[논문]한의 중풍 진료 현황 파악 및 활성화 방안 모색을 위한 전자우편 설문조사

김미경; 한창호

doi:10.13048/jkm.17032

한의 중풍 진료 현황 파악 및 활성화 방안 모색을 위한 전자우편 설문조사
E-mail survey on the current status of clinical practice and activation measures for Korean medicine in stroke care 원문보기

Journal of Korean Medicine = 대한한의학회지, v.38 no.3, 2017년, pp.143 - 159

김미경 (한국한의학연구원 임상연구부) , 한창호 (동국대학교 한의과대학 내과학교실)

Abstract ▼ AI-Helper

Objectives: The aim of this study was to investigate the current status of and seek for measures to activate Korean medicine in stroke care. Methods: This is an e-mail survey targeting the members of Korean medical doctors registered at the association of Korean medicine. The project team of the society of stroke on Korean medicine for the development of clinical practice guideline for stroke has devised the items for the questionnaire. The survey was conducted for 15 days in November 2016. Results: The percentage of the respondents who have treated patients with stroke for the past month was 11.2% in the acute phase, 20.5% in the convalescent phase, and 32.4% in the chronic phase. Approximately 80% of the respondents answered they had a decrease in the number of patients compared to 10 years ago, regardless of the stroke phase. Most of the respondents were using Western medicine together with traditional Korean medicine for physical examination. Acupuncture and herbal medicine were the main therapeutic interventions. The two measures chosen by the most respondents to activate the Korean medicine usage for stroke care were the expansion of the insurance coverage (34.9%) and the generation of evidence on the effectiveness of traditional Korean medicine (25.1%) Conclusion: It is necessary to actively show the role of the Korean medicine through the establishment of the evidence on the effectiveness of Korean medicine and the promotion based on the evidence. In addition, optimal treatment methods should be derived based on the traditional knowledge and modern scientific research and the methods should be educated to every Korean medical clinics and hospitals so that they can be implemented in clinical practice. At the same time, the government should provide policy support to ensure that the optimal treatment can be timely and appropriately implemented.

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핵심어	질문	논문에서 추출한 답변
	최근 한달 간 중풍 환자를 진료한 적이 있다고 답한 응답자의 비율은 어떠한가?	최근 한달 간 중풍 환자를 진료한 적이 있다고 답한 응답자의 비율은 급성기 11.2%, 회복기 20.5%, 만성기 32.4%였다. 중풍 환자가 중풍 치료만을 주 목적으로 내원하고 답한 경우가 급성기의 경우 68.
	중풍이란?	‘한의중풍진단표준화위원회’는 “중풍이란 뇌혈관의 순환장애로 인해 국소적인 신경학적 결손을 나타내는 뇌혈관질환을 포함하는 것으로서 의식이 없는 상태(人事不省), 한쪽 또는 양쪽의 손발이 마비된 상태(手足癱瘓), 입과 눈이 삐뚤어진 것(口眼喎斜), 말 이 둔하거나 약간 힘들면서 심하면 전혀 말을 못하는 상태(言語蹇澁), 한쪽만 저리고 시리고 아픈 증상 (半身麻木) 등의 임상증상을 나타내는 병증”이라고 정의하였다1). 광의의 중풍은 “뇌출혈, 지주막하출혈, 뇌혈전증, 뇌색전증, 일과성뇌허혈, 지주막하출혈, 급성뇌부종, 동정맥기형 등 여러 질환이 포함되는 뇌혈관계질환 외에 중추신경계질환, 근질환, 파상풍 유사질환까지 포함” 1) 할 수 있지만, 일반적으로는 뇌혈관계질환으로 의식장애, 운동장애 및 언어장애 등의 신경학적 증상이 갑작스럽게 발생하는 경우, 즉 뇌졸중을 의미 한다1).
	한의 중풍치료의 활성화를 위한 대책으로는 어떤 의견이 가장 많았는가?	이번 설문조사에서 한의 중풍치료의 단점으로 가장 많이 지목된 것은 보험급여가 되지 않아 비용 부담이 크다는 것이었다. 한의치료 활성화를 위한 대책으로는 보험급여확대가 필요하다는 의견이 가장 많았다. 최근 소비자 대상 조사에서도 한방의료를 이용한 적이 없는 사람의 약 16%가 비용부담을 이유로 한방의료를 이용하지 않았다고 답했으며, 소비자가 제안한 한방의료 개선사항으로는 고가의 진료 비 개선이 가장 많았다(40.

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한의 중풍 진료 현황 파악 및 활성화 방안 모색을 위한 전자우편 설문조사
E-mail survey on the current status of clinical practice and activation measures for Korean medicine in stroke care 원문보기

Abstract ▼ AI-Helper

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질의응답

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한의 중풍 진료 현황 파악 및 활성화 방안 모색을 위한 전자우편 설문조사 E-mail survey on the current status of clinical practice and activation measures for Korean medicine in stroke care 원문보기

Abstract ▼ AI-Helper

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질의응답

참고문헌 (41)

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한의 중풍 진료 현황 파악 및 활성화 방안 모색을 위한 전자우편 설문조사
E-mail survey on the current status of clinical practice and activation measures for Korean medicine in stroke care 원문보기