Home | Register | Login | Inquiries | Alerts | Sitemap |  


Advanced Search
JKM > Volume 38(3); 2017 > Article
Kwon, Kim, Eom, Park, Kim, Park, and Kim: Survey of Korean Medicine Military Doctors for Establishing Clinical Evidence of Korean Medicine Treatment in Military Medical Service

Abstract

Objectives

The purpose of this study was to investigate the status of Korean medicine treatment, and to analyze problems and demands to provide basic data on Korean medicine in military medical services.

Methods

This survey was completed by 30 volunteer Korean medicine military doctors on service via a web-based questionnaire system. The questionnaire was developed through in-depth interviews with Korean medicine military doctors and consisted of general information on the subject, overall characteristics of the medical environment, current status of Korean medicine care in each workplace, problems and needs, and related clinical evidence and education.

Results

Korean medicine military doctors administered acupuncture treatment most frequently in clinical practice. The most common complaints were related to musculoskeletal diseases, which accounted for 86.5% of all diseases, including those of the respiratory, digestive, and nervous systems. Most of the problems in Korean medicine care were pointed out as being due to a lack of awareness of Korean medicine in the military. Many doctors were aware that it is necessary to establish clinical evidence for Korean medicine in the military, and were also positive about the possibility of performing clinical research in the military, but the experience of actual participation in clinical research or related education was uncommon.

Conclusions

Korean medicine military treatment differs from private medical care due to the specificity of each workplace and the military medical system. In the future, it will be necessary to establish an appropriate Korean medicine treatment model in the military suitable for these characteristics and strategic plans for clinical evidence.

Fig. 1
Korean medicine treatment available in workplace and the most frequent treatment
jkm-38-3-73f1.gif
Fig. 2
The most frequent outpatient disease
jkm-38-3-73f2.gif
Fig. 3
Korean medicine treatment of the frequent outpatient disease
jkm-38-3-73f3.gif
Fig. 4
Disease priority in military medical service
jkm-38-3-73f4.gif
Table 1
The Type and Region of Workplace
Hospital Division Regiment/Battalion Etc Total
Seoul 1(3.3%) 1(3.3%) 1(3.3%) 4(13.3%) 7(23.3%)
Gyeonggi-do 0(0.0%) 8(26.7%) 2(6.7%) 0(0.0%) 10(33.3%)
Gangwon-do 1(3.3%) 3(10.0%) 1(3.3%) 1(3.3%) 6(20.0%)
Etc 1(3.3%) 2(6.7%) 1(3.3%) 3(10.0%) 7(23.3%)
Total 3(10.0%) 14(46.7%) 5(16.7%) 8(26.7%) 30(100.0%)
Table 2
The Specialty and Number of Military Doctors
Hospital Division Regiment/Battalion Etc Total
Internal medicine 3(100.0%)/3.7 14(100.0%)/1.4 2(40.0%)/0.8 5(62.5%)/0.8 24(80.0%)/1.3
Surgery 3(100.0%)/1.3 4(28.6%)/0.3 1(20.0%)/0.4 2(25.0%)/0.4 10(33.3%)/0.4
Orthopedic surgery 3(100.0%)/2.7 13(92.9%)/1.0 4(80.0%)/0.8 7(87.5%)/1.0 27(90.0%)/1.1
Neurosurgery 2(66.7%)/1.0 2(14.3%)/0.1 0(0.0%)/0.0 1(12.5%)/0.1 5(16.7%)/0.2
Psychiatry 1(33.3%)/0.7 12(85.7%)/0.9 0(0.0%)/0.0 1(12.5%)/0.1 14(46.7%)/0.5
Otolaryngology 3(100.0%)/1.7 5(35.7%)/0.4 1(20.0%)/0.2 2(25.0%)/0.3 11(36.7%)/0.4
Dermatology 3(100.0%)/1.0 4(28.6%)/0.3 1(20.0%)/0.2 1(12.5%)/0.1 9(30.0%)/0.3
Dentistry 3(100.0%)/3.7 13(92.9%)/2.3 1(20.0%)/0.6 3(37.5%)/0.6 20(66.7%)/1.7
Other 2(66.7%)/1.0 2(14.3)/0.1 2(40.0%)/1.0 3(37.5%)/1.3 9(30.0%)/0.7
Table 3
The Equipments and Supplies Available in Workplace
Hospital Division Regiment/Battalion Etc Total
X-ray 3(100.0%) 14(100.0%) 3(60.0%) 5(62.5%) 25(83.3%)
CT 2(66.7%) 1(7.1%) 0(0.0%) 0(0.0%) 3(10.0%)
MRI 2(66.7%) 0(0.0%) 0(0.0%) 0(0.0%) 2(6.7%)
Laboratory test 3(100%) 11(78.6%) 1(20.0%) 1(12.5%) 16(53.3%)
Acupuncture 3(100.0%) 14(100.0%) 5(100.0%) 8(100.0%) 30(100.0%)
EA 3(100.0%) 6(42.9%) 4(80.0%) 2(25.0%) 15(50.0%)
Pharmacopuncture 2(66.7%) 3(21.4%) 2(40.0%) 1(12.5%) 8(26.7%)
Moxibustion 3(100.0%) 12(85.7%) 5(100.0%) 5(62.5%) 25(83.3%)
Cupping 3(100.0%) 14(100.0%) 5(100.0%) 6(75.0%) 28(93.3%)
Taping 2(66.7%) 9(64.3%) 5(100.0%) 6(75.0%) 22(73.3%)
Physical therapy 3(100.0%) 14(100.0%) 3(60.0%) 5(62.5%) 25(83.3%)
Chuna bed 3(100.0%) 0(0.0%) 1(20.0%) 2(25.0%) 6(20.0%)
Herbal medicine 3(100.0%) 14(100.0%) 4(80.0%) 7(87.5%) 28(93.3%)
Etc 1(33.3%) 1(7.1%) 2(40.0%) 0(0.0%) 4(13.3%)

CT; Computed Tomography, MRI; Magnetic Resonance Imaging, Electroacupuncture; EA

Table 4
Distribution of Disease Categories for Korean Medicine Visit in Military Medicine
Hospital Division Regiment/Battalion Etc Total
Musculoskeletal 80.0% 88.8% 84.0% 86.3% 86.5%
Digestive 6.0% 3.6% 4.4% 4.6% 4.2%
Respiratory 5.0% 3.8% 7.0% 4.5% 4.6%
Neurological 8.3% 2.9% 4.6% 2.7% 3.7%
Etc 0.7% 0.9% 0.0% 1.9% 0.9%
Table 5
Type of Musculoskeletal Disorders
Hospital Division Regiment/Battalion Etc Total
Neck 25.0% 14.9% 18.0% 15.7% 16.7%
Shoulder 18.3% 9.4% 15.0% 14.3% 12.5%
Lowback 33.3% 49.1% 26.0% 22.1% 37.0%
Knee 6.7% 10.0% 13.0% 14.3% 11.2%
Ankle 15.0% 15.7% 26.0% 31.4% 21.2%
Etc 1.7% 0.9% 2.0% 2.1% 1.4%
Table 6
Problems of Korean Medicine Military Medical Service
Hospital Division Regiment/Battalion Etc Total
The location and condition of workplaces 33.3% 21.4% 20.0% 25.0% 23.3%
Process of treatment, transfer, and approval system 0.0% 14.3% 0.0% 12.5% 10.0%
Facilities and budget 33.3% 42.9% 60.0% 75.0% 53.3%
Lack of recognition of Korean medicine 33.3% 71.4% 60.0% 62.5% 63.3%
Table 7
Preference of Korean Medicine Treatment
Very low Low Medium High Very high
Hospital 0(0.0%) 1(33.3%) 0(0.0%) 0(0.0%) 2(66.7%)
Division 2(14.3%) 4(28.6%) 1(7.1%) 6(42.9%) 1(7.1%)
Regiment/Battalion 0(0.0%) 0(0.0%) 1(20.0%) 4(80.0%) 0(0.0%)
Etc 1(12.5%) 3(37.5%) 2(25.0%) 2(25.0%) 0(0.0%)

Acu/Mox 0(0.0%) 6(35.3%) 3(17.6%) 7(41.2%) 1(5.9%)
Internal 1(14.3%) 1(14.3%) 1(14.3%) 3(42.9%) 1(14.3%)
Etc 2(33.3%) 1(16.7%) 0(0.0%) 2(33.3%) 1(16.7%)

Seoul 0(0.0%) 1(14.3%) 2(28.6%) 4(57.1%) 0(0.0%)
Gyeonggi-do 1(10.0%) 1(10.0%) 1(10.0%) 6(60.0%) 1(10.0%)
Gangwon-do 0(0.0%) 3(50.0%) 0(0.0%) 2(33.3%) 1(16.7%)
Etc 2(28.6%) 3(42.9%) 1(14.3%) 0(0.0%) 1(14.3%)

First-year 0(0.0%) 1(16.7%) 1(16.7%) 3(50.0%) 1(16.7%)
Second-year 1(16.7%) 3(50.0%) 1(16.7%) 1(16.7%) 0(0.0%)
Third-year 2(13.3%) 4(26.7%) 1(6.7%) 8(53.3%) 0(0.0%)
Long-service 0(0.0%) 0(0.0%) 1(33.3%) 0(0.0%) 2(66.7%)

Total 3(10.0%) 8(26.7%) 4(13.3%) 12(40.0%) 3(10.0%)
Table 8
Necessity of Establishing Clinical Evidence of Korean Medicine Treatment in Military Medical Service
Clinical evidence Manual Education
None 0.0% 0.0% 0.0%
Little 0.0% 6.9% 3.3%
Medium 27.6% 17.2% 43.3%
Necessary 34.5% 48.3% 43.3%
Very necessary 37.9% 27.6% 10.0%
Average likert score 4.10 3.97 3.60

참고문헌

1. Chun SJ, & Moon CB. Current status and future policy direction of military medical policy. Korea Institute for Defense Analyses;(2016.


2. Chae H. Study on Modeling of Oriental Medicine for Military Medical Service. J for Neo Medicine;(1998). 3(1):33-65.


3. Petri RP, & Delgado RE. Integrative Medicine Experience in the U.S. Department of Defense. Medical acupuncture;(2015). 27(5):328-34.
crossref

4. Williams VF, Clark LL, & McNellis MG. Use of complementary health approaches at military treatment facilities, active component, U.S. Armed Forces, 2010–2015. Msmr;(2016). 23(7):9-22.


5. Medicine SAoTC. Yearbook of traditional Chinese medicine of China. (2011.


6. Guan L, Zou Y, & Yang YL. Observation on therapeutic effect of myofascial pain syndrome of the back in the military soldiers treated with moxibustion. Chinese acupuncture & moxibustion;(2012). 32(7):597-601.


7. Kumnerddee W. Effectiveness comparison between Thai traditional massage and Chinese acupuncture for myofascial back pain in Thai military personnel: a preliminary report. Journal of the Medical Association of Thailand = Chotmaihet thangphaet;(2009). 92(Suppl 1):S117-23.


8. Hernandez TD, Brenner LA, Walter KH, Bormann JE, & Johansson B. Complementary and alternative medicine (CAM) following traumatic brain injury (TBI): Opportunities and challenges. Brain research;(2016). 1640(Pt A):139-51.
crossref

9. Jonas WB, Bellanti DM, Paat CF, Boyd CC, Duncan A, & Price A, et al. A Randomized Exploratory Study to Evaluate Two Acupuncture Methods for the Treatment of Headaches Associated with Traumatic Brain Injury. Medical acupuncture;(2016). 28(3):113-30.
crossref

10. Kwon S, Shin K, Jung W, Moon S, & Cho K. Acupuncture therapy for fever induced by viral upper respiratory tract infection (URTI) in military medical service: a case series. Acupuncture in medicine : journal of the British Medical Acupuncture Society;(2014). 32(6):509-11.
crossref

11. Moss DA, & Crawford P. Ear Acupuncture for Acute Sore Throat: A Randomized Controlled Trial. Journal of the American Board of Family Medicine;(2015). 28(6):697-705.
crossref

12. Engel CC, Cordova EH, Benedek DM, Liu X, Gore KL, & Goertz C, et al. Randomized effectiveness trial of a brief course of acupuncture for posttraumatic stress disorder. Medical care;(2014). 52(12 Suppl 5):S57-64.
crossref

13. King HC, Spence DL, Hickey AH, Sargent P, Elesh R, & Connelly CD. Auricular acupuncture for sleep disturbance in veterans with post-traumatic stress disorder: a feasibility study. Military medicine;(2015). 180(5):582-90.
crossref

14. Choi HS. A Study on Research for Utilization Acupuncture Treatment in Military Medicine. Journal of Korean Medicine Rehabilitation;(2016). 26(3):85-95.
crossref

15. Lee SD, & Choi CH. A Comparative Study on the necessity of the oriental and western Medicine doctor in the Army. Journal of Society of Preventive Korean Medicine;(1998). 2(1):67-79.


16. Niemtzow RC, Burns SM, Cooper J, Libretto S, Walter JAG, & Baxter J. Acupuncture Clinical Pain Trial in a Military Medical Center: Outcomes. Medical acupuncture;(2008). 20(4):255-61.
crossref

17. 2015 Statitical annual report of Military Manpower (I). Military Manpower Administration;(2016.


Editorial office contact information
3F, #26-27 Gayang-dong, Gangseo-gu Seoul, 157-200 Seoul, Korea
The Society of Korean Medicine
Tel : +82-2-2658-3627   Fax : +82-2-2658-3631   E-mail : skom1953.journal@gmail.com
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Developed in M2PI