일개 보건소의 양약-한약 병용투여 현황 보고: 2019년 의무기록에 대한 후향적 분석
Current Status of Combination Western and Korean medicine in Public Health Center in a Rural Area
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives : This study is retrospective chart review research on the combined-prescription of Western and Korean medicine in Public Health Center in rural area. Methods : Researchers reviewed medical records of patients who was prescribed Korean medicine and Western medicine from 1st, Jan, 2019 to 31st, Dec, 2019 in Public Health Center. 50 patients’ medical records were included. Results : Total number of treatment is 3,808 cases and 1.3% of them is prescribed Korean medicine and Western medicine simultaneously. Prescription of Korean medicine is 153 cases and Western medicine is 160. Jowiseunggi-tang and Diroba tablet were the most frequently prescribed Korean medicine and Western medicine. Furthermore, Korean Medicine Doctors of Public Health Center use muscular skeletal disease system code(M code among KCD code) for prescription and Western Medicine Doctors use diseases of the circulatory system(I code among KCD code) frequently. Conclusions : We analyze 50 patients who were prescribed both Korean medicine and Western medicine. Mostly, patients were prescribed medicine for different diseases in each clinic. In western medicine clinic, drugs about circulatory or endocrine disease were prescribed frequently and in Korean Medicine clinic, drugs about muscular skeletal disease were most frequently prescribed. This result imply the real world’s combination of prescription status that was different from result of National health insurance corporation database. Senior patients in rural area take medicine long period and have various underlying disease. We call for some attention about senior and rural area patients’ prescription status in interaction studies of Korean medicine and Western medicine.
Abstract
Objectives : This study is retrospective chart review research on the combined-prescription of Western and Korean medicine in Public Health Center in rural area. Methods : Researchers reviewed medical records of patients who was prescribed Korean medicine and Western medicine from 1st, Jan, 2019 to 31st, Dec, 2019 in Public Health Center. 50 patients’ medical records were included. Results : Total number of treatment is 3,808 cases and 1.3% of them is prescribed Korean medicine and Western medicine simultaneously. Prescription of Korean medicine is 153 cases and Western medicine is 160. Jowiseunggi-tang and Diroba tablet were the most frequently prescribed Korean medicine and Western medicine. Furthermore, Korean Medicine Doctors of Public Health Center use muscular skeletal disease system code(M code among KCD code) for prescription and Western Medicine Doctors use diseases of the circulatory system(I code among KCD code) frequently. Conclusions : We analyze 50 patients who were prescribed both Korean medicine and Western medicine. Mostly, patients were prescribed medicine for different diseases in each clinic. In western medicine clinic, drugs about circulatory or endocrine disease were prescribed frequently and in Korean Medicine clinic, drugs about muscular skeletal disease were most frequently prescribed. This result imply the real world’s combination of prescription status that was different from result of National health insurance corporation database. Senior patients in rural area take medicine long period and have various underlying disease. We call for some attention about senior and rural area patients’ prescription status in interaction studies of Korean medicine and Western medicine.
참고문헌 (8)
- 권동현, "한약과 와파린 병용의 상호작용과 안전성에 대한 연구", 한방재활의학과학회지, 20(2), pp.175~181 (2010), 한방재활의학과학회
- 오유나, "단미 한약과 합성 혈압약의 상호작용", 대한본초학회지, 33(6), pp.9~18 (2018), 대한본초학회[DOI]
- 방선휘, "암 환자의 한약-양약 상호작용에 대한 고찰", 대한한방내과학회지, 29(4), pp.887~903 (2008), 대한한방내과학회
- 현민경, "Concurrent use of Korean Medicine and Western Medicine: findings from the 2008 National Survey", 대한예방한의학회지, 21(1), pp.1~8 (2017), 대한예방한의학회[DOI]
- Cheong SJ, "The Effect of Polypharmacy on Mortality in the Elderly", Korean J Fam Pract, 6(6), pp.643~650 (2016)
- Jang JH, "A study on Utilization Pattern and Needs of Health Care Services for the Elderly in a Rural Area", 석사
- Ha HK, "Korean medicine and western medicine drug interaction focused on drug metabolism. Korean Medicine-Western Medicine combination administration Study Results and Desirable Korean Medicine Clinical Application", The Association of Korean Medicine, ~ (2020)
- 2017 living profiles of older people survey: A national report on the living status and welfare needs of older adults, "Ministry of Health and Welfare", Ministry of Health and Welfare; Korea Institute for Health and Social Affairs, ~, pp.Report No.:11-1352000-000672-12 (2017)