• 한국산학기술학회논문지
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• 제16권4호
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• pp.2726-2736
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• 2015

본 연구는 한방병원 이용 환자들의 의료서비스 만족도와 재이용의사 결정요인을 파악하여 향후 한방병원 경쟁력 강화전략의 기초자료를 제공하고자 시행되었다. 의사, 간호사, 직원 등의 인적 서비스 요소와 진료과정, 진료비 청구, 병원내 환경, 병원내 시설, 입원생활 만족도 등의 인적 외 서비스 요소 등 총 8개의 요인별 만족도가 전반적 만족도와 재이용 의사에 직접적인 영향을 미치며 한편으로는 각 요인들이 전반적 만족도를 통하여 재이용의사에 간접적인 영향도 미친다는 하나의 경로모형을 분석의 기본틀로 설정하였다. 충남지역 한방 병원 3개소의 외래 및 입원환자 578명을 대상으로 2014년 10월부터 12월까지 구조화된 설문지로 자료를 조사하였다. 분석결과 유의한 변수는 외래의 경우 전반적 만족도, 의사의 진료, 진료과정에 대한 만족도이었으며, 입원의 경우에는 전반적 만족도, 병원시설, 진료비, 병동생활에 대한 만족도가 중요한 변수로 분석되었다.

• 한국보건간호학회지
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• 제30권1호
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• pp.136-148
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• 2016

Purpose: Patterns of traditional medicine (TM) utilization vary depending on culture, historical significance, and regulations. We seek to understand how socio-demographic factors are related to TM use in Korea. Methods: The longitudinal cohort survey data of the Korea Health Panel (2008-2012) were used for the analysis. Information on TM included questions on 4 types of TM therapies used in South Korea (e.g., acupuncture, moxibustion and cupping, herbal therapies, and massage using hand). To adjust clustering across multiple observations per individual, individual random effects were used in the multivariate analysis. All analyses were performed using Stata 11.0. Results: A majority of Koreans (60%) used WM only during a year, and few people used TM only. Among TM users, most (93%) used it along with WM and 8% used TM only. Our regression analysis showed that female, age 34-64, low-educated, and sicker people were more likely to use TM. Conclusion: This study provides evidence on the relationship between TM utilization and socio-demographic factors.

• 한국한의학연구원논문집
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• 제1권1호
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• pp.15-27
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• 1995

The oriental medicine has played the basic roles in national bealth care system in Korea. but the oriental medicine is excluded from medical system in some part. This paper examines the oriental medical needs to the impatients who met with the industrial accident. The results show that the impatients have a relatively positive recognition of oriental medicine.

• 한국콘텐츠학회논문지
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• 제17권9호
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• pp.39-49
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• 2017

본 연구는 질적 연구를 통하여 의료급여환자들의 의료이용 경험을 이해함으로써 의료급여환자와 건강보험환자 간 의료이용량의 통계적 차이현상의 원인과 과정을 파악하기 위해 수행되었다. 주요 분석결과는 다음과 같다. 첫째, 의료급여환자의 과잉의료는 대체로 존재하지 않으며, 복합적 질병을 가지고 있어서 발생하는 것이다. 그러나 물리치료와 한방 침에 있어서 일부 과잉이용이 발생하고 있는 것으로 판단된다. 둘째, 의료급여환자들은 의료비를 마련하기 위하여 생계급여에서 일부를 활용하거나 주변 가족이나 이웃의 도움을 받고 있었다. 그러나 과도한 의료비 부담으로 비급여 의료서비스와 대형병원 의료이용은 실제 의료필요만큼 이용하지 못하고 있었다. 또한 일부 환자는 아파도 우선 참고 견디고 있었다. 한편, 일부 의료기관에서는 의료급여환자에 대한 차별적 진료행위를 여전히 하고 있었다. 셋째, 공무원과 의료기관 모두는 의료급여환자에게 의료비 지원정책에 대한 미흡한 정보 제공 등 충분한 도움을 주지 못하고 있었다. 넷째, 정부가 수행하고 있는 의료급여정책인 선택병의원제도, 의료급여사례관리제도, 진료연장승인제도 모두는 불필요한 의료이용을 감소시키는데 기여하고 있는 것으로 판단된다. 그러나 의료급여환자들에게 필요한 의료이용을 제한하는 문제를 초래할 수 있어 이에 대한 대책마련이 요구되었다. 이상의 연구결과를 살펴보면 건강보험환자와 의료급여환자의 의료이용량의 차이를 통계적으로 검증한 선행연구와는 달리 의료급여환자들은 의도적인 과잉이용을 하지 않고 있으며, 오히려 필요한 의료서비스 이용에 제한을 받는다고 생각하고 있었으므로, 이에 대한 대책마련이 요구된다.

• 동서간호학연구지
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• 제12권1호
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• pp.68-77
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• 2006

Purpose: This study was conducted to describe and analyze about the satisfaction of medical service of patients and family in an Oriental hospital. Methods: Design was the descriptive survey study. Sample was 50 patients and guardians in K Oriental hospital, and convenient sampling was used. Measure was the satisfaction tool of medical service developed by Kang(2004). Data were collected from March 2005 to July 2005, and analyzed using SPSS PC+12 program. Findings: Thirty-two(64.0%) of all subjects were female and 18(36.9%) subjects were male. Score of medical service in Oriental hospital was mean 3.70. Scores in categories of the satisfaction were ranked for medical treatment(4.12), administration service (3.58), and environment and facilities service(3.41) in order. Expectancy for quality, quality after use, general satisfaction, and sufficiency after use in Oriental hospital were 7.34, 7.56, and 7.20, and they were above the average. There were significant differences in education and "I will recommend this oriental hospital to other patients" in differences of medical service by general characteristics and characteristics related to job. Conclusions: On the findings, we suggest that the team for oriental medical service should endeavor for development of professionals and techniques in oriental medical treatment. Simultaneously, institutional administrative resources are persistently needed for supporting of oriental medical team.

• 대한한방내과학회지
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• 제35권3호
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• pp.309-316
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• 2014

Objectives: This study aimed to analyze the status of Kampo medicine services in Japan. Methods: We surveyed the literature or reports regarding health insurance, clinics for Kampo medicine, human resources and medical fees for Kampo medicine services. Results: The Japanese government abolished the system of the Oriental doctor in 1874, but Kampo medicine has been maintained and developed continuously. The national health insurance covers Kampo medicine services including acupuncture and moxibustion, and 674 products of 149 herbal drugs are now involved in items for health insurance. A total of 78 university medical schools or hospitals have Kampo clinics. As of 2012, 1,775 Kampo specialists, 100,881 acupuncturists and 99,118 moxibustion therapists provide Kampo medical services. Conclusions: Japan has a unique system of Kampo medicine which is much different from Korean medicine or traditional Chinese medicine. This study provides basic information about Kampo medicine, and can be useful to establish a globalization-strategy for Korean medicine for Japan.

• 동의신경정신과학회지
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• 제35권2호
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• pp.191-203
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• 2024

Objectives: To evaluate the effectiveness of an integrated medical service model for a fibromyalgia patient and their caregiver, focusing on reducing pain and improving quality of life. Methods: A single-case study design was employed, involving a fibromyalgia patient and their primary caregiver treated at W University Hospital. The integrated medical service program, based on the Ministry of Health and Welfare's model, included medical consultations and complementary therapies such as psychological counseling, art therapy, music therapy, horticultural therapy, yoga, and meditation. The program was conducted weekly for 8 weeks, with each session lasting up to 100 minutes. Data collection involved both quantitative and qualitative assessments. Quantitative data included demographic surveys, psychological tests, health-related quality of life measures, pain indices, and sleep quality indices. Qualitative data were gathered through feedback evaluations and emotional assessments. Results: The patient showed improvements in mobility, self-care, daily activities, and anxiety/depression, with EQ-VAS scores increasing from 20 to 40 and pain perception decreasing from 67.41 to 42.58. The caregiver reported reduced anxiety/depression and an increase in EQ-VAS scores from 95 to 98. Both patient and caregiver exhibited emotional changes, with decreased depression and increased happiness. However, the patient showed an increase in fear and anger. Conclusions: The integrated medical service model positively impacted the emotional and psychological well-being of the fibromyalgia patient and their caregiver. Despite the limitations of a small sample size and a single-case study design, the findings suggest that an integrated approach can be beneficial. Larger-scale studies are needed to confirm and generalize these results.

• 보건의료산업학회지
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• 제4권2호
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• pp.23-31
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• 2010

This study analyzed whether the patients' visits to oriental medicine hospitals were influenced by the Euclidean distance from patients' residence to oriental medicine hospitals. Patient who visited two oriental medicine hospitals in a metropolitan area were selected for study sample. The number of patient from each Dong (which is the smallest administrative district) to two hospitals was calculated based on claims data in 2008. ArcGIS was used to calculate the distance. Distance variable was not statistically significant in regression analysis after controlling the difference of socio-economic status of people in each Dong. It seems that distance factor did not play an important role in deciding whether to use the services of oriental medicine hospitals in a metropolitan area.

• 한국한의학연구원논문집
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• 제13권3호
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• pp.143-149
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• 2007

Objectives : This study aimed to evaluate present status and future of traditional medical service market, focusing on the Korean medical center. Methods: We chose the subject with simple random sampling and investigated through interview and internet with questionnaire. Total 319 people helped us. Results: 1. It was investigated that, the number of the Korean medical centers which was operating traditional medical service was 9,910. And the number of people in the business of traditional medical service was estimated by total 46,577 in 2005. 2. Average sales of Korean medical center in 2003 was 24.8 million won. increased by 25.6million won in 2004, 28.3million won in 2005. 3. At the end of 2005, the scale of traditional medical service market was estimated by 2 trillion 7,676 hundred million won. Conclusions : Korean traditional medical service industry has been developed and will be developing by 2.8 times in 2015.

• 사상체질의학회지
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• 제25권1호
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• pp.43-50
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• 2013

Objectives The aim of this study is to survey the present scales of constitutional medical service market on the base of Korean medical service market following 2006, 2008 year survey. Methods This survey was conducted from Nov. 1 to Dec. 15, 2011 by offline mail. A questionnaire including personal information, general information, and management related to constitutional medicine of Korean medical institution was sent to each subject with a returned envelope. The subjects were asked to complete the questionnaire and 108 data were collected and analyzed. Results This study revealed that the 62% facilities of all Korean medical clinics in Korea are using constitutional medicine for patients. The proportion of constitutional medical service was 13.7% in Korean medical care insurance and 23.5% in total Korean medical service market. Conclusion It is assumed that the scales of total Korean medical service market seemed to be 3,974,425 million won and the scales of total constitutional medical service market seemed to be 929,404 million won.