• Title/Summary/Keyword: Medical Treatments

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Legal Standings of the Patient and the Doctor within the National Health Insurance - With its focus on the issue of arbitrary medical charge cover - (건강보험에 있어서 의사와 환자간의 법률관계 - 임의비급여 문제를 중심으로 -)

  • Hyun, Doo-Rhyun
    • The Korean Society of Law and Medicine
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    • v.8 no.2
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    • pp.69-118
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    • 2007
  • In providing general medical treatments, the medical service contract between the patient and the doctor is the mutually responsible onerous contract. However, the nature of the mutually assumed contract standings of the patient and the doctor has been changing since the implementation of the national health insurance program. For instance, besides the cases of beyond excessive medical charges and medical negligence, if the doctor charged for his/her medical treatments violating the post-treatment/nursing cover criteria, the overpaid medical charge, regardless of being collected with the patient's consent, has to be refunded back to the patient. Medically needed aspects, treatment results, and unfair benefits favoring the patient are not at all taken into consideration in the health insurance scheme. This makes it easier for patients to get refunds for their share of the medical payments by involving the Health Insurance Review & Assessment Service or the National Health Insurance Corporation, without engaging in civil law suits (for reimbursement claim) against doctors. In other words, the doctor's responsibility to provide medical treatments and the patient's responsibility to pay for the medical treatment provided within the contractual realm are being demolished by the administrational arbitration of the National Health Insurance system. The basic rights of medical service providers, and the patient's right to choose are as important constitutional rights, as the National Health Insurance program, which is essential in the social welfare system. Furthermore, the development of the medical fields should not be prevented by the National Health Insurance system. If the medical treatment services can be divided into necessary treatments, general treatments, and high quality treatments, the National Health Insurance is supposed to guarantee the necessary and general treatments to provide medical treatments equally to all the insured with limited financial resources. However, for the high quality treatments, it is recommended that they should not be interfered by the National Health Insurance system, and that they should be left to the private contract between the patient and the doctor.

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Research Trend of Oriental Medical Treatments for Burning Mouth Syndrome (구강작열감증후군의 한의학적 치료에 대한 최근 국내외 임상 연구 동향)

  • Ji-Min Choi;Seok-Hun Hong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.36 no.4
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    • pp.88-112
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    • 2023
  • Objectives : The purpose of this study is to analyze the oriental medical treatments of burning mouth syndrome, understand the tendency of treatment, and apply it to clinical settings. Methods : We collected case reports, retrospective cohort studies and RCT studies related to oriental medical treatments of burning mouth syndrome using domestic and Chinese databases(CNKI, KISS, RISS, OASIS, KCI). Search terms include 'Burning Mouth Syndrome', 'BMS', 'Burning Tongue', '灼口综合征', and 'oriental medicine', 'oriental medical treatment', 'Korean medicine' and '中医'. A search was conducted by appropriately combining keywords. Results : A total of 27 papers were included in the analysis. Among them, 9 are case studies, 1 is a retrospective cohort study, 1 is a before and after study and 16 are RCT studies. Treatments for burning mouth syndrome included herbal medicine, acupuncture, electro-acupuncture, acupoint injection, auricular acupuncture treatment, external use herbal medicine and gargling. In all studies, symptoms of burning mouth syndrome were alleviated after oriental medical treatments. In 14 RCT studies comparing western medical treatments, the results of the treatment group that included oriental medical treatments were found to be more significant, except for one. Conclusions : As a result of the study, oriental medical treatments are effective in treating burning mouth syndrome. In the future, we hope that clinical research related to oriental medical treatments of burning mouth syndrome will be actively conducted so that evidence-based treatment can be implemented.

Attitudes of Medical Professions towards the Cooperated Medical Treatments of Korean Oriental Medicine and Western Medicine (한양방협진에 대한 의료전문직의 태도)

  • Kwon Young-Kyu;Lee Hyun-Ji
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.1
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    • pp.10-14
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    • 2006
  • A survey was practiced to the medical doctors of Je-Han Medical Center and Taegu Catholic Medical Center from November to December 2004. The collected data was analysed by the SPSS10+. The analysis of frequency, cross table, the difference of mean was practiced. The focus of the analysis was to find the difference of attitudes between Korean Oriental medical doctors and Western medical doctors. The results of the analysis showed that Korean Oriental medical doctors are more active to the cooperated medical treatments than Western medical doctors. They also have more experience. And both of Korean Oriental medical doctors and Western medical doctors agree to the necessity of the cooperated medical treatments. But the preferred combination pattern of Korean Oriental medicine and Western medicine was different between two medical groups. Korean Oriental medical doctors prefer the one to one combination pattern. But Western medical doctors prefer to Western medicine centered combination pattern. This study has limitations in sampling prcesss and sample size. But considering that the study of the cooperated medical treatments is few, this study has considerable medical sociological meaning.

The Effectiveness of Oriental Medical Treatments to Symptoms and Quality of Life in the Patients with Herniated Cervical Disc being Suggested Operation (경추 추간판 탈출증으로 수술 권유를 받은 환자에게 한의학적 치료가 임상증상 및 삶의 질 개선에 미치는 영향)

  • Park, Jong-Min;Lee, Myeong-Jong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.1
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    • pp.35-42
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    • 2011
  • Objective : The purpose of this study is evaluated the effects of Oriental treatments to symptoms and quality of life in the patients with herniated cervical disc being suggested operation. Methods : 20 patients diagnosed with herniated cervical disc by MRI in hospital were treated by oriental medical treatments. Symptoms of the patients were assessed by analogue scale(VAS) and SF-36. Results : After 12 weeks treatments, the VAS of symptoms of herniated cervical disc and the score of SF-36 were significantly improved. Conclusions : It could be suggested that oriental medical treatments were effective for the patients with herniated cervical disc being suggested operation. Further study of the effect of oriental medical treatments on herniated cervical disc is needed.

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A Case Report of Tinnitus Occurred in the Sudden Sensory Neural Hearing Loss Treated with Korean Medical Treatments (돌발성 난청 환자에서 발생한 이명의 한방 치험 1예)

  • Park, Mu-Seob;Lee, Cho-In;Kim, Jae-Soo;Hwang-bo, Min;Lee, Hyun-Jong
    • Herbal Formula Science
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    • v.22 no.2
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    • pp.133-141
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    • 2014
  • Objectives : The purpose of this study is to show the clinical effect of Korean Medical Treatments for Tinnitus with Sudden Sensory Neural Hearing Loss. Methods : The patient was treated by Korean Medical Treatments for 10weeks. The effect of treatments on tinnitus was measured with Visual Analogue Scale(VAS) and Korean Tinnitus Handicap Inventory(K-THI). And the effect of treatments on sudden hearing loss was measured by VAS. Results : VAS of Tinnitus was decreased from 10 to 3 points and K-THI score was decreased from 70 to 26 points. VAS of hearing loss was decreased from 9 to 8 points. Conclusions : Korean Medical Treatments are effective on Tinnitus.

A Study of External Treatment on the "Chuan-Ya-Wai-Bian(串雅外編)";part of ophthalmic, otolaryngologic and surgical diseases ("관아외편(串雅外編)"의 외치료법(外治療法)에 관한 연구;외과.오관과질환을 중심으로)

  • Jeong, Gil-Chae;Kim, Eun-Ha;Lee, Byung-Wook
    • Journal of Korean Medical classics
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    • v.20 no.2
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    • pp.1-12
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    • 2007
  • External treatments have various curative effects. So it had been used to cure various patients. Especially, Zhao-Xue-Min(趙學敏) had thought that there are useful treatments of wander doctors. So, the "Chuan-Ya(串雅)" had been written by Zhao-Xue-min in 1759. The book had included treatments of wander doctors. it had included various external treatments. Therefore we would like to bring out it's external treatments in the part of ophthalmic, otolaryngologic and surgical diseases. We have researched external treatments of "Chuan-Ya", and then we have arrived at following conclusions. "Chuan-Ya" has 56 sentences that have related to external treatments in the part of ophthalmic, otolaryngologic and surgical diseases. And then, the treatments were, for the most of the part, bathing therapy, application therapy.

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The Observation on the Five Vicera's A Study of External Treatment on the 『Chuan-Ya-Wai-Bian(串雅外編)』 -part of internal medicine- (『관아외편(串雅外編)』의 외치료법(外治療法)에 관한 연구 - 내과질환을 중심으로 -)

  • Jeong, Gil Chae;Kim, Eun Ha;Lee, Byung Wook
    • The Journal of Korean Medical History
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    • v.19 no.2
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    • pp.49-66
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    • 2006
  • 1) Objective External treatments have various curative effects. So it had been used to cure various patients. But, it has a limited sphere of application in the present South Korea. And treatments of wander doctors had been disregarded by general doctors and the public. But Zhao-Xue-Min(趙學敏) had thought that there are useful treatments in it. So, the "Chuan-Ya(串雅)" had been written by Zhao-Xue-min in 1759. The book had included treatments of wander doctors. Especially, it had included various external treatments. Therefore we would like to bring out it's external treatments theory 2) Conclusions We have researched external treatments of "Chuan-Ya", and then we have arrived at following conclusions. "Chuan-Ya" has 48 sentences that have related to external treatments in internal medicine. And it had recorded fire conducting method(引火法) to explain process of external teratment principle.

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Two Cases of Korean Medical Treatments of Sudden Sensorineural Hearing Loss without Corticosteroid Treatments (부신피질호르몬제제 치료를 받지 않은 돌발성 난청 환자 한방치험 2례)

  • Son, Jae-Woong;Kim, Min-Hee;Ko, Seong-Gyu;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.1
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    • pp.157-167
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    • 2016
  • Objective : The purpose of this study is to know the effect of Korean medical treatments on sudden sensorineural hearing loss(SSNHL) without systemic or intratympanic steroid treatments.Method : We conducted retrospective review who was diagnosed as SSNHL and treated with Korean medicine in Dept. of Otolaryngology Kyung Hee University Hospital at Gangdong. There were two patients with SSNHL who refused to be treated with western medicine and were treated with Korean medicine including acupuncture, moxibustion, and herbal medicine.Result : One patient recovered completely after eight days of admission, and another patient partial recovered during 30 days through Korean medical treatments.Conclusion : Through these studies, SSNHL is expected to treated more effectively by conventional Korean medical treatments than corticosteroid treatments alone. But the additional study is needed to reveal the exact effects of Korean medical treatments.

A Clinical Case of Oriental Medical Treatments for Traumatic Thigh Subcutaneous Hematoma by Traffic Accident (교통사고로 발생한 외상성 대퇴부 피하혈종의 한의학 치료 효과)

  • Jung, Il-Min;Yu, Deok-Seon;Park, Min-Jung;Yeom, Seung-Ryong;Kwon, Young-Dal
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.2
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    • pp.219-225
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    • 2010
  • Objectives : This study was performed to report the effect of oriental medical treatments in one patient with traumatic thigh subcutaneous hematoma by traffic accident. Methods : The patient was treated by acupuncture, herbal medicine, pharmacopuncture and cupping for 3 months. Results : After treatments, VAS(visual analog scale) score changed from 10 to 0. MR Imaging showed that the size of subcutaneous hematoma has decreased from $5{\times}11{\times}5.8cm$ to $2.4{\times}3.2{\times}2.6cm$. And the palpation results also showed that the size of subcutaneous hematoma has gotten smaller. Conclusions : Our study suggests that oriental medical treatments such as acupuncture, herbal medicine, pharmacopuncture and cupping may be effective in traumatic subcutaneous hematoma. More cases of controlled treatments are needed to define the effect of oriental medical treatments for traumatic subcutaneous hematoma.

A Clinical Report of Three Patients with Acute Stress Disorder, Post-Traumatic Stress Disorder Treated by Oriental Medical Treatments (급성 스트레스장애 및 외상후 스트레스장애의 한의학적 치료 3례)

  • Hwang, Jeong-Hyun;Ko, Jae-Sang;Bae, Jae-Ik;Koo, Byung-Soo;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.3
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    • pp.75-85
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    • 2011
  • Objectives : In this case report, we will present three patients diagnosed with acute stress disorder or post-traumatic stress disorder improved by application of oriental medical treatments. Methods : We treated three patients with acute stress disorder or post-traumatic stress disorder by oriental medical treatments. The effect of oriental medical treatments were evaluated by STAI and clinical symptoms such as anxiety, insomnia, palpitation, startle response. Results : As a result of oriental treatments, clinical symptoms such as anxiety, insomnia, palpitation, startle response were improved, and STAI scores also decreased. Conclusions : These results suggest that oriental treatments may have an effect on acute stress disorder and post-traumatic stress disorder.