• 대한예방한의학회지
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• 제6권1호
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• pp.15-35
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• 2002

This study was conducted to provide basic data for policy of Oriental medicine by analyzing community resident's consciousness of taking herb medicine and its related factors. Data were collected from 1478 residents from March 2, 2001 to May 31, 2001. The results of this study are summarized as follows. 1) The rate of experience of taking herb medicine was 85.2%(88.2% of 'male'; 82.5% of 'female'). It appeared to be significantly higher in the groups of 'the married', 'housewife', and 'Buddhist'. As the age increased, so the rate of experience of taking herb medicine was significantly high. 2) In case of purpose of taking herb medicine, taking herb medicine as a restorative(66.8%) was much higher than taking it as a curative medicine. 3) 52.1% of the respondents satisfied with the effect of herb medicine. The groups of 'male', 'older age', 'residents in a big city', 'insurant in company', and 'the employed' showed significantly high rate in satisfying with herb medicine than the other groups. 4) According to the reason for preferring herb medicine, 36.7% of the respondents preferred herb medicine because the herb medicine was effective, while 27.8% preferred it because its side effect was low. 16.7% preferred it because persons around them recommended it. 5) 42.6% of the respondents did not want to take the herb medicine because the price of the herb medicine was high. Also 20.6% of the respondents did not want to take herb medicine because it is uneasy to take herb medicine. 15.8% did not want to take it because certain food should not be taken during the period of taking it. 9.4% did not want to take it because it tasted bitter. 6) In case of opinions on side effects of herb medicine, 40.8% of the respondents thinks that herb medicine is free from side effects, while 37.5% thinks that it causes side effects. There were significant difference in the opinions on side effects by sex, age, marital status, resident area, education level, occupation, and type of health insurance. 7) 60.7% of the respondents thinks the price of herb medicine is not resonable, while only 10.9% thinks it is resonable. 8) 45.2% of the respondents uses packs of decocted herbs although they think the packs of decocted herb are a little low effective because decocting herbs in home is bothersome. 45.2% uses packs of decocted herbs because they are convenient, being not related to the effect. 7.6% takes medicinal herbs after decocting them in a clay pot because they think the packs of decocted herbs have low effect. 51.9% does not know whether taking herb medicine in summer is effective or not because the effect is different according to their physical constitutions. 35.5% thinks that taking herb medicine is summer is effective because their physical stamina is weakened after sweated a lot, while 12.6% thinks that it is not effective because the effect of herb medicine disappears with sweat. 9) According to the level of satisfaction with Oriental medical care, the respondents marked $3.47{\pm}0.64$ points on the base of 5 points. It was significantly higher in the groups of 'male', 'the married, resident in a big city', 'highschool graduate', 'the unemployed', 'office clerk', 'growing up in a big city', 'insurant in region', and 'the middle class'. 10) According to the result of a regression analysis of factors influencing preference for herb medicine, the factors displayed significant difference by sex, age, education level, health status, and times of receiving Oriental medical care. As shown in the above results, the community residents satisfy with the effect of herb medicine. Therefore, the method of taking herb medicine without difficulty must be devised. The medicinal herbs in packages need to be included in health insurance coverage and resonable price of herb medicine must be set. Also, education program for community residents must be developed in order to provide right information in herb medicine. Therefore, related public authority, associations, and professionals must make efforts, forming organic cooperative system.

• 한국한의학연구원논문집
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• 제18권2호
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• pp.65-89
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• 2012

Objective : In order to investigate and improve public Korean medical health service satisfaction level, this study was designed. Method : A questionnaire has been conducted on 212 patients who received treatments at six public health centers in the northern part of Gyeongbuk during 15 days between Sep. 24 and Oct. 8, 2011. Result : 1. An Investigation on the usage of herbal clinics in public health centers reveals that 63.7% have received three times or more medical treatments previously and 61.8% have had their illness treated at other medical institutions. In regard to illness 32.1% have had arthritis or muscle aches. 50.9% have taken insurance medication after having had treatments at the public health centers. 66% have assessed acupuncture and moxa cautery the most satisfying. 2. To a question regarding whether herbal health treatment costs higher than that of physician's, the highest response at 31.6% is 'No'. And to a question regarding whether herbal medicines administered at public health centers have more side effects than that of physician's, the highest response at 39.6% is 'No'. 3. To a question regarding whether herbal treatment of public health centers has little effect against acute disease, 48.1% of responses are 'Fair'. To a question regarding whether herbal treatments, when compared with physician's treatments, boost better recovery of patients, 48.1% of responses are 'Fair'. To a question regarding whether herbal medicine is unscientific, when compared with that of western medicine, 38.2% of responses are 'Fair', To a question regarding whether herbal medicine has faster effect on disease than western medicine, 41.0% of responses are 'Fair'. To a question regarding whether herbal medicine is more effective on disease prevention and promotion of health than disease treatment, 38.2% of responses are 'Fair'. And to a question regarding whether the lack of various types of physical therapy devices in herbal medicine, when compared with western medicine causes inconvenience in herbal treatment, 42.0% of responses are 'Fair'. Those responses take up highest portion at each questionnaire. 4. A comparative study between herbal treatments and physician's treatments has also been conducted. To questions regarding which one of the two considering types of disease is the better, responses are the latter accounted for 43.9% against 'Cancer', the latter accounted for 45.3% against 'Endocrine disorders', the former accounted for 30.7% against 'Psychiatric disorders', the latter accounted for 38.2% gainst 'Otolaryngological(ENT) disease', the former accounted for 47.6% against 'Post traumatic stress disorder', and the former accounted for 52.4% against 'Muscle-skeletal disease'. 5. An investigation on frequency of patients' visits via (p<0.05) of subjects show a statistically significant difference. 6. First, an investigation on frequency of reasons of medical treatments reveal that age, occupation, monthly income, and insurance type (p<0.05) of subjects show a statistically significant difference. Secondly, an investigation on frequency of subjects taking insurance medicines after herbal health treatments reveal that monthly income (p<0.05) of subject shows a statistically significant difference. 7. First, an investigation on frequency of a claim that herbal treatments of public health center does not have great effect on acute disease reveals that age, education, and insurance type (p<0.05) of subjects show a statistically significant difference. Secondly, an investigation on frequency of analysis that herbal treatments has faster effect on disease compared with western treatments reveals that education level, religion, monthly income, and insurance type (p<0.05) of subjects show a statistically significant difference. 8. When herbal clinics of public health centers and general herbal medicine institutions are compared, a survey on additional treatments that herbal clinics need the most reveals that education level, monthly income, and insurance type (p<0.05) of subjects show a statistically significant difference. Secondly, an investigation on frequency of subjects who want various forms of herbal medicines reveals that occupation and insurance type (p<0.05) of subjects show a statistically significant difference. Conclusion : In order to improve efficiency of treatments and enhance patient's satisfaction level, this study suggests measures such as providing a differentiated acupuncture treatments as a whole, streamlining an reception procedure, adopting more elaborated computer system for a patient to get proper medical attention, standardizing a treatment duration in order for a maximum result, keeping regular office hours, and optimizing a consultation time for a patient.

• 한국습지학회지
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• 제19권2호
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• pp.230-239
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• 2017

최근 한국은 농촌관광의 수요가 증가하고 있지만 유형은 농사체험이 대부분이다. 이러한 상황을 극복하기 위해 생태체험이 도입되고 있다. 농촌 생태체험의 공간인 연못의 콘텐츠, 교육자료 확보가 필요하다. 따라서 본 연구에서는 연못형습지 식물의 전통한방이용형태를 분석하였다. 전통한방은 과거부터 이어져 온 전통지식으로 요즘에도 의학, 약학, 과학 등 다양한 분야에서 활용한다. 분석된 내용은 생태체험 교육자료에 도움이 될 것이다. 조사는 농촌지역 연못형습지 40개소의 식물을 조사하였다. 전통한방이용형태는 특허청에서 운영하는 전통지식포탈의 내용을 제공받아 사용하였다. 40개 연못형습지에서 조사된 식물은 총 108과 457종이며, 그 중 전통한방이용형태에 대한 정보가 있는 종은 53과 314종이다. 이것은 연못형습지 주변의 식물 중 68.8%가 전통한방을 함유하고 있다는 의미다. 이 밖에도 음식, 공예, 전통농업 등의 활용 형태를 포함한다면 70~80% 이상 전통지식을 포함할 것이라 예상한다. 전통한방에 사용 된 314종의 효능은 570가지, 325가지의 병증을 치료하는 효과가 있다. 1종당 평균 4.0(0~20)가지의 효능으로 6.6(0~20)가지의 병증을 치료할 수 있다. 본 연구 자료는 체험, 교육, 의학 등 다양한 분야에 활용되길 기대한다. 그리고 많은 가치가 있는 연못형습지는 계속적으로 보전할 필요가 있다고 판단된다.

• 농촌의학ㆍ지역보건
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• 제25권2호
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• pp.427-440
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• 2000

농어촌 의료서비스 개선사업의 일환으로 추진된 전라남도 장흥군 장동면과 장편면 2개면 보건지소를 통합하여 보다 수준 높은 통합보건지소를 설치하기 전인 1997년과 통합후인 1999년의 보건의료자원의 변화, 환자진료통계, 보건사업통계를 비교한 결과 다음과 같은 결과를 얻었다. 1. 통합전 보건지소의 시설은 진료실과 보건사업 사무실 등 극히 제한된 시설에 2개 보건지소를 합하여 일반의사 2인, 치과의사 1인, 간호조무사 4인, 치과위생사 1인 이상 8명의 직원이 근무하였으나 통합보건지소는 일반 진료실, 치과진료실 외에도 한방진료실, 소독실, X-선실, 임상병리실, 약국, 물리치료실, 보건사업 사무실이 갖추어진 지하 1층, 지상2층 총 건축면적이 $335m^2$이나 되는 시설을 갖추었고 전문의 l인, 일반의 1인, 치과의 1인, 한의 1인, 간호사 2인, 간호조무사 4인, 임상병리사 1인, 치과위생사 1인, 방사선사 1인, 물리치료사 1인 등 이상 다양한 전문직종이 포함된 14명의 직원이 근무하고 있었다. 2. 통합적인 1997년 1년동안 2개 보건지소의 수입을 합하여 78.815천원이어서 주민1인당 평균 14,000원이었던데 비하여 통합후인 1999년 1년동안 통합보건지소의 수입은 140,376천원으로 주민1인당 평균 25,000원에 해당하였다. 이러한 수입액은 인건비를 제외한 보건지소 운영비로 사용되었으며 의약품비가 가장 많은 비중을 차지하였다. 3. 통합전후 진료사업 통계를 비교한 결과 통합전에는 진료과목으로 일반진료 90.5%, 치과 9.5%이었고 초진 8.4%, 재진 91.6% 이었으나, 통합후에는 진료과목으로 일반진료 71.2%, 치과 10.8%, 한방 16.5%, 임상검사 1.5%의 분포를 보이고 초진 29.7%, 재진 70.3% 이었다. 통합전후 모두 치료받은 질환 종류는 근골격계 질환인 관절염이 가장 많은 빈도를 차지하였으며 한방진료도 요각통으로 가장많은 치료를 받았다. 통합전에는 치과진료로 매복치 및 매몰치가 가장 흔한 문제였으나 통합후는 치수염이 가장 빈도가 많은 문제이었다. 치료가 1인당 월평균 치료비는 통합전에는 9,363원이었으나 통합후에는 8,309원이었다. 6. 통합전후 대상인구당 보건사업 실시율을 분석한 결과 독거노인관리, 고혈압관리, 당뇨 환자관리, 임부등록에서는 통합후에 통합전보다 다소 감소하였지만 그 외 대부분의 만성질환자에 대한 방문보건사업, 모자보건사업, 예방접종 사업량은 정체되거나 약간 증가되는 경향을 보였다. 이상을 보면 통합전 2개 보건지소에 비하여 통합보건지소는 시설, 규모, 조직, 예산이 방대해져서 진료환자수는 증가하였으나 1인당 진료 단가는 다소 감소하였다. 예방 보건사업은 일부 사업량은 증가하였으나 일부 사업은 감소하였다. 통합보건지소가 소기의 목적을 달성하기 위해서는 2개면 전체주민을 위한 보건의료사업 활성화를 위한 보다 많은 노력이 요구되며 계속적인 평가도 필요하다.

• 대한예방한의학회지
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• 제19권3호
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• pp.91-102
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• 2015

Objective : The purpose of this study is to find out the possibility of application to herbal medicine's report form for adverse drug reaction (ADR) by reviewing and analyzing Asian countries's ADR report forms. Method : We investigated, compared, and analyzed ADR report forms (ADR-RF) of Asian countries's ADR institutions (ACAI), such as, Korea institute of drug safety & risk management and Dongguk university Ilsan oriental hospital (DUIOH) in Korea, national center for ADR monintoring (NCAM) in China, pharmaceuticals and medical devices agency (PMDA) in Japan, Ministry of Health and Welfare (MOHW) in Taiwan, and drug office, department of health, the government of the Hong Kong special administrative region (GHKSAR) in Hong Kong. Results : ADR-RF for ACAI included common contents, such as, patients information (name(initial), gender, age, weight), adverse event (AE)'s report information (Recognition and report for AE occurrence, first or follow up report, Severe AE), the detailed information of AE (the title of AE, onset & closing date of AE symptoms, the progress & results detailed test of AE), the information of AE's medicine (the types of medicine, product name, ingredient name, suspected or combination drug, single dose & frequency, dosage form, administration route, dealing for AE-suspected medicine), and AE reporter's information (reporter's information, institution's information). Taiwan had ADR-RF and the department exclusively for herbal medicine (HM), but others (except DUIOH) had not only no ADR report form but also contents for HM. Conclusion : ADR-RF for HM have to include the common contents of ACAI at least, as well as HM information related to ADR, such as the title, composition and types of HM, history related to HM's ADR, and the contents of drug-induced liver injury and so on. In addition, the main department of government for HM's ADR will be needed.

• 한국방사선학회논문지
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• 제5권5호
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• pp.295-302
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• 2011

핵의학과에서 시행되는 일반 영상 검사는 수검자의 검사 접수로부터 의사의 판독까지의 과정 동안 오류가 발생된다. 이러한 오류는 최종단계인 의사 판독 시에 확인되어 재검사나 추가촬영, 결과의 재분석, 그리고 PACS 영상의 수정등의 내용을 영상실 검사 담당자에게 지시한다. 이러한 과정을 거쳐 얻어진 결과는 검사에서부터 판독까지의 시간 지연을 초래하고 또한 추가검사가 발생될 경우 환자 만족도와 병원의 신뢰도가 하락하게 된다. 따라서 영상 검사의 접수부터 결과 확정까지 발생되는 오류를 개선하여 수검자들의 불만 감소에 따른 환자 만족도 증가와 근무자들의 업무 효율 증가를 목적으로 한다. 2008년 3월부터 12월까지 9개월간 서울아산병원 핵의학과 일반 영상 검사를 하는 수검자의 검사 오류를 분석하여 2009년 1월부터 12월까지 12개월간 1차 개선 활동으로 검사 절차서의 재 확립 및 검사 업무기술서 작성, 2010년 1월부터 6월까지 6개월간 2차 개선 활동으로 Pre-filtering & Post-Filtering, 2010년 7월부터 10월까지 3개월간 3차 개선 활동 Cross-Check와 스티커 제작 및 부착 실시 이후 검사 오류 건수를 수집하여 비교하였다. 연도별 오류 건 수는 92건에서 1차, 2차 개선 후 32건, 3차 개선 후 46건으로 나타났고, 검사자에 의한 오류는 전체 오류원인의 94.6%이던 것이 74.3%로 감소되었다. 핵의학 일반 영상 검사는 다양한 검사의 종류와 서로 다른 전처치 및 결과산출, 영상의 구성, PACS 전송 영상의 차이로 인하여 검사자의 실수가 발생될 가능성이 높기 때문에 이를 줄이기 위한 개선 활동이 지속되어야 하며 각 영상실 담당자들의 지속적인 Cross-Check와 판독실의 Confirm 과정을 통하여 개인별 편차를 줄여나가야 할 것이다.

• 한방안이비인후피부과학회지
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• 제10권1호
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• pp.367-382
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• 1997

The author analyzed 46 cases of allergic rhinitis patients, who were treated in the Kwang-ju Oriental Medical Hospital of Wonkwang University from January 1997 to April 1996. I've examined the 46 cases in the view of age and sex distribution, seasonal distribution, distribution of the job, duration of the disease, past history, family history, distribution of complicated signs, the degree of recovery about the total patient, the relationship of the ages and the remedial value, the relationship of the duration of disease and the remedial value. The following results are obtained. 1. The ratio of under teenagers was $32.61\%$(15 cases), teenagers was $30.43\%$(11 cases), 2th decade was $17.39\%$(8 cases), 3th decade was $17.39\%$(8 cases), 4th decade was $4.35\%$(2 cases), 5th decade was $2.17\%$(1 case), over sixty was $2.17\%$(1 case). 2. The ratio of the male was $58.70\%$(27 cases) and femal was $41.30\%$(19 cases). 3. The ratio of spring was $21.74\%$(10 cases), summer was $8.70\%$(4 cases), fall was $43.48\%$(20 cases), winter was $43.48\%$(20 cases) and unknown was $10.87\%$(5 cases). 4. The ratio of the students was $45.65\%$(21 cases), house-wives was $15.22\%$(7 cases), office men was $10.87\%$(5 cases), farmers was $4.35\%$(2 cases), driver was $2.17\%$(1 case) and unemployed was $21.74\%$(10 cases). 5. The ratio of the under six months was $8.70\%$(4 cases), under 1 year was $17.39\%$(8 cases), under 3 years was $32.60\%$(15 cases), over 3 years was $41.31\%$(19 cases). 6. The ratio of atopic dermatitis was $32.61\%$(15 cases), allergic dermatitis was $21,74\%$(10 cases), the asthma was $17.39\%$(8 cases), digestion disorder was $6.52\%$(3 cases) and etc. 7. The ratio of paternal line was $21.74\%$(10 cases), maternal line was $13.04\%$(6 cases), paternal and maternal lines was $4.35\%$(2 cases), brother or sisters was $13.04\%$(6 cases) and non-significant was $47.83\%$(22 cases). 8. The ratio of sneezing was $100\%$(46 cases) , nasal discharge was $100\%$(46 cases), nasal obstruction was $86.96\%$(40 cases), pruritus was $45.65\%$(21 cases), headache was $13.04\%$(6 cases), asthma was $10.87\%$(5 cases), digestion disorder was $6.52\%$(3 cases), light phovia was $6.52\%$(3 cases), tears was $4.35\%$(2 cases), nosebreeding was $2.17\%$(1 case). 9. The total remedial value of the 46 patients was revealed $52.17\%$. 10. The remedial value of under teenagers, teenagers were higher than the total remedial value($52.17\%$). 11. The remedial value of under 6 months, under 1 year were higher than the total remedial value($52.17\%$). These results demonstrated that in the point of remedial view, the patients who were younger and shorter of the duration of disease, would be well recovered.

• 헤리티지:역사와 과학
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• 제56권2호
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• pp.12-26
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• 2023

최근 조선 선조 때 유성룡의 『경자년 대통력』(1600)이 국외소재문화재재단에 의해 일본에서 국내로 환수되었고, 이 책의 여백에 초서로 작성된 비망기록 4천여 자를 노승석이 해독하였다. 이는 203일 간의 대부분 새로운 내용들로서 그 당시 유성룡의 생활과 교유양상을 이해하는 데 중요한 것이다. 각 날짜별 날씨와 하루 일과, 당시 인물, 질병과 한약 처방 등이 적혀 있다. 특히 표지에 적힌 83자의 이순신의 전사 기록에는 당시의 상황이 상세하게 담겨 있다. 이순신이 전사한 후 1년여 기간이 지난 뒤에 그 전사내용을 적은 것은 선조의 전교를 받아 이순신의 공적을 현창하려는 조정의 여론에 부응하여 그의 전공을 오랫동안 되새기기 위해 적은 것으로 추측된다. 이 기록은 두 가지로 정리된다. 첫째, 이순신이 고금도에서 유성룡의 파직 소식을 듣고 탄식하고 왜교성전투 이후 항상 배안에서 맑은 물을 떠놓고 다짐한 것. 둘째, 노량해전에서 부장들이 간언하여 만류함에도 끝내 부하들의 말을 듣지 않고 직접 나가 전쟁을 독려하다가 날아온 탄환을 맞고 전사한 것이다. 이는 오직 결사적인 각오로 싸우다가 전사했다는 의미로 작성되어 전사설에 중요한 근거가 된다. 그 외 세간에 알려지지 않은 술을 만드는 법 9건과 기타 방법 1건이 있는데, 당시 유행한 양주법과 새롭게 고안한 것으로 보인다. 또한 『동의보감』저자인 허준이 유성룡에게 약품을 소개했다는 내용이 있고, 그외 빈민을 구제하고 집안의 제사에 참석하지 못한 경우를 주서(朱書)로 표기하였다. 일본에 잡혀간 강항(姜沆)의 귀환 소식과 귀갑선도(龜甲船圖)를 선조에게 올린 이덕홍(李德弘)의 아들 내용도 있다. 요컨대 『경자년 대통력』은 현존하는 문헌에 없는 새로운 사실들을 다수 담고 있어서 유성룡과 관계된 인물 연구는 물론, 그 당시 시대상황을 실증적으로 고증 연구하는데 중요한 사료가 될 것이다. 특히 이순신의 전사기록을 통해 항간에 잘못 알려진 자살설을 바로 잡고, 허준이 유성룡에게 의학정보를 제공했다는 새로운 사실을 밝힌 점은 이번 연구의 큰 성과라고 할 수 있다. 이 점에서 이 책은 앞으로 조선 선조 때의 유성룡과 관계된 역사와 인물을 연구하는 데 시금석이 될 것이다.