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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한약침학회 Journal of Pharmacopuncture Journal of Pharmacopuncture 제22권 제4호
발행연도
2019.1
수록면
260 - 268 (9page)

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Objectives: The Clinical Decision Support System (CDSS), which analyzes and uses electronic health records (EHR) for medical care, pursues patient-centered medical care. It is necessary to establish the CDSS in Korean medical services for objectification and standardization. For this purpose, analyses were performed on the points to be followed for CDSS implementation with a focus on herbal medicine prescription. Methods: To establish the CDSS in the prescription of Traditional Korean Medicine, the current prescription practices of Traditional Korean Medicine doctors were analyzed. We also analyzed whether the prescription support function of the electronic chart was implemented. A questionnaire survey was conducted querying Traditional Korean Medicine doctors working at Traditional Korean Medicine clinics and hospitals, to investigate their desired CDSS functions, and their perceived effects on herbal medicine prescription. The implemen-tation of the CDSS among the audit software developers used by the Korean medical doctors was examined. Results: On average, 41.2% of Traditional Korean Medicine doctors working in Traditional Korean Medicine clinics manipulated 1 to 4 herbs, and 31.2% adjusted 4 to 7 herbs. On average, 52.5% of Traditional Korean Medicine doctors working in Traditional Korean Medicine hospitals adjusted 1 to 4 herbs, and 35.5% adjusted 4 to 7 herbs. Questioning the desired prescription support function in the electronic medical record system, the Traditional Korean Medicine doctors working at Korean medicine clinics desired information on ‘medicine name, meridian entry, flavor of medicinals, nature of medicinals, efficacy,’ ‘herb combination information’ and ‘search engine by efficacy of prescription.’ The doctors also desired compounding contraindications (eighteen antagonisms, nineteen incompatibilities) and other contraindicatory prescriptions, ‘medicine information’ and ‘prescription analysis information through basic constitution analyses.’ The implementation of prescription support function varied by clinics and hospitals. Conclusion: In order to implement and utilize the CDSS in a medical service, clinical information must be generated and managed in a standardized form. For this purpose, standardization of terminology, coding of prescriptions using a combination of herbal medicines, and unification such as the preparation method and the weights and measures should be integrated.

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참고문헌 (26)

참고문헌 신청
Wang S / 2018 / Access Application of Traditional Chinese Medicines as Personalized Therapy in Human Cancers / The American Journal of Chinese Medicine 46(5):953~970 google schola Elf M / 2017 / The case of value-based healthcare for people living with complex long-term conditions / BMC Health Serv Res 17(1):24 google schola 이충호 / 2017 / Medical big data: promise and challenges / Kidney Research and Clinical Practice 36(1):3~11 dbpia Morris AH / 2000 / Developing and Implementing Computerized Protocols for Standardization of Clinical Decisions / Ann Intern Med 132(5):373~383 google schola Linder JA / 2007 / Electronic health record use and the quality of ambulatory care in United States / Archives of internal medicine 167(13):1400~1405 google schola

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