동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제32권4호
  • /
  • Pages.337-343
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  • 2021
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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화병 표준진료지침 적용효과에 대한 Pilot 분석

A Pilot Study on Effects of Critical Pathway Application for Hwa-Byung

  • 엄윤지 (경희대학교 일반대학원 임상한의학과) ;
  • 권도형 (경희대학교 일반대학원 임상한의학과) ;
  • 김윤나 (경희대학교 일반대학원 임상한의학과) ;
  • 이현우 (경희대학교 일반대학원 임상한의학과) ;
  • 정선용 (강동경희대학교병원 한방신경정신과) ;
  • 조성훈 (경희대학교 한의과대학)
  • Eom, Yoon-Ji (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kwon, Do-Hyung (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Yun-Na (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Hyun-Woo (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Chung, Sun-Yong (Department of Neuropsychiatry, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Cho, Seung-Hun (College of Korean Medicine, Kyung Hee University)
  • 투고 : 2021.12.01
  • 심사 : 2021.12.20
  • 발행 : 2021.12.30
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초록

Objectives: To investigate effectiveness and satisfaction of applying critical pathway (CP) to Hwa-byung outpatients. Methods: Subjects were 32 outpatients who were diagnosed with Hwa-byung between January 1 and 2021 to October 31, 2021. Among these patients, 18 patients were applied with CP and 14 patients received treatment without applying CP. Their medical records and administration records were retrospectively analyzed. Data were analyzed by mean, standard deviation, and t-test using SPSS 26.0 program. Results: Mean total treatment period significantly decreased in the CP group compared with the non-CP group. Medical expenses were classified by treatment period, per visit, and patient charges per type of visit. When analyzed specifically by detailed items, there was a decreasing tendency in total medical expenses, uncovered medical expenses, and patient charges but an increasing tendency in covered medical expenses, although some of these changes were not statistically significant. Satisfaction score increased in the CP group compared with the non-CP group in general, although not all increases were statistically significant. Conclusions: Applying CP may contribute to the reduction of medical expenses and improvement of medical service quality. Further research on the development of CP for various diseases and the application of CP under various circumstances is needed.

키워드

과제정보

This study was supported by the Guideline Center for Korean Medicine of the National Institute of Korean Medicine Development (HI16C0275).

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