| 부천시 일차의료에서 의한협력 돌봄 흐름도 개발 및 예비 적용 |
진한빛1 
, 김범석2
, 안은지1
, 김성애3
, 김민경2
, 조규석3
, 김동수1
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1동신대학교 한의과대학 예방의학교실
2중동한의원
3부천의료복지사회적협동조합 부천시민의원 |
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| Design and Preliminary Implementation of an Integrated Care Flowchart for Korean-Western Medical Collaboration in Bucheon Primary Care |
| Hanbit Jin1
, Beumseuk Kim2
, Eunji Ahn1
, Sungae Kim3
, Minkyung Kim2
, Gyuseok Cho3
, and Dongsu Kim1
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1Department of Preventive Medicine, College of Korean Medicine, Dongshin University
2Jungdong Korean Medicine Clinic
3Bucheon Health Welfare Social Cooperative, Bucheon Citizen's Medical Clinic |
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| Corresponding Author:
Dongsu Kim ,Tel: +82-61-330-3258, Fax: +82-61-330-3519, Email: dskim20@dsu.ac.kr |
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Received: April 10, 2025; Revised: May 15, 2025. Accepted: May 22, 2025. |
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| ABSTRACT |
Objectives: Integrated care began as a response to the growing ageing population. The main professionals in charge of medical care are doctors and Korean medicine doctors. However, interprofessional collaboration has been scarcely explored.
Methods: A collaborative care flowchart tailored for primary care settings was developed through expert consultations with medical staff from an A Medical Home Care Center and a B Korean Medicine Home Care Center. After pilot implementation of the flowchart, electronic medical records (EMRs) of patients receiving care were retrospectively collected and analyzed from May to December 2024.
Results: The primary function of Korean medicine doctors was to manage pain, and they collaborated with medical professionals to prescribe medication and diagnose patients. Moreover, while the subjects expressed satisfaction with the collaborative care process, they expressed dissatisfaction regarding the infrequency of visits. Although the pilot implementation of the collaborative care model was successful, a critical limitation was the lack of systemic support.
Conclusions: This study is significant as it represents the first attempt to develop a primary care-based collaborative care flowchart, and it can be utilized as fundamental data in future research. In the future, it will be important to identify the comprehensive role of Korean medicine doctors and to continue discussions with other professionals and policymakers. To expand and institutionalize collaborative care, policy-level support and dedicated legal frameworks are needed. |
| Keywords:
Integrated care | Collaborative care | Flowchart development | Pilot implementation | Retrospective chart review |
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