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A Study on Utilization Patterns of Oriental Medical Care (한방의료 이용실태에 관한 조사 연구 - 전국 한의원 이용자를 중심으로 -)

  • 이규식;조경숙
    • Health Policy and Management
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    • v.9 no.4
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    • pp.120-139
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    • 1999
  • The objectives of this study were to examine the utilization patterns of oriental medical care and to discover problems in its delivery. The data for this study were collected from a questionnaire survey mailed out from March 10 to April 9 1999 to 6.346 oriental medical clinic. The questionnaires were then distributed to two patients in each clinics. Of these questionnaires. 670 were completed and returned. The major statistical methods used for the analysis were the t-test. ANOVA, and x$^2$-test. The major findings are as follows: 1. Respondents reported visiting oriental doctors twice as often as they visited western doctors(All those completing the survey received the questionnaire at oriental medical clinics). 2. The number of reported visits to oriental physicians according to among gender, age, marital status, education, income and residence. Males, married respondents, the elderly and the residents of rural areas visited oriental physicians more frequently than females, singles, younger respondents and urbanites. Those people belonging to the middle income class and middle education level also more frequently visited oriental physicians. 3. There are several factors that restrict the utilization of oriental medical care, such as the limitation of the scientific diagnostic instrument use commonplace reliance upon western medical techniques, and the perception of high price for oriental medical care. It is very important to focus oriental medical care onto the fields of acupuncture, circulatory system disease, musculoskeletal system ailments, etc. to improve the utilization of oriental medical care. Other policies for the improvement of oriental medical care include the standardization of price, quality and quantity of oriental medicine.

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Market Segmentation of Patient-Utilization in Oriental Medical Care and Western Medical Care (양.한방 의료서비스 이용환자의 시장 세분화에 관한 연구)

  • 이선희;조희숙;최은영;최귀선;채유미
    • Health Policy and Management
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    • v.12 no.1
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    • pp.125-143
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    • 2002
  • The objectives of this study were analysis of patient\`s characteristics and market segmentation in oriental medical care and western medical care. This study focused on medical utilization using Anderson's health utilization model. The source of data was 1998 National Health and Nutrition Survey which Korean Institute For Health and Social Affairs carried out. A stratified multistage probability sampling design was used in this survey. The analysis was conducted using the statistical software package SPSS version 10.0 and Answer Tree 2.1 which is one of data mining methodology. The results were as follows ; 1) 44.9% of respondents reported visiting oriental medical center within recent two weeks. 3.4% of them used oriental medical care. The group of age, kind of disease and medical expenditure are associated with the difference western and oriental medical utilization rate. 2) There were several factors related to utilization of oriental medical care according to decision tree. Especially, important factors that patient chose his medical center were kinds of disease, kinds of common medical use, and expenditure. 3) in the results of CART analysis, market of oriental medical care were classified by seven categories. The major groups who have a preference for oriental medicine were those musculo-skeletal, cerebra-vascular disease, or chronic headache patients, and they had a preference fur oriental medical care in common use. These results show that oriental and western medical market were divided into various areas by market segmentation.

A Study on Oriental Medical Doctors' Ethic with The Way of The Oriental Medicine Philosophy (한의사(韓醫師) 윤리(倫理)에 대(對)한 한의철학적(韓醫哲學的) 연구(硏究))

  • Ha, Hong-Gi;Baik, You-Sang;Kim, Soo-Joong;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.20 no.4
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    • pp.127-149
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    • 2007
  • The environment surrounding oriental medical' doctors made change in accordance with changes of the society to make change of the doctors' ethics. In particular, some of practitioners made light of patients to let people distrust all of the medical professions. To improve such a situation, oriental medical doctors' ethics should be examined historically and philosophically. This study examined the literatures of Oriental medicine on oriental medical doctors' ethics to investigate difference of medical ethics between the Western medicine and the Oriental medicine and to suggest a way promoting oriental medical doctors' ethical consciousness. The ethics of the literatures of Oriental medicine might be classified into the two, in other words, 'medical technology' and 'mental attitude'. 'Medical technology' laid emphasis upon not only a lot of researches on Oriental medicine but also doing best to give patients medical treatment carefully. 'Mental attitude' laid emphasis upon keeping 'humanity(仁心)' thinking much of patients not to pursue excessive profits. To recover ethical consciousness, not only 'reinforced school education' but also 'reinforced legal regulation' was required. And, oriental medical doctors, nongovernmental organizations, common people and other social members were demanded to make efforts together to elevate oriental medical doctors' ethical consciousness.

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A Survey on Parent's Recognition and Utilization Patterns of Oriental Medical Care of Preschool Students in Seong-Dong district (성동구내 어린이집 원아 부모의 소아 한방치료에 대한 인식 및 이용에 관한 조사 연구)

  • Park, You-Jin;Lee, Seul-Ji;Yoon, Ji-Yeon;Myoung, Sung-Min
    • The Journal of Pediatrics of Korean Medicine
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    • v.25 no.1
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    • pp.90-110
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    • 2011
  • Objectives: The purpose of this study is to examine the parental recognition and utilizing patterns of oriental medical care in children who live in Seong-Dong district. Methods 802 day-care center children's parents participated in the survey on recognition and utilizing patterns of oriental medical care, and 702 of the surveys were analyzed. Results: 1. 38.33% has received previous oriental medical treatments and most were received at the children's age under 12-24 months. Majority of the treatments took place in the clinical settings. By recommendation, some also received their treatment at the medical centers. One of the reasons why they receive oriental medical treatments was that they prefer to balance their treatment with the orental medical treatments along with the western's. 2. 53.85% of those who received oriental medical treatments were satisfied with their treatments. The effective treatment results were the major reason for the satisfaction. 3. 49.56% of those who had oriental medical treatments chose specific oriental medical facilities for the children's ailment. Most specific oriental medical facilities were local oriental medical clinics. Reputation fame were the main reason in choosing the clinics. 4. In 2009, 55.26% had received care in the specific oriental medical clinics for the diseases, such as respiratory symptoms, systemic symptoms, gastrointestinal symptoms, skin problems, neurological and psychiatric disease for infants, and respiratory symptoms, gastrointestinal symptoms, systemic symptoms, skin problems, neurological and psychiatric symptoms, urinary symptoms and musculoskeletal symptoms for toddlers. 5. The average duration of herbal treatment were 7-14 days, preferably 4-6 days, and preferred number of medical visits were once a week on Saturdays and preferred day for night cares were on Friday nights. Average treatment fee per treatment was less than 10,000 won which coincided with the preferred treatment fee per visit. 6. The very first medical institutions chosen by parents once their children are ill are the following; Western medical institutions, western medical clinics, pharmacies, oriental medical clinics, health centers, and lastly, oriental medical institutions. The major concerns in receiving oriental medical cares include pesticides in herbs and hazardous substances in heavy metals. Preferred form of oriental medicine was decoction, the negative feedback of oriental medicine was mostly due to the bitter taste of the oriental herbal decoctions. Preferred frequency of intake was twice a day with less than 10cc~20cc per single intake. Conclusions: Taken all together, we conclude that the growing recognition of Oriental Pediatric medicine is needed among parents.

A Study on the Current education of Oriental Medical Classics in Korea;A Study focused on Hwangje-Naegyeong(黃帝內經) (원전학 교육 현황에 관한 연구;"황제내경(黃帝內經)"을 중심으로)

  • Kim, Do-Hoon
    • Journal of Korean Medical classics
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    • v.19 no.4
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    • pp.101-112
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    • 2006
  • For the purpose of profound comprehension of the Current education of Oriental medical classics in Korea, I investigated the results of direct survey of the Current education of Oriental medical classics from each professor, and came to following conclusions. 1. The education of Oriental medical classics mainly lasts for 2 years. Students have average 6.59 hours of lecture every week. The rate of full service professor reaches 74.4%. But the department of Oriental medical classics in every college takes charge of many subjects which are related to Oriental medical classics, so the appointment of large number of full service professor is essential for the improvement of educational environment of Oriental medical classics. 2. After the publishing of the common textbook of Oriental medical classics, it gradually became the main textbook. But it is necessary that we should complement the textbook and it is also necessary that we should develop another textbook for Nangyeong(難經). 3. Most professors emphasize on the cultivation of the ability which enables Oriental medical thought through precise comprehension of original text. By the way, for the purpose of motivation of studying Oriental medical classics, it is necessary to develop a lecture which is related to clinical medicine. From the same context it is also necessary to read clinical original text such as Dongui-bogam(東醫寶鑑) and Uihakimmun(醫學入門) in class.

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The Difference of Locus-of-control among Western Medical School Student, Oriental Medical School Students, and Non-Medical School Students (의과대학생과 한의과대학생, 일반대학생들의 건강통제위에 대한 차이)

  • Choi, Kui-Son;Lee, Han-Joon;Lee, Sun-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.3
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    • pp.239-247
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    • 2003
  • Objectives : The objectives of this study were to examine the difference in attitude toward health-specific locus-of-control and medical care among western medical students, oriental Medical students, and non-medical school students. Methods : The subjects of this study were 667 students who agreed to respond the questionnaire :212 western medical school students, 190 oriental medical school students, and 205 non-medical school students. The health-specific locus of control was measured by the structured questionnaire developed by Lau and Ware. The attitude toward western and oriental medicine was also measured by the questionnaire. Results : Western medical students and non-medical school students were more likely than oriental medical students to place high value on 'the provider control over health' and 'the general threat to health' scales (F=20.47, F=19.98). But oriental medical school students ranked 'the self control of health' scale as more important than any other locus of control scale (F=19.34). The health specific locus of control was also different from the grade. When trte grade was increased, 'the provider control over health' scale was slowly decreased, especially in western medical students and non medical school students. However, the 'general threat to health' scale was increased in oriental medical students. Western medical school students expressed more positive attitude toward western medicine. Oriental medical school students put a higher score on oriental medicine. Nevertheless, as the grade was increased, the positive attitude toward oriental medicine slightly decreased in oriental medical school students. Conclusions : There is a difference in health-specific locus of control and attitude toward medicine among western medical students, oriental medical students, and non-medical students. The locus of control and attitude of medical students towards medicine may affect both how they behave towards patients and how they help shape future public policy. Therefore, interdisciplinary educational initiatives may be the best way to handle this issue.

Preliminary Study for Development of System for Oriental Nurse-specialist (한방전문간호사제도를 위한 예비조사)

  • Baek, Ji-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.275-284
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    • 2001
  • This study was conducted to examine the nurses' role in Oriental medical hospital and the necessity of Oriental medical nursing system. Data were collected from 194 nurses in 14 Oriental medical hospitals located in Seoul, Busan, Daegu, Kwangju, Kangwon Province, Kyungbuk Province from July 1, 2000 to September 10, 2000. The results of this study are summarized as follows. 1. In nurse's level of knowledge of acupuncture point in current Oriental nursing practice, 28.4% of the respondents did not know acupuncture points at all, while 30.9% knew them a little. 40.7% of them did not almost know them. 2. According to nurses' role in Oriental medical hospital, they did a lot of duty for measurement of vitality, medical record, Dr. notifying, communication with medical team and related departments, and observation of patients' conditions. They did a little duty for handling Oriental medical practice. 3. As the subject of curriculum for Oriental medical nursing, 52.1% chose training course for Oriental medical nursing, while 25.8% chose inclusion of the curriculum in the school of nursing. 39.2% replied that they would take the training course for Oriental medical nursing, while 3.6% answered that they would not take it. 68.6% of them thought that Oriental medical nursing system should be introduced, while 4.1% objected to introducing the system. The nurses in Oriental medical hospitals are working with many problems because of their role confusion and low level of knowledge in Oriental medicine. Therefore, systematic curriculum and research related to Oriental medical nursing are necessary. Oriental medical nursing system must be introduced in order to make nurses have professional knowledge and skill in Oriental medicine. The nurses then can provide services of good quality for the patients.

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A Case Report of Trigeminal Neuralgia Treated with Melonis Calyx Vomiting Therapy (과체 토법을 병용한 삼차신경통 환자 한방치험 1례)

  • Kang, Ju-Young;Lee, Seung-Hee;Lee, Su-Kyung;Hong, Hyeon-Jin;Lee, Chang-Won;Cho, Hye-Won
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.3
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    • pp.231-238
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    • 2017
  • Objectives : The purpose of this study is to report the efficacy of using oriental medical treatment(herbal medicine, acupuncture) with melonis Calyx Vomiting Therapy(MCVT) for trigeminal neuralgia. Methods : We experienced one cases of trigeminal neuralgia treated with oriental medical treatment and melonis Calyx Vomiting Therapy. MCVT is a traditional treatment, which induces vomiting by eating melonis Calyx powder with water. To evaluate the results of this treatment, we used the Visual Analogue Scale(VAS) and sleeping time. Results : After using MCVT with oriental medical treatment, VAS, sleeping time and clinical symptoms of the patient were improved remarkably. Conclusions : This study suggests that using MCVT with oriental medical treatment is effective on trigeminal neuralgia.

A Legal Review on Physical Therapists' Roles and Doctors' Superintendency (물리치료사의 업무범위와 의사의 지도권에 관한 법적 검토 - 청주지방법원 2010. 2. 3. 선고 2009노1317 판결 -)

  • Kim, Han-Nah;Kim, Kye-Hyun
    • The Korean Society of Law and Medicine
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    • v.11 no.2
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    • pp.337-361
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    • 2010
  • In the case of Korea, both of modern medicine and oriental medicine are admitted as medical practices in the system. In other words, healthcare system is dualized. However, medical practice that corresponds to oriental medicine in Korea is substitution of medical practice in cases of foreign countries. For use of medical devices, it is provided only for doctors and medical technician relevant to use. Particularly, although oriental medicine is recognized as orthodox medicine in terms of the features of Korean medical system, superintendency of oriental doctors is not identical with that of doctors for use of medical devices and superintendency toward medical technicians. Recently, Cheongju District Court decided that superintendency of oriental doctor upon physical therapist is not acknowledged. It can be said that the judgement is opposed to the original verdict which judged that oriental doctors' employment and guidance of oriental doctors upon physical therapist is permissible. Hence this study aimed to review on domestic medical law system, which is dualized, roles of medical professionals, intent of the medical license system, provisions related to medical technician law and relevant precedents. Regulations on practices other than licensed practices by medical professionals are made because medical practices may affect on danger toward life and body of human and public health also. Therefore, the nation regulates medical professionals having licenses to perform medical practices within the range of the licenses. It is clearly prescribed that medical technicians may perform medical practices under instructions of doctors or dentists pursuant to the medical technician law. In addition, the court also judges that it is out of the license of oriental doctors if they use CT devices and limits the use of modern medical devices by oriental doctors. That is to say that it limits oriental doctors' employment of medical technicians and pursuant of oriental doctors on medical technicians as well.

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A Clinical Study on Outpatients in Oriental Neuropsychiatry Clinic of an Oriental Medicine Hospital (서울소재 동서한방병원 한방신경정신과 외래 환자의 임상고찰)

  • Kim, Joo-Won;Shin, Hyun-Kwon;Chu, Ching-Nai;Lee, Ji-Won;Park, Se-Jin;Kim, Kyeong-Hye;Seo, Joo-He
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.3
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    • pp.123-134
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    • 2007
  • The aim of this study was to show the clinical aspects in outpatients who visited Oriental Neuropsychiatry Clinic. Method : We studied 419 patients who visited Oriental Neuropsychiatry Clinic of Dong-Sea Medical Center from march, 2007 to August, 2007. Results & Conclusion : 1. The ratio of male to female patients was 1:2 and age distribution was most frequent in 50s. 2. From onset, 32% of patients visited Oriental Neuropsychiatry Clinic in a week, 58% of patients visited in a month. 3. Oriental Neuropsychiatry diseases were 80%, Non-Oriental Neuropsychiatry diseases were 20%. The most common Oriental Neuropsychiatry diseases were Somatoform Disorders. 4. The most common diagnosises of the Oriental Neuropsychiatry diseases were Psychosomatic diseases. 5. The most common cheif corn1ains were Headache. 6. The most commonly used herbal medicine was Gamiondam-tang and Guibi-tang

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