Reviewing Research of Eastern-Western Integrative Medicine Studies in Korea

Han, Kuk-In; Shin, Seon-Ho; Lim, Gwang-Mook; Lee, Jung-Han; YounSeok, Ko

doi:10.18325/jkmr.2018.28.1.53

Cited by 12 publications

(10 citation statements)

References 9 publications

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“…In several earlier studies regarding CT, we found that the sample sizes were small and the type of KM used in CT was designated. In addition, the assessment of the effectiveness of CT mostly focused on “cooperation in the treatment”; there are few reports on the “cooperation in the diagnosis and examination.” [ 17 , 35 ] Our study design overcomes these limitations with a relatively large sample size, no restriction on the type of KM, and by including cooperation at all clinical steps, such as examination, diagnosis, and treatment to reflect a real-world scenario.…”

Section: Discussionmentioning

confidence: 99%

Clinical and cost-effectiveness of collaborative traditional Korean and Western medicine treatment for low back pain

Hyun¹,

Lee

Kim

et al. 2018

Medicine

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Background:In South Korea, a few patients with low back pain (LBP) are currently being treated with a combination of traditional Korean medicine (KM) and Western medicine (WM). Although a recent research has reported results regarding patient satisfaction and exploratory effectiveness, evidence of comparative effectiveness still needs to be reviewed. The aim of this study is to evaluate the clinical and cost-effectiveness of KM and WM collaborative treatment (CT) compared with that of sole treatment (ST) for patients with LBP in Korea.Method/design:This multisite, prospective observational comparative effectiveness research study is part of a nationwide pilot project for KM and WM collaboration launched by the Korean Ministry of Health and Welfare. The duration of the study is 8 weeks, and the target number of inclusion is 360 patients. Participants receive treatment according to their treatment plan, and a researcher conducts investigations thrice, every 4 weeks. In the final analysis, the merged data from the participants’ questionnaire responses, hospital medical records, and administrative data, and Health Insurance Review and Assessment service data will be compared between the CT and ST groups.Discussion:This study will provide clinical and economic information about CT for LBP, which might be a milestone for establishing future polices about this collaboration in Korea.Trial registration:The study protocol has been registered with the Clinical Research Information Service (KCT0002827).

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Section: Discussionmentioning

confidence: 99%

Clinical and cost-effectiveness of collaborative traditional Korean and Western medicine treatment for low back pain

Hyun¹,

Lee

Kim

et al. 2018

Medicine

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“…Studies on KWCT have been conducted steadily since the 1990s, and the most frequently published article type in this regard were case reports. 10 In addition, various studies have been conducted about the effectiveness of KWCT, 11 , 12 , 13 surveys on perception and satisfaction on the KWCT, 14 , 15 , 16 survey about the actual condition and status of the KWCT, 17 development of the KWCT system, 18 KWCT manual development, 19 and economic evaluation of KWCT. 20 Based on these studies, literature reviews have also been published such as regarding the effect of KWCT on musculoskeletal diseases, 21 combination drug treatment in KWCT, 22 and a research trend analysis on KWCT.…”

Section: Introductionmentioning

confidence: 99%

“…20 Based on these studies, literature reviews have also been published such as regarding the effect of KWCT on musculoskeletal diseases, 21 combination drug treatment in KWCT, 22 and a research trend analysis on KWCT. 10 However, in 2009, when cross-employment of other types of licensed medical doctors were allowed at the same hospital (Article 43 of the Medical Law), the KWCT system in Korea came to a fundamental turning point. Although some suggestions were made based on a literature review published before 2009 23 about activation strategies to overcome barriers of KWCT, it is not suitable at the present time when the KWCT system has changed fundamentally through cross-employment of medical doctors with different licenses.…”

Section: Introductionmentioning

confidence: 99%

Perception, attitude, and demand for Korean medicine and Western medicine collaborative treatment of medical occupational groups in Korea: A scoping review

Leem¹,

Lee

Seo

et al. 2021

Integrative Medicine Research

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Background In Korea, there exists a dual medical license system whereby both traditional Korean medicine and Western medicine doctors practice independently. In 2009, via medical law revision, cross employment was allowed to activate Korean medicine and Western medicine collaborative treatment (KWCT). Despite its several advantages, there are several barriers to a well-organized KWCT. To activate KWCT, we investigated perception, attitude, demand of medical occupational groups and research gap via scoping review. Methods Scoping review is an emerging methodology for knowledge synthesis adopting the Arksey and O’Malley framework. The research question was “What is known about perception, attitude, demand, and research gap on KWCT?” We searched articles published from 2009 to 2019 in 7 Korean and 4 English databases. We conducted descriptive and qualitative thematic analysis and presented the research gap. Results From 1,305 articles, 6 quantitative and 3 qualitative studies were included. In quantitative studies, perception and attitude of medical occupational groups did not change markedly. For better perception and attitude, experiencing, mutual understanding, and respect should precede. Academic exchange, education, supporting KWCT research and legal/institutional/administrative support is also important. In qualitative studies, education course, guidelines, trust, safety, academic integration, and scientification were also required. We found several research gaps about KWCT especially detailed on-site demand and activation strategy about KWCT. Conclusion We investigated perception, attitude, and demand on KWCT. Based on research gap in our scoping review, quantitative studies using validated questionnaire and in-depth interview are needed to identify on-site demand to improve KWCT implementation. Protocol registration https://www.researchregistry.com/(reviewregistry830)

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“…However, the quantity and quality of studies using combined Korean medicine/CAM and Western medicine treatment leaves much to be desired. Han et al [4] reported that 60% of the 89 Korean clinical research papers that were published on combined medical treatment between 2011 and 2017, were case reports or non-randomized controlled studies (nRCTs). In 93 clinical studies on combined medical treatment, the interventions were limited by inadequate communication between clinical practice physicians administering oral medications and Korean medicine doctors.…”

Section: Introductionmentioning

confidence: 99%

Current Research Trends in Randomized Controlled Trials Investigating the Combined Effect of Korean Medicine and Western Medicine Treatment

Kim

baek

et al. 2020

J Acupunct Res

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randomized controlled trials (RCTs) which investigated the safety and effectiveness of combined Korean medicine/complementary alternative medicine (CAM) and Western medicine, to indicate the direction for integrative medical practice. The Korean Medicine Convergence Research Information Center evidence-based medicine database (KMCRIC EBM DB) was used to retrieve relevant RCTs indexed in the last 3 years. Study design, country, sample size, disease/condition with the Korean Standard Classification of Diseases code, interventions, direction of outcomes, and adverse events were extracted and summarized. A total of 93 RCTs were included in this review. Acupuncture/moxibustion was the most commonly used intervention (n = 47; 51%), and 19% (n = 18) of the studies treated musculoskeletal disorders, followed by circulatory disorders (n = 16; 17%), and mental and behavioral disorders (n = 9; 10%). Integrative treatment was reported as more effective than monotherapy in approximately 83% of these studies. Adverse events were poorly reported in most studies. This review suggests that integrative treatments are feasible, effective, and safe for various diseases/conditions, based on the evidence from recently published RCTs. Future studies on integrative healthcare are warranted.

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Reviewing Research of Eastern-Western Integrative Medicine Studies in Korea

Cited by 12 publications

References 9 publications

Clinical and cost-effectiveness of collaborative traditional Korean and Western medicine treatment for low back pain

Clinical and cost-effectiveness of collaborative traditional Korean and Western medicine treatment for low back pain

Perception, attitude, and demand for Korean medicine and Western medicine collaborative treatment of medical occupational groups in Korea: A scoping review

Current Research Trends in Randomized Controlled Trials Investigating the Combined Effect of Korean Medicine and Western Medicine Treatment

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