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한·양방 통합의료의 갈등과 방향에 대한 연구 : 한·양방 의료 및 관련 종사자 대상 심층면접을 중심으로

Other Titles
 Research on the Conflicts and Future Direction of Integrative Medicine in Korea 
Authors
 임은진  ;  김소윤  ;  손명세  ;  최평락  ;  오병상 
Citation
 Korean Journal of Oriental Medicine Physiology & Pathology (동의생리병리학회지), Vol.28(2) : 243-250, 2014 
Journal Title
 Korean Journal of Oriental Medicine Physiology & Pathology (동의생리병리학회지) 
ISSN
 1738-7698 
Issue Date
2014
Keywords
Oriental Medicine ; Integrative Medicine ; Medical conflict ; Parallel health care system ; Dual health care system
Abstract
This study examined the knowledge and understanding of integrative medicine in Korea, specifically conflicts between western and oriental medicine within Parallel (Dual) health care systems. Qualitative methodology using grounded theory guided semi-structured, in-depth interviews with Western Medical Doctors (W.M.D., n = 6), Oriental Medical Doctors (O.M.D., n = 5) and Traditional Chinese Medicine Practitioners (T.C.M.P., n = 4). Thematic analysis was used to determine broad themes from the interviews. 15 professionals (W.M.D. (40%), O.M.D. (33%), T.C.M.P. (27%), 10 males (67%) and 5 females (33%), mean age 45) were interviewed, recorded, and transcribed. Thematic analysis revealed three key themes: systematic conflicts, integration and future directions. Subthemes of systematic conflicts included: credibility of Oriental Medicine, commercial imperatives, maintaining social standing of O.M.D., professional qualifications and lack structures supporting collaborative practice. Integration subthemes included lack of academic linkage and clarity for appropriate triage, opposing medical paradigms and limited social imperative. Future directions should include: social justification, guarantee of oriental medicine legitimacy, role of government and understanding of scientific evidence. To successfully integrate dual medical systems there is a need to address differences in social-environmental factors and perceptions of scientific understanding, as well as developing strong academic links in clinical practice.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Medical Law and Bioethics (의료법윤리학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, So Yoon(김소윤) ORCID logo https://orcid.org/0000-0001-7015-357X
Sohn, Myong Sei(손명세) ORCID logo https://orcid.org/0000-0002-4817-0127
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158577
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