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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 -

Article information

J Korean Med. 2023;44(1):65-75
Publication date (electronic) : 2023 March 1
doi : https://doi.org/10.13048/jkm.23006
Sangwoo Seo1,†orcid_icon, Hyungsuk Kim2,†orcid_icon, Seung Hyeun Lee3orcid_icon, Moonkyoo Kong4orcid_icon, Beom-Joon Lee5orcid_icon, Sung Hyuk Heo6orcid_icon, Seung-won Kwon7orcid_icon, Bong Jin Park8orcid_icon, Dong Hwan Yun9orcid_icon, Euiju Lee10orcid_icon, Hyunjoo Oh1orcid_icon, Sung-Bum Kim8orcid_icon, Hye-Sook Choi3orcid_icon, Kwan-Il Kim5orcid_icon, Won-Seok Chung2,orcid_icon
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 2022 April 7; Revised 2022 July 13; Accepted 2022 July 14.

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)

Demographic Characteristics of Responders

Awareness of Integrated Medical Service

The Needs for Integrated Medical Services

The Needs to Expand Health Insurance Support for Integrated Medical Services

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

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

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

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

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Article information Continued

Fig. 1

Fig. 1

Potential Benefits of Providing Integrated Medical Services

Fig. 2

Fig. 2

Reasons for Not Using Integrated Medical Service (Multiple choice)

Table 1

Demographic Characteristics of Responders

License Doctor Korean Medicine Doctor Total
86, 71.7% 34, 28.3% 120
Sex Male 51, 31.7% 17, 14.2% 68, 56.7%
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%)
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