[논문]우울증 환자 진료를 위한 한의표준임상경로 개발 연구

권도형; 김윤나; 이승호; 조성훈

doi:10.7231/jon.2023.34.1.001

우울증 환자 진료를 위한 한의표준임상경로 개발 연구
Developing a Clinical Pathway of Korean Medicine for Managing Patients with Depression 원문보기

동의신경정신과학회지 = Journal of oriental neuropsychiatry, v.34 no.1, 2023년, pp.1 - 12

권도형 (경희대학교 일반대학원 임상한의학과) , 김윤나 (경희대학교 일반대학원 임상한의학과) , 이승호 (경희대학교 일반대학원 임상한의학과) , 조성훈 (경희대학교 한의과대학)

Abstract ▼ AI-Helper

Objectives: To standardize treatment, improve quality of medical service, and reduce medical costs of patients with depression by developing a clinical pathway (CP) of Korean medicine. Methods: CP was developed based on clinical practice guideline (CPG) for depression. To consider the degree of economic burden and satisfaction, the current status of management for patients with depression was examined. After CP was primarily developed, contents of the CP were supplemented by referring to previously developed CPs. Results: Based on CPG, current status survey and previous CP, four types of CP (Korean medicine clinics, Korean medicine hospitals, Western-Korean medicine collaborative hospitals, public medical center) were developed and shown in the algorithm version. However, in the case of Korean medicine hospitals and Western-Korean medicine collaborative hospitals, CPs were detailed according to different clinical scenes of outpatients and inpatients. This study also shows six different time task matrix version. Conclusions: CP for depression is expected to not only reduce financial burden of patients and health insurance, but also increase the quality of treatment and satisfaction.

주제어

표/그림 (10)

그림 Fig. 1. Clinical pathway of depression for Korean medicine clinics (time task matrix version). K-HDRS: Korean version of Hamilton Depression Rating Scale, BDI-II: Beck Depression Inventory-II, GDS-K: Korean version of Geriatric Depression Scale, STAI: State-Trait Anxiety Inventory, STAXI: State-Trait Anger Expression Inventory, HRV: Heart Rate Variability, DITI: Digital Infrared Thermal Imaging, MMPI: Minnesota multiphasic personality inventory, TCI: Temperament and character inventory, SCL-90-R: The symptom checklist-90-revised.
그림 Fig. 2. Clinical pathway of depression for Korean medicine clinics (algorithm version).
그림 Fig. 3. Clinical pathway of depression for outpatients in Korean medicine hospitals (time task matrix version). K-HDRS: Korean version of Hamilton Depression Rating Scale, BDI-II: Beck Depression Inventory-II, GDS-K: Korean version of Geriatric Depression Scale, STAI: State-Trait Anxiety Inventory, STAXI: State-Trait Anger Expression Inventory, HRV: Heart Rate Variability, DITI: Digital Infrared Thermal Imaging, MMPI: Minnesota multiphasic personality inventory, TCI: Temperament and character inventory, SCL-90-R: The symptom checklist-90-revised.
그림 Fig. 4. Clinical pathway of depression for inpatients in Korean medicine hospitals (time task matrix version). K-HDRS: Korean version of Hamilton Depression Rating Scale, BDI-II: Beck Depression Inventory-II, GDS-K: Korean version of Geriatric Depression Scale, STAI: State-Trait Anxiety Inventory, STAXI: State-Trait Anger Expression Inventory, HRV: Heart Rate Variability, DITI: Digital Infrared Thermal Imaging, MMPI: Minnesota multiphasic personality inventory, TCI: Temperament and character inventory, SCL-90-R: The symptom checklist-90-revised.
그림 Fig. 5. Clinical pathway of depression for Korean medicine hospitals (algorithm version).
그림 Fig. 6. Clinical pathway of depression for outpatients in Western-Korean medicine collaborative hospitals (time task matrix version). K-HDRS: Korean version of Hamilton Depression Rating Scale, BDI-II: Beck Depression Inventory-II, GDS-K: Korean version of Geriatric Depression Scale, STAI: State-Trait Anxiety Inventory, STAXI: State-Trait Anger Expression Inventory, HRV: Heart Rate Variability, DITI: Digital Infrared Thermal Imaging, MMPI: Minnesota multiphasic personality inventory, TCI: Temperament and character inventory, SCL-90-R: The symptom checklist-90-revised.
그림 Fig. 7. Clinical pathway of depression for inpatients in Western-Korean medicine collaborative hospitals (time task matrix version). K-HDRS: Korean version of Hamilton Depression Rating Scale, BDI-II: Beck Depression Inventory-II, GDS-K: Korean version of Geriatric Depression Scale, STAI: State-Trait Anxiety Inventory, STAXI: State-Trait Anger Expression Inventory, HRV: Heart Rate Variability, DITI: Digital Infrared Thermal Imaging, MMPI: Minnesota multiphasic personality inventory, TCI: Temperament and character inventory, SCL-90-R: The symptom checklist-90-revised.
그림 Fig. 8. Clinical pathway of depression for Western-Korean medicine collaborative hospitals (algorithm version).
그림 Fig. 9. Clinical pathway of depression for public medical centers (time task matrix version). K-HDRS: Korean version of Hamilton Depression Rating Scale, BDI-II: Beck Depression Inventory-II, GDS-K: Korean version of Geriatric Depression Scale, STAI: State-Trait Anxiety Inventory, STAXI: State-Trait Anger Expression Inventory, HRV: Heart Rate Variability, DITI: Digital Infrared Thermal Imaging, MMPI: Minnesota multiphasic personality inventory, TCI: Temperament and character inventory, SCL-90-R: The symptom checklist-90-revised.
그림 Fig. 10. Clinical pathway of depression for public medical centers (algorithm version).

참고문헌 (19)

Kessler RC, Ormel J, Petukhova M, McLaughlin KA,？Green JG, Russo LJ, Stein DJ, Zaslavsky AM,？Aguilar-Gaxiola S, Alonso J, Andrade L, Benjet C, de？Girolamo G, de Graaf R, Demyttenaere K, Fayyad J, Haro？JM, Hu Cy, Karam A, Lee S, Lepine JP, Matchsinger H,？Mihaescu-Pintia C, Posada-Villa J, Sagar R, Ustun TB.？Development of lifetime comorbidity in the World Health？Organization world mental health surveys. Archives of？General Psychiatry. 2011;68:90-100.
Adler DA, McLaughlin TJ, Rogers WH, Chang H, Lapitsky？L, Lerner D. Job Performance deficits due to depression.？The American Journal of Psychiatry. 2006;163:1569-76.

상세보기
World Health Organization. Global burden of mental disorders？and the need for a comprehensive, coordinated？response from health and social sectors at the country level. 2011.
Solomon DA, Keller MB, Leon AC, Mueller TI, Lavori PW,？Shea MT, Coryell W, Warshaw M, Turvey C, Maser JD,？Endicott J. Multiple Recurrences of Major Depressive？Disorder. The American Journal of Psychiatry. 2000;157:229.

상세보기
Song KY, Kim SN, Park JH. Critical pathway for operable？gastric cancer. Journal of Korean Gastric Cancer Association. 1995;5:95-100.

원문보기 상세보기
Pearson SD, Goulart-Fisher D, Lee TH. Critical pathways as a strategy for improving care: problems and potential.？Annals of Internal Medicine. 1995;123:941-8.

상세보기
Yoon SD, Song MY, Chung WS, Kim HS, Shin WC, Kim TO,？Cho WS, Seo YH, Seo SW, Seo JW, Kang JH, Yu SH, Kim？SY, Cho JH. A study on the development of a clinical pathway？of Korean medicine for the management of patients？with ankle sprain. Journal of Korean Medicine Rehabilitation. 2022;32:141-51.
Choi SJ, Kim DI, Noh EJ. A study on the application of？standard korean medicine clinical pathway for dysmenorrhea.？The Jorunal of Oriental Obstetrics & Gynecology. 2022;35:75-90.
Lee HH, Shim SB, Lee HL. A survey on public perception？of Korean medical treatment for the development of？Korean medicine clinical practice guideline and critical？pathway for growth disorders. The Journal of Pediatrics of？Korean Medicine. 2022:36;65-77.
Kim EH, Kim CK, Lee SK, Park SK. Development of a clinical？pathway for gastrectomy and effect of its implementation？in one tertiary hospital. Quality Improvement in？Health Care. 2003;10:76-89.
Chang YS, Lee SH, Lee SM, Hong SW. Development and？implementation of critical pathway for patients undergoing？laparoscopic cholecystectomy. Jorunal of the？Korean Society of Endoscopic & Laparoscopic Surgeons. 2005;8:66-71.
Segal O, Bellemans J, Van Gerven E, Deneckere S, Panella？M, Sermeus W, et al. Important variations in the content of？care pathway documents for total knee arthroplasty may？lead to quality and patient safety problems. Journal of？Evaluation in Clinical Practice. 2013;19:11-5.

상세보기
Coffey RJ, Richards JS, Remmert CS, LeRoy SS, Schoville？RR, Baldwin PJ. An introduction to critical paths. Quality？Management in Healthcare. 2005;10:2:76-89.
Eom YJ, Kwon DH, Kim YN, Lee HW, Chung SY, Cho SH.？A pilot study on effects of critical pathway application for？Hwa-Byung. Journal of Oriental Neuropsychiatry. 2021;32:337-43.
Sung DM, Choi SY, Park MJ, Sung SH. A study on the？characteristics of the awareness and satisfication level of？musculoskeletal patients and non-musculoskeletal patients？that use Korean Medical institutions. Journal of？Society of Preventive Korean Medicine. 2020;24:27-38.
Bloom DE, Chen S, Kuhn M, McGovern ME, Oxley L,？Prettner K. The economic burden of chronic diseases:？Estimate and projections for China, Japan, and South？Korea. The Journal of the Economics of Ageing. 2020;17:100163.
Murray CJ, Lopez AD, Organization WH. The global burden？of disease: a comprehensive assesment of mortality？and disability from diseases, injuries, and risk factors in？1990 and projected to 2020: summar. World Health Organization. 1996.
Rotter T, Kinsman L, Jame E, Machotta A, Gothe H, Willis？J, Snow P, Kugler J. Clinical pathways: effects on professional？practice, patient outcomes, length of stay and？hospital costs. Cochrane Database Syst Rev. 2010;3:CD006632.
Rotter T, deJong RB, Lacko SE, Ronellenfitsch U, Kinsman？L. Clinical pathways as a quality strategy. Improving？Healthcare Quality in Europe. Copenhagen:OECD Publishing. 2019;309.

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