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The Status of Collaborative Medical Services after the Revision of Medical Services Act in South Korea
121
ICCMR 2015 Poster Presentation Abstracts
P4.017
P4.018
The Status of Collaborative Medical Services after the Revision of Medical Services Act in South Korea
The Perception of public officials on the Public Health Promotion Program in Tradition Korean Medicine
Min Kyung Hyun 1 , Young Ju Yun 2 , Hoo-Sun Chang 3 , Ju Young Kim 4 , Seok Won Hong 5
Kyeong-Han Kim 1,3 , Ho-yeon Go 2 , Soobin Jang 3 , Bo-Hyoung Jang 3 , Yong-Cheol Shin 3 , Seoung-Gyu Ko 3
1
1
Dongguk University School of Korean Medicine, Pusan National University 3 Department of preventive medicine, Yonsei University College of Medicine 4 Ministry of Health and Welfare 5 National Evidence-based Healthcare Collaborating Agency 2
Purpose: Medical services act was revised to promote collaboration among doctors of western medicine, traditional Korean medicine and dental medicine in 2010. This study aims to investigate status of Collaborative Medical Services (CMS) from among the three-part medicine and remaining problems despite of the amendment. Methods: The questionnaires composed of hospital’s general status and detailed information about CMS (i.e. operation conditions, self-evaluations, unsolved problems and comments for improvement, etc.) were developed. For e-mail and postal survey, we obtained the list of 76 hospitals which reported that they are collaborating care to the Ministry of Health and Welfare in August 2010, and completed questionnaires from 59 hospitals. Results: According to the survey, most of the respondent hospitals (92.3%) have less than 300 beds and only 30.5% of them have manuals for CMS. Three major diseases for CMS are musculoskeletal (25.0%), digestive (18.3%) and neurological disorders (12.2%). CMS did not contribute to increase the revenue of the hospital, and the main reasons for CMS are “convenience of the patient” and “improving the treatment effectiveness”. However, medical doctors, traditional Korean medical doctors make decision for CMS together in only 11.6% of the hospitals and 28.6% of the oriental hospitals. Many respondents pointed out insufficient medical insurance payment for CMS is the main obstacle to expand CMS. Conclusion: To promote and expand CMS to the next stage, governmental support including the increase medical insurance pay and development and improvement of manuals are recommended. And additional researches are needed as to whether the current situation of the CMS is much improved. Contact: Min Kyung Hyun, [email protected]
Korea Health Promotion Foundation, Republic of Korea 2 Department of Internal Medicine, Korean Medical Hospital, Se-Myung University, Republic of Korea 3 Department of Preventive Medicine, College of Korean Medicine, Kyung Hee University, Republic of Korea Purpose: This study was aimed to survey the perception of public official on public health promotion programs in Traditional Korean Medicine(PHPP-TKM). Methods: Data were collected from 143 public officials who are in charge of PHPP-TKM business in the public health centers using the structured questionnaire on September, 2014. Collected data were analyzed through frequency analysis and T-test using SPSS 13.0 and significant level was 0.05. Results: Even though stroke prevention programs are implemented most often at present, respondents hope to practice dementia prevention programs in the future. The obstructive factor was measured by 5-point Likert scale, and the most obstructive factor was that there were neither standard manuals nor methodological guidelines for the programs(3.82±0.94). The second most obstructive factor was that TKM-PHPP duplicated other public health programs(3.63±1.01). The plan to activate TKM- PHPP was also measured by 5-point Likert scale. The most suggested plan was to develop competitive programs (4.14±0.79). The second most suggested plan was that of various integration of public health programs(4.13±0.0.87). The degree of health promotion of TKM-PHP measured by 5-point Likert scale was 3.98±0.78. The major benefits of TKM-PHP were promoting health status of local residents(56.91%) and improving awareness of health care methods using Traditional Korean Medicine(43.90%). It is comparative advantages of TKM-PHP than the other public health programs that TKM-PHP are agreeable to the Korean sentiment(34.14%) and Korean Medical Doctor participated in TKM-PHP(30.08%). Conclusion: The result of survey questionnaire suggests to develop various integrated programs, and to draw up a standard manual to activate the TKM-PHPP in public health centers. Contact: Kyeong-Han Kim, [email protected]
http://dx.doi.org/10.1016/j.imr.2015.04.220 http://dx.doi.org/10.1016/j.imr.2015.04.221
ICCMR 2015 Poster Presentation Abstracts
P4.017
P4.018
The Status of Collaborative Medical Services after the Revision of Medical Services Act in South Korea
The Perception of public officials on the Public Health Promotion Program in Tradition Korean Medicine
Min Kyung Hyun 1 , Young Ju Yun 2 , Hoo-Sun Chang 3 , Ju Young Kim 4 , Seok Won Hong 5
Kyeong-Han Kim 1,3 , Ho-yeon Go 2 , Soobin Jang 3 , Bo-Hyoung Jang 3 , Yong-Cheol Shin 3 , Seoung-Gyu Ko 3
1
1
Dongguk University School of Korean Medicine, Pusan National University 3 Department of preventive medicine, Yonsei University College of Medicine 4 Ministry of Health and Welfare 5 National Evidence-based Healthcare Collaborating Agency 2
Purpose: Medical services act was revised to promote collaboration among doctors of western medicine, traditional Korean medicine and dental medicine in 2010. This study aims to investigate status of Collaborative Medical Services (CMS) from among the three-part medicine and remaining problems despite of the amendment. Methods: The questionnaires composed of hospital’s general status and detailed information about CMS (i.e. operation conditions, self-evaluations, unsolved problems and comments for improvement, etc.) were developed. For e-mail and postal survey, we obtained the list of 76 hospitals which reported that they are collaborating care to the Ministry of Health and Welfare in August 2010, and completed questionnaires from 59 hospitals. Results: According to the survey, most of the respondent hospitals (92.3%) have less than 300 beds and only 30.5% of them have manuals for CMS. Three major diseases for CMS are musculoskeletal (25.0%), digestive (18.3%) and neurological disorders (12.2%). CMS did not contribute to increase the revenue of the hospital, and the main reasons for CMS are “convenience of the patient” and “improving the treatment effectiveness”. However, medical doctors, traditional Korean medical doctors make decision for CMS together in only 11.6% of the hospitals and 28.6% of the oriental hospitals. Many respondents pointed out insufficient medical insurance payment for CMS is the main obstacle to expand CMS. Conclusion: To promote and expand CMS to the next stage, governmental support including the increase medical insurance pay and development and improvement of manuals are recommended. And additional researches are needed as to whether the current situation of the CMS is much improved. Contact: Min Kyung Hyun, [email protected]
Korea Health Promotion Foundation, Republic of Korea 2 Department of Internal Medicine, Korean Medical Hospital, Se-Myung University, Republic of Korea 3 Department of Preventive Medicine, College of Korean Medicine, Kyung Hee University, Republic of Korea Purpose: This study was aimed to survey the perception of public official on public health promotion programs in Traditional Korean Medicine(PHPP-TKM). Methods: Data were collected from 143 public officials who are in charge of PHPP-TKM business in the public health centers using the structured questionnaire on September, 2014. Collected data were analyzed through frequency analysis and T-test using SPSS 13.0 and significant level was 0.05. Results: Even though stroke prevention programs are implemented most often at present, respondents hope to practice dementia prevention programs in the future. The obstructive factor was measured by 5-point Likert scale, and the most obstructive factor was that there were neither standard manuals nor methodological guidelines for the programs(3.82±0.94). The second most obstructive factor was that TKM-PHPP duplicated other public health programs(3.63±1.01). The plan to activate TKM- PHPP was also measured by 5-point Likert scale. The most suggested plan was to develop competitive programs (4.14±0.79). The second most suggested plan was that of various integration of public health programs(4.13±0.0.87). The degree of health promotion of TKM-PHP measured by 5-point Likert scale was 3.98±0.78. The major benefits of TKM-PHP were promoting health status of local residents(56.91%) and improving awareness of health care methods using Traditional Korean Medicine(43.90%). It is comparative advantages of TKM-PHP than the other public health programs that TKM-PHP are agreeable to the Korean sentiment(34.14%) and Korean Medical Doctor participated in TKM-PHP(30.08%). Conclusion: The result of survey questionnaire suggests to develop various integrated programs, and to draw up a standard manual to activate the TKM-PHPP in public health centers. Contact: Kyeong-Han Kim, [email protected]
http://dx.doi.org/10.1016/j.imr.2015.04.220 http://dx.doi.org/10.1016/j.imr.2015.04.221