네이버 지식인을 통해 본 한의학 인터넷 건강 상담의 현황

김윤경,임병묵,Kim, Yoon-Kyung,Lim, Byungmook 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.1

Objectives : This study aimed to investigate the current situation of Internet health counseling in Korean Medicine by analyzing the contents and pattern of the questions and answers in NAVER Jisik-iN. Methods : 1,121 questions answered by Korean Medicine doctors in NAVER Jisik-iN from January 2012 to June 2012 were extracted and analyzed. The contents and pattern of the questions and answers were classified. Then statistical analysis was performed and the research findings were compared with other studies. Results : Korean Medicine (KM) accounted for 1.73 percent of health counseling in NAVER Jisik-iN. Analyzing the questions and answers of KM counseling, questions about symptoms and answers providing medical knowledge were most common. The most frequently asked symptom was digestive disorder. Applying to Suchman's "Stage of Illness and Medical Care" model, 'the symptom-experience' stage took the first place. Conclusions : KM counseling in NAVER Jisik-iN has served as guidance for potential Korean Medicine consumers by providing medical knowledge about symptoms. For more effective guidance there should be a systematic Internet counseling system offering reliable information by KM doctors to meet the needs of medical consumers.

새로운 한의학 양생 범주에 관한 연구

김창희,임병묵,박해모,정명수,황귀서,신용철,고성규,장보형,이해웅,이영준,신헌태,박선주,현민경,이상재,Kim, Changhee,Lim, Byungmook,Park, Haemo,Jung, Myungsu,Hwang, Guiseo,Shin, Yongchul,Go, Sunggyu,Jang, Bohyung,Lee, Haewoong,Lee, Youngjun,Shin, 대한예방한의학회 2015 대한예방한의학회지 Vol.19 No.1

Objective : This study aimed to develop a new category system of Yanseng(養生) for traditional Korean Medicine in order to prepare the ground for organizing the resources of Yangseng systematically. Method : We reviewed the existing medical books containing Yangseng contents. Based on the experts' consensus, we drew the new category system of Yangseng in consideration of a national trait of Korea and use of Yanseng in modern society. Results : First, We devided Yangseng category into two parts: methods and applications. Methods are divided into 5 parts: mind, diet, herb, Doinangyo(導引按蹻), life. A broad use of herbs in daily life is a national trait of Korea. Doinangyo contains relaxation methods like breathing, massages and exercises like Qigong and is also very popular way to maintain health in modern western society. Applications are divided into 6 parts: type of constitution, life cycle, seasons, type of symptoms and signs, type of Mibyung(未病) and diseases. We drew this 6 parts in consideration of use in the field of health care. Conclusion : The new category system of yangseng is based on existing theories and reflects Korean national trait and use of Yanseng in modern society. We hope this new category system play a role of foundation for organizing the resources of Yangseng systematically.

의료생활협동조합 한의원의 일차의료서비스 수준 평가

성태경,임병묵,Seong, Taekyung,Lim, Byungmook 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.2

Objectives : Health cooperative movement is of increasing concern among medical consumers and professionals in Korea. Most health cooperative clinics provide Western Medicine and Korean Medicine(KM) to patients. This study aimed to evaluate the primary care level of health cooperative KM clinics and compare it with local KM clinics in Korea. Methods : Face to face survey was performed at the 3 health cooperative KM clinics and 5 local KM clinics with the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of 5 domains (21 items): first contact (5), coordination function (3), comprehensiveness (4), family/community orientation (4), and personalized care (5). Subjects were patients or guardians who had visited KM clinics five times or more during the last 3 months. We compared primary care scores of each domain between health cooperative KM clinics and local KM clinics. Results : Data were collected from 200 respondents (100 patients from health cooperative KM clinics and 100 local KM clinics). Total average scores of the KPCAT for health cooperative clinics and local KM clinics were $81.1{\pm}12.0$ and $75.4{\pm}9.5$, respectively. Among primary care domains, personalized care was the highest ($89.2{\pm}12.0$, $89.6{\pm}8.4$, respectively), and comprehensiveness function was the lowest ($68.5{\pm}22.5$, $54.5{\pm}22.0$, respectively). Significant differences between two groups were noted in comprehensiveness function (68.5 vs. 54.5, P=0.000), family-community orientation (79.5 vs. 73.0, P=0.004), first contact(89.2 vs 84.0, p=0.001) and coordination function(74.0 vs 68.7, p=0.025). Conclusions : Based on the patients assessment, health cooperative KM clinics provide more primary care-oriented services than local KM clinics. This means that health cooperative clinic can be one of alternatives to strengthen the primary health care in Korea. Future researches are recommended to measure patients satisfaction and treatment effectiveness in the health cooperative clinics.

비급여를 포함한 한의 외래의료이용의 최근(2008-2013) 변화추이

김동수,임병묵,Kim, Dongsu,Lim, Byungmook 대한예방한의학회 2017 대한예방한의학회지 Vol.21 No.1

Objectives : This study aimed to analyze the structure and the trend of utilization and expenditure for Korean Medicine (KM) in Korea. Methods : Data were drawn from the 2008-2013 annual Korea Health Panel (Version 1.2.2), a national representative sample. We combined the data of household members with the data of outpatient KM service use. The volume of KM use was estimated based on the frequency of use and co-payment. Results : The KM utilization rate slightly increased in recent years, and it is presumed to be resulted from the increase of elderly population. Most KM outpatient visits were being concentrated in treating musculoskeletal diseases, and the procedures used frequently were acupuncture, moxibustion, cupping, and physical therapy. The imbalance of KM use between lower income group and higher income group was deepening. Conclusions : To expand restricted disease areas KM covered, the more herbal prescriptions should be insured and the insured form of herbal medicines need to be diversified.

청년층(만19~39세)의 한의의료이용 결정요인 및 행동의도 - 『2017년 한방의료이용 및 한약소비실태조사』 마이크로데이터를 중심으로 -

윤량숙,임병묵,Yoon, Lyang Sook,Lim, Byungmook 대한예방한의학회 2021 대한예방한의학회지 Vol.25 No.2

Objectives : This study aimed to analyze characteristics of the Korean Medicine users aged 19-39 years, the determinants of Korean Medicine use and effects of Korean Medicine use experience on behavioral intentions among youths. Methods : We studied Korean Medicine Utilization and Herbal Medicine Consumption Survey(2017) data set by complex-sample survey data analysis. In order to derive the characteristics of younger users, Rao-scott χ² test and t-test were conducted. Through multiple logistic regression model adjusted by general characteristic variables, the determinants and behavioral intentions of the Korean Medicine utilization among youths were derived. Results : Fist of all, young users and non-users have significant differences in socio-demographic characteristics and perception on Korean Medicine. Among the general characteristic variables, region, age, marital status, occupation, chronic disease, and private health insurance plans had an effect on the Korean Medicine use in young people(Model II). And adjusted by general characteristic variables as control variables, awareness of Korean Medicine and perception of safety of herbal medicine were deduced as determinants of Korean Medicine use(Model III). Secondly, Korean Medicine use experience increased intentions to use and recommend Korean Medicine services(Model IV-1, 3). Conclusions : In order to increase the use of Korean Medicine among young people, Korean Medicine institutions should strive to increase users' satisfaction, and public health insurance coverage for Korean Medicine services needs to be expanded.

경영자로서 한의사 역량에 대한 교육요구도 분석

김일영,임병묵,김동수,Kim, Il-young,Lim, Byungmook,Kim, Dongsu 대한예방한의학회 2015 대한예방한의학회지 Vol.19 No.2

Objective : This study aims to investigate the priority of education needs of managerial competencies for Korean Medicine doctors. Method : Self-administered questionnaires were sent via on-line survey system to 4,107 Korean Medicine (KM) doctors who were registered in the Association of Korean Medicine and whose business places were in Seoul. The cognition of necessities, present levels, and future importance of managerial competencies were measured. To measure the degree of educational needs on health management, t-test and Borich method were used. Results : The response rate was 1.9%(79 persons) and 68 responses were included in the analysis. The cost-effectiveness studying ability and the public relations ability were the most important competencies. Analyzing the competency groups by t-test and Borich method, the marketing group was the most important competency group. Many KM doctors (53 persons; 68.9%) who answered this questionnaire expressed needs of the business administration course. Conclusion : KM doctors conceded the necessity of business competency to manage their hospitals or clinics. Academic institutions needs to consider the implementation of business administration courses for KM students in accordance with needs of the managerial competencies.

한약재의 연도·산지·업체별 가격변동 분석 연구

김동수,임병묵,현은혜,이은경,Kim, Dongsu,Lim, Byungmook,Hyun, Eunhye,Lee, Eunkyung 대한예방한의학회 2019 대한예방한의학회지 Vol.23 No.2

Objectives : This study aimed to analyze price variance by year, region and company of raw herbal medicines to draw payment system for herbal medicine insurances in the National Health Insurance. Methods : To analyse price variance, we used 2015-2017 data of 'Quality test results of imported herbal medicines' provided by Korea Pharmaceutical Traders Association and 'Price data of 56 raw herbal medicines' that was surveyed by the Association of Korean Medicine. We analysed gap of highest price and lowest price those were compared with average price and coefficient of variation(CV) of prices by year, region and company of raw herbal medicines. Results : In analysing 3 years data, the highest price was 23.2% higher, and the lowest price was 19.1% lower than the average price. As of 2018, the average price of domestic produced herbal medicines was 1,8 times higher than that of imported herbal medicines. By companies, the highest price was 117.5% higher, and the lowest price was 57.3% lower than the average price. Conclusions : The price of herbal medicines varied by production year, region and company. This results suggest that comprehensive payment model needs to be considered in modeling the health insurance coverage for herbal medicine decoctions.

경상북도 일부 고교생을 대상으로 한 도인안교의 스트레스 저하 효과에 대한 파일럿 연구

박혜정,이상재,임병묵,Park, Hye Jung,Lee, Sangjae,Lim, Byungmook 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.2

Objective : This study was to examine the effects of Doin-Angyo program, evidenced by East Asian Medicine literatures, on stress among smoking adolescents. Method : This study was a prospective community trial using a one-group, pretest-posttest design. As an intervention, Doin-Angyo program was implemented for 10 minutes per session, 3 days a week, for 6 weeks to smoking students who attend a Girl's high school. Psychological stress was measured by self-report questionnaire and physiological stress was measured by salivary cortisol. The final sample for the questionnaire included 18 participants. In addition, pre- and post-salivary cortisol levels of 24 adolescents participating in the last session were compared in order to identify the acute effects of Doin-Angyo program in reducing stress. Results : There were no significant differences in overall stress-test results from the comparisons before and after the intervention. However, we found a significant going-down of the stress level(p = .032) in the question, "About School-work" among six sub-category questions. From the salivary cortisol tests in the last session, we found, in comparison with the standard salivary cortisol density level, $0.3{\mu}g/dL$, the density level tended to go down(p = .062) when higher than the standard, and it went up(p = .001) when lower than the standard, after 10 minute session. Conclusion : The results of this pilot study supported the partial effect of Doin-Angyo program in reducing the stress levels. The study protocol and results can be used to elaborate the community trials design aiming to prove the effect of Korean Medicine based health promotion modalities.

DEA모형을 활용한 한방병원의 경영효율성 분석

박주언,최병희,임병묵,Park, Joon,Choi, Byunghee,Lim, Byungmook 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.3

Objectives : This study aimed to analyze the management efficiency of Korean Medicine hospitals for recent 10 years(2001~2010) using the Data Envelop Analysis(DEA) model. Methods : We collected the management data of 23 Korean Medicine hospitals for DEA model from the Korean Oriental Medicine Hospitals' Association (KOMHA). Input variables of DEA model are numbers of beds, numbers of doctors, numbers of nurses and numbers of other staffs of each Korean Medicine hospitals. Output variables are numbers of inpatients and numbers of outpatients of each Korean Medicine hospitals. Based on the DEA model, we calculated the efficiency score of each Korean Medicine hospital and compared it by hospital's ownership, location, and size. Results : Average DEA efficiency scores of Korean Medicine hospitals by year ranged from 0.86 to 0.92. Private owned hospitals showed higher efficiency scores than the university affiliated hospitals with statistical significance (p=0.001). And Korean Medicine hospitals located in capital region of Korea(Seoul City, Incheon City, Gyeonggi-do) and the rest Korean Medicine hospitals did not show statistical difference (p=0.516). Lastly, Korean Medicine hospitals with different size did not show statistical difference in management efficiency (p=0.499). Conclusion : We have found that Korean Medicine hospitals management efficiency have not changed throughout 10 years, and that different ownership forms of Korean Medicine hospital show statistical difference in management efficiency while location, and size do not.

한의 외래에서 첩약을 포함한 비급여 조제 한약 이용결정요인 분석

김동수,김현민,임병묵,Kim, Dongsu,Kim, Hyunmin,Lim, Byungmook 대한예방한의학회 2018 대한예방한의학회지 Vol.22 No.1

Objectives : This study aimed to analyze the characteristics of uninsured herbal medicine(UHM) users and the economic and social barriers of UHM utilization. Methods : We used the Korea Health Panel Data, representative national survey on medical utilization and cost, provided by National Health Insurance Service and Korea Institiute of Health and Social Affairs. The frequency analysis was used to identify the characteristics of the respondents, and the cross-analysis (${\chi}^2-test$) was used to verify the relationship between their characteristics and the usage of UHM. In order to analyze the determinants of using the UHM considering the individual's characteristics, logistic regression analysis and multiple regression analysis were conducted for those who used the Korean medicine (KM) outpatient service in 2015. Results : The usage of UHM was significantly lower for those (1) who's age of 20 to 65; (2) who have the university or higher education degree; (3) who live in Jeju province, and (4) who bought the herbal medicine for other health related purposes. On the other hand, the usage of UHM for those (1) who have the first quintile of household income; (2) who have the chronic respiratory disease; (3) who have been taking the medicine for health promotion purpose for more than 3 months and (4) who have purchased the food which has health promotion function was significantly higher than others. The patients who have chronic musculoskeletal diseases accounted the most among the UHM users. Conclusions : There was the considerable inequality in the usage of UHM among household income groups, which provides policy rationale for UHM to be covered by national health insurance. To facilitate the coverage expansion, restrictive covering model can be considered for children and adolescents, or for patients with muskuloskeletal diseases who have the high demand for UHM.