사상의학(四象醫學)에서의 의사-환자의 관계에 대한 연구

반덕진,박성식,Ban, Duk-Jin,Park, Seong-Sik 사상체질의학회 2008 사상체질의학회지 Vol.20 No.1

1. Objectives We analyze Doctor-Patient Relationship in anthropological medicine, medical sociology Oriental Medicine and find out solutions about problems of Modern Medicine which are dehumanized through the meaning of Doctor-Patient Relationship in Sasang Constitutional Medicine. 2. Methods We consider various studies which are related with doctor-patient relationship from models of the Doctor-Patient Relationship, anthropological medicine, medical sociology and Oriental Medicine. And we compare and analyze Sasang Constitutional Medicine's meaning of doctor and patient through Sasang Constitutional Medicine's view of treatment and philosophy. 3. Results and Conclusions 1) In various studies, Doctor-Patient Relationship have been dualistic perspective which is divided into doctor and patient, and lay emphasis on relationship between them. 2) In Sasang Constitutional Medicine, anyone might be a patient because they are human being, anyone might be a doctor as cure their own disease. In other words, doctor and patient are not separated but united. A point of regarding human is the core of illness and cure can present new direction that solves problems of dualistic perspective Modern Medicine.

증례논문에 나타난 사상체질진단의 특징 및 연구동향에 대한 연구

반덕진,이승윤,박성식,Ban, Duk-Jin,Lee, Seung-Yun,Park, Seong-Sik 사상체질의학회 2009 사상체질의학회지 Vol.21 No.2

1. Objectives : We analyzed the case reports published by the journal of Sasang Constitutional Medicine, to study Sasang Constitution diagnosis and characteristic of clinical practice. 2. Methods : It has been examined 138 case reports of Sasang Constitution society published from 1994 to 2008. We analyzed. patient's number, publication year, distribution of Sasang Constitution, title's characteristics and bases of constitution diagnosis. 3. Results and conclusions : 1) In the analysis of patient's number, 1 case report was almost part of the case reports, and the case reports ware many published after 2001. 2) In the analysis distribution of Sasang Constitution, Soyangin was the most Sasang Constitution, and Tae-umin was the next one and Soeumin, Taeyangin followed them. 3) In the analysis of the journal's title, Sasang Constitution, disease and symptom of Sasang Constitution were more important than prescription recently. 4) In the analysis of the journal's purpose, unique disease and response of treatment were almost part of the case reports. 5) In the analysis of diagnosis bases, subjective bases were more important than objective bases and Sasang Constitutional drug response. therefore we should do researches in objective bases and drug response in the future.

왜 의학전문직업성 교육인가?

반덕진,Ban, Deok-Jin 연세대학교 의과대학 2012 의학교육논단 Vol.14 No.1

The idea that medicine itself imposes certain obligations upon the physician probably originated in Greece. It is Socrates in the fifth century BC who first discussed medical professionalism. Socrates said that no physician should seek the advantage of the physician but of the patient. For the physician was a ruler of bodies and not a money-maker. However, it is Hippocrates, the contemporary of Socrates and the Father of Medicine, who founded medical professionalism education and professional medical ethics. The professional spirit of Greek physicians is summed up in the magic phrase 'love of humanity.' In Epidemics I, Hippocrates expressed hope that physicians would help patients, or at least do them no harm. He also said, "Life is short; Art is long" in The Aphorisms. Here he described the reflective philosopher and the practiced physician. At once he sang the shortness of human life and the extent of the medical arts. Moreover, he made students swear by the gods that "I will keep pure and holy both my life and my art." The Oath can serve as a coherent starting point and organizing framework for medical professionalism education and professional medical ethics. We need to have an opportunity to employ this fascinating text in teaching medical professionalism and medical ethics. In this article, the author asserts that the Hippocratic Aphorism (Life is short; Art is long) and The Oath, the most famous work of the entire Hippocratic collection, should be used for medical professionalism education.

서양 고전에 나타난 전염병과 그 대응에 관한 인문학적 성찰

반덕진 한국교양교육학회 2020 한국교양교육학회 학술대회자료집 Vol.2020 No.6

철학적 인간학과 의학적 인간학 -「고대 의학에 관하여」를 중심으로-

반덕진 한국의철학회 2010 의철학연구 Vol.9 No.-

히포크라테스 전집의 「고대 의학에 관하여」라는 논문은 기원전 5세기에 그리스 자연철학의 중요한 요소들로 그리스 전통의학을 혁신하려 했던 철학적 의학자들로부터 전통적인 섭생의학을 수호하려는 저자의 논박이 잘 담겨있다. 저자는 소크라테스 이전 철학자들의 ‘자연에 대한 탐구’에서 도출한 이론에 따라 한두 가지 요인들로 질병의 원인과 치료를 설명하려는 인과적 환원론과 몇 가지 원초적인 구성요소로 인간의 기원을 설명하는 인간본질론 및 그 위에 의학을 정립하려는 시도를 비판한다. 저자는 의학의 모든 것을 한두 가지 원리의 상호작용으로 설명하는 폐쇄체계를 비판하고 수많은 체액들의 혼화와 숙성으로서의 인간본질론이라는 개방체계를 제시하면서 인간본질에 대한 지식은오직 의학을 통해서만 얻을 수 있다고 반격한다. 저자와 그의 논적들은 의학이인간의 본질에 대한 보편적인 지식과 관련되어 있다는 점에 대해서는 의견이다르지 않지만 인간의 본질에 대한 범위와 연구방법이 무엇인지에 대해서는 의견이 다르다. 철학적 의학자들은 자연의 본질에 대한 연구(자연철학)를 통해 인간의 본질에 대한 탐구(인간학)가 가능하고 그에 의거하여 의학과 질병에 대해연구하는(의학) ‘하향식’ 방법을 주장한 반면, 저자는 요리법에서 출발한 의학의연구를 통해 인간의 본질에 대한 이해(인간학)가 가능하다는 ‘상향식’ 방법을제시했다. 저자는 철학적 영역에 속해 있던 인간본질론을 반복적인 관찰과 정교한 추론으로 얻은 새로운 인간본질론으로 대체하고자 했다. 철학적 의학자들에게 의학은 인간에 대한 사전 지식이 필요한 학문이었기에 독립적인 학문이 될수 없었으나 저자와 같은 전통의학자들에게 의학은 철학적 인간학을 전제할 필요가 없는 자족적인 학문이었고 나아가 그들은 철학적 인간학에 맞선 의학적인간학을 내세워 고대 세계의 인간본질에 대한 이해를 다채롭게 했음은 물론당대의 인간본질 논쟁을 가능케 했다.

病院勞使關係의 發展方向에 대한 考察

潘德鎭 서울大學校保健大學院 1992 國民保健硏究所硏究論叢 Vol.2 No.2

We had had five hospital labor unions in july, 1987, but the number of them has increased to 150 unions among 603 general hospitals(25%) in july, 1992. Such conditions is no wonder in the democratic society and makes labor unions encourage. But the problem is that the dispute of both sides is to assume serious aspect. On the side of employees, they want an sample compensation for their services, for example, higher wages, improvement of labor conditions, recognition of the labor union and promotion of the employees' well-being. But on the other hand, employers can not accept these demands because of limitation of doctors' fee with Nation Health Insurance System and they will not recognize the labor unions at hospital. As a result of the conflicts, employees go on a strike, but employers make no concession to the demand. Therefore there are hospitals that patients don't receive full examination and treatment. To establish the desirable labor-management relations: 1. To labor unions should try to establish democratic roles in them, have independence from other parts and contribute to productivity increase of hospital. 2. The managements must recognize equal relations, reform management strategy and renovate their consciousness. 3. The government need to formulate fair rules and carry out them squarely.

루소의 건강관리에 대한 현대적 고찰 : 『Emil』을 중심으로

반덕진 韓國保健敎育·健康增進學會 1999 보건교육건강증진학회지 Vol.16 No.1

A purpose of this study is to provide Rousseau's health theory and health education in 『Emile』. Though Rousseau was not so much a doctor as a philosopher, he was good at health care and health education. After he had thought over healthy children for 20 years, he had written 『Emile』 for 3 years. His health theory was included in the book. He was aware of the importance of mother's milk, clothes, and physical health. Especially, he told mothers to rear a child at the breast. He understood thoroughly the demerits of medicines, and made no account of doctors and medicines. But on the other hand, He emphasized natural healing power in human body. He thought that one oneself was a physician. He thought highly of inner healing. He thought that only hygiene of medicine was useful to mankind. he prescribed that hygiene was a kind of ethics education. Therefore, his hygiene was associated with mental health and moral evaluation. Because many years have passed, today we can not accept all his assertions. But we need to stress preventive medicines, spontaneous healing, and self-care in health education.

保健經濟學的 立場에서 본 Self-Medication : Health Care Economical point of View

반덕진 又石大學校 1996 論文集 Vol.18 No.-

醫療紛爭調停法案의 問題点과 改善方向에 관한 考察

潘德鎭 서울大學校保健大學院 1992 國民保健硏究所硏究論叢 Vol.2 No.2

A medical dispute results from the patient' claim that the medical accident he underwent was due to the physicians' medical faults. After all the astonishing progress of medical science, the medical dispute shows so much increasing tendency that it becomes a social problem of great seriousness. Therefore, the research on actual state of medical dispute and the theoretical study concerning medical malpratice have become the urgent tasks in our society. The causes of the increase in medical disputes consist of the factors of the demander's or supplier's side and the social conditions, such as the increased people's awareness of human rights, the depersonalization in patient-physician relationship, the commercialization of medicine, the non-existence of social compensation system for medical damage, and what not. So as to solve the problems of medical dispute, we should consider both the prevention side that may cause the cases of medical accident and the relief side that may compensate medical damages. Also we should establish a fair and persuasive norm of conduct and judicial judgment to protect maximum interests of patients on one hand, and to guarantee physician's free medical practice on the other hand. This paper dicusses issues resulted from the Mediation Law of Medical Malpratice Suit in Korea.

우리 나라 의약분업의 쟁점에 관한 연구

반덕진 又石大學校 1998 論文集 Vol.20 No.-

Separation of dispensary from medical pratice is that a doctor writes a prescription and pharmacist makes up a prescription. The purpose of this is to keep people from exceeding the prescribed dose to promote health condition of people. In occident this system has been enforced long ago, our country has made clear the principle of separation of dispensary from medical practice the pharmaceutical affairs law in the year 1963. But we has not carried out the law on account of protests of doctors and pharmacist yet. The korean government is going to execute separation of dispensary from medical practice in July 1, 1999. The purpose of paper is to analysises issues on korean separation of dispensary from medical practice.