| 144 |
2012년 첩약 건강보험 급여화 시범사업 정책 결정에 관한 연구 |
홍민정, 임병묵 |
2020-08-31 ~ |
학회지 |
| Backgrounds : To reduce the patients’ economic burden of herbal decoctions use, in 2012, Korean government decided to implement the pilot project of herbal decoctions coverage in the National Health Insurance. Objectives : This study aimed to analyze the policy decision-making process for the pilot insurance project in 2012. Methods : Official documents, research papers, statistical reports, and news articles, etc. on the coverage of herbal decoctions were searched and collected. We used the Kingdon’s Policy Stream Model to analyze how the policy of pilot project of herbal decoctions coverage was decided, and who were the main activists for the decision-making process. Results : Components to be included in the ‘Problem stream’ were the decline in the profits of Korean Medicine institutions, the contraction of the herbal decoctions use, and the fiscal surplus of National Health Insurance. In the ‘Policy stream’, there were several model studies for herbal decoctions coverage, and examples of herbal benefits in other social insurances. In the ‘Political stream’, there were the legislative initiatives by member of the National Assembly and the promotion of insurance coverage by the Association of Korean Medicine(AKOM), etc. Policy window for herbal decoctions coverage was opened by the combination of these three streams with the efforts of policy activists, such as the executives of AKOM, and policy researchers. Conclusions : The policy decision process for health insurance coverage of herbal decoctions was analyzed using Kingdon’s model, and the analysis shows that the combination of political streams and entrepreneurs’ competencies can be an important driving force in policy decision making. |
| 143 |
아토피피부염 환자의 개인별 증상 기록에 대한 순응도 연구 |
서진순, 김영은, 김안나, 김익태, 손윤희, 장현철 |
2020-08-31 ~ |
학회지 |
| Objectives : The purpose of this study is to evaluate clinical utilization by measuring compliance with the use of mobile health applications (AtopyPHR developed in a previous study) for patients with atopic dermatitis. Methods : Based on the AtopyPHR and the input period and frequency survey results for each symptom item, a scenario for measuring compliance was derived. The study period was 4 weeks. Participants installed AtopyPHR app and Telegram app on their smartphones, conducted user training on the app, and recorded symptoms using the app for 4 weeks. At the 2nd and 4th week visits, the AtopyPHR data recorded by the user can be viewed on the web page and used for medical decision. Compliance was analyzed by the date the symptoms were recorded. Results : There were 28 participants, all (100%) were compliant, and the compliance was 96.8. The patients were 1 to 18 years old, and the average age was 8.2±5.7 years, 10 males and 18 females. The actual date of participation in recording symptoms was 28.6±0.56 on average. Compared to Week 1, compliance decreased at Week 2, and Week 4 had the highest compliance. Daily check, daily emotion, stool/urine/sleep, and meal management showed high compliance, SCORAD and quality of life were higher than required to record. Conclusions : AtopyPHR was effective in compliance. The results of this study could be used to collect personal health data in daily life through the AtopyPHR, improving participant compliance. It is considered to be meaningful because it measured the compliance with the symptom record actually recorded using the mobile app rather than a questionnaire. This study may be useful not only for personal health care but also for medical decisions, as opinions are given by experts who treat atopic dermatitis |
| 142 |
초등학생 대상 한의사 교의의 성교육 효과 설문조사 |
박정수, 성현경, 신선미, 고호연, 이승환, 황건순 |
2020-08-31 ~ |
학회지 |
| Objectives : The study aimed to investigate the effect of sexual education by school doctor of Korean Medicine (SDKM) on elementary school student. Methods : SDKM has conducted sexual education for one session in two elementary school. The lecture included the puberty characteristics, physical changes and sexual harrassment. A survey including sex knowledges, sex perception, cognition and willingness to use of Korean Medicine was conducted before and after the session. Results : A total number of 379 participated the lecture, 379 and 351 participants replied the survey before and after the session, respectively. The sex knowledge was improved from 2.15 to 3.89. Positive responses were increased on sex perception. The level of favorability increased from 3.42 to 3.62, the willingness to use was improved from 2.66 to 3.16. The favorability and willingness to use was related significantly. Conclusions : The SDKM sex education program was effective on elementary school student. |
| 141 |
일개 보건소의 양약-한약 병용투여 현황 보고: 2019년 의무기록에 대한 후향적 분석 |
박성준, 최성훈, 박찬종, 이근희, 공규동, 홍지은, 추홍민, 강경호 |
2020-08-31 ~ |
학회지 |
| Objectives : This study is retrospective chart review research on the combined-prescription of Western and Korean medicine in Public Health Center in rural area. Methods : Researchers reviewed medical records of patients who was prescribed Korean medicine and Western medicine from 1st, Jan, 2019 to 31st, Dec, 2019 in Public Health Center. 50 patients’ medical records were included. Results : Total number of treatment is 3,808 cases and 1.3% of them is prescribed Korean medicine and Western medicine simultaneously. Prescription of Korean medicine is 153 cases and Western medicine is 160. Jowiseunggi-tang and Diroba tablet were the most frequently prescribed Korean medicine and Western medicine. Furthermore, Korean Medicine Doctors of Public Health Center use muscular skeletal disease system code(M code among KCD code) for prescription and Western Medicine Doctors use diseases of the circulatory system(I code among KCD code) frequently. Conclusions : We analyze 50 patients who were prescribed both Korean medicine and Western medicine. Mostly, patients were prescribed medicine for different diseases in each clinic. In western medicine clinic, drugs about circulatory or endocrine disease were prescribed frequently and in Korean Medicine clinic, drugs about muscular skeletal disease were most frequently prescribed. This result imply the real world’s combination of prescription status that was different from result of National health insurance corporation database. Senior patients in rural area take medicine long period and have various underlying disease. We call for some attention about senior and rural area patients’ prescription status in interaction studies of Korean medicine and Western medicine. |
