A Study on the Development and Application of Korean Medical Critical Pathway of Lumbar Disc Herniation in Four Different Medical Associations

Article information

J Korean Med. 2021;42(3):1-8

Publication date (electronic) : 2021 September 01

doi : https://doi.org/10.13048/jkm.21021

¹Department of Acupuncture & Moxibustion, Kyung Hee University Hospital at Gangdong

²Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University

³Department of Clinical Korean Medicine, Graduate School, Kyung Hee University

Correspondence to: Byung-Kwan Seo, Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University 26, Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, Republic of Korea., Tel: +82-2-440-6239, Fax: +82-2-440-7143, E-mail: seohbk@hanmail.net,

Received 2021 April 7; Revised 2021 July 10; Accepted 2021 July 28.

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.

Keywords: Critical pathway; Integrative medical hospital; Implementation; Korean medicine

Fig. 1

Time task matrix for inpatient management in integrative medical hospital

Fig. 2

Time task matrix for outpatient management in integrative medical hospital

Table 1

Outcome Measures in Implementation of Critical Pathway

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Article information Continued

Fig. 1

Time task matrix for inpatient management in integrative medical hospital

Fig. 2

Time task matrix for outpatient management in integrative medical hospital

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	○	○	○	○

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

ODI: Oswestry Disability Index

NRS: Numeral Rating Scale

SF-36: Shot Form Survey of 36 Items