Journal of Society of Preventive Korean Medicine (대한예방한의학회지)

Society of Preventive Korean Medicine (대한예방한의학회)
권호 표지

A National Survey on Utilization of Pattern Identification among Korean Medicine Doctors

전국 한방의료기관 한의사 대상 한의 변증활용 현황 조사

  • Yeo, Minkyung (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Park, Kihyun (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Jang, Eunsu (Department of Diagnostics, College Korean Medicine, Daejeon University) ;
  • Lee, Youngseop (Mibyeong Research Center, Korea Institute of Oriental Medicine)
  • 여민경 (한국한의학연구원 미병연구단) ;
  • 박기현 (한국한의학연구원 미병연구단) ;
  • 장은수 (대전대학교 한의과대학 진단학교실) ;
  • 이영섭 (한국한의학연구원 미병연구단)
  • Received : 2015.11.25
  • Accepted : 2015.12.11
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The aim of this study was to survey the present utilization of pattern identification(PI) in the clinical field among Korean Medicine Doctors. Method : This survey was conducted from Oct. 1 to Oct. 31, 2014 by face-to-face interview using structured questionnaire. The subjects were 400 korean medicine doctors who worked in hospitals or clinics. The questionnaire consisted of two sections - a demographics section(i.e., sex, age, clinical experience, place of work, residence and so on) and the main research section(i.e., the PI utilization rate, the utilization of PI systems, the utilization of PI in the clinical domain and in the treatment domain, the correlation between utilization PI and so on). Results : This study revealed that subjects used the PI to 66.7% of their patients on average. The utilization rate of PI in patients was significantly higher for female physicians than for male physicians, for physicians worked in clinics than for physicians who worked in hospitals and for physicians with more than 10 years clinical experience than for physicians with less than 10 years clinical experience. In the utilization of PI systems, Visceral PI was most as 92.0%. There were significant difference on the PI utilization rate according to utilization of Meridian and Collateral PI, Triple Energizer PI, Defense, Qi, Nutrient and Blood PI, Six-Meridian PI and Six Excesses PI. As a result of analysing the PI utilization rate by clinical domain and in the treatment domain, the Treatment and the Drug Treatment showed the highest values. Among utilized PI systems, the correlation coefficients between Defense, Qi, Nutrient and Blood PI and Triple Energizer PI showed the highest value, but the correlation coefficients between Sasang Constitutional Medicine with the each PI showed substantially lower value. Conclusion : The results of this study demonstrate that usage of PI was higher than usage of U code(in KCD) usage in clinical field. we suggested that additional studies on using PI and developing more appropriate standardized tool should be conducted to widen scope of PI's utilization.

Keywords

References

  1. 이봉교. 한방진단학. 서울:성보사. 1986:41-42.
  2. 장재순, 조승모, 김기왕. 현직 한의사의 한의진단현황 조사 보고. 대한한의진단학회지. 2013;17(2):156-168.
  3. 국민건강보험공단. 2009년 2013년 비교
  4. 국민건강보험공단 상위 100대 다빈도 질환 기준. 2013.
  5. Ko MM, Lee JA, Yun KJ, You SS, Lee MS. Perception of pattern identification in traditional medicine: a survey of Korean medical practitioners. Journal of Traditional Chinese Medicine. 2014;34(3):369-372. https://doi.org/10.1016/S0254-6272(14)60104-7
  6. 이봉교, 박영배, 김태희. 한방진단학-II.변증. 서울:성보사. 2004:41.
  7. 여민경, 동상옥, 이영섭, 장은수. 중의 변증 설문도구의 신뢰도 및 타당도 고찰. 동의생리병리학회. 2015;29(3):246-255. https://doi.org/10.15188/kjopp.2015.06.29.3.246
  8. 통계분류포털. www.kostat.go.kr
  9. 박요한, 황대선, 권진완, 신현규. 한방의료기관 의료기기 보유 현황에 대한 조사 연구. 대한한의학회지. 2011;32(2):79-91.
  10. 陳家旭. 中醫證候與辨證體系硏究現狀與展望. 北京中醫藥大學學報. 2001;24(4):3-8.
  11. 楊繼洲 原著, 이태호 편저. (新訂懸吐)鍼灸大成(全). 서울:행림출판사. 1981:39.
  12. 배병철. 기초한의학. 서울:성보사. 2010:21.