한·양방 협진에 대한 의사들의 인식변화 ―국내 문헌에 대한 체계적 고찰―

Abstract

Objective: With the increase of cooperative practices (CP) between conventional western medicine and traditional Korean medicine, much research pertaining to the status of CP and the attitude of doctors has been performed. Since most of the research is cross-sectional, this study aims to figure out the changes in the attitude of doctors toward CP through systematic review. Method: Systematic literature searches were performed on several databases in Korea and 13 survey studies including attitude of doctors toward CP were selected. They were categorized according to the respondents and question items and analyzed by the context of questions, similarity of respondents and measurement scale. Results: The 13 studies were conducted between 1997 and 2009 and the number of respondents of each study ranged from 20 to 702. There has been increasing awareness of CP among doctors; however the positive responses on the necessity of CP has decreased. Regarding the type of illness effectively treated employing CP, there was a shift from neurovascular to musculoskeletal and immune disease. Most of the studies listed incompatible approaches to disease, prejudice of health care providers and inadequate legal system as major obstacles against CP. Conclusion: In spite of the increase of CP in the last 20 years, there has not been marked positive change in the doctors' attitude toward CP. Confirming the effectiveness of CP through disease models as well as changing medical legislation and insurance policies seem to be required to promote CP.