• 대한한의학회지
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• 제35권3호
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• pp.93-102
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• 2014

Objectives: This study aimed at revising the Korean Out-patient Groups for Korean Medicine (KOPG-OM, version 1.0) based on clinical similarity and resource use, by using the accumulated claims data, and evaluating the validity of the revised classification system. Methods: A clinical specialist panel involving 19 specialists from 8 Korean medicine (KM) specialty areas reviewed the classification tree, diagnosis groups and procedure groups in terms of clinical similarity. Several models of outpatient grouping were formulated, with the validity of each tested based on the $R^2$ coefficient of determination for the treatment costs of all visits. To add age splits, the variances of treatment costs by age groups were also analyzed. These statistical analyses were performed using KM claims data of National Health Insurance from 2010 to 2012. Results: The classification tree designed via panel discussions was used to allocate outpatient cases to 26 diagnosis groups, with cases involving procedures such as acupuncture, moxibustion and cupping, then allocated to 9 procedure groups in each diagnosis group. The cases without procedures were categorized into the visit index - medication group. This process resulted in 298 outpatient groups. The $R^2$ values for treatment costs of all visits ranged from 0.38 to 0.69 depending on the providers' types. Conclusions: The revised model of KOPG-KM has a higher validity for outpatient classification than the current system and can provide better management of the costs of outpatient care in KM.

• 혜화의학회지
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• 제8권1호
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• pp.97-114
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• 1999

By studying disease classifications of oriental medicine from Nei-Ching, Chao's-Bing-Yuan, Dong-Yi-Bao-Jian and Korea-standard classification of causes of disease & death. The results were obtained as follows : 1. In Nei-Ching 181 kinds, Chao's-Bing-Yuan 1729 kinds, Dong-Yi-Bao-Jian 966 kinds, and Korea-standard classification of causes of disease & death 2519 kinds of diseases, which suggested more diseases as time flew. 2. In classical books such as Nei-Ching, Chao's-Bing-Yuan, and Dong-Yi-Bao-Jian most of diseases and their names were originated from six kinds of pathogenic factors, Zang-Fu, Jung-Qi-Blood-Fluid, soul, and outer-body-signs, while Korea-standard classification of causes of disease & death classified diseases according to oriental medical departments. 3. Symptoms of Cold-Heat-Excess-Deficiency and pathogenic factors, body parts, Zang-Fu were applied to names of diseases in oriental medicine. 4. In oriental medicine, some symtoms, many intermal diseases were used as disease name, but it is necessary for us to select exact name of diseases in modem clinical treatment. 5. We should consider disease names in Korea-standard classification of causes of disease & death in relations with western medical terms of diseases.

• 대한한의학회지
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• 제35권3호
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• pp.1-14
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• 2014

Objectives: The purpose of this study was to evaluate the achievements of Ryodoraku and to suggest new diagnostic ideas. Methods: A search of six Korean databases and one Japanese was performed using the terms such as Ryodoraku, diagnosis, foreigner, etc. and the search results classified and summarized. Results: From the initial search results, 21 Korean papers and 26 Japanese papers were selected and classified into 4 categories, that is, classification by pattern, classification by physiological limit, classification by setting various sections using the average Ryodoraku score, and classification by formula. Conclusions: Each of the 4 methods has its own benefits; however, it is hard to find disease-specific common characteristics from the Ryodoraku diagnostic values with the methods. Further studies which use the number of Pyesaek and Gyeokcha are necessary.

• 동의생리병리학회지
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• 제27권4호
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• pp.460-464
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• 2013

The purpose of this case was to report the effect of Korean medical treatment for patient with pleural effusion due to congestive heart failure. The patient was treated with herbal medicine(Cheongsingeonbi-tang) and acupuncture. The effect of treatment was evaluated by chest X-ray, New York Heart Association(NYHA) functional classification, and Hugh-Jones classification. After 3 weeks of treatment, the amount of pleural effusion was decreased and NYHA class, Hugh-Jones grade were improved. NYHA functional classification improved class III to II and Hugh-Jones classification changed grade IV to II. This result suggests that herbal medicine(Cheongsingeonbi-tang) and acupuncture treatment might have an effect on patient with pleural effusion due to congestive heart failure.

• 사상체질의학회지
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• 제19권1호
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• pp.98-115
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• 2007

1. Objectives This study focuses on the Validity of the Questionnaire about Sasang Constitution Classification for Mongolians 2. Methods By using the way of backward elimination, certain variables are chosen from the 438 cases whose physical conditions are absolutely diagnosed. After that, discriminant analysis for the selected variables has been done to obtain the physical constitution equation and the accuracy ratio of diagnosis which are useful for physical constitution diagnosis. 3. Results and Conclusions (1) In tile Validity for the Questionnaire of Sasang Constitution Classification for Mongolians, the accuracy ratio of diagnosis of Taeyangin is 100%, Soyangin 62.5%, Taeumin 76.7%, and Soeumin 66.1% respectively as a result of the discriminant analysis employing Cronbach's alpha coefficient. On the whole, the accuracy ratio of diagnosis is 70.1%. (2). In the Validity for the Questionnaire of Sasang Constitution Classification for Mongolians, the accuracy ratio of diagnosis of 70.1% means that it beats the maximum chance criterion of 41.4% and the proportional chance criterion of 34.4% by 28.7% and 35.7% respectively. Conclusively, this questionnaire has discriminant power.

• 사상체질의학회지
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• 제15권3호
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• pp.100-117
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• 2003

Background In Sasang Constitutional Medicine (SCM), human beings are classified into four constitutions: Taeyangin, Taewnin, Soyangin, and Soeumin. SCM presents various lifestyles and treatments for each constitution. The problem of SCM is that its diagnosis is so subjective that the result of the diagnosis depends on the doctor. In order to solve this problem, multiple approaches have been objectively researched. To use a questionnaire is the most common method among the different approaches. Since there are a few problems in the Questionnaire for the Sasang Constitution Classification II (QSCC II), which in recent days has been used frequently, the necessity of a new questionnaire has arisen. Objective The purpose of this study is to develop a new questionnaire for the objectivity of the Sasang Constitution Classification by complementing the existing questionnaire. Methods In order to search for the existing questionnaire's problems, I first compare the ratio of the amount of questions regarding external appearance to that of questions of mental characteristics and physiologic & pathologic symptoms in QSCCII and QSCCII +. We created the new questionnaires by reinterpreting ${\ulcorner}Dongyi$ Soose $Bowon{\lrcorner}$ through SCM professors' and medical residents' discussion and by adding some items related to the diagnosis about the constitution from other SCM books and clinical experience. Results 1. The new questionnaire for the Sasang Constitution Classification is self-reported questionnaire based on a multiple choice system of 4 questions. 2. The new questionnaire for the Sasang Constitution Classification consists of 28 questions, which include 7 questions about external appearance, 4 questions about mental characteristics, and 17 questions about physiologic & pathologic symptoms. 3. The new questionnaire for the Sasang Constitution Classification consists of 24 questions of Taeyangin, 28 of Taeumin, 28 of Soyongin, 28 of Soeumin. 4. We will have to verify validity and reliability of new questionnaire for rhe Sasang Constitution Classification.

• 사상체질의학회지
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• 제22권3호
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• pp.67-74
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• 2010

1. Objectives: The research papers published by researchers in other fields except Oriental medicine were analyzed to study the research trends and characteristic of Sasang Constitutional medicine. 2. Methods: Systematic searches were performed on KISS, RISS, KISTI and DBPIA and finally 123 papers were selected. The publication year, research field of the first author, title's characteristic, research topic and the classification method of Sasang Constitution were investigated. 3. Results and conclusions: 1) In the analysis of publication year, the number of studies on Sasang Constitution has increased dramatically since 2000. 2) In the analysis of the first author's research field, physical training, nursing, engineering and food and nutrition were the majority. 3) In the analysis of the research topic, the classification method of Sasang Constitution was the majority. 4) In the analysis of the classification method of Sasang Constitution, QSCC II was the most popular method accounted for 68% and interview by specialist of Sasang Constitutional medicine accounted for 42%.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.492-494
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• 2002

We established the job classification method that a classification standard is clear, and can subdivide job by using the raw data of time-and-motion study performed to analyze the medical staffs job elements. The final target of this study is to optimize job allocation and calculate human cost of medical staffs in hospitals.

• 대한예방한의학회지
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• 제20권1호
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• pp.125-144
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• 2016

Objectives : About 13% of the medicines used by traditional korean medicines(TKM), are called animal medicines and are derived from non-herbal sources such as animals and insects. However, the clinical use of these preparations from animal medicines is often based on tradition and belief, rather than on evidence of toxicity and efficacy. As a result, animal medicines containing toxin have caused serious problems from injecting patients with venom. Here, various venoms frequently used as TKM were reviewed in terms of their instinct toxity and tried to estimate their safety classification. Methods : The estimation of safety classification was based on human equivalent dose(HED)-based MOS (margin of safety) and clinical dose applied for patients. Results and Conclusions : Except that of snake venom due to no clinical dose, they were evaluated as class 3 for bee venom, class 4 for cantharidin, toxin from blister beetle, and class 1 for venom from scolopendrid. In conclusion, animal medicines showed a wide range of safety classification from class 1 to class 4. This wide range is estimated to result from extremely limited applications of each venom for patients because of their strong toxicity. However, it should be cautious for application in clinics since animal medicines can produce anaphylactic reactions particularly after veinous administration even with a tiny amount of venom.

• 대한한의진단학회지
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• 제12권2호
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• pp.27-40
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• 2008

Background : In spite of the predominant of the theory of Pathogenesis, the method of Pathogenesis classification is depending on the doctor's clinical trials because od the lack of the objective test criteria. Methods and Results : This study is trying to improve the objectiveness of classification using a new statistical method, decision tree. Decision tree method -a classification technique in the statistical analysis- was used to analyze the result of pathogenesis questionnaire instead of using discriminant analysis. As a result, 10 among 38 pathogenesis questionnaire was selected as important questions and 12 terminal nodes was built to classify the pathogenesis. Conclusions : Using only 10 questions shown in the result of decision tree, we can classify and interpret the pathogenesis easily and effectively.