received : 2023.12.08
  • Accepted : 2023.12.27
  • Published : 2023.12.30
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Abstract

Objectives: This study aims to establish a Korean medicine doctor's range of services in the dementia relief primary care system based on the previously developed dementia clinical practice guidelines (CPGs). Developing a dementia relief primary care Clinical Pathway (CP) can aid clinically when the Korean medicine primary care doctor conducts treatment. Methods: We analyzed Dementia Korean Medicine Primary Care Model Data and then applied CP Methodology to develop the configuration of the Korean Medicine Primary Care Model. For patients with Alzheimer's dementia (AD), vascular dementia (VD), and mild cognitive impairment (MCI), the Korean Medicine Primary Care Model focuses on improving cognitive function, everyday living abilities and easing symptoms through interventions described in CPGs. The contents of the draft model later include references to already-existing CPs. Results: The study sites were chosen as Korean medical clinics connected to primary care physicians in the dementia-friendly model. The CP used a time task matrix version to arrange the clinical chronology, which included all examinations, diagnoses, and treatment procedures, from the initial appointment to follow-ups and the end of therapy. Conclusions: It anticipates that Korean primary care doctors familiar with dementia can use the offered therapies for the first time by creating the dementia Korean medicine primary care model in this study. This is expected to maximize the range of medical services provided by Korean medicine and improve the standard of medical treatment.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HF21C0036).

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