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http://dx.doi.org/10.18325/jkmr.2022.32.3.141

A Study on the Development of a Clinical Pathway of Korean Medicine for the Management of Patients with Ankle Sprain  

Yoon, Sangdo (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Song, Mi-Yeon (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Chung, Won-Seok (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Kim, Hyungsuk (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Shin, Woo-Chul (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Kim, Taeoh (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Cho, Whi-Sung (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Seo, Yeonho (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Seo, Sangwoo (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Seo, Joonwon (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Kang, Junhyuk (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Yu, Seung-Ho (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Kim, Seyun (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Cho, Jae-Heung (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Publication Information
Journal of Korean Medicine Rehabilitation / v.32, no.3, 2022 , pp. 141-151 More about this Journal
Abstract
Objectives The purpose of this study is to improve the accessibility of Korean medicine by standardizing managements, improving quality of medical services, and reducing medical costs in ankle sprain by develop clinical pathway (CP). Methods The development of CP in this study is based on clinical practice guideline (CPG) for ankle sprain, and aims to maximize the quality of treatment, such as reducing treatment time and medical costs, and increasing patient satisfaction through standardized pathway. The CP was revised after consultation and review by the advisory committee. The advisory committee is consisted of a stakeholder group applying the CP. Results In previous research studies, there were no Korean medicine CP studies on ankle sprain. Based on CPG for ankle sprain and analysis of medical records, 6 types of time task matrix type CP (for Korean medicine doctors, medical assistant, patients) and 4 types of algorithm type CP (for Korean medicine clinics, Korean medicine hospitals, and cooperative practicing hospitals, public medical centers) were derived as a result. Conclusions Ankle sprain CP is expected to not only increase patient satisfaction and maximize the quality of treatment, but also reduce the financial burden of health insurance by reducing medical costs.
Keywords
Clinical pathways; Ankle injuries; Korean traditional medicine; Practice guideline;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
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1 Buchert AR, Butler GA. Clinical pathways: driving high-reliability and high-value care. Pediatr Clin North Am. 2016;63(2):317-28.   DOI
2 Rotter T, Kinsman L, James E, Machotta A, Gothe H, Willis J, Snow P, Kugler J. Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database Syst Rev. 2010;(3):CD006632.
3 Song KY, Kim SN, Park JH. Critical pathway for operable gastric cancer. J Korean Gastric Cancer Association. 2055;5(2):95-100.   DOI
4 Cheah J. Development and implementation of a clinical pathway programme in an acute care general hospital in Singapore. International Journal for Quality in Health Care. 2000;12(5):403-12.   DOI
5 Koutras C, Antoniou SA, Jager M, Heep H. Acute injuries sustained by racing drivers: a cross-sectional study. Acta Orthop Belg. 2017;83(4):512-20.
6 Swords M, Brilhault J, Sands A. Acute and chronic syndesmotic injury: the authors' approach to treatment. Foot Ankle Clin. 2018;23(4):625-37.   DOI
7 Guideline Center for Korean Medicine. Clinical practice guideline of Korean medecine for ankle sprain [Internet] 2020 [cited 2021 Nov 28]. Available from: URL: https://nikom.or.kr/nckm/module/practiceGuide/viewPDF.do?guide_idx=142.
8 Park HO, Cho KJ, Kim RS, Ko SM, Kim JC, Ock CM. Effect of critical pathway of lumbar posterolateral fusion in spinal stenosis. J of Korean Orthop Assoc. 2002;37:392-7.   DOI
9 Crosswell S, Leaman A, Phung W. Minimising negative ankle and foot X-rays in the emergency department -- are the Ottawa ankle rules good enough? Injury. 2014;5(12):2002-4.   DOI
10 Plishka CT, Rotter T, Penz ED, Hansia MR, Fraser SA, Marciniuk DD; Saskatchewan COPD CPWs Research Group. Effects of clinical pathways for COPD on patient, professional, and systems outcomes: a systematic review. Chest. 2019;156(5):864-77.   DOI
11 Rotter T, de Jong RB, Lacko SE, Ronellenfitsch U, Kinsman L. Clinical pathways as a quality strategy. Improving Healthcare Quality in Europe. Copenhagen:OECD Publishing. 2019:309.
12 Health Insurance Review & Assessment Service. Medical practice statistics [Internet] 2017 [cited 2021 Nov 28]. Available from: URL: http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do.
13 Furaker C, Hellstrom-Muhli U, Walldal E. Quality of care in relation to a critical pathway from the staff's perspective. Journal of Nursing Management. 2004;12(5):309-16.   DOI
14 Kim EH, Kim CK, Lee SK, Park SK. Development of a clinical pathway for gastrectomy and effect of its implementation in one tertiary hospital. Quality Improvement in Health Care. 2003;10(2):76-89.
15 Coffey RJ, Richards JS, Remmert CS, LeRoy SS, Schoville RR, Baldwin PJ. An introduction to critical paths. Qual Manag Health Care. 2005;14:46-55.   DOI
16 Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ. 2003;326(7386):417.   DOI
17 Beckenkamp PR, Lin CC, Macaskill P, Michaleff ZA, Maher CG, Moseley AM. Diagnostic accuracy of the Ottawa ankle and midfoot rules: a systematic review with meta-analysis. Br J Sports Med. 2017;51(6):504-10.   DOI
18 American Society of Orthopedic Surgeons. The core of diagnosis and treatment of the musculoskeletal system, essential. Seoul:Hanwoori. 2009:387.
19 Halabchi F, Hassabi M. Acute ankle sprain in athletes: clinical aspects and algorithmic approach. World J Orthop. 2020;11(12):534-58.   DOI
20 Isozaki LF, Fahndrick J. Clinical pathways--a perioperative application. AORN J. 1998;67(2):376, 379-86, 389-92; quiz 393-6.
21 Slater K. Acute lateral ankle instability. Foot Ankle Clin. 2018;23(4):523-37.   DOI