• Title/Summary/Keyword: physicians

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Patients' Right to Know about the Physicians' Prescription and the Pharmacists' Compounding of Medicines (환자의 알권리 - 의약품의 처방 및 조제와 관련하여 -)

  • Kim, Cheon-Soo
    • The Korean Society of Law and Medicine
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    • v.4 no.1
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    • pp.255-294
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    • 2003
  • This paper is relating to the debates upon the physicians' duty to issue the prescription documents to their patients. The duty should be approached in light of the patients' right to know about the prescription and pharmacy. The Korean Constitution is construed to protect the citizens' right to know as a fundamental right. The Constitution article 10 reads as follows: "All citizens shall be assured of human dignity and worth and have the right to pursue happiness. It is the duty of the State to confirm and guarantee the fundamental and inviolable human rights of individuals." The rights confirmed and guarantee by this article include the patients' right to know about what happens to their body, that is the treatments taken for them and so on. One of the treatments is the prescription and pharmacy. The information is necessary for them to establish their action for the damages in case of their harm resulted in by the negligence in prescription and pharmacy. Now that the prescription is written about by a physician and then the pharmacists compound the prescribed medicines, the patients need to get the documents signed by the pharmacists about the pharmacy. It should be noted that the patients right to know is the right to know and remember. Therefore the patients, who are laymen about the pharmacy, need two prescription documents one of which should be kept by them even after they take the prescribed and compounded medicines for the potential trial.

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History and Future of the Korean Medical Education System (우리나라 의사양성체제의 역사와 미래)

  • Ahn, Duck-Sun;Han, Hee-Jin
    • Korean Medical Education Review
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    • v.20 no.2
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    • pp.65-71
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    • 2018
  • Western medicine was first introduced to Korea by Christian missionaries and then by the Japanese in the late 19th century without its historical, philosophical, cultural, social, political, and economic values being communicated. Specifically, during the Japanese colonial era, only ideologically 'degenerated' medicine was taught to Koreans and the main orthodox stream of medicine was inaccessible. Hence, Korean medical education not only focuses on basic and clinical medicine, but also inherited hierarchical discrimination and structural violence. After Korea's liberation from Japan and the Korean war, the Korean medical education system was predominantly influenced by Americans and the Western medical education system was adopted by Korea beginning in the 1980s. During this time, ethical problems arose in Korean medical society and highlighted a need for medical humanities education to address them. For Korean medical students who are notably lacking humanistic and social culture, medical humanities education should be emphasized in the curriculum. In the Fourth Industrial Revolution, human physicians may only be distinguishable from robot physicians by ethical consciousness; consequentially, the Korean government should invest more of its public funds to develop and establish a medical humanities program in medical colleges. Such an improved medical education system in Korea is expected to foster talented physicians who are also respectable people.

Knowledge and Attitudes toward Palliative Terminal Cancer Care among Thai Generalists

  • Budkaew, Jiratha;Chumworathayi, Bandit
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.6173-6180
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    • 2013
  • Background: Our objective was to determine the knowledge and attitudes of Thai generalists (general physicians) toward palliative terminal cancer care (PC) in a primary care setting. Materials and Methods: We performed a cross-sectional descriptive survey using a self-administered questionnaire. The total number of completed and returned questionnaires was 63, giving a 56% response rate. Data analysis was based on these (Cronbach's alpha=0.82) and percentages and mean values were assessed using the Fisher's exact test to determine the correlation of variables. Results: Overall, attitude and knowledge levels were slightly satisfactory. Results indicated that general physicians had moderate scores in both attitudes (84.1%) and knowledge (55.7%) regarding palliative terminal cancer care. However, they had insufficient knowledge regarding truth telling, pain control and management with morphine, emergency management in terminal cancer care and treatment of fluid intake in terminal stages. Attitude and knowledge scores were statistically correlated (p=0.036). Knowledge scores were further positively associated with being taught palliative care in their medical curriculum (p=0.042). Conclusions: Formal education in palliative care and development of palliative care services are very much needed in Thailand to provide holistic care to terminally ill patients.

Standardization of the Dental Chart for Comtuterization of The Medical Information (의료정보 전산화를 위한 치과차트의 표준안 제시)

  • Kim, K.T.;Ahn, S.H.;Kim, M.S.;Chun, M.C.;Kim, S.S.;Jun, K.R.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.253-254
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    • 1998
  • The standardization of the dental chart proposed to computerization of the dental hospital information. To objective standardization, we gathered the dental chart from four university hospital(seoul, yonsei, kyunghee, pusan) and held a conference with dental physicians. From gathered charts, we classified the common and non-common items. We proposed the standardization to choose the most of the common items and necessary non-common things. The proposed chart include those items and the new things which the dental physicians want. After this paper, we will hold a conference with more dental physicians about more data to make more useful proposal.

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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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Study of Nurse's Interpersonal Conflict and Communication (간호사의 인간관계 갈등과 의사소통에 관한 조사연구)

  • Cho, Nam-Ok;Hong, Yeo-Shin;Kim, Hyun-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.369-378
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    • 2001
  • It is important for nurses to try to improve their interpersonal relationship and communication skill. The purpose of this study was to examine the nurse's inerpersonal conflict and expression with physicians, other nurses and patients & their caregivers. A convenient sample of 62 RN-BSN students were recruited. The data collection was done from August, 2001 to September, 2001. Nurses experienced the most conflicts with high-positioned nurses, then doctors, patients and their families, administrators, nurse-aid, nurse colleagues and lower-positioned nurses. There was a significant correlation between nurse's interpersonal conflict with doctors and nurse's age & career, between with high-positioned nurses and region of hospitals & nurse's position. The expression that nurses least-like from physicians was 'Do it as order'. From other nurses was 'manner of speech such like order'. And from patients and their family was 'naming such like young lady or sisters'. The other side, the expression that nurses most like expression from physicians and ohter nurses was 'You are excellent'. From patients and their family was 'You are kindness'. In conclusion, it is necessary to improve nurse's communication skills and interpersonal relationships.

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Sexuality of Older Adults With Arthritis : The Development of an Interview Schedule (미국 노인층 관절염 환자들의 성생활: 면담을 위한 질문서 개발)

  • Kang, Dae-Hyuk;Aurora, Rowland;Patricia, Miller
    • Physical Therapy Korea
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    • v.7 no.4
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    • pp.16-38
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    • 2000
  • 일상생활동작(activities of daily living)을 주요 목적이자 치료 수단으로 사용하고 있는 작업치료사들이 그 활동 중의 하나인 성적 욕구의 표현(sexual expression)에 대해 체계적인 접근이 미진하다는 지적을 극복 하고자 본 연구가 계획되었다. 특히 만성 장애가 있는 65세 이상 연령층의 성생활에 대해 기술적으로 접근하는 방법을 고안하는 것은 상당한 임상적 의미를 부여 할 수 있다. 본 연구의 주된 목적은 관절염이 65세 이상의 미국인의 성생활에 미치는 영향과 대책에 대한 논의를 작업치료사의 입장에서 자연스럽게 유도하기 위한 질문내용을 고안하는데 있다. 본 연구자들은 광범위한 문헌연구를 바탕으로 7개항의 질문을 작성하여 10명의 노인학 전공 작업치료사들에게 비평을 의뢰하였다. 7명의 작업치료사들이 전문가로서의 세밀한 답변을 해주었고 그들은 공통적으로 일상생활 중의 하나인 성생활이 삶의 질을 향상시키는데 매우 중요한 역할을 함을 강조하였다. 이들 전문가들의 조언을 바탕으로 새로운 질문서가 완성되었다.

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Analysis of the Examination Paper on 'Is Traditional Chinese Medicine Just an Art?' in Yixuetongzong(醫学統宗) of the Ming Period (명대(明代) 의학고시(醫學考試)의 시권(試卷)인 『의학통종(醫學統宗)』의 「유위의류소도기설당부(儒謂醫類小道其說當否)」에 대한 분석)

  • Jo, Hak-jun
    • Journal of Korean Medical classics
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    • v.34 no.4
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    • pp.1-25
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    • 2021
  • Objectives : This paper analyzes the exam paper titled, 'Is Traditional Chinese Medicine Just an Art?' of the Yixuetongzong(醫学統宗) to provide basis for research on regional physicians' examination in the Ming period. Methods : Cross examination, interpretation and content analysis of the exam paper were carried out. Results : This document is the examination paper that He Jian(何柬) submitted past the age of 40 at a regional examination for physicians that took place at the Duxue Wenyuan which is presumed to have been a regional education institute for medicine in Nanjing. While he had experience in anatomy, having been an army doctor when he was young, and was an experienced doctor who was an expert in acupuncture, it seems his goal to become a medical official at the royal medical center failed. He accumulated knowledge and experience as a Confucian doctor for more than 25 years under his teacher Pan Xiquan. It is unclear whether he had been educated at the regional medical education institute. Conclusion : The regional physicians' examination during the Ming period promoted test takers to learn both medical and Confucian knowledge quite thoroughly.

A Survey of the Recognition on the Practice Pattern, Diagnosis, and Treatment of Korean Medicine of Dementia and Mild Cognitive Impairment - Focusing on the Differences between Neuropsychiatrists of Korean Medicine and General Physicians - (치매, 경도인지장애의 한의진료 현황, 진단 및 치료에 대한 한의사의 인식도 조사 연구 - 한방신경정신과 전문의와 일반의의 차이를 중심으로 -)

  • Seo, Young Kyung;You, Dong Keun;Kim, Hwan;Kim, Siyeon;Lee, Go eun;Kim, Sang-Ho;Kang, Hyung-Won;Jung, In Chul
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.3
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    • pp.263-274
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    • 2017
  • Objectives: To identify the current status of Korean medical practice pattern, diagnosis and treatment of dementia through recognition survey, and to use it as a preliminary data for various dementia research. Methods: Questionnaires were developed through expert meetings. The disease was defined as dementia and mild cognitive impairment, and areas were designated to practice pattern, diagnosis and treatment. From December 18, 2016-January 18, 2017, 221 respondents, including 36 neuropsychiatrists of Korean Medicine and 185 general physicians (including other medical specialists) were included. Results: 1. In both groups, the most commonly used KCD (Korean standard classification of disease and cause of death) were in the order of Unspecified Alzheimer's Dementia (F00.9), Mild Cognitive Impairment (F06.7), and Unspecified Dementia (F03). 2. The most commonly used pattern identification were zang-fu and qi-blood-yin-yang in both groups. 3. Diagnostic evaluation tools were mainly conducted by MMSE, radiologic examination, K-DRS, GDS and CDR in both groups. 4. Both groups reported using acupuncture and herbal medicine mainly. 5. In both groups, the acupuncture method was used extensively in the order of Body, Scalp, and Sa-Am. 6. Neuropsychiatrists used a variety of herbal medicines such as Wonjiseokchangpo-san (Yuanzhushichangpu-san), Yukmijihwang-tang (Liuweidihuang-tang), Palmijihwang-won (Baweidihuang-won), Sunghyangjungki-san (Xingxiang Zhengqi-san) and Ondam-tanggami (Wendan-tangjiawei). General physicians used a variety of herbal medicines such as Ondam-tanggami (Wendan-tangjiawei), Bojungikgi-tang (Buzhongyiqi-tang), Yukmijihwang-tang (Liuweidihuang-tang). 7. Neuropsychiatrists used a variety of Korean herbal preparation products (benefit and non-benefit) such as Ekgan-sangajinpibanha (Yigan-sanjiachenpibanxia), Yukmijihwang-tang (Liuweidihuang-tang), Jodeung-san (houteng-san), Palmijihwang-won (Baweidihuang-won). General physicians used a variety of Korean herbal preparation products such as Bojungikgi-tang (Buzhongyiqi-tang), Banhabaegchulcheonma-tang (banxiabaizhutianma-tang), Yukmijihwang-tang (Liuweidihuang-tang), Ekgan-sangajinpibanha (Yigan-sanjiachenpibanxia), Palmijihwang-won (Baweidihuang-won). Conclusions: By confirming awareness of Korean medical doctors treating dementia in clinical fields and understanding differences between neuropsychiatrists of Korean medicine and general physicians, it can be used to understand guideline users' needs and confirm clinical questions during development of future clinical practice guidelines for dementia.

A Comparative Study of the Administrative Behavior of Vaccination and Satisfaction of Physicians according to the National Expanded Programme on Immunization in Korea (국가필수예방접종 보장범위 확대 시범사업에 따른 의사의 예방접종 관리행태 및 만족도 비교)

  • Kim, Chun-Bae;Lee, Sok-Goo;Lee, Jung-Jeung;Jeon, So-Youn;Hyun, Sook-Jung;Lee, Yeon-Kyeng;Go, Un-Yeong
    • Health Policy and Management
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    • v.19 no.3
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    • pp.71-91
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    • 2009
  • To assess comparatively the administrative behavior of vaccination and satisfaction of physicians by the provision method according to the National Expanded Programme on Immunization (NEPI) between 2005 and 2006 Demonstration Project in Korea. A questionnaire was performed at 582 and 64 physicians in Daegu metropolitan city and Gunpo city on 2005 (a response rate of 39.3%, 45.3%, respectively). Also, we sampled 31, 56, and 28 physicians in Gangneung city, Yangsan city, and Yeongi county on 2006 (a response rate of 35.5%, 98.2%, and 60.7%, respectively). We analyzed these data set using descriptive analysis and $\chi^2$-test through SPSS for Windows (12.0). Most question categories in Daegu metropolitan city and Gunpo city on 2005 were higher than those in the 2006 Demonstration Project regions. These were 'preparing and signing informed consent to vaccination', 'doing physical examination before periodic immunization', 'searching past shot history and inputting the current shot record through the immunization registry management program by physician', 'filing a medical record', 'satisfying the impact of 2005 and 2006 Demonstration Project and achieving the expectation of this Project', and 'improving the immunization coverage rate', et al. In conclusion, we show that the attitudes and practices of physician should be more sensitive to free vaccination services by private clinics and hospitals than public health centers. In the near future, the government must consider the opinion of physicians in implementing the NEPI by the affordable method of the public-private dynamics.