Objectives : This study aimed to investigate the perception level of Telemedicine among Korean medical doctors. Methods : The on-line survey was administered for Korean Medicine doctors. The survey consisted of 46 questions, addressing issues on concepts and adoption model of Telemedicine. Data were collected from 528 Korean medical doctors, and were analyzed using frequency analysis, t-test, ANOVA, and Kruskalwallis test. Results : The results showed that more than half of respondents had positive attitude towards implementation of Telemedicine in Korean Medicine and conventional medicine areas. Respondents were most positive about the aspect that Telemedicine could reduce 'hospital use by people with disabilities', while they were most concerned about the possibility that patients could be concentrated in large-scale hospitals. As prerequisites for the introduction of Telemedicine, accurate information delivery during remote communication between doctors and patients, clarification of responsibility for Telemedicine at the policy level, and development of equipment for accurate information delivery at the technical level received high responses. Conclusions : Korean Medicine doctors were positive about the implementation of Telemedicine, and they preferred to remote monitoring between doctors and patients. The development of medical equipment for accurate patient information delivery and the establishment of an institutional basis for clarifying responsibilities in case of medical accidents are required.

Objectives : This study sought to identify the Korean medicine treatment satisfaction of 3,000 patients who are 19 or older with experiences of being treated with Korean medicine at Korean medicine clinics or Korean medicine hospitals after experiencing traffic accidents. Methods : Frequency analysis was carried out to identify the effectiveness and satisfaction of Korean medicine services, and independent sample t-test was carried out to compare the satisfaction of users with different characteristics. Lastly, cross analysis(chi-square) was carried out to examine the relation between satisfaction and willingness to recommend. Results : Firstly, 91.3% of the patients were satisfied with the medical services provided at Korean medicine clinics, with the most satisfactory Korean medicine treatments in the order of acupuncture, moxibustion, cupping, Korean physical therapy, herbal acupuncture, Chuna manual therapy, herbal medicine, and others. Secondly, 71.3% of the patients answered that outpatient treatment was appropriate while 65.3% of the patients answered that hospitalized treatment was appropriate regarding duration of treatment at Korean medicine clinics, mostly being satisfied with the treatment duration at Korean medicine clinics and Korean medicine hospitals. Thirdly, in a survey on effectiveness of Korean medicine treatment compared to occidental medicine treatment, 85.9% of the patients answered: "the effectiveness of Korean medicine treatment is higher compared to occidental medicine or similar". Conclusion : From the results of this study, it was identified that satisfaction of Korean medicine treatment is high in motor insurance, and that higher satisfaction led to higher willingness to recommend Korean medicine treatment to others. Based on such results, the expansion of the role of Korean medicine could be understood.

Objectives : To investigate the effectiveness of Korean Medicine services use on the all-cause mortality and incidence of Parkinson's disease(PD) in elderly patients with chronic disease based on the National Health Insurance Service Corhort Database (elderly), called as the NHIS-senior. Methods : This study was a retrospective cohort analysis conducted using the NHIS-senior. Patients with chronic diseases over 65 years old who were not diagnosed PD during 2007-2009 were identified. The case group was defined as patients who used both Korean Medicine and Western Medicine services and the control group consisted of patients who used Western Medicine service only. The all-cause mortality and incidence of PD was analyzed using the Cox proportional hazard model after a propensity score matching(PSM) with a 1:1 ratio. Results : After PSM, the cohort included 47,546 subjects (23,773 in the case group, 23,773 in the control group). Sex, age, comorbidity, severity of disability, and neurology medical service utilization were adjusted in both groups. The mortality was 0.668 times (95% C.I.: 0.646-0.690) lower in the case group than the control group, which was statistically significant (p<0.001). The incidence of PD was 1.051 times (95% C.I.: 0.962-1.148) higher in the case group than the control group, which was not statistically significant(p=0.272). Conclusion : It was not obvious that the use of both Korean Medicine service and Western Medicine services for prevention of PD is benefitial than using only Western Medicine. But it would be possible that using both Korean Medicine and Western Medicine services decreases the mortality than using Western Medicine alone.

Objective : To investigate specific prescriptions, herbal medicines and treatment strategy, this study systematically reviewed case studies on traditional Chinese medicine (TCM) treatment for childhood cancer. Method : Literature searches were performed on database of China National Knowledge Infrastructure (CNKI). Studies published before December 2020 were categorized and analyzed according to the treatment strategy and we also investigated Chinese herbs used in the prescriptions. Results : Twenty-five studies including 17 case series and 8 single case reports were included in our review. Of the total 439 patients, 379 (85.7%) had leukemia and other myeloplastic disease. Conventional western medicine (CWM) treatment was also used with TCM based on the syndrome identification. Most studies reported favorable effect of combination treatment with CWM and TCM. Among 266 herbs in the studies, reinforcing herbs were more frequently used than anti-cancer herbs. Conclusion : Traditional herbal treatment for childhood cancer should be performed considering the syndrome identification as well as stage of CWM. Reinforcing herbs should be more focused because of the fragility and growth of the childhood.

Objectives : Computer-based test (CBT) will be introduced in the national examination of Korean medicine doctors from 2023. This study was aimed to provide some information, including prior considerations, to those preparing for CBT, by presenting a summary of the survey results from participants in a CBT simulation test. Methods : In December 2020, applicants from the graduating class of the college of Korean medicine from four universities participated in the simulation test for CBT. An online anonymous survey on the applicants' preference for CBT versus paper-based tests (PBT) was conducted. The questionnaire consisted of multiple-choice questions on a 5-point Likert scale and free-form questions. Results : A total of 176 students responded to the survey. Their response to CBT was generally positive. The item with the highest agreement was that it should provide a sufficient opportunity to experience CBT in the undergraduate exam (4.38±0.839). Concerns about the possibility of cheating or poor concentration were also detected. In addition to guaranteeing the stability of the CBT system, there were many comments expressing the need to supplement functions within the CBT system, including the memo or highlighter function. Conclusions : This study confirmed the feasibility of CBT including multimedia questions in the field of Korean medicine education and identified overall positive responses from those who experienced the CBT simulation test. Although time is short and there is so much to prepare, we hope this will be a leap forward for effective educational innovation in line with the changing environment of the health care education field.

Objectives : The purpose of this study is to explore the experiences of traditional korean medical doctors (TKMD) who have treated victims of sexual violence by collecting their qualitative data that cannot be obtained with statistical data. Methods : In-depth interviews were conducted with semi-structured questionnaires for each of 5 TKMDs who had experiences in treating sexual violence victims. For analysis, the interviews were recorded along with their facial expressions and actions during the interview process, and all collected data were analyzed by colaizzi's method. In each process, a 'phenomenological reduction' was applied. Results : The identity of TKMD's experience of treating sexual violence victims was structured into 25 themes, 9 theme clusters, and 4 categories. The 4 categories included 'Professionalism and sense of efficacy', 'Personal life experiences and mental trauma treatment experiences that are mutually influencing each other', 'Factors needed to increase TKMD's participation in treatment of sexual violence victims', 'Deriving the future strategy of traditional korean medicine'. Conclusions : This study derived the essence and meaning of TKMDs' experiences in treating sexual violence victims, and presented future directions of traditional korean medicine in this field. It is expected that the results of this study would be used as the basis for establishing the traditional korean medical support system for sexual violence victims in the context of the korean medical system.

Objectives : This study aimed to assess youth perception of COVID-19 vaccination in one Korean Medicine college, to compare according to COVID-19 vaccination. Method : An on-line survey using Google Form was conducted on students enrolled in one Korean medical college. Results : A total of 74 students out of 260 individuals replied, with 43 males and 31 females, 68 (91.9%) were vaccinated (or vaccine reserved), six (8.1%) were not vaccinated. The response rate was 28.5%. All the unvaccinated were intended to receive vaccines in the future. The vaccinated were most concerned about the adverse events. The unvaccinated responded that COVID-19 vaccine was unnecessary, not effective, not safe, and do not recommend vaccination to others compared to the vaccinated. Conclusion : In order to improve the COVID-19 vaccination rate, clear information on the risk of COVID-19 infection and the effects of vaccines should be known through the media.

Objectives : This study compares clinical practice students' perception of Clinical Performance Examination (CPX) in a College of Korean Medicine using actors as Actor Standardized Patient (ASP) and enrolled students as Student Standardized Patient (SSP). Methods : Targeting the clinical practice students who completed the clinical practice education in the first semester of the fourth year in the Department of Korean Medicine, a survey was conducted on total six categories such as satisfaction with CPX using ASP and SSP, prior knowledge about clinical practice education, self-evaluation, difficulties in the process of performing the CPX, satisfaction with ASP/SSP, and familiarity with them. Results : In the results of the survey, the mean score of CPX program using SSP was higher than that of CPX program using ASP in every area. Among them, in the satisfaction with CPX itself and prior knowledge about various clinical practice education, the mean score of CPX program using SSP was statistically significantly higher than that of CPX program using ASP. Conclusions : Overall, the clinical practice students' satisfaction with CPX program using SSP was higher than that of CPX using ASP, and statistically significantly higher in some areas.

Objectives : The purpose of this study is to analyze the factors affecting the enactment of local municipalities' ordinance for supporting Korean Medicine infertility treatment in the metropolitan area. Methods : For Seoul, Incheon, and Gyeonggi Province, data on the enactment of Korean Medicine infertility treatment and socio-demographic data of the local municipalities were collected through the Enhanced Local laws and regulations Information System and on-line statistical database. Logistic regression analysis was performed to analyze the factors affecting the enactment of the ordinance, The enactment of the ordinance was dependent variable, and the budgeting of local municipalities, the number of population, the number of births, the number of Korean Medicine doctors, and the total fertility rate were used as independent variables. Results : Up to 2000, the ordinances for supporting Korean Medicine infertility treatment were enacted in 16 local municipalities and the budget for that was supported by 18 local municipalities. Regarding the effect on the enactment of the ordinances, it was found that budgeting of Korean Medicine infertility treatment had a positive (+) effect, and the metropolitan government's budgeting and the total fertility rate had a negative (-) effect. Conclusions : This study suggests that the ordinance for Korean Medicine infertility treatment is a policy tool derived based on the problem of low fertility faced by each local municipality rather than the political influence of health provider's groups.