소양인(少陽人) 비수한표한병론(脾受寒表寒病論)의 병증(病證) 및 약리(藥理)에 대한 연구(硏究)

최지숙,김경요,Choi, Ji-suk,Kim, Kyung-yo 사상체질의학회 1998 사상체질의학회지 Vol.10 No.2

1. 목 적 소양인(少陽人) 비수한표한병론(脾受寒表寒病論)의 주요 처방과 약재의 효능 및 병증의 인식을 역사적으로 고찰해보고자 한다. 2. 방 법 "동의수세보원(束醫壽世保元)" 소양인(少陽人) 비수한표한병증(脾受寒表寒病證)의 주요 처방 및 약재의 효능을 관련 조문과 원출전 및 동의보감(東醫寶鐵)을 중심으로 과거문헌을 비교하여 소양인(少陽人) 표병증(表病證)의 인식근거를 추론하며 처방과 약재의 효능 인식의 변화를 분석하였다. 3. 결과 및 결론 이제마(李濟馬)는 소양인(少陽人) 표병증(表病證)을 대부분 장중경(張仲景)의 " 상한론(傷寒論)"에서 취하였으나, 처방에 있어서 몇몇 약재를 인용했을 뿐 송대이후 처방으로 대신했다. 소양인(少陽人) 비수한표한병증(脾受寒表寒病證)의 처방구성은 음기(陰氣)를 하강(下降)시키는 약물을 기본전제로 그 증상정도에 따라 수반된 흉복열(胸腹熱)을 치고 손상된 음기(陰氣)를 보하는 약재를 첨가함으로써 구성되었다. 1. Purpose : This study is a try for making a historical examinatiom of the symptom, principal medicinal substances and prescription of Soyangin Bisoohan-Pyohan disease. 2. Methods : I have examined the changes of the recognition of symptom and the history of the development of prescription by comparing the exterior syndrome of Soyangin, related prescription and principal medicinal substances quoted in "DongYi-Soose-Bowon" with past original texts and "DongYi Bogam". 3. Results and Conclusion : Lee Je-Ma adopted most of the exterior syndrome of Soyangin from Zhang Zhong-jung's "Shanghanlun". But he adopted only a few medicinal substances for prescription and most of prescriptions written after the Song period. The prescriptions for Soyangin Bisoohan-Pyohan disease are fundamentally composed of medicinal substances to lower yinqi and to eliminate the heat of thoracic part caused acording to the degree of symptom and medicinal substances to strengthen damaged yinqi are added to the prescriptions.

의료의 질 향상을 위한 환자중심 건강결과 측정의 국제 동향과 국내 시사점 - OECD PaRIS를 중심으로

최지숙,박영신,김지애,박춘선,Choi, Ji-Suk,Park, Young-Shin,Kim, Jee-Ae,Park, Choon-Seon 한국의료질향상학회 2019 한국의료질향상학회지 Vol.25 No.1

Purpose: The purpose of this paper is to derive implication on the adoption of PROMs (Patient-Reported Outcome Measures) to improve quality of care in South Korea. With this purpose, the paper examines the status of PROMs in South Korea and other countries including OECD's PaRIS (Patient Reported Indicators Survey) initiative, and reviews policy cases that have adopted PROMs to improve performance of healthcare system. Methods: We conducted literature review on OECD reports on PaRIS, peer-reviewed journals, and information from the websites of relevant institutions such as ICHOM, NQF and OECD. Results: To identify healthcare services of best values and support patient-centered health system, OECD has initiated PaRIS which develops, collects and analyzes patient-reported indicators for cross-countries comparison. PaRIS is implemented on two work streams: 1) collect, validate and standardize PROMs in the areas where patient-reported indicators already exist such as breast cancers, hip and knee replacement, and mental conditions, 2) develop a new international survey on multiple chronic conditions. Countries like England, U.S., Sweden and Netherlands use PROMs for measuring performance of hospitals and performance evaluation at the national level, and provide the financial incentives for reporting PROMs. Conclusions: The use of PROMs can support the current policy agenda that is the patient-centered healthcare system which has been emphasized to reinforce the primary and the community-based care. For the use of PROMs, it is recommended to actively participate in PaRIS initiative by OECD, select appropriate instruments for PROMs, and continue on standardization of them. This will assure patients' involvement in improving health system performance, systemize information generated in the process of adopting PROMs, and develop a system to evaluate performance.

노인의 스포츠활동 참여동기와 실버태권도 수련 만족 및 재등록의사의 관계

최지숙 ( Ji Suk Choi ),홍진배 ( Jin Bae Hong ) 대한무도학회 2015 대한무도학회지 Vol.17 No.1

본 연구는 본격적인 고령사회를 맞이하여 점차 주 소비계층으로 주목받고 있는 노년층을 대상으로 실버태권도 수련 노인의 스포츠활동 참여동기와 수련 만족, 그리고 구매 후 행동에 해당하는 재등록의사 간의 인과관계를 실증적으로 검증하고자 수행되었다. 또한 실버태권도 소비자의 참여동기 요인을 밝힘으로써 실버계층을 위한 태권도 수련 활성화 전략 수립의 기초자료를 제공하고자 하였다. 이러한 연구의 목적을 달성하기 위해 인천, 경기 지역 소재 60세 이상의 태권도 수련 노인을 대상으로 설문조사를 실시하였으며, 수집된 자료의 통계 분석을 통해 다음과 같은 결론을 얻었다. 첫째, 노인의 스포츠활동 참여동기 중 자기개발과 가치창조는 실버태권도 수련 만족에 영향을 미쳤다.둘째, 노인의 스포츠활동 참여동기는 실버태권도 재등록의사에 영향을 미치지 않았다. 셋째, 노인의 실버태권도 수련 만족은 재등록의사에 영향을 미쳤다. 따라서 실버계층의 태권도 수련 유인을 위한전략으로 참여자의 자기개발과 가치창조를 충족할 수 있는 실천방안을 모색할 필요성이 있으며 향후 노인의 여가스포츠 활동으로써 실버태권도의 활성화를 위한 보다 다양하고 심도 깊은 연구가 지속적으로 수행되어야 할 것이다. The present research was studied with the target of elderly people attracted gradually main consumer group in aged society. The purpose of the present research was to verify a causal relationship among sports participation motive, satisfaction, and re-registration intention of elderly who participating in silver-taekwondo. This verified demand and desire of consumer in silver-taekwondo, and furnished basic data of strategic collect to revitalize taekwondo training in elderly. And for this research, I hoped to make popularization and revitalization of silver-taekwondo training. In order to achieve this research purpose, the present research carried out a questionnaire with the target of more than 60 elderly participating in silver-taekwondo of Incheon. and Gyeonggi. The surveyed result was analyzed by using a statistical analysis. First, self development and value creation of elderly``s sports participation motive had a effect on satisfaction in silver-taekwondo. Second, elderly``s sports participation motive didn``t have a effect on re-registration intention. Third, elderly``s satisfaction in silver-taekwondo had a effect on re-registration intention. Therefore, there was necessity need to seek way satisfying elderly``s self development and value creation to make strategy for attracting taekwondo training of henceforth silver group. And various in-depth research will sustainedly have to study for expansion of elderly``s leisure activity in sports and vitalization of silver-taekwondo.

아동비만과 어머니의 생활습관 및 건강신념의 관련성

최지숙(Ji Suk Choi),김기진(Ki Jin Kim) 한국발육발달학회 2003 한국발육발달학회지 Vol.11 No.3

This study was analyzed the relationship between maternal health behavior and belief and children`s obesity, for the scientific approach in preventive and administered programming of obesity. Subjects were consisted of the male students(n=206) in elementary school and their mothers(n=206). Subjects were divided to two groups, as obese and non-obese group. The investigation of the many variables related to obesity was performed by an interviewer-administered questionnaire. Regularity of meals and after-birth body weight of students showed a significant difference between obese students group and non-obese students group. And family history relation to obesity in students showed a significant difference between two groups. Body weight, obesity index, and BMI in mother``s physical characteristics showed a significant difference between obese students group and non-obese students group. Maternal perception to children``s physique and healthful body type showed a significant difference between two groups. Eating speed, regular breakfast, patience of hunger, and preference to walking in maternal life style including eating behavior showed a significant difference between two groups. And maternal interesting to health and cognitive sensitivity showed a significant difference between two groups. Obesity index and BMI of students showed a significant correlation with the maternal interesting to health and cognitive sensitivity. In these results, it could be suggested that maternal life style and health belief are critical factors for the maintenance of optimal body weight in students.

歷代 脈診의 變遷과 『東醫壽世保元』에 나타난 脈에 대한 考察

최지숙,김경요 한국전통의학연구소 2000 한국전통의학지 Vol.10 No.1

1. Purpose : The main purpose of this study is to examine the historical transition of the diagnosis of pulse and the pulse in the view point of Constitutional diseases. 2. Method : I collect and examine past literatures refered the diagnosis of pulse and the provisions of the pulse in the Dongyi-Suse-Bowon. 3. Results and Conclusion : ▶ Je-ma, Lee suggested that Taeumin's pulse is long and tensible and Soumin's is gentle and weak in the theory of differentiating syndromes of the Dongyi-Suse-Bowon on constitutionsl characters and regarded superficial, sunken, slow and rapid pulse as the principles of the diagnosis of pulse. ▶ According to the each constitutional diseases, the shapes of pulse are changed.