An actual utilization and development plan study of interdisciplinary medical care at the National Rehabilitation Center

국립재활원 협진의료 이용실태와 발전방안 제안

  • Received : 2014.03.26
  • Accepted : 2014.04.24
  • Published : 2014.04.30

Abstract

Objective This study aims to understand the actual utilization of the oriental rehabilitation medicine center of the initial interdisciplinary medical care at the National Rehabilitation Center and to arrange proper development plans for more effective interdisciplinary medical services for future activation of interdisciplinary medical care. Method: The interdisciplinary patient status, composition of patient care, and major disease-related status were studied and analyzed for oriental rehabilitation medication relating to interdisciplinary medical care at the National Rehabilitation Center. Furthermore, the interdisciplinary status and its operating conditions were evaluated to devise a development plan for the National Rehabilitation Center. Results: As a result of the analysis of oriental rehabilitation medical care diagnosing status utilization at the National Rehabilitation Center regarding interdisciplinary medical care, the ratio of the number of those receiving interdisciplinary oriental rehabilitation medical care was less than half of the total receiving interdisciplinary care. As the major disease status from the patients of interdisciplinary care, stroke patients covered the large majority, and musculoskeletal pain patients covered the majority of outpatients. The establishment of additional oriental medication departments and assigning of interdisciplinary coordinators were presented as the goals of a development plan for the manpower and structural side of interdisciplinary medical care at the National Rehabilitation Center. On the institutional and systematic side, improvement in the interdisciplinary hierarchy and interdisciplinary model development based on the number of patients per disease was proposed. In addition, operation on ward bedding and construction of interdisciplinary EMR medical care is necessary on the medical and administration service side. Conclusion: To understand the actual utilization and to arrange development plans aimed at constructing a safe and effective interdisciplinary hierarchy for interdisciplinary medical care at the National Rehabilitation Center, patient-centered care needs to be implemented.

Keywords

References

  1. 보건복지부. 협진병원 관리안내, 2010.
  2. 이현주 등. 한․양방 협진 병원 종사자의 한의학지식 정도 및 교육 요구도 평가. 대한예방한의학회지. 2008; 12(1): 49-60.
  3. 최만규 등. 양.한방협진 의료기관 이용자의 인식도 및 태도. 한국보건통계학회지. 2005; 30(1): 35-44.
  4. 신애숙 등. 중풍 뇌질환의 한양방 협진에 관한 임상적 고찰. 중풍학회지. 2010; 11(1): 9-17.
  5. Shah SH et al. Patterns of complementary and alternative medicine use among United States stroke survivors. J Neuro Sci. 2008; 271: 180-185. https://doi.org/10.1016/j.jns.2008.04.014
  6. 이승진 등. 근골격계 질환의 한양방 협진 치료효과 연구에 대한 체계적 문헌고찰. 한방재활의학과학회지. 2011; 21(4): 87-96.
  7. 뇌졸중임상연구센터. 뇌졸중진료지침, 2009.
  8. Lim JH, Lim SM. A Literature Study on Usage of and Satisfaction Levels with Combined Treatment Including Oriental and Western Medicine. Journal of Pharmacopuncture. 2012; 15(3): 7-12.
  9. 정인숙 등. 한․양방 협진 코디네이터의 현황 및 발전방안. 대한예방한의학회지. 2010; 14(1):13-24.
  10. 류지선 등. 협진병원 근무 의사들과 종합병원 근무 의사들의 양.한방 협진에 대한 인식도. 대한예방한의학회지. 2009; 13(3): 29-41.
  11. 민현주 등. 한양방협진에 대한 의사들의 인식변 화-국내 문헌에 대한 체계적 고찰. 대한예방한의학회지. 2012; 16(1): 15-29.
  12. 임성민, 송성은. 국립재활원 뇌졸중 환자의 협진에 대한 인식 및 수요 조사 연구. 대한예방한의학회지. 2011; 15(1): 131-143.
  13. 오가은 등. 양한방 협진의료서비스 최적화를 위한 clinical pathway 도입과 진료패턴 분석. 대한한의진단학회지. 2012; 16(2): 23-32.
  14. 허광호 등. 뇌질환 재활 통합 등록체계 자료를 통한 한양방 협진병원과 양방병원의 뇌졸중 환자 치료효과 분석. 한방재활의학과학회지. 2013; 23(3): 117-124.
  15. 한경연 등. 한양방 협진을 위한 한의학 교육에 대한 의사 한의사의 인식조사. 대한한의학회지. 2013; 34(1): 160-169.