국립재활원 협진의료 이용실태와 발전방안 제안
An actual utilization and development plan study of interdisciplinary medical care at the National Rehabilitation Center
임성민
초록
ObjectiveThis study aims to understand the actual utilization of the oriental rehabilitation medicine center of the initial interdisciplinary medical careat the National Rehabilitation Center and to arrange proper development plans for more effective interdisciplinary medical services for futureactivation of interdisciplinary medical care. Method:The interdisciplinary patient status, composition of patient care, and major disease-related status were studied and analyzed for orientalrehabilitation medication relating to interdisciplinary medical care at the National Rehabilitation Center. Furthermore, the interdisciplinary statusand its operating conditions were evaluated to devise a development plan for the National Rehabilitation Center. Results:As a result of the analysis of oriental rehabilitation medical care diagnosing status utilization at the National Rehabilitation Center regardinginterdisciplinary medical care, the ratio of the number of those receiving interdisciplinary oriental rehabilitation medical care was less than halfof the total receiving interdisciplinary care. As the major disease status from the patients of interdisciplinary care, stroke patients covered thelarge majority, and musculoskeletal pain patients covered the majority of outpatients. The establishment of additional oriental medication departments and assigning of interdisciplinary coordinators were presented as the goals ofa development plan for the manpower and structural side of interdisciplinary medical care at the National Rehabilitation Center. On theinstitutional and systematic side, improvement in the interdisciplinary hierarchy and interdisciplinary model development based on the numberof patients per disease was proposed. In addition, operation on ward bedding and construction of interdisciplinary EMR medical care is necessaryon the medical and administration service side. Conclusion:To understand the actual utilization and to arrange development plans aimed at constructing a safe and effective interdisciplinary hierarchy forinterdisciplinary medical care at the National Rehabilitation Center, patient-centered care needs to be implemented.