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KMID : 0861120130170020069
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Korean Journal of Oriental Preventive Medicine
2013 Volume.17 No. 2 p.69 ~ p.78
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Patient Assessment of Primary Care for Health Cooperative Korean Medicine Clinics in South Korea
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Seong Tae-kyung
Lim Byung-Mook
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Abstract
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Objectives : Health cooperative movementis ofincreasing concern among medicalconsumers and professionals in Korea. Most health cooperative clinics provide Western Medicine and Korean Medicine(KM)topatients.ThisstudyaimedtoevaluatetheprimarycarelevelofhealthcooperativeKM clinicsandcompareitwithlocalKM clinicsinKorea.
Methods : Facetofacesurveywasperformedatthe3healthcooperativeKM clinicsand5localKM clinicswiththeKoreanPrimaryCareAssessmentTool(KPCAT).TheKPCAT consistsof5domains (21 items): first contact (5), coordination function (3), comprehensiveness (4), family/community orientation(4),andpersonalizedcare(5).SubjectswerepatientsorguardianswhohadvisitedKM clinics fivetimesormoreduringthelast3months.Wecomparedprimarycarescoresofeachdomainbetween healthcooperativeKM clinicsandlocalKM clinics.
Results : Datawerecollectedfrom 200respondents(100patientsfrom healthcooperativeKM clinics and100localKM clinics).TotalaveragescoresoftheKPCAT forhealthcooperativeclinicsandlocal KM clinicswere81.1±12.0and75.4±9.5,respectively.Amongprimarycaredomains,personalizedcarewas thehighest(89.2±12.0,89.6±8.4,respectively),andcomprehensivenessfunctionwasthelowest(68.5±22.5,54.5±22.0,respectively).Significantdifferences between two groups were noted in comprehensiveness function(68.5vs.54.5,P=0.000),family-communityorientation(79.5vs.73.0,P=0.004),firstcontact(89.2vs84.0,p=0.001)andcoordinationfunction(74.0vs68.7,p=0.025).
Conclusions : Basedonthepatientsassessment,healthcooperativeKM clinicsprovidemoreprimary care-orientedservicesthanlocalKM clinics.Thismeansthathealthcooperativecliniccanbeoneof alternatives to strengthen the primary health care in Korea.Future researches are recommended to measurepatientssatisfactionandtreatmenteffectivenessinthehealthcooperativeclinics.
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KEYWORD
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Primary Health Care, Health Cooperative clinics, Korean medicine, KPCAT
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