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JKM > Volume 42(3); 2021 > Article
Kim, Chae, Ko, Jo, Jang, Kim, Kim, Park, Hwang, Goo, Park, Baek, Nam, and Seo: A Study on the Development and Application of Korean Medical Critical Pathway of Lumbar Disc Herniation in Four Different Medical Associations

Abstract

Objectives

A critical pathway defines the optimal care process, sequencing and timing of intervention by multi-disciplinary health care teams for a particular diagnosis and procedure. It plays an important role as a cost-effective health care delivery system and a tool for quality control of medical and dental services by means of standardizing medical practices. The aim of this study is to investigate the satisfaction of patients and medical staff after implementation of a critical pathway for Korean medical treatment of lumbar disc herniation in integrative medical.

Methods and Results

The pre-critical pathway group included 3 patients who underwent the implementation procedure from October 2020. All three patients have successfully been applied critical pathways during inpatient and outpatient treatment. Additionally, medical staff members were satisfied with the usefulness of the critical pathway.

Conclusions

The implementation of critical pathway for the Korean medical treatment with lumbar disc herniation in integrative medical hospital can appraise possible applicability in actual clinical field.

Fig. 1
Time task matrix for inpatient management in integrative medical hospital
jkm-42-3-1f1.gif
Fig. 2
Time task matrix for outpatient management in integrative medical hospital
jkm-42-3-1f2.gif
Table 1
Outcome Measures in Implementation of Critical Pathway
환자 구분 병력청취 진단검사
확인
이학적
검사
증상평가
템플릿
변증
템플릿
교육자료
안내
만족도
설문
CP
완료
조OO 외래 aEQ-5D-5L
bODI
cNRS
이OO 외래 EQ-5D-5L
ODI
NRS
이OO 입원 EQ-5D-5L
ODI
NRS
dSF-36

a EQ-5D-5L: Euro-Quality of Life – 5 dimensions – 5 Likert Scale.

b ODI: Oswestry Disability Index

c NRS: Numeral Rating Scale

d SF-36: Shot Form Survey of 36 Items

참고문헌

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