한방의료의 이용행태 및 이용결정요인 분석 - 일부 대도시 지역주민을 중심으로 -

유왕근,류경아,Yoo Wang-Keun,Ryu Kyung-A 대한예방한의학회 2000 대한예방한의학회지 Vol.4 No.2

This study was conducted to examine utilization patterns and determinants of oriental medical services. Data were collected from 545 residents in Taegu city The results of this study are summarized as follows 1) 37.8% of subjects used oriental medical services in the past year. Especially, the female, the ages of 50 and 60 over, the single. low-educated. high-income class, white-collar class, medical insured tended to use more oriental medical services than another groups. 2) 46.7% of users of oriental medical services reported that number of visits in the past year was 2 - 5 times 37 1% of them was 1 times, and 4.5% over 10 times. 3) According to the reasons to choose the oriental medical facilities, most was 'on their own judgement'(48.8%) and 'by the advice of relatives and friends'(42.0%) Regarding to the objectives of using oriental medicine, 68.3% was 'treatment', 31.7% 'health counselling and promotion'. And among diseases of users, diseases of musculo-skeletal system was the highest(54.5%). 4) 57.9% of oriental medical services users had experience of utilizing western medicine on the same diseases. Among peoples with experiencing western medicine on the same diseases. 54.4% received oriental medical services 'in addition to western medicine', 45.6%'in place of western medicine 'And 41.2% of using both services reported that they had difficulty in deciding to choose the type of services -oriental medical services or western medicine-for their diseases. 37.3% of them answered that 'providing relevant information' was the most desirable measure to solve this problem, 27.3% 'establishment of effective referral system between oriental and western medical facilities '23.6% 'cooperative medical treatment systems in the same facilities', 11.8%'integration of oriental medicine into western medicine 5) According to the satisfaction level with each items of oriental medical services, the respondents had positive views on efficacy, kindness, and side-effects. They, however, had negative view on the cost of oriental medical services. 6) In regarding to the priority of improvement of oriental medical system,'expansion of insurance benefit package 'ranked first. 'expansion of insurance benefit Package 'ranked second, 'improvement of scientific methods and diagnostic technique 'third, and 'safety of herbal medicine' fourth in order. 7) The significant factors influencing the utilization of oriental medical services were kindness of oriental medical practitioners, efficacy , travel time, age To be brief, utilization rate of oriental medical services in urban area generally tends to be high. There, however, have been various barriers to limit oriental medical services, such as incomplete benefit package of oriental medical insurance and lack of coordination and referral system between oriental and western medical services, lack of scientific diagnostic procedures, high price etc . For the development of oriental medical services, Much attention to remove these limiting factors should be placed. In addition, kindness of oriental medical practitioners , which is expected to be more important factor in the consumer - focused health care environment than ever, should be kept high consistently. Since this study was conducted for specific residents of an urban city. further research including more sampling in different urban areas should be required to generalize the results of the study.

몽골 전통의료의 현황 및 역사적 발달과정

유왕근,Yoo, Wang Keun 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.2

Objective : The aim of this study is to review the historical development and current situation of Mongolian traditional medicine. Method : Systematic literature review for books, journals, governments statistics, reports on mongolian traditional medicine was carried out. Results : The theory of Mongolian traditional medicine is influenced by the philosophy and medical theories of the ancient orient such as India, Tibet and China-theories of hot and cold, principle of yin and yang and five elements. There are very unique treatments like brain tram concussion, fermented horse milk treatment as well as moxibustion, acupuncture, and blood letting. It appears that they are very closed to nomadic life. Training program of each institutes need to be standardized. Mongolian traditional medicine had been almost destroyed by the influence of communist idea from 1930s until the end of the 1980s. Since 1990, Mongolian government put much emphasis on the development of traditional medicine. And now about 3.7% of total beds is traditional medicine one and that there are six TM schools and the total number of traditional medicine in 2012 is 1696. However, there are still the lack of manpower, facilities, standardized training program and scientific research for traditional medicine. Conclusion : Mongolian traditional medicine has been developed over centuries in response to Mongolia's unique geographical and climate conditions and the lifestyles of its people and that made contribution to the health of mongolian people. However, it needs to be strengthened because there are poor infrastructure and training program.

한방의료서비스에 대한 인식도 및 개선요구도

유왕근,Yoo Wang-Keun 대한예방한의학회 2003 대한예방한의학회지 Vol.7 No.2

This study was conducted to examine the recognition level of the people on oriental medical Services and the need for it's improvement. Data were collected from 1174 residents in Daegu metropolitan city and Gyungbuk province. According to the satisfaction level with each items of oriental medical services, the respondents had positive views on efficacy, kindness, and side-effects. They, however, had negative view on the cost of oriental medical services. In regarding to the priority of improvement of oriental medical system, 'expansion of insurance benefit package' ranked first. Followed by 'safety of herbal medicine(heavy metal/pesticides)', 'improvement of scientific methods and diagnostic technique' etc. For the further development of oriental medical services in the consumer - focused and evidenced-based health care environment, much attention to implement relevant health policy reflecting user's need positively should be made.

한양방 협진에 대한 한의대생들의 인식도

유왕근,김경숙,Yoo, Wang-Keun,Kim, Kyung-Suk 대한예방한의학회 2005 대한예방한의학회지 Vol.9 No.2

The purpose of this study is to examine the recognition of the student of oriental medical school on cooperative system between Oriental and Western medicine and to provide basic information for the development of oriental medicine. In order to look at the level of recognition on cooperative system between Oriental and Western medicine, from September 1st to 15th of 2005, this study had been conducted through personal interview and questionnaires to 600 students who were attending the Department of Oriental Medicine (in both prep and regular courses) in D University, located in the City of Daegu. The data has been analyzed using statistic program, the SPSS WIN 12.0. Statistical analysis tools used for this study were frequency analysis, cross-over analysis and the t-test. The results are as follows; The students of oriental medical school had relatively high level of recognition on the basic concept, interests, necessity and potential for cooperative system between Oriental and Western medicine. However, they had negative understandings on the issue of unification of the two medical systems and it's possibility in the future. The students were optimistic about possible merits of cooperative system between Oriental and Western medicine, especially in the field of rehabilitation. On the reasons for lack of development of cooperative system between Oriental and Western medicine, the students listed prejudices existing on both sides firstly, followed by their contrasting approach on human illness, lack of legal and institutional support system, the indifferences of doctors and indifferences of oriental medical doctors. In addition, students understood that the dualism existing in our current medical system is aggravating mutual distrust between the two sides, causing the confusion of patients on the choice of medical facilities, and raising their medical bills. Therefore, in order to vitalize collaboration between Oriental and Western medicine in new health care environment, the following measures should be needed decreasing the prejudices between the two medical spheres with open mind improving educational programs in Western and Oriental medical schools; promoting joint academic research or exchange programs between the schools, and increasing government effort to minimize legal and institutional restrictions cooperative system between Oriental and Western medicine.

대체의료에 대한 한의사들의 인식도

유왕근,이희완,Yoo, Wang-Keun,Lee, Hi-Wan 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.2

This study was carried out to examine the attitude and recognition of oriental medical doctors on alternative medicine, which is increasingly used across the country. The data were collected from 264 oriental medical doctors who were working in oriental medical clinics in Daegu City, Gyeongbuk Province, using self-administered questionnaire from 1 March to 15 April 2007. Generally, the respondents have some positive attitude and recognition on alternative medicine including knowledge, interest and usefulness, efficacy of alternative medicine. However, they have some negative view on the expense of alternative medicine. And they also thought that introducing alternative medicine in their clinics was needed for better treatment and actually about 70% of the respondents recommended or applied alternative medicine to their patients. Around 40% of the respondents did not have the chance of education on alternative medicine officially. About 60% of the respondents thought that the oriental medical school was the best institute to provide the education of alternative medicine, followed by the oriental medical doctors's association. For the development of alternative medicine, they thought that the scientific research on alternative medicine by oriental medical doctors and professionals was highly needed.

한약재 품질관리실태에 대한 한방의료기관 종사자들의 인식도

김광수,유왕근,Kim Kwang-Su,Yoo Wang-Keun 대한예방한의학회 2003 대한예방한의학회지 Vol.7 No.1

This study was conducted to examine recognition of oriental medical doctors on the quality control of herbal medicine and to provide useful information for the establishment of effective quality control system of herbal medicine. Data were collected from 202 oriental medical doctors working in oriental medical hospitals or clinics in Daegu-Gyungbuk province. Generally, there is a tendency that most respondents have low degree of recognition, trust and satisfaction of the quality control of herbal medicine while they think standardization and complete quality control systems of herbal medicine is needed highly. Thus, in order to increase confidence of consumers in herbal medicine, and to increase the utilization of oriental medical services, both strengthening of quality control systems and standardization and establishment of Oriental KFDA as a new government agency responsible for the work should be required.

피부건조증 환자에 대한 아로마오일 사용시 스킨 pH.소양증 변화

김은정,유왕근,Kim Eun-Jeong,Yoo Wang-Keun 대한예방한의학회 2004 대한예방한의학회지 Vol.8 No.2

Objectives : This study was designed to identify the possibility of aroma oils as the complementary medical goods specially for the effects of aromatheraphy on xerosis cutis. Materials and Methods : The participants were 23 adult patients and all participants of this study use aroma oils which is known to effect on xerosis cutis. The subjects consist of voluntary patients with xerosis cutis in Seong-So Hospital in Andong Kyoungbuk, Korea. From April 1st to April 30th, 2004 for 4 weeks, the subjects massaged aroma oils on itching parts or the whole body. Aroma oils were Lavender, Losemary, Jasmine and blended drop by drop per 10ml jojoba oil which used a carrier oil. Skin pH was measured with a skin pH meter(Model : HI98110, Se-Chang instruments, made in Portuga. After 4weeks using aroma oils, the participants answered questions about the feeling of satisfaction with aroma oils. Results : Changes in the physiological indices. The mean deviation of skin pH was $5.58{\pm}0.47$ points before using aroma oils and $5.53{\pm}0.45$ points after 2 weeks, no statistical significance was found(p=0.221). MD was $5.36{\pm}0.41$ points after 4 weeks using aroma oils, which was statistically significant decrease of 0.22 points(p=0.001) Changes on the Pruritus Score Scale. A modified scale of the Pruritus Score Scale(Duo, 1987) was used to measure the severity, location, frequency, and the inconveniences of daily life due to prurius. The maximum scale of severity was 4 points, the full marks of location was 2 points, the full marks of frequency was 3 points, the full marks of inconveniences of daily life due to pruritus was 3 points. The scores ranged from 0 to 12, with 12 indicating the most severe pruritus. There was no statistical difference in severity and frequency score at 4 weeks later(severity p=0.097, frequency p=0.633). A statistically significant difference was found in the score of location and the inconveniences of daily life due to pruritus(each p=0.003). Conclusion : Generally speaking, the patient suffering from renal itch is the higher than normal in skin pH levels. that means to show alkaline condition of skin surface. In some case in this study, skin pH levels was rather lower than normal levels when measured actually patients suffering from renal itch by skin pH meter. But in this study post-test skin pH levels decreased, showing the contribution of aromathrapy to acidic condition of skin surface in suffering from renal itch. It seems to be some help to cure a pruritus and also have no ill effects on aroma oils.

전신 밸런스 테이핑요법이 인체균형과 통증에 미치는 영향

양경한,유왕근,Yang, Kyung-Han,Yoo, Wang-Keun 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.2

The purpose of this study is to examine whether whole-body balance taping therapy could contribute to take balance of all of the body and to decrease the pain. Data were collected from 20 people who received the treatments of physical therapy in one welfare center of Daegu city for four weeks from 6. Jan. 2003 to 7. Feb. 2003. A simple questionnaire and VAS for evaluation of a pain degree was used. And the Biomyth 7 was used to measure the whole-body balance and the sample exercise protocol for KAT 2000, which is a balance training device tool, was also used as an evaluation tool. The result of the study showed that balance level of human body was improved after receiving the whole-body balance taping therapy. Total, Right Left, Front, Back score of the balance level before the therapy was 1033.6, 656.1, 377.6, 639.9, 394.5 respectively. However, the scores of them after the therapy was decreased to 432.0(p<0.01), 293.2(p<0.01), 142.3, 287.7(p<0.05), 143.9(p<0.05) respectively. And the degree of pain before the therapy in the Back and Knee was 6.1, 6.7 respectively. However, the degree of the pain after the therapy was decreased to 3.1(p<0.01), 3.1(p<0.01) respectively. Further studies using case - control groups are required because this study only deal with the before-after test for the same group.

수중운동이 무릎퇴행성관절염 여성 환자에 미치는 영향

박진식,유왕근,정현숙,한종만,양경한,Park, Jin-Sik,Yoo, Wang-Keun,Jung, Hyun-Suk,Han, Jong-Man,Yang, Kyung-Han 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.3

The purpose of this study was to investigate the effect of aqua exercise on women 50 years of age or older with knee degenerative arthritis, and then examining the therapeutic value of aqua exercise in degenerative arthritis of the knee. The subjects of the study were 115 residents 50 years of age or older who had been diagnosed as degenerative arthritis of the knee by doctors from medical institutions and applied for the aqua exercise program in the Public Health Care Center in Suseong-gu in 2006 and 2007. Experiments were conducted to all the subjects with the application of the 8-week aqua exercise program (2 times a week, 50 minutes a time), designed in the study, and the differences before and after the aqua exercise were compared through questionnaires for measuring the state of the body such as the knee extension angles, weight, body fat, and abdominal obesity. The data was analyzed by t-test and the Wilcoxon method through SPSS 14.0 and the statistical significance level ${\alpha}$ was set at 0.05 and 0.01. The results of the study are as the following. First, In comparison of before and after the aqua exercise, there was improvement in the extension angle of the right knee(p<0.01), while there was some improvement in the extension angle of the left knee, it was not significant. Second, In comparison of before and after the aqua exercise there were statistically significant differences in weight(p<0.05), body fat ratio, and abdominal obesity(p<0.01). The results of this study showed that the aqua exercise program to female patients with knee degenerative arthritis significantly increased the extension angle of the knee. Therefore it is thought that aqua exercise is an effective meditating method to improve their symptoms of female patients 50 years of age or older

불현성 갑상선 기능저하증과 혈청 총 콜레스테롤, 저밀도 콜레스테롤 농도와의 상관성

석성자,유왕근,Seok, Seong-Ja,Yoo, Wang-Keun 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.1

This study was carried out in 14,443 subjects(8,706 men, 5,737 women, mean age $41.8{\pm}9.16$) who visited the health promotion center of one university hospital. Serum $T_3$, $T_4$ and TSH concentrations were measured with CIA using commercial kits on ADVIA Centaur Assay and Serum total cholesterol, triglyceride, and HDL-cholesterol were measured by auto-analyzer Hitach 7600 in enzyme method. 1. The prevalence of subclinical hypothyroidism was 12.6/1,000 population(men 6.0/1,000, women 22.7/1,000) and as high as about 4 times in women than in men. 2. In subclinical hypothyroidism, the values of total cholesterol and LDL-cholesterol were significantly high by 5.5 mg/dL, 4.6 mg/dL compared with normal group(p<0.05). 3. In all the tested hypercholesterolemia and hyperLDL-cholesterolemia, were correlated with TSH. There is higher correlation in women group than men group. These results indicate that the subclinical hypothyroidism and dyslipemia significantly correlated. Especially, it is very important to find that the hypercholesterolemia and hyperLDL-cholesterolemia are the high risk factors of atherosclerosis. Therefore, it is essential for the group of subclinical hypothyroidism to take the cholesterol, LDL-cholesterol and serum lipid test as well as thyroid function test.