한방의료에 대한 인식 및 만족도 조사

정순현 ( Soon Hyun Chung ),이승민 ( Seung Min Lee ),전주현 ( Ju Hyun Jeon ),김정호 ( Jung Ho Kim ),김영일 ( Young Il Kim ) 대전대학교 한의학연구소 2013 혜화의학회지 Vol.22 No.1

Object: Recently, demend for Korean Medicine have been rapidly increasing in Korea. However, there are still a few studies for recognition, satisfaction and satisfaction factors of Korean Medicine to increase competitiveness of Korean-Medical service. Thus, the purpose of this study is to grope ways to strengthen the competitiveness of Korean-Medical service by investigating recognition and satisfaction factors on Korean medicine. Method: People who have been experienced Korean Medicine were targets of investigation. Questionnaire was consisted of questions about awareness for the Korean Medicine, awareness of Korean-Medical treatment, satisfaction level for Korean Medicine, satisfaction and dissatisfaction factors. This questionnaires were conducted through personal interviews. Result: Total 315 members responded to the survey and the results of the analysis were as follows. 1. Korean Medicine treatment was recognized as the scientific medical act to protect human body wellness. 2. Korean-Medical service can be represented by acupuncture and moxibustion therapy, physical therapy, Korean medicine. And care for diseases such as pain disorders, chronic fatigue, anti-aging, and geriatric disease were wanted. 3. The factors that influence on satisfaction of the Medical Services was the perception that Korean Medicine is scientific and safe. Conclusion: To strengthen the competitiveness of Korean-Medical service, first, efforts to enhance the effectiveness of the basic treatment such as acupuncture and moxibustion, herbal medicine are required. Second, scientific development of Korean Medicine is necessary. Finally, the effort to offer various services of Korean Medicine are needed.

한의학과 한의사의 지위에 대한 한의사들의 태도 연구 - 경상도 지역을 중심으로 -

이현지,홍승표,임영규,홍진우,김보규,권영규,Lee, Hyun-Ji,Hong, Seung-Pyo,Lim, Young-Kyu,Hong, Jin-Woo,Kim, Bo-Kyu,Kwon, Young-Kyu 대한예방한의학회 2011 대한예방한의학회지 Vol.15 No.1

Korean Oriental Medicine has experienced the fluctuation of its status since modernization started. At the beginning of the modernization, Korean Oriental Medicine faced the crisis of disappearance and, nowadays, its status has risen to the very important position in the medical system of Korea. Korean Oriental Medical doctors have obtained the position of medical profession and enjoyed the exclusive privileges. The study on the status of Korean Oriental Medicine is an interesting subject field in the sense that the empirical research on the social factors concerning the status fluctuation of medical profession in non-western world can be done. Few studies on the social status of Korean Oriental Medicine have been found so far in spite of its ample implication of the subject. This paper conducted the questionnaire survey in order to investigate the views of Korean Oriental Medical doctors about the status of Korean Oriental medicine, factors for the improvement of its status, and the cultivating methods of Korean Oriental Medicine. Depending on the demographic features of Korean Oriental Medical doctors, first, the attitude toward the status of Korean Oriental Medicine was analyzed. The criteria to be investigated were the present and future status of Korean Oriental Medicine. Second, the items for the status improvement of Korean Oriental Medicine was analyzed under the criteria of specialization and scientific movement of Korean Oriental Medicine. Third, the stance of Korean Oriental Medical doctors on the cultivating methods of Korean Oriental Medicine was analyzed under the criteria of the level of awareness of and attitude toward Korean Oriental Medicine.

청년층(만19~39세)의 한의의료이용 결정요인 및 행동의도 - 『2017년 한방의료이용 및 한약소비실태조사』 마이크로데이터를 중심으로 -

윤량숙,임병묵,Yoon, Lyang Sook,Lim, Byungmook 대한예방한의학회 2021 대한예방한의학회지 Vol.25 No.2

Objectives : This study aimed to analyze characteristics of the Korean Medicine users aged 19-39 years, the determinants of Korean Medicine use and effects of Korean Medicine use experience on behavioral intentions among youths. Methods : We studied Korean Medicine Utilization and Herbal Medicine Consumption Survey(2017) data set by complex-sample survey data analysis. In order to derive the characteristics of younger users, Rao-scott χ² test and t-test were conducted. Through multiple logistic regression model adjusted by general characteristic variables, the determinants and behavioral intentions of the Korean Medicine utilization among youths were derived. Results : Fist of all, young users and non-users have significant differences in socio-demographic characteristics and perception on Korean Medicine. Among the general characteristic variables, region, age, marital status, occupation, chronic disease, and private health insurance plans had an effect on the Korean Medicine use in young people(Model II). And adjusted by general characteristic variables as control variables, awareness of Korean Medicine and perception of safety of herbal medicine were deduced as determinants of Korean Medicine use(Model III). Secondly, Korean Medicine use experience increased intentions to use and recommend Korean Medicine services(Model IV-1, 3). Conclusions : In order to increase the use of Korean Medicine among young people, Korean Medicine institutions should strive to increase users' satisfaction, and public health insurance coverage for Korean Medicine services needs to be expanded.

의학, 상업 및 성(性) : 일제시기 보약소비와 한약의 표상화

황영원 연세대학교 의학사연구소 2023 연세의사학 Vol.26 No.2

Since the opening of Korea’s ports, the human body has undergone redefinition as a modern subject. Whether viewed through the lens of personal well-being or the prism of a nation’s political stance on bodily health, physical well-being has acquired paramount significance. Within this framework, driven by a combination of commercial interests and nationalist sentiments, society has witnessed the emergence of a pervasive concern for their health among Koreans. Complementary medicine emerged as a perceived panacea to alleviate this societal anxiety and provide redemption for the Korean population. However, notably, complementary medicine was not limited to Korean tonics. During the Japanese colonial period, in addition to traditional Korean herbal tonics, a multitude of Western pharmaceutical tonics also existed. Furthermore, novel pharmaceutical methods, ingredients, and Western perspectives on the body, health, and medical knowledge exerted a significant influence on the production and consumption of traditional Korean tonics in Korea during this era. For instance, Korean medicine merchants incorporated Western tonic ingredients into concoctions featuring Korean medicinal ingredients, such as ginseng and deer antler, creating a fusion of Eastern and Western medicinal products. Furthermore, they reinterpreted concepts from traditional Korean medicine, such as “tonics,” “the five strains and seven impairments,” “(chronic) fatigue syndrome,” and “deficiency/insufficiency syndrome,” borrowing new medical terminology and knowledge from Western tonics’ advertising campaigns, such as “brain-centered theory,” “neurasthenia,” and “hormone theory,” for their commercial marketing. These revamped Korean tonics, which, despite often being labeled as Korean medicine, deviated/diverged from the conventional concept of “tonics” in traditional Korean medicine. Hence, they were no longer medicinal substances consumed according to individualized diagnoses and treatment plans for cases of qi and blood deficiency or weakened internal organs. Instead, they were transformed into all-purpose remedies that could be consumed by healthy individuals at any time without targeting specific diseases or bodily functions. Furthermore, the open and tumultuous sexual culture during the Japanese colonial period also contributed to the widespread use of complementary medicine/tonics. In particular, the hormone theory disseminated through Japanese advertisements in the 1920s blurred the distinction between tonics for boosting general vitality and strength in the body and potency-enhancing remedies, ultimately branding Korean tonics with a strong association with “sex.”

한의사의 의료기기 사용과 주의의무에 있어서 한방의료행위의 새로운 이해

박용신,Park, Yong-Sin 대한예방한의학회 2019 대한예방한의학회지 Vol.23 No.2

Objectives : Korean medicine practice is not specifically described in medical law, and then has always been a quarrel. So far The criteria for judgment in Korean Medicine Doctor's Medical Devices Using should clinically prove it only by Korean medicine theory and academic Traditionally descending from old ancestors. Comprehensively review of Korean Medicine Doctor's Medical Devices Using and Duty of Care, and then present a new understandings to determine future Korean Medicine Practice. Method : An existing court cases of Korean Medicine Doctor's Medical Devices Using and Duty of Care were reviewed. After reviewing various papers published for several years, various opinions were reviewed and suggested. Results : The range of Korean Medicine Doctor's Medical Devices Using has changed since the 1951 National Medical Law stipulated Korean medicine as medical professionals. The issue of the recent ruling that distinguishes medical practice from Korean medicine practice were condensed into what emphasis to interpret amongst 1) The basic principles of learning, 2) Curriculum and professionalism, 3) Risks. The Constitutional Court's ruling was important in order of 'Risk', 'curriculum and expertise', and 'basic principles of learning.' A duty of Care means an obligation to pay attention to something. A duty of Care does not mean a "highest level," but requires a "best care" and does "best under given conditions." Even in the duty of Care, Because Korean medicine has a purpose to protect and promote the health of the people, Some standards of western medicine have to be adapted to the current general medical technology. Korean Medicine doctors can recognize the duty of care in the "some basic range" of knowledge belonging to western medicine. Conclusions : The interpretation of Korean Medicine practice are currently in compatible the argument that should clearly divide Korean medicine from Western medicine, and that should be changed in light of the changing medical environment. Therefore If Korean medicine's standard is applied to the extent to which Korean Medicine doctors are educated, it is necessary to define a new definition to actively interpret Korean Medical practice. The academic basis of Korean medicine and the level of Korean medicine practice based on the books that are traditionally available, and then current textbooks of Korean Medicine College, Korean Medicine Clinical Care Guidelines, and classification of Korean standard medical practices should be standardized. Increasingly, Korean Medicine practice should be interpreted according to reality, focusing on protecting and promoting the health of the people rather than academic differences.

한방산업(韓方産業)의 최적산업구조(最適産業構造) 연구(硏究)

유병완,이석재,전병욱,Yoo, Byoung-Wan,Lee, Seok-Jae,Jeon, Byoung-Uk 대한한의정보학회 2007 大韓韓醫情報學會誌 Vol.13 No.1

Korean medicine industry general means all industry activities related to Korean medicine. It covers material resources such as herbs and products made herbs, medical instruments, Korean medical servics and related information service based on Korean medicine theories. Also according to industrial strategy, Korean medicine industry was to define and branch. The industrial strategy of Korean medicine industry was based on kowledge, high-end, intensive techology, and global denand. By the industrial strategy of Korean Medicine industry, a study on the optimal industry construction of Korean medicine industry was standardizaition in the basic research and promoted bouds, efficiency in the group industrial, detention of global fund and global technology, and intenational division of product process. It is the optimal industry construction of Korean medicine industry by the industrial strategy of Korean medicine industry. At once adjustment to the optimal industry construction of Korean medicine industry by the industrial strategy of Korean medicine industry was internationalization in the positive adjustment.

한의의료비 자료원의 비교 분석 연구 : 조사 방법 및 2012년 한의원 의료비를 중심으로

김동수,정명수,이은경,고성규,Kim, Dongsu,Chong, Myongsoo,Lee, Eunkyoung,Ko, Seong-Gyu 대한예방한의학회 2015 대한예방한의학회지 Vol.19 No.2

Objective : In order to understand the scale of medicinal expenditure in the Korean medicine, an analysis has been made of Korean National Health Account and statistic archives used to estimate the Korean National Health Account and also of such archives as are contributory to learn the scale of total health expenditures in the Korean medicine. Method : From the Korean National Health Account archives, an analysis has been made of National health insurance statistic annual reports, National health insurance non-payment items, Korean Economic Census (The Service Industy Survey), and Korea Health Panel data. Moreover, in order to know the sales of overall Korean medicine clinics, relevant data have been utilized and cited from investigations into National tax statistics, Korean medicine medical institutions and Korean medicines used, and current states of medicinal herbs and Korean medicine industry. Results : It is found that the average scale of each section of the medical expenditures archives in the Korean medicine in 2012 was KRW 3.5638 billion and that the average medical expenditures in the Korean medicine derived from Total Health Expenditure, The Service Industy Survey, National tax statistic, and Korean medicine industry are approximately KRW 3.3901, 3.4796, 3.7218 and 3.9634 billion. And the average expenditures derived from National health insurance patients and Korea Health Panel data are 2.5162 and 2.2292 billion won and those from the users and consumers of Korean medicines and herbs are 5.6,461 billion won. In order to verify the appropriateness of estimated medical expenditures in the Korean medicine included in the archives, an analysis has been made of uninsured costs which come from the aggregate sales amount surveyed minus health insurance treatment expenditures and it is found that the ratio of insured costs against total health expenditures in 2006 was 50.67% and 41.92% in 2012 and that the ratio based on National tax statistics and The Service Industy Survey was 52.19% and 49.28% in 2006 and 50.54% and 50.64% in 2012 and that the ratio of uninsured costs against Korean medicines and herbs and Korean medicine industry was 37.5% and 58.27% in 2013. Conclusion : It calls for the improvement of the accuracy of an investigation into Total Health Expenditure which comprise the actual conditions of health insurance and Korea Health Panel, the development of statistic schemes for understanding and classifying medical expenditures of all the Korean medicine medicinal institutions like medicinal clinics, and enhanced methods for independent panels to comprehensively collect and analyze the number of sampled Korean medicine medical institutions.

From Influence to Confluence : Positioning the History of Pre-Modern Korean Medicine in East Asia

서소영 대한의사학회 2010 醫史學 Vol.19 No.2

This article surveys studies focusing on pre-modern Korean medicine, which are both written in English and analyzed primary sources up to 1876. Overall, the history of pre-modern Korean medicine is an unknown filed in Anglophone academia. Yung Sik Kim’s, James Palais’s, and Carter Ecart’s problematization of the nationalist framework of Korean scholarship partially explains the marginality of the field. Addressing these criticisms, this review argues that pre-modern Korean medicine’s uneasy task lies in both elaborating Korea’s own experience of medicine, while simultaneously avoiding making the “Korean” category itself essential. Korean narratives of premodern medicine need to go beyond the mere territorilalization of Korean medicine against its Chinese, Japanese, or Western counterparts, thereby to tackle the field’s own boundary of research objects. The existing scholarship in English responds to this challenge by primarily examining the way in which Korea has shared textual tradition with China. Sirhak scholars’ innovation in medicine, visual representation of Tongŭi bogam, Korean management of epidemics in the eleventh century, and Korean indexing of local botanicals, engages not only native achievements, but also the process of modifying medicine across geographical and political boundaries. More to the point, the emerging native narratives, although written in Korean, are implicitly resonant with those currently present Soyoung Suh : From Influence to Confluence 제19권 제2호(통권 제37호) 225-254, 2010년 12월 │253in Anglophone academia. Taking “tension,” “intertextuality,” and “local traits” as a lens, this article assesses a series of current research in Korea. Aiming to go beyond appeals for a “distinctively” Korean experience of medicine, the future study of Korean pre-modern medicine will further elucidate confluences of different flows, such as “Chinese and Korean,” “universal and local,” “center and periphery,” and “native and foreign,” which will eventually elucidate a range of Korean techniques of creating a bricolage in medicine.

한의사·한약사 임무 및 공공제도 중심의 의약법규 제·개정 고찰

엄석기,신민섭,권순조 한국의사학회 2013 한국의사학회지 Vol.26 No.2

Purpose : The current Medical Law and the Pharmaceutical Affairs Act, which are incapable of utilizing the research results and the advanced academic, clinical, and pharmaceutical system of the present-day Korean (Oriental) medicine, have limitations and create a paradox by provoking social conflict among the professionals in the field. The aim of this study was to find out the legal and systematic problems that contributed to a complicated conflict amongst Korean (Oriental) medicine doctors, doctors, pharmacists, and Korean (Oriental) pharmacists regarding the classification of their functions. Methods : We reviewed the history and characteristics of the legislation regarding the duties of Korean (Oriental) medicine doctors and Korean (Oriental) pharmacists as well as the relevant and important public health policies since the enactment of the National Medical Services Law in 1951. We focused on the laws and regulations that are made in the process of the separating functions of physicians and pharmacists and the dispute between the Korean (Oriental) medicine doctors and the Korean (Oriental) pharmacists in the 1990s and 2000s. Results : The legislations and amendments of the medical and pharmaceutical laws and regulations that reflect the modern academic, clinical, and pharmaceutical system of the Korean (Oriental) medicine and the research results could be summarized as follows: 1) A partial amendment of the Medical Law in 1987, which added the provision of “Oriental health guidance” as one of the duties of Korean (Oriental) medicine doctors, assured a place for Korean (Oriental) medicine doctors in the field of public health. 2) A partial revision of Pharmaceutical Affairs Act in 1994 established a new system for Korean (Oriental) pharmacists, bringing about the creation of dualistic pharmaceutical system that complements the dualistic medical system. 3) The Promotion of the Research and Development of Wonder Drugs by Using Natural Substances Act was legislated in 2000 in order to stimulate research and development of Korean (Oriental) medicine and its industrialization. 4) Oriental Medicine Promotion Act in 2003 was enacted to lay foundation to specify and promote technology and industry that are related to Korean (Oriental) medicine. Discussions and conclusions : Although the dualistic medical and pharmaceutical system is set up by the Medical Law and Pharmaceutical Affairs Act, it is shown that the relevant regulations have been developed from a perspective of the western medicine.

한의학의 지위 변화 요인에 대한 분석

이현지,성현제,조병희 한국한의학연구원 1999 한국한의학연구원논문집 Vol.5 No.1

Korean Oriental Medicine has experienced a dramatic status change since the 19th century. Korean Oriental had been the only authentic medicine, but lost its status and fell as an illegal medicine through the Japanese rule, and recently revived successfully. The dramatic change of Korean Oriental Medicine needs an explanation. This paper explored the cause of the dramatic change and found the following things. First, the medical policy of the State directly influenced to the status of Korean Oriental Medicine. During the Japanese rule, the medical policy for Korean Oriental Medicine was very oppressive. After Liberation, a kind of noninterference policy was carried out. The change of the medical policy gave direct influence to the status of Korean Oriental Medicine. Second, the needs for medical service have been expanded. At the same time, the concern for tradition has been increased. And the supply of Korean Oriental Medicine has also increased by the establishments of Korean Oriental Medicine departments. Third, the internal growth of Korean Oriental Medicine brought to elevating the status of Korean Oriental Medicine. After 1945, Korean Oriental Medicine endeavored to strengthen the organization and to activate the academic society. Based on the above factors, Korean Oriental Medicine has achieved a remarkable status change during last several decades. We can not skip Korean Oriental Medical doctors' desperate efforts to enhance the status of Korean Oriental Medicine. Korean Oriental Medicine achieved the modernization. It's difficult to find similar case. It can be a model of modernization of tradition.