传统韩医在交通事故中的态度和经验:定性研究

IF 2.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Preventive Medicine Reports Pub Date : 2024-06-09 DOI:10.1016/j.pmedr.2024.102767
Tae-Yoon Kim , Jung-Hyun Kim , Bonhyuk Goo , Byung-Kwan Seo
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引用次数: 0

摘要

目标车辆的激增使交通流量不断攀升,导致交通事故和随之而来的疾病增多。这些事故造成的创伤后综合症往往症状复杂。韩国传统医学(TKM)越来越多地被用于汽车保险中,成为治疗费用的重要组成部分。然而,现行制度缺乏明确的收费指南,也没有对不可报销的 TKM 治疗程序制定审批标准,这在很大程度上依赖于从业人员的判断,而没有以证据为基础的有力决策。这种情况引发了人们对治疗适当性和透明度的担忧。我们旨在探讨医生对在急诊医学中使用 TKM 的看法、他们的参与情绪以及他们在交通事故后的疗程选择过程。对创伤后综合征患者的诊断、治疗、管理和预后进行全面和标准化规范的必要性显而易见。此外,有必要改进工作,以促进医疗消费者做出理性决策,并保护医疗服务提供者的治疗权利。结果强调了循证决策的重要性,建立了适当的收费结构和基于 TKM 的非报销程序的详细标准,并在汽车保险方面加强了对基于 TKM 的治疗的可靠性和透明度的监管。结果和结论要维持一个可持续的车辆保险系统,必须考虑直接参与基于 TKM 的治疗的医疗服务提供者的观点,超越行政政策的讨论。我们强调了在汽车保险中提高基于 TKM 的治疗的有效性和适当性所面临的挑战和潜在解决方案。
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Attitudes and experiences of traditional Korean medicine practitioners in cases of traffic accidents: A qualitative study

Objective

The surge in vehicles has escalated traffic volume, leading to an upswing in traffic accidents and subsequent disorders. Complex symptoms often characterize post-traumatic syndrome from these accidents. Traditional Korean medicine (TKM), increasingly used in car insurance, forms a substantial part of treatment costs. However, the current system lacks explicit fee guidelines and approval criteria for non-reimbursable TKM procedures, relying heavily on practitioners’ judgment without robust evidence-based decision-making. This scenario raises concerns about treatment appropriateness and transparency. We aim to explore physicians’ perspectives on utilizing TKM in emergency medicine, their participation sentiments, and their session selection process post-traffic accident.

Methods

We collected TKM practitioners’ opinions regarding their role in clinical environment and involvement in treating patients after traffic accidents. The need for comprehensive and standardized protocols for the diagnosis, treatment, management, and prognosis of patients with post-traumatic syndrome is evident. Additionally, improvements that facilitate rational decision-making by medical consumers and protect the treatment rights of healthcare providers are necessary. Results has emphasized the importance of evidence-based decision-making, establishing appropriate fee structures and detailed criteria for non-reimbursable TKM-based procedures, and enhancing regulations for the reliability and transparency of TKM-based treatments in the context of car insurance.

Results and conclusions

The perspective of healthcare providers directly involved in TKM-based treatments must be considered to maintain a sustainable vehicular insurance system, transcending administrative policy discourse. We highlighted the challenges and potential solutions for improving the effectiveness and appropriateness of TKM-based treatments in the context of car insurance.

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来源期刊
Preventive Medicine Reports
Preventive Medicine Reports Medicine-Public Health, Environmental and Occupational Health
CiteScore
3.90
自引率
0.00%
发文量
353
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