한방병원에 관한 의료법 개정 : 제한한방병원의 설립과 운영

금유정(KEUM Yujeong),엄동명(EOM Dongmyung),송지청(SONG Jichung) 대한한의학원전학회 2022 대한한의학원전학회지 Vol.35 No.1

Objectives : 한방병원에 관한 의료법의 개정 내용을 최초의 한방병원인 제한한방병원의 설립과 운영을 통해 살펴보고자 한다. Methods : 1951년 국민의료법 제정 이래 의료기관 종별에 한방병원이 등장하는 1973년까지의 의료법 개정을 살펴보고, 의료법 개정 내용을 중심으로 제한한방병원의 설립과 운영에 대해 살펴보았다. Results & conclusion : 의료법에 ‘한방병원’이 등장하는 것은 1973년 2월 16일 의료법이 전면 개정되면서부터이다. 한방병원에 관한 법 규정이 제정된 이후, 의료법(법률 제2533호)에 따라 1973년 11월 24일 우리나라 최초의 한방병원이 설립되는데, 이것이 바로 현재 대구한의대학교 부속 한방병원의 전신인 ‘제한한방병원’이다. 제한한방병원이 의료법에 근거하여 한방병원으로 등록된 것은 1973년 11월이지만, 병원이 본격적으로 진료를 시작한 것은 1970년 12월이다. 제한한방병원은 의료법의 병원설립 기준에 따라 설립되었으나, 같은 의료법의 다른 조항에 의거하여 한방병원에서 부속 한의원으로 의료기관 종별을 변경하게 된다. 1960년대에서 1970년대는 국가 경제가 성장하면서 의학과 병원 또한 급속하게 발전하는 시기였다. 따라서 의료법의 개정이 현실의 상황을 미처 따라오지 못하였던 것으로 보인다. 하지만, 사회적으로 환자의 이동권 혹은 한방의료가 담당하던 질병의 관리 차원에서 입원시설을 갖춘 한방 의료기관이 필요했다. 이에 이미 그 역할을 수행하고 있었던 제한한방병원이 의료법 개정에 있어 참고 사례가 되었을 가능성도 생각해 볼 수 있다. Objectives : To look at the medical law reformation of Korean Medicine hospitals through the establishment and management of the Jaehan Oriental Medicine Hospital, which was the first Korean Medicine Hospital in South Korea. Methods : Revisions of the medical law since the establishment of the National Medical Act in 1951 up until 1973 when the ‘Korean Medicine hospital’ first entered the medical institution category were examined. Based on the revised contents, the establishment and management of the Jaehan hospital were examined. Results & Conclusions : The first mentioning of Korean Medicine hospital in the medical law took place on Feb 16, 1973 when the medical law was completely revised. After law regulations on Korean Medicine hospitals were established, the fist Korean Medicine hospital was founded on Nov. 24th, 1973 according to act 2533 of the medical law. This is the Jaehan Oriental Medicine Hospital, which is the predecessor of what we now know as the Daegu Korean Medicine University Hospital. Although the Jaehan hospital was registered as a legitimate Korean Medicine hospital in November of 1973, it had already started medical practice in December of 1970. While it was established according to the standards of medical law, it changed its institution category from Korean Medicine hospital to affiliated Korean Medicine clinic based on another clause within the same law. The decade from 1960 to 1970 was a time when national economy was developing, and the field of medicine and medical institutions were also booming. As such, revisions in the medical law seems to not have been able to keep up with what was happening in reality. To meet the patients right to move or to manage diseases which Korean Medicine was taking responsibility for, a medical institution with inpatient capacity was required. Therefore it is possible that the Jaehan hospital which had already been providing such a role could have been a sample case for reference in the medical law revision process.

한방병원 입원환자의 진료비와 이에 영향을 미치는 요인 분석

고민석,최준영,Ko, Min-Seok,Choi, Joon-Young 대한예방한의학회 2011 대한예방한의학회지 Vol.15 No.1

Objective : The present study is aimed at providing basic data to help oriental medical hospitals devise efficient operational plans by analyzing the medical expenses of in-patients in an oriental medical hospital and the factors affecting such expenses. Methods : PASW 18.0 was used to analyze the medical insurance program data of 929 patients who were discharged from a university oriental medical hospital(with 105 sick-beds) during the period from January 1 to December 31, 2010 after treatment under the coverage of health insurance and medical aid. Results : 1) Of all the patients hospitalized, 63.3% were females, their mean age was 52.73 years old, and 87.7% was covered by the health insurance program. The biggest number or 31.2% of the patients were treated by the department of acupuncture, 31.5% suffered mainly from the diseases of musculoskeletal system and connective tissues, and the average length of stay at the hospital was 19.49 days. 2) There were statistically significant differences in total medical expenses by age, clinical department in charge, principal diagnosis, and number of days hospitalized while daily average medical expenses differed depending on age, type of medical security, clinical department, principal diagnosis, and number of days staying at the hospital. 3) Total medical expenses were found significantly influenced by age, type of medical security, clinical department, principal diagnosis, and number of days hospitalized(explanatory power : 95.9%), whereas type of medical security, clinical department and principal diagnosis turned out to exercise significant influence on the daily average medical expenses(explanatory power : 26.9%). Conclusion : Oriental medical hospitals are suggested to make efforts to ensure geographical and economical accessibility for their main clients, the elderly and middle-aged, as well as to improve satisfaction of the clients with the medical service provided. They are also encouraged to work out systems to specialize in treatment with a focus on chronic degenerative and adult diseases. In addition, they are expected to try to enhance people's awareness of oriental medicine in an attempt to diversify the brackets of clients and increase frequency of their utilization.

한방병원에 종사하는 의무기록사의 한의학 교육 실태 및 필요성

이현주(HyunJu Lee),김선림(SunLim Kim),최만규(ManKyu Choi) 고려대학교 보건과학연구소 2007 보건과학논집 Vol.33 No.1

  The knowledge on oriental medicine has become an important factor of medical records administrators in successfully accomplishing their jobs with the emerging oriental medicine demands. The study was planned to confirm the condition and need on oriental medicine education of medical records administrators working in oriental medicine hospitals.<BR>  This study surveyed all 55 medical records administrators registered in the Korean Society of Medical Records Administrators who were working in oriental medicine hospitals and collected 54 responses (98.2%). The survey contents contained previous education experience and satisfaction on oriental medicine, the need of oriental medicine education.<BR>  Medical records administrators who received previous education on oriental medicine were about 30% of the total. Most of them were trained by a part of the policy of the oriental medicine hospital for average 10-19 hours. And the satisfaction level was not high. The highest reason for the need of education on oriental medicine was the increase of joint treatment of western-oriental medicine. Many respondents agreed that oriental medicine terminology, classification of diseases in oriental medicine, management of oriental medical records should be included as compulsory courses in college curriculum.<BR>  The oriental medicine sector is a ‘blue ocean’ market and the demand for medical records administrators will surely be increased in the near future. This is why the subjects on oriental medicine should be included in the license examination and the college curriculum for the medical records administrator.

한방병원 유형화 분석

김경성,박상준 한국항공경영학회 2009 한국항공경영학회지 Vol.7 No.3

Almost all of the oriental hospital have a hard time recently because medical market has entered into ultimate competition period in Korea. Since suffering from long run of financial crisis after the currency devaluation, the exponential increase of oriental hospital have made administration of oriental hospital are getting worse. Although there are some hospitals which are interested in differentiation of strategy and characterization of treatment field in this circumstance, only a few of them have conduct it. In this study, we figured out the present situation and current state of oriental hospital by analyzing of medical market in this country. And according to the financial data of oriental hospital, we classified them into several groups which has same strategy. By comparing and analyzing data, we presented the implications on the administration strategy of oriental hospital. We believe that this study help to increase competitive power of oriental hospital for those who administer the oriental hospital in such a intense medical market.

한방병원 응급실에 내원한 소아 환자에 관한 임상적 고찰

이유진,백정한,Lee, Yu-Jin,Baek, Jung-Han 대한한방소아과학회 2010 대한한방소아과학회지 Vol.24 No.3

Objectives: By analyzing data of pediatric patients who had visited the emergency room of an oriental medical hospital, we can understand their characteristics and diseases. The purpose of this study was to introduce the excellence of Oriental medicine, to develop various treatments and to revitalize pediatric emergency care at oriental medical hospital. Methods: The study was composed of 371 pediatric patients who had visited the emergency room of the $\bigcirc\bigcirc$ university oriental hospital from January 2008 to December 2009. Results: 1. Average age of the pediatric patients was 4.28 years old, and it has showed that 1 to 3 years old patients (36.7%) were the most common age. 2. The number of pediatric patients was increased in June. According to the weekly distribution data, the number of pediatric patients who had visited on Sunday was the most (29.1%). Also, the number of pediatric patients who had visited ER for 18 to 21 hours(35.6%) were the most common. 3. The major problems of hospitalization were digestive symptoms and nervous symptoms. The nervous symptoms were the most at infancy. The musculoskeletal symptoms were the most common in adolescence. The digestive symptoms were common in other stages of development. 4. The time interval between arrival and onset; within 6 hours were the most(48.0%). Acupuncture and herbal medication treatment(75.2%) were the most common medical treatments. Most of the pediatric patients(97.3%) were discharged after medical treatments. Conclusions: Pediatric patients who had visited emergency room at the oriental medical hospital were mostly not due to acute form of serious diseases. The most common disease states that have preferred to treat with oriental medicine were dyspepsia, crying, febrile fit, and ankle sprain. We have to introduce the excellence of oriental medicine, and we need to try to develop other treatments such as magnetic acupuncture, moxa therapy, aroma therapy and revitalize pediatric emergency care at oriental medical hospital.

요양병원의 한양방수가 비교분석연구

김재수(Kim Jae-Soo),김성진(Kim Sung-Jin),이현종(Lee Hyun-Jong) 대한한의학회 2013 대한한의학회지 Vol.34 No.1

양·한방협진병원에 근무하는 한방병동간호사의 직무분석

김영희 ( Kim Young Hee ),정면숙 ( Jung Myun Sook ) 아시아문화학술원 2017 인문사회 21 Vol.8 No.4

본 연구는 양·한방협진병원에 근무하고 있는 한방병동간호사의 직무를 분석하기 위한 목적으로 실시하였다. 자료수집은 전국 24개 양·한방병원에서 근무하고 있는 한방병동간호사 90명을 대상으로 구조화된 설문지를 이용하였다. 수집된 자료는 SPSS/WIN 18.0을 이용하여 분석하였다. 연구결과 한방병동간호사의 12개 임무는 간호사정, 간호진단, 간호계획, 간호수행, 간호평가, 물품관리, 인력관리, 환경관리, 문서관리, 협력관계 형성, 자기계발하기, 한방고유업무이다. 한방병동간호사의 임무 중 협력관계형성은 중요도와 수행빈도에서 가장 높게 나왔으며, 중요도가 가장 낮은 것은 간호진단, 수행빈도가 낮은 것은 자기계발하기로 나타났다. 병원유형과 직위에 따른 임무의 중요도는 간호사정에서, 수행빈도는 물품관리에서 유의한 차이가 있었고 병상 수별 중요도의 차이는 간호사정, 간호계획, 간호수행에서, 수행빈도는 자기계발하기에서 유의한 차이를 나타냈다. 이상과 같은 직무분석을 토대로 양·한방협진병원에서 근무하고 있는 한방병동간호사의 업무능력향상을 위한 한방간호 교육프로그램을 개발하는데 기초 자료로 이용 될 수 있을 것이다. This study was conducted with the purpose of analyzing the job of Oriental medical unit nurses in the Western-Oriental medical cooperative hospital. With regard to data collection, a structured questionnaires was used for 90 nurses of Oriental medical units who were serving at 24 Western-Oriental medical cooperative hospitals. And collected data analysis was conducted using the SPSS/WIN 18.0. The result of the study showed the job of nurses on oriental medicine wards was classified into the 12 duties were nursing assessment, nursing diagnosis, nursing planning, nursing implementation, nursing evaluation, supplies management, management of human resources, management of environment, management of document, formation of cooperative relationships, self-development and nursing activity in Oriental medicine. As the results of the study, formation of cooperative relationships was highest in terms of task importance and frequency. Lowest in task importance was nursing diagnosis and lowest in task frequency was self-development. Depending on hospital type and nurses` position, task importance was found most significant in nursing assessment and task frequency, in supplies management. And depending on the number of beds, task importance was found most significant in nursing assessment followed by nursing planning and nursing implementation in order and task frequency, most significant in self-development. These finding from the job analysis of Oriental medical unit nurses serving at Western-Oriental medical cooperative hospitals could provide basic information for the development of nursing education programs in the field.

요추 추간판 탈출증으로 한방병원에 입원한 환자의 진료비 분석

장선정 ( Sun Jeong Jahng ),허동석 ( Dong Seok Heo ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.2

Objectives :Low back pain is the most common pain in our life, and herniated intervertebral disc(HIVD) of L-spine is one of the most common diseases that causes low back pain. This study was designed to analyze the general distribution and hospital cost by day and case of oriental medical treatment for lumbar HIVD. Methods :The 273 inpatients for treatment of HIVD were analyzed according to the distribution of sex, age, the duration of hospitalization, the contributory factors, the clinical findings on admission, the duration of HIVD and the hospital cost per case and day which were evaluated respectively. Results :1. The total hospital cost per case averaged 1,463,077 won, which was divided into room charge 513,824 won(35.12%), performance fee 371,229 won(25.37%), herbal medication 269,364 won(18.41%), food expenses 182,536 won(12.48%), korean medical physiotherapy 116,307 won(7.95%) in order. 2. The total hospital cost per day averaged 105,322 won, which was divided into room charge 37,106 won(35.23%), performance fee 26,524 won(25.18%), herbal medication 19,871 won(18.87%), food expenses 12,591 won(11.95%), korean medical physiotherapy 7,995 won(7.59%) in order. 3. There was statistically significant difference in the average duration of hospitalization and consultation fee on the sex and duration of hospitalization. 4. There was statistically significant difference in expenses by consultation and herbal medication on the contributory factors. 5. There was statistically significant difference in the average duration of hospitalization on the clinical findings on admission. Conclusions :This study provides a variety of information about the medical expenses of lumbar HIVD inpatients at oriental medicine hospital. Understanding the patterns of medical expenses may be an first important step in designing efficient pain therapy for patients and an effort to improve oriental medical expenses.

한방병원 응급실에 내원한 소아 환자에 관한 임상적 고찰

김지은,백정한,Kim, Ji Eun,Baek, Jung Han 대한한방소아과학회 2014 대한한방소아과학회지 Vol.28 No.4

Objectives By analyzing data of the pediatric patients who had visited the emergency room of the oriental medical hospital, we can understand their characteristics and diseases. The purpose of this study was to introduce the excellence of the Oriental medicine, to develop various treatments, and to revitalize pediatric emergency care at the oriental medical hospital. Methods The study was composed of 334 pediatric patients who had visited the emergency room of the ${\bigcirc}{\bigcirc}$ university oriental hospital from January 2011 to December 2013. Results 1. It has showed that between 7 to 12 years old patients (27.8%) were the most common age populations. 2. The number of pediatric patients was increased during February. According to the weekly distribution data, the number of pediatric patients who had visited on Sunday was the highest (28.7%). Also, the number of pediatric patients who had visited the ER between 21 to 24 hours (29.0%) was the highest. 3. The two major reasons for inpatient hospitalization were digestive and nerve-related symptoms. Nerve-related symptoms were the most common in infants while digestive symptoms were the most common in other child development stages. 4. The duration of time interval from the onset of symptoms to the ER visit was most commonly within 6 hours (50.3%). An acupuncture and herbal medication treatment (70.1%) were the most common medical treatments. The majority of the pediatric patients (95.5%) were discharged after their medical treatments. Conclusions A serious acute illness was not the most common reason for the ER visit among the pediatric patients. The most common disease states that have preferred to be treated with the oriental medicine were dyspepsia, crying, facial palsy, and ankle sprain. We have to introduce the excellence of the oriental medicine. We also need to try developing other treatments such as magnetic acupuncture, aromatherapy, and revitalizing pediatric emergency care at the oriental medical hospital.

일개 한방병원 한방응급실 내원환자에 대한 임상적 분석

윤다래,이지숙,노현인,이서라,류재환,Yoon, Da-Rae,Lee, Jee-Sook,Noh, Hyun-In,Yi, Seo-Ra,Ryu, Jae-Hwan 대한한방내과학회 2012 大韓韓方內科學會誌 Vol.33 No.2

Objectives : This study was aimed to provide the basic characteristic of patients who visited an Oriental medical hospital emergency room. Methods : We performed a retrospective study on 1,119 patients who visited Kyunghee University Oriental Medical Hospital Emergency Room from June 1, 2011 to March 31, 2012. Results and Conclusions : 1. In distribution of sex, the rate of males was 44.1%, and that of females was 55.9%. The male to female ratio was thus 1:1.26. The patients' average age was 54.64 and the 6th decade of life was the peak age group. 2. Most of the patients visited the Oriental medical hospital emergency room between 11:00 and 23:00. 3. In distribution by days of the week, the most common was Sundays (24.5%), followed by Mondays (16.7%). 4. In the month distribution, the most was December (12.4%), followed by November (10.0%). 5. The patients were grouped as follows: neurological diseases 58.9%, musculoskeletal disease 27.5%, internal medical disease 10.4%, and others 3.2%. 6. Admission rate of patients being treated was 38.8%, and the admission to the intensive care unit (ICU) was 4.5%. of total visiting patients.