| 124 |
최근 5개년 (2013~2017)간 기관지확장증(J47) 환자에게 처방한 급여한약제제 현황 분석 ? 건강보험청구자료 중심으로 |
강소현, 김진희, 장수빈, 이미영, 이주아, 박선주 |
2019-12-31 ~ |
학회지 |
| Objectives : Korean national health insurance data is a useful real-world data representing whole medical bills submitted to Health Insurance Review Agency. This study aims to understand recent benefit trend of insurance herbal preparations for treating bronchiectasis(disease code J47) utilizing insurance data. Methods : We reviewed national health insurance claims data from 2013 to 2017 which have main diagnosis or sub diagnosis code of J47 and with the record of prescribing insurance herbal medication. Frequency analysis was performed to analyze the most frequently prescribed prescription. Results & Conclusions : Both the number of claims statement(770 to 1,746cases) and patients(266 to 484) of insurance herbal preparations increased considerably from 2013 to 2017. Top 10 preparations based on the number of claims statement were ‘Samso-eum’, ‘Yeonkyopaedok-san’, ‘Socheongryong-tang’, ‘ Bojungikgitang’, ‘Hyangsapyungwi-san’, ‘Yijin-tang’, ‘Saengmaek-san’, ‘Jaeumganghwa-tang’, ‘Ojeok-san’ and ‘Gunghatang’. Top 10 preparations based on the number of patients were ‘Samso-eum’, ‘Socheongryong-Tang’, ‘Saengmaek-san’, ‘Yeonkyopaedok-san’, ‘Haengso-tang’, ‘Hyangsapyungwi-san’, Yijin-tang’, ‘Jaeumganghwatang’, ‘Bojungikgi-tang’ and ‘Hyeonggaeyeongyo-tang’ in respectiv order. Claims of top 10 frequent preparations occupied more than 60% of total claims. We hope this finding to be utilized as basic data for future research of evidence-based bronchiectasis treatment utilizing Korean traditional medicine. |
| 123 |
한의사의 의료기기 사용과 주의의무에 있어서 한방의료행위의 새로운 이해 |
박용신 |
2019-08-31 ~ |
학회지 |
| Objectives : Korean medicine practice is not specifically described in medical law, and then has always been a quarrel. So far The criteria for judgment in Korean Medicine Doctor’s Medical Devices Using should clinically prove it only by Korean medicine theory and academic Traditionally descending from old ancestors. Comprehensively review of Korean Medicine Doctor’s Medical Devices Using and Duty of Care, and then present a new understandings to determine future Korean Medicine Practice. Method : An existing court cases of Korean Medicine Doctor’s Medical Devices Using and Duty of Care were reviewed. After reviewing various papers published for several years, various opinions were reviewed and suggested. Results : The range of Korean Medicine Doctor’s Medical Devices Using has changed since the 1951 National Medical Law stipulated Korean medicine as medical professionals. The issue of the recent ruling that distinguishes medical practice from Korean medicine practice were condensed into what emphasis to interpret amongst 1) The basic principles of learning, 2) Curriculum and professionalism, 3) Risks. The Constitutional Court’s ruling was important in order of ‘Risk’, ‘curriculum and expertise’, and ‘basic principles of learning.’ A duty of Care means an obligation to pay attention to something. A duty of Care does not mean a “highest level,” but requires a “best care” and does “best under given conditions.” Even in the duty of Care, Because Korean medicine has a purpose to protect and promote the health of the people, Some standards of western medicine have to be adapted to the current general medical technology. Korean Medicine doctors can recognize the duty of care in the “some basic range” of knowledge belonging to western medicine. Conclusions : The interpretation of Korean Medicine practice are currently in compatible the argument that should clearly divide Korean medicine from Western medicine, and that should be changed in light of the changing medical environment. Therefore If Korean medicine’s standard is applied to the extent to which Korean Medicine doctors are educated, it is necessary to define a new definition to actively interpret Korean Medical practice. The academic basis of Korean medicine and the level of Korean medicine practice based on the books that are traditionally available, and then current textbooks of Korean Medicine College, Korean Medicine Clinical Care Guidelines, and classification of Korean standard medical practices should be standardized. Increasingly, Korean Medicine practice should be interpreted according to reality, focusing on protecting and promoting the health of the people rather than academic differences. |
| 122 |
청소년들의 변증에 대한 단면조사 연구 - 2017 성남시 교의사업을 중심으로 - |
이동녕, 신선미, 박정수, 성현경, 고재연, 고호연 |
2019-08-31 ~ |
학회지 |
| Objective : This study is aimed to application possibility and status of pattern identification in middle and high school students. Method : This study was cross-sectional study. We recruited 277 students through school doctor program of Seongnam city in 2017. Male students are 66 in middle school, 32 in high school. Female students are 117 in middle school, 62 in high school. For pattern identification, we used the tool of Qui Xui Shui pattern identification in students. Students fill questionnaires in inquiry of pattern identification and Korean medicine doctor diagnosis inspection and palpation of students. Results : Among 277 students, no pattern identification were 114(41.2%). It appeared in the order of phlegm, blood deficinecy, qi deficiency, qi stagnation and qi reversal. Qi deficiency, qi stagnation, qi reversal, blood deficiency and phlegm pattern are statistically significant by gender except blood stagnation. of 277 students, 105 (37.9%) had one more pattern identification. Conclusions : This study showed possibility of Qui Xui Shui pattern for student health management. In the future, large scale follow up study will be needed to clarify the relationship of pattern identification and student’s health. |
| 121 |
혈청 아밀로이드 P (SAP)의 정상 참고치 탐색을 위한 문헌 고찰 |
박선주, 정지연, 장수빈 |
2019-08-31 ~ |
학회지 |
| Objectives : The aim of this study was to examine the reference value of biomarker serum amyloid p (SAP) to diagnose blood stasis objectively. Methods : Pubmed-Medline, Cochrane library, EMBASE were searched using the key words ‘SAP’ and ‘serum amyloid p’ in June 2018. Original articles of human adults that published in English, studies that recruited from the clinical research settings or well defined population based cohorts were only included. Results : A total of 12 studies were selected to extract the reference value of SAP. It was between 8.5 ng/mL (0.0085 mg/L) to 57.5 mg/L. Although the disease varied, most of them showed elevated SAP levels in the disease group (1.1-1.5 times). Conclusions : This study is meaningful in that it summarizes the results of previous researches of SAP, which has the potential to be diagnostic index of blood stasis. |
