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근거 중심 Kampo medicine 임상진료지침의 현황
사사키 유이,황정운,김경한,박유리,심호종,박동선,전윤정,김지환,장보형,신용철,고성규,Sasaki, Yui,Huang, Ching Wen,Kim, Kyeong Han,Park, Yu Lee,Shim, Ho Jong,Park, Dong Sun,Jeon, Yoon Jeong,Kim, Ji-Hwan,Jang, Bo-Hyoung,Shin, Yong-Cheol,Ko, 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1
Objectives : In 2007, a survey of how Kampo was regarded in Japanese clinical practice guidelines (CPGs) was first conducted by the Special Committee for Evidence Based Medicine (EBM), namely the Japan Society for Oriental Medicine (JSOM). A manual for CPG development was also published in 2007 by the Japan Council for Quality Health Care, and the revised edition came out in 2014. The purpose this study is to review the current state in CPGs applied to Kampo after 2007, while focusing on how Kampo products being regarded evidence based branch of medicine by CPG developers. Methods : Sources include the Kampo CPGs website of Japan Society for Oriental Medicine (JSOM) and MINDS (Medical Information Network Distribution Service) website of Japan Council for Quality Health Care. Results : Among the 784 CPGs existing by the end of 2015, 91 CPGs were considered containing descriptions of Kampo. Furthermore, 28 type A Kampo CPG (KCPG) which had quality of evidence and strength of recommendation with references were found. Also, most of type A KCPGs relied on the MINDS Handbook for Clinical Practice Guideline Development that was published in 2007. Conclusions : The number of KCPGs are increasing yearly. However, there is still not much Kampo evidence found in CPGs in Japan. Overall, it could be said that we need to not only make evidence vertically but preach it horizontally well.
김경한,장수빈,정명주,최대범,황정운,김제명,사사키 유이,주용준,신용철,장보형,고성규,Kim, Kyeong Han,Jang, Soobin,Jung, Myung-Ju,Choi, DaePum,Huang, Ching Wen,Kim, Je-Myung,Sasaki, Yui,Ju, Yong-Jun,Shin, Yong-Cheol,Jang, Bo-Hyoung,Ko, Seo 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1
Objectives : This study was aimed to survey the perception of public official on public health promotion programs in Traditional Korean Medicine (PHPP-TKM). Methods : Data were collected from 129 public officials who were in charge of PHPP-TKM business in the public health centers using the structured questionnaire. Collected data were analyzed through frequency analysis and T-test using SPSS 13.0. Results : Even though stroke prevention programs are implemented most often at present, respondents hope to practice dementia prevention programs in the future. The obstructive factor was measured by 5-point Likert scale, and the most obstructive factor was that there were neither standard manuals nor methodological guidelines for the programs($3.73{\pm}0.97$). The second most obstructive factor was that TKM-PHPP duplicated other public health programs($3.67{\pm}1.07$). The plan to activate TKM-PHPP was also measured by 5-point Likert scale. The most suggested plan was to develop competitive programs ($4.20{\pm}0.88$). The second most suggested plan was that of various integration of public health programs ($4.14{\pm}0.80$). Conclusions : The result of survey questionnaire suggests to develop various integrated programs, and to draw up a standard manual to activate the TKM-PHPP in public health centers.