A Survey Study on the Perception for Development of Integrated Medical Service Model and Its Application in Clinical Field - A Survey study with Doctors and Korean Medicine Doctors -

Sangwoo Seo; Hyungsuk Kim; Seung Hyeun Lee; Moonkyoo Kong; Beom-Joon Lee; Sung Hyuk Heo; Seung-won Kwon; Bong Jin Park; Dong Hwan Yun; Euiju Lee; Hyunjoo Oh; Sung-Bum Kim; Hye-Sook Choi; Kwan-Il Kim; Won-Seok Chung; Seo, Sangwoo; Kim, Hyungsuk; Lee, Seung Hyeun; Kong, Moonkyoo; Lee, Beom-Joon; Heo, Sung Hyuk; Kwon, Seung-won; Park, Bong Jin; Yun, Dong Hwan; Lee, Euiju; Oh, Hyunjoo; Kim, Sung-Bum; Choi, Hye-Sook; Kim, Kwan-Il; Chung, Won-Seok

doi:10.13048/jkm.23006

JKM > Volume 44(1); 2023 > Article

Seo, Kim, Lee, Kong, Lee, Heo, Kwon, Park, Yun, Lee, Oh, Kim, Choi, Kim, and Chung: A Survey Study on the Perception for Development of Integrated Medical Service Model and Its Application in Clinical Field

Original Article

The Journal of Korean Medicine 2022; 44(1): 65-75.

Published online: March 1, 2023

DOI: https://doi.org/10.13048/jkm.23006

A Survey Study on the Perception for Development of Integrated Medical Service Model and Its Application in Clinical Field:

- A Survey study with Doctors and Korean Medicine Doctors -

Sangwoo Seo¹^{, †}

, Hyungsuk Kim²^{, †}

, Seung Hyeun Lee³

, Moonkyoo Kong⁴

, Beom-Joon Lee⁵

, Sung Hyuk Heo⁶

, Seung-won Kwon⁷

, Bong Jin Park⁸

, Dong Hwan Yun⁹

, Euiju Lee¹⁰

, Hyunjoo Oh¹

, Sung-Bum Kim⁸

, Hye-Sook Choi³

, Kwan-Il Kim⁵

, Won-Seok Chung²^{, *}

¹Department of Clinical Korean Medicine, College of Korean Medicine, Graduate School, Kyung Hee University

²Department of Korean Medicine Rehabilitation, Kyung Hee University, Kyung Hee University

³Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Kyung Hee University, College of Medicine

⁴Division of Lung & Head and Neck Oncology, Department of Radiation Oncology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine

⁵Division of Allergy, Immune and Respiratory System, Department of Internal Korean Medicine, Kyung Hee University College of Korean Medicine

⁶Department of Neurology, College of Medicine, Kyung Hee University

⁷Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University

⁸Department of Neurosurgery, College of Medicine, Kyung Hee University

⁹Department of Physical Medicine and Rehabilitation Medicine, College of Medicine, Kyung Hee University

¹⁰Department of Sasang Constitutiional Medicine, College of Korean Medicine, Kyung Hee University

Correspondence to: (Won-Seok Chung, K.M.D.), Department of Korean Medicine Rehabilitation, Kyung Hee University, Kyung Hee University, Kyung Hee University Korean Medicine Hospital, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea, Tel +82-2-958-9225, Fax +82-958-9294, E-mail omdluke@khu.ac.kr

† First two authors contributed equally to this study and should be considered as joint first authors

Received April 7, 2022 Revised July 13, 2022 Accepted July 14, 2022

Abstract

Objectives

Objectives: In this study, we define a medical service type that combines Western medicine, Korean medicine, and complementary and alternative medicine (CAM) as an integrated medical service. This study, as part of tertiary hospital-based integrated medical service model and clinical field application, aims to collect status and opinions on integrated medical service for medical staff in the field.

Methods

This is a survey study, and was conducted on doctors from Kyung Hee University Hospital and Korean medicine doctors from Kyung Hee University Korean Medicine Hospital. Respondents were recruited on a first-come, first-served basis until the number of respondents reached 120. The investigation was conducted for a total of 16 days from October 4, 2021 to October 19, 2021 by e-mail.

Results

Recognition of integrated medical services was confirmed to be 45.8%, and 49.2% responded positively to the necessity of it. As a group of diseases that require the establishment of integrated medical services in the future, ‘disorders of musculoskeletal systems and connective tissues’ was the highest. The most expected advantages of providing integrated medical services were 'increased satisfaction of patients and guardians' and 'increased treatment effects.’

Conclusions

In this study, we investigated the perception of doctors and Korean medicine doctors on integrated medical services that combine Western medicine, Korean medicine, and CAM. It has been confirmed that medical staff generally have a positive perception of integrated medical services, and if the scientific basis for the effect of integrated medical services is supported, the rate of positive perception is expected to increase.

Keywords: Korean medicine, Western medicine, Complementary and alternative medicine, Integrative medical service, Surveys

Fig. 1

Potential Benefits of Providing Integrated Medical Services

Fig. 2

Reasons for Not Using Integrated Medical Service (Multiple choice)

Table 1

Demographic Characteristics of Responders

License		Doctor	Korean Medicine Doctor	Total
License		86, 71.7%	34, 28.3%	120

Sex	Male	51, 31.7%	17, 14.2%	68, 56.7%
Sex	Female	35, 29.1%	17, 14.2%	52, 43.3%

Age	Under 30	10, 8.3%	19, 15.8%	29, 24.2%
	30–39	47, 39.2%	7, 5.8%	54, 45.0%
	40–49	19, 15.8%	5, 4.2%	24, 20%
	Over 50	10, 8.3%	3, 2.5%	13, 10.8%

Field experience	Under 5 years	38, 31.7%	20, 16.7%	58, 48.3%
	5–9 years	16, 13.3%	5, 4.2%	21, 17.5%
	10–19 years	19, 15.8%	6, 5.0%	25, 20.8%
	Over 20 years	13, 10.8%	3, 2.5%	16, 13.3%

Table 2

Awareness of Integrated Medical Service

License	Doctor	36 (41.9%)
License	Korean Medicine Doctor	19 (55.9%)

Field experience	Under 5 years	21 (36.2%)
	5–9 years	9 (42.9%)
	10–19 years	15 (60.0%)
	Over 20 years	10 (62.5%)

Total		55 (45.8%)

Table 3

The Needs for Integrated Medical Services

	Need (%)	Neither need nor doesn’t need (%)	Doesn’t need (%)	5 point Likert scale
Doctor	32.6	32.6	34.9	2.81
Korean Medicine Doctor	91.2	8.8	0.0	4.21
Total	49.2	25.8	25.0	3.21

Table 4

The Needs to Expand Health Insurance Support for Integrated Medical Services

	Need (%)	Neither need nor doesn’t need (%)	Doesn’t need (%)	5 point Likert scale
Doctor	27.9	36.0	36.0	2.81
Korean Medicine Doctor	100.0	0.0	0.0	4.59
Total	48.3	25.8	25.8	3.32

Table 5

Selections of Mediation for Integrated Medical Service (Medicine) (Multiple choice)

	Doctor (%)	Korean medicine Doctor (%)	Total (%)
Surgery	83.7	97.1	87.5
Administration(medicine)	82.6	91.2	85.0
Procedure	83.7	76.5	81.7
Injection	75.6	85.3	78.3
Radiation therapy	72.1	91.2	77.5
Anesthesia	69.8	76.5	71.7
Physical therapy	55.8	47.1	53.3
Psychotherapy	55.8	29.4	48.3
None	1.2	0.0	0.8

Table 6

Selections of Mediation for Integrated Medical Service (Korean Medicine) (Multiple choice)

	Doctor (%)	Korean medicine Doctor (%)	Total (%)
Acupuncture	77.9	100.0	84.2
Herbal medicine(Liquid)	40.7	97.1	56.7
Chuna therapy	38.4	94.1	54.2
Korean medicine physical therapy	44.2	79.4	54.2
Cupping	34.9	94.1	51.7
Moxibustion	32.6	97.1	50.8
Pharmacopucture/Bee venom acupuncture	29.1	94.1	47.5
Herbal medicine(non Liquid)	25.6	100.0	46.7
Psychotherapy	18.6	61.8	30.8
None	2.3	0.0	1.7

Table 7

Selections of Mediation for Integrated Medical Service (CAM) (Multiple choice)

	Doctor (%)	Korean medicine Doctor (%)	Total (%)
Exercise therapy	76.7	91.2	80.8
Nutritional therapy	74.4	85.3	77.5
Laughter therapy	40.7	41.2	40.8
Art therapy	36.0	41.2	37.5
Music therapy	36.0	38.2	36.7
Qigong	17.4	61.8	30.0
Movie therapy	25.6	29.4	26.7
None	1.2	0.0	0.8

Table 8

Any Utilization plans when Integrated Medical Service is Established in the Future

	Yes (%)	Neither yes nor no (%)	No (%)	5 point Likert scale
Doctor	33.7	37.2	29.1	2.92
Korean Medicine Doctor	100.0	0.0	0.0	4.62
Total	52.5	26.7	20.8	3.40

참고문헌

1. Lee, KJ, Lee, GR, & Song, YK. (2019). A Report on the Status of Cooperation through the Korean Medicine and Western Medicine Collaboration Process. J Korean Med Rehabil, 29(3), 129-39.

2. Lee, SJ. (2012). What Does Integrative Medicine Mean to the Physician and the Ministry of Health and Welfare? J Korean Med Assoc, 55(6), 508-511.

3. Goulding, MR, Rogers, ME, & Smith, SM. (2003). Public health and aging: Trends in aging—United States and worldwide. JAMA, 289, 1371-1373.

4. Kim, HS, Yoo, BN, & Lee, EW. (2018). Evaluation of the national chronic diseases management policy: performance and future directions. Public Health Affairs, 2(1), 105-120.

5. Seo, SW, Kim, HS, Lee, SH, Kong, MK, Lee, BJ, & Heo, SH, et al. (2022). A Study on the Perception of Concurrent Use of Western and Korean Medicine Care and Integrated Medical Service in Korea-Targeting tertiary hospital users. Journal of Korean Medicine, 43(2), 51-60.

6. Sung, EJ. (2005). The Trend of Chronic Diseases in Korea. Journal of Milk Science and Biotechnology, 23(2), 99-106.

7. Won, JY, Han, GJ, Kim, YJ, Park, JR, Noh, EY, & Ji, YJ, et al. (2020). The Current Research Status of Complementary and Integrative Medicine in Practice-Based Research Networks: A Systematic Review. Korean Journal of Acupuncture, 37(4), 209-230. https://doi.org/10.14406/acu.2020.029

8. Horrigan, BJ. (2009). New NHIS survey reveals That 38% of American adults sse CAM. Explore(NY), 5(2), 71-73.

9. Harris, PE, Cooper, KL, Relton, C, & Thomas, KJ. (2012). Prevalence of complementary and alternative medicine (CAM) use by the general population: a systematic review and update. International journal of clinical practice, 66(10), 924-939.

10. Thomas, KJ, Nicholl, JP, & Coleman, P. (2001). Use and expenditure on complementary medicine in England: A population based survey. Complement Ther Med, 9(1), 2-11.

11. Xue, CC, Zhang, AL, Lin, V, Da Costa, C, & Story, DF. (2007). Complementary and alternative medicine use in Australia: A national population-based survey. J Altern Complement Med, 13(6), 643-650.

12. Alraek, T, Lee, MS, Choi, TY, Cao, H, & Liu, J. (2011). Complementary and alternative medicine for patients with chronic fatigue syndrome: a systematic review. BMC complementary and alternative medicine, 11(1), 1-11.

13. Mongiovi, J, Shi, Z, & Greenlee, H. (2016). Complementary and alternative medicine use and absenteeism among individuals with chronic disease. BMC complementary and alternative medicine, 16(1), 1-12.

14. Statistics Korea. Statistics on the Aged 2020 [Inter net]. Statistics Korea;2020. [Cited 2020, Sep. 28], Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385322 accessed Oct. 30, 2020

15. National Health Insurance Service. National Health Insurance Statistical Yearbook 2018. [Internet]. National Health Insurance Service;2019. [Cited 2020, Sep. 28], Available from: https://www.nhis.or.kr/nhis/together/wbhaec06300m01.do?mode=view&articleNo=132759&article.offset=0&articleLimit=10 accessed Oct. 30, 2020

16. White, A, Boon, H, Alraek, T, Lewith, G, Liu, JP, & Norheim, AJ, et al. (2014). Reducing the risk of complementary and alternative medicine (CAM): Challenges and priorities. European Journal of Integrative Medicine, 6(4), 404-408.

17. Kim, SG, Lee, SH, Seo, HJ, Baek, SM, & Choi, SM. (2012). Research Trend Analysis of the Prevalence of Complementary and Alternative Medicine in Korea. J Korean Oriental Med, 33(1), 24-41.

18. Kim, HW, Noh, GM, Park, MH, Lee, HS, Jin, SH, & Hwang, JS, et al. (2021). Effects of Complementary and Alternative Therapies Applied as Nursing Interventions in Patients with Osteoarthritis: A Systematic Review. J Muscle Jt Health, 28(2), 79-90.

19. Lee, HY, Lee, DH, Lee, GE, Kim, JH, Kim, HM, & Kim, NK. (2018). Survey on the satisfaction and demand of healthcare providers who participated in a collaborative first-stage pilot project between Korean medicine and western medicine. Journal of physiology & pathology in Korean Medicine, 32(2), 134-140.