• Journal of Pharmacopuncture
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• v.21 no.3
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• pp.195-202
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• 2018

Objectives: The study was to survey use of electronic medical records in subjects of Korean medicine doctors working for Korean medicine organizations and to contemplate ways to develop utilization of electronic medical records. Methods: On August 2017, it conducted online self-reported survey on subjects of Korean medicine doctors at Korean hospitals and clinics who agreed to participate in the study. A total 40 doctors in hospital and 279 doctors in clinic were included. The surveyed contents include kinds of electronic chart, reason for not using electronic medical records and problems with creation of medical records. Results: It finds that 100% of those working at Korean medicine hospitals and 86.4% of those at Korean medicine clinics have used electronic medical records. Subjects answered the biggest reason for not using electronic medical records was inconvenience. The most serious problems with creation of electronic medical records at Korean medicine organizations found in the study include there was no method of creation of medical records and no standardized terminology for use in electronic medical records. Conclusion: For utilization of electronic medical records at Korean medicine organizations, standardization of terminology, development of EMR in favour of its users and development of strategy that motivates use of EMR are required.

• Journal of Preventive Medicine and Public Health
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• v.39 no.3
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• pp.185-189
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• 2006

It is the actual state of the medical society in our country that many graduates of medical schools want to be clinicians, and accordingly Korea's medical situation is relatively too focused on curative medicine. However, this situation is changing due to several factors including a growing number of doctors, inappropriate regulations for medical fees, changes in social status of doctors themselves, and excessive competition between doctors. Furthermore, we expect more advances in medical field of Korea since Korean government started to attach great importance to sciences and produced policies to support sciences, and as a result, more and more interest and effort in the fields of basic research including preventive medicine is being attached especially by young doctors as compared against the past. However, decline of clinical medicine fields doesn't always mean bright future for the field of preventive medicine. True future is possible and meaningful only when we prepare for it by ourselves. In other words, as the promising future is closed to one who spares no effort, we shouldn't fear to oppose unknown challenges and simultaneously need to support colleagues who bear such a positive mind. It is the most important thing for our preventive medicine doctors to evaluate the past and the present of preventive medicine and to foster a prospective mind to prepare for the future of preventive medicine. I set forth my several views according to directions for the development of preventive medicine which we already discussed and publicized in the academic circle of preventive medicine. Those directions are recommendation of clinical preventive medicine, promotion of preventive medicine specialty, fostering the next generations, improving the quality of genetic epidemiologic study, participation in control of environmental pollution and food safety, contribution to chronic disease control, and preparation to role in medical services for unified Korea.

• The Journal of Korean Medicine
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• v.38 no.3
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• pp.73-85
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• 2017

Objectives: The purpose of this study was to investigate the status of Korean medicine treatment, and to analyze problems and demands to provide basic data on Korean medicine in military medical services. Methods: This survey was completed by 30 volunteer Korean medicine military doctors on service via a web-based questionnaire system. The questionnaire was developed through in-depth interviews with Korean medicine military doctors and consisted of general information on the subject, overall characteristics of the medical environment, current status of Korean medicine care in each workplace, problems and needs, and related clinical evidence and education. Results: Korean medicine military doctors administered acupuncture treatment most frequently in clinical practice. The most common complaints were related to musculoskeletal diseases, which accounted for 86.5% of all diseases, including those of the respiratory, digestive, and nervous systems. Most of the problems in Korean medicine care were pointed out as being due to a lack of awareness of Korean medicine in the military. Many doctors were aware that it is necessary to establish clinical evidence for Korean medicine in the military, and were also positive about the possibility of performing clinical research in the military, but the experience of actual participation in clinical research or related education was uncommon. Conclusions: Korean medicine military treatment differs from private medical care due to the specificity of each workplace and the military medical system. In the future, it will be necessary to establish an appropriate Korean medicine treatment model in the military suitable for these characteristics and strategic plans for clinical evidence.

• The Journal of Korean Medicine
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• v.43 no.3
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• pp.94-105
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• 2022

Objectives: This study investigated public opinion on the use of modern diagnostic medical devices by Korean Medicine doctors. Methods: A questionnaire looking into perceptions on the use of modern medical devices was developed. It was distributed by a third party and data was collected. Results were analyzed through frequency analysis, chi-square analysis (χ²-test), frequency and cross analysis using R program. The measurement variable in the study was the respondent's perspectives and expectations on the use of modern diagnostic medical devices by Korean Medicine doctors. The maximum significance level was 0.05. Results: There were a total of 3,000 responses and 80.8% of the respondents replied that there is a need for government-level discussion on endowing rights to Korean Medicine doctors as supervisors for safety management of radiation generating devices. Also, 83.3% of the respondents agreed the use of ultrasound imaging equipment in Korean Medicine clinics should be legalized. Conclusions: According to this study, respondents strongly support the use of modern diagnostic medical devices by Korean Medicine doctors. This is the first study to investigate public opinion in this area and it provides a significant insight into the public needs and desires for a wider scope of practice for Korean Medicine in the healthcare system.

• The Journal of Korean Medical History
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• v.36 no.2
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• pp.49-59
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• 2023

This paper describes the transformation of the knowledge system of Korean medicine in the early 20th-century colonial context of the 1920s in terms of 'identity formation'. At the time, newly introduced Western medicine was the dominant form of medical knowledge due to strong support from the colonial government but had did not enjoy popular support from the general public especially when compared to Korean medicine. Furthermore, the Japanese colonial government needed to utilize Korean medicine practitioners' labor due to a serious shortage of Western medicine doctors. In this context, Dongseo uihak youi (Essentials of Eastern and Western Medicines) provides an overview of the role of Korean medicine practitioners in the colonial healthcare system of the time. The book contains a figure of a 'modern' Korean medicine practitioner working within a healthcare system influenced by colonial modernity. The association of Korean medicine doctors at that time not only published Dongseo uihak youi but also attempted to establish a school specializing in both Eastern and Western medicines or integrated Korean medicine, which would produce "the Chosŏn doctors" (Chosŏn ŭisa) on a par with doctors trained in Western medicine. Although their attempts did not materialized, they provide a clue as to how and in what direction Korean medicine pursued its identity in the 1920s.

• Journal of Pharmacopuncture
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• v.24 no.2
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• pp.84-90
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• 2021

Objectives: Our study aimed to determine the attitudes of second- and final-year medical students and doctors (teaching faculty) of modern medicine towards complementary and alternative medicine (CAM) using the Complementary, Alternative, and Integrative Medicine Attitude Questionnaire (CAIMAQ). Methods: We invited 248 second-year medical students, 245 final-year medical students, and 48 faculty members to participate in the study. The CAIMAQ consists of 30 items, divided into five categories assessing various aspects of CAM, and scored using a 7-point Likert scale. The median scores obtained were compared between groups; a p-value < 0.05 was considered statistically significant. Results: A total of 138 medical students and faculty responded and participated in the study, of which, 24 (17.4%) were faculty, 40 (29%) were final-year medical students and 74 (53.6%) were second-year medical students. The overall attitude towards the various CAM concepts and therapies was positive. In general, the faculty were significantly less likely to consider referring patients for CAIM treatments, integrating them with conventional medicine, referring patients to alternative healthcare providers, considering the use of subtle energy fields as an ethical form of treatment, or considering CAIM treatments to be less invasive and harmful compared with conventional medicine. There was no significant difference in the attitudes of second- and final-year students. Conclusion: The attitude of medical students and doctors towards CAM is positive, and although the medical faculty have reservations in recommending specific types of CAM therapies or integrating them with conventional care, building evidence for supporting CAM therapies in specific diseases is likely to increase its uptake among health care professionals.

• The Korean Society of Law and Medicine
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• v.15 no.2
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• pp.317-343
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• 2014

In order to account for whether a doctor should indemnify damages resulted from violation of duty of care, the fact that a doctor violated duty of care, that damages were incurred, and the link between violation of duty of care and damages incurred, respectively, should be verified. So even though a doctor violated duty of care to patients, he or she will not bear the responsibility to indemnify damages unless it is not verified. If a doctor's negligence in medical practices is assessed that obviously unfaithful medical practice far exceeds the limit of admission of a patient, it will not go against people's general perception of justice or law and order to constitute a medical malpractice itself as an illegal action that will require liabiliy for damage. However, when the limit of admission is set too low, a patient's benefit and expectation of proper medical treatment can be violated. In contrast, if the limit of admission is set high, it can leave too little room for doctors' discretion for treatments due to a bigger risk of indemnification for damages. Thus, a reasonable balance that can satisfy both benefit and expectation of patients and doctors' right to treatment is needed.

• Korean Journal of Oriental Medicine
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• v.13 no.1 s.19
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• pp.19-27
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• 2007

In the 18th Century, those who played most important role in international interchange of medical science between Korea and Japan were skillful doctors and doctors of Joseontongsinsa(Correspondents of Joseon called on Japan as a mission). But they have been truly neglected by researchers on history of Korea, even on history of Korean medical science. They were received warm treatment from Japanese. But They were at the most middle-class in social standing in Joseontongsinsa. Though they played important role, they were underpriced and their brilliant achievements were faded out. It is on account of their low social position in Joseon Dynasty, a strict class society. Samsa, Jesulkuan, and Seogi were members of Joseontongsinsa those who were high class in social standing and were good at writing. In general, they were also Confucian doctors in Joseon. In the case of Samsa, there was Seo Myungung who was famous Confucian doctor. And since 'dispatch principle of Jesulkuan' had been prepared, Jesulkuans had paticipated in questions and answers on clinical problems. In a broad sense, We can regard Lihyun, a Jesulkuan in 1711's mission, Shinyuhan, a Jesulkuan in 1719's mission, and Seogies of Samsa as Confucian doctors. Though they were not medical specialist, but we can find them as Confucian doctors through the questions and answers on clinical problems they were participated in.

• Korean Journal of Health Education and Promotion
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• v.18 no.2
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• pp.157-168
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• 2001

Currently the oriental medical care services in the health centers is getting popularity because of their unique aspects which western medicine can not cover. This study was conducted to speculate the current status of oriental medical care services in health centers and possibility of how to effectively provide the oriental medical care services(or traditional medical care services) in health centers. For the study, the survey questionnaires were distributed to all 269 health centers and 138(51.3%) of them were collected. Eight of the collected were inadequate for the analysis and 130 of 269 questionnaires were finally chosen for the study. The SPSS/PC WIN 8.0 was used for the statistical analysis. The results are as follows. First, 91 out of 130 sample health centers(70%) are providing oriental medical care services. The results show that the willingness of the directors and the public awareness in community are the most important factors to provide oriental medical care services in health centers. In contrast, the lack of cooperative efforts between western and oriental medical doctors and the lack of government supports are considered as factors that intervene the oriental medical care services in health centers. About 80% of the sample health centers respond that the government supports is needed for oriental medical care services in health centers. Second, it was asked to the directors of 39 health centers which do not provide oriental medical care services regarding their future plan to include the services. About 70% of health centers respond that no plan is available now. They acknowledge that the demand on the services is the most important factor to consider the oriental services as their future medical services. Third, 69.2% of the oriental medical doctors in health centers are public health doctor. 95.6% of the sample health centers have space for the oriental medical care services in their facilities and some health centers provide the services through the private clinics nearby facilities. Finally, the surveyors consider both budgetary constraints and difficulty in recruiting doctors as barriers for the effective oriental medical care services in health centers. Finally, t-test and LSD were employed to find out the difference among several groups. The analysis shows statistically significant difference among groups about their recognition on health care policy, health care system, and effectiveness of oriental medical care services. To be conclude, the study shows the necessity of oriental medical care services in health centers. To do so, the government supports, cooperative efforts between oriental and western medical doctors, and providing job security for doctors should proceed to provide effective oriental medical care services in health centers.

• Journal of Biomedical Engineering Research
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• v.22 no.4
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• pp.377-383
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• 2001

In this paper, we present an intensive patient monitoring service through the Internet, which enables medical doctors to watch their patients in a remote site, to monitor their vital signs and to give them some advices for first-aid treatment. The service consists of three service objects: Monitoring Information Service(MIS), Vital Sign Monitoring Service(VSMS) and Multimedia Consulting (MCS). Through the MIS, medical doctors can get information about the patients currently under monitoring, including their names, ages, genders, symptoms, current main complaints and current locations. The VSMS enables medical doctors to monitor in real-time patients' vital signs such as electrocardiogram (ECG), respiration, temperature, blood oxygen saturation (SpO$_{2}$), invasive blood pressure (IBP), and non-invasive blood pressure (NIBP). It also generates alarms when the patients are likely to be in a critical situation. The MCS provides a real-time multimedia desktop conferencing facility for watching patients and instructing attendants to administer some first-aid treatment. We carried out some experiments according to two different scenarios. The intensive patient monitoring service was functioning well in a 100Base-T Ethernet LAN environment.