A Study on the Development and Application of Korean Medical Critical Pathway of Lumbar Disc Herniation in Four Different Medical Associations

Jung-Hyun Kim; Sang Yeup Chae; Min-Jung Ko; Min-Gi Jo; Jun-Yeong Jang; Jun Yeon Kim; Ha-Na Kim; Kyeong Ju Park; Ji-Min Hwang; Bonhyuk Goo; Yeon-Cheol Park; Yong-Hyeon Baek; Sang-Soo Nam; Byung-Kwan Seo; Kim, Jung-Hyun; Chae, Sang Yeup; Ko, Min-Jung; Jo, Min-Gi; Jang, Jun-Yeong; Kim, Jun Yeon; Kim, Ha-Na; Park, Kyeong Ju; Hwang, Ji-Min; Goo, Bonhyuk; Park, Yeon-Cheol; Baek, Yong-Hyeon; Nam, Sang-Soo; Seo, Byung-Kwan

doi:10.13048/jkm.21021

JKM > Volume 42(3); 2021 > Article

Kim, Chae, Ko, Jo, Jang, Kim, Kim, Park, Hwang, Goo, Park, Baek, Nam, and Seo: A Study on the Development and Application of Korean Medical Critical Pathway of Lumbar Disc Herniation in Four Different Medical Associations

Original Article

The Journal of Korean Medicine 2021; 42(3): 1-8.

Published online: September 01, 2021

DOI: https://doi.org/10.13048/jkm.21021

A Study on the Development and Application of Korean Medical Critical Pathway of Lumbar Disc Herniation in Four Different Medical Associations

Jung-Hyun Kim¹

, Sang Yeup Chae³

, Min-Jung Ko³

, Min-Gi Jo³

, Jun-Yeong Jang³

, Jun Yeon Kim³

, Ha-Na Kim³

, Kyeong Ju Park³

, Ji-Min Hwang¹

, Bonhyuk Goo¹

, Yeon-Cheol Park²

, Yong-Hyeon Baek²

, Sang-Soo Nam²

, Byung-Kwan Seo²

¹Department of Acupuncture & Moxibustion, Kyung Hee University Hospital at Gangdong

²Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University

³Department of Clinical Korean Medicine, Graduate School, Kyung Hee University

Correspondence to: Byung-Kwan Seo, Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University 26, Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, Republic of Korea., Tel: +82-2-440-6239, Fax: +82-2-440-7143, E-mail: seohbk@hanmail.net,

Received April 7, 2021 Revised July 10, 2021 Accepted July 28, 2021

Abstract

Objectives

A critical pathway defines the optimal care process, sequencing and timing of intervention by multi-disciplinary health care teams for a particular diagnosis and procedure. It plays an important role as a cost-effective health care delivery system and a tool for quality control of medical and dental services by means of standardizing medical practices. The aim of this study is to investigate the satisfaction of patients and medical staff after implementation of a critical pathway for Korean medical treatment of lumbar disc herniation in integrative medical.

Methods and Results

The pre-critical pathway group included 3 patients who underwent the implementation procedure from October 2020. All three patients have successfully been applied critical pathways during inpatient and outpatient treatment. Additionally, medical staff members were satisfied with the usefulness of the critical pathway.

Conclusions

The implementation of critical pathway for the Korean medical treatment with lumbar disc herniation in integrative medical hospital can appraise possible applicability in actual clinical field.

Keywords: Critical pathway, Integrative medical hospital, Implementation, Korean medicine

Fig. 1

Time task matrix for inpatient management in integrative medical hospital

Fig. 2

Time task matrix for outpatient management in integrative medical hospital

Table 1

Outcome Measures in Implementation of Critical Pathway

환자	구분	병력청취	진단검사 확인	이학적 검사	증상평가 템플릿	변증 템플릿	교육자료 안내	만족도 설문	CP 완료
조OO	외래	○	○	○	^aEQ-5D-5L ^bODI ^cNRS	○	○	○	○
이OO	외래	○	○	○	EQ-5D-5L ODI NRS	○	○	○	○
이OO	입원	○	○	○	EQ-5D-5L ODI NRS ^dSF-36	○	○	○	○

a EQ-5D-5L: Euro-Quality of Life – 5 dimensions – 5 Likert Scale.

b ODI: Oswestry Disability Index

c NRS: Numeral Rating Scale

d SF-36: Shot Form Survey of 36 Items

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