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Lee SH, Sul JU, Lee JH, Heo I, Shin BC, Hwang EH, Hwang MS. Characteristics of Korean medical care utilization in patients with traffic injury: Analysis of 3 hospital electronic health record databases. Medicine (Baltimore) 2024; 103:e38495. [PMID: 38875418 PMCID: PMC11175872 DOI: 10.1097/md.0000000000038495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 04/18/2024] [Accepted: 05/16/2024] [Indexed: 06/16/2024] Open
Abstract
This retrospective study aimed to identify the characteristics of Korean medical care utilization in patients with traffic injury (TI) and to explore the clinical effectiveness of Korean medical interventions for TI through a multicenter chart review. This multicenter, retrospective registry study gathered electronic health records from 3 hospitals between January 1, 2018 and December 31, 2021. Data included treatment dates, demographic information, the Korean Standard Classification of Diseases codes, collision data, Korean medicine treatment modalities, and treatment outcomes. In total, 384 patients (182 inpatients and 202 outpatients) were included in the analysis. Patients were categorized into acute (207 patients, 53.9%), subacute (77 patients, 20.1%), and chronic (100 patients, 26.0%) phases based on the period until the visit. The most frequent Korean Standard Classification of Diseases code was "sprain and strain of cervical spine (S13.4)." All patients, except one, received Korean physiotherapy, followed by acupuncture and cupping. Comparative intragroup analysis revealed significant pain reduction in patients treated with the combination of Chuna manual therapy, herbal medicine, and pharmacopuncture and those treated with pharmacopuncture and herbal medicine only. This study highlights the characteristics of patients with TI visiting medical institutions providing Korean medicine and describes the effectiveness of Korean medicine interventions. Further comprehensive analysis with more data is necessary for future research.
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Affiliation(s)
- Sang-Hyun Lee
- Department of Korean Medicine, Graduate School, Pusan National University, Yangsan, Gyeongnam, Republic of Korea
| | - Jae-Uk Sul
- College of Korean Medicine, Dongshin University, Naju, Jeonnam, Republic of Korea
- Department of Korean Rehabilitation Medicine, Dongshin University Korean Medicine Hospital, Gwangju, Republic of Korea
| | - Jin-Hyun Lee
- Institute for Integrative Medicine, Catholic Kwandong University International St. Mary’s Hospital, Incheon, Republic of Korea
| | - In Heo
- 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Gyeongnam, Republic of Korea
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Gyeongnam, Republic of Korea
| | - Byung-Cheul Shin
- 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Gyeongnam, Republic of Korea
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Gyeongnam, Republic of Korea
| | - Eui-Hyoung Hwang
- 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Gyeongnam, Republic of Korea
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Gyeongnam, Republic of Korea
| | - Man-Suk Hwang
- 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Gyeongnam, Republic of Korea
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Gyeongnam, Republic of Korea
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Monteiro GBDM, Pessoa BHS. Semeando saúde. REVISTA BRASILEIRA DE MEDICINA DE FAMÍLIA E COMUNIDADE 2022. [DOI: 10.5712/rbmfc17(44)3046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Problema: Atualmente, o paradigma da produção de saúde é prodigalizado por uma miríade de interesses mercantis galanteadores do modelo biomédico, que supervaloriza o conhecimento científico moderno. Mesmo que seja desprestigiado pela soberania científica, cerca de 70% do uso popular das plantas medicinais é confirmado cientificamente, e esses saberes não institucionais são frequentes nas práticas cotidianas. Segundo dados da Organização Mundial da Saúde (OMS), 80% da população de países em desenvolvimento utiliza-se de práticas tradicionais na atenção primária à saúde e, desse total, 85% fazem uso de plantas medicinais. No Brasil, 82% dos brasileiros usam produtos à base de plantas medicinais para cuidar da saúde. Perante este descompasso, a atenção primária à saúde destaca-se como espaço estratégico para adubar o terreno das práticas fitoterápicas. Metodologia: Trata-se de um estudo descritivo, qualitativo, do tipo relato de experiência, sobre o desenvolvimento de um jardim medicinal localizado numa Unidade de Saúde da Família do município de Recife, Pernambuco. Utilizou-se um registro sistemático das atividades por meio da confecção de um diário de campo com registro fotográfico, complementado por levantamento bibliográfico e pesquisa documental. Resultados: O projeto perpassou pelas etapas informacional, estrutural e de plantio, constelando vários saberes com base no espírito da multiprofissionalidade e da participação comunitária. Ao fim, os esforços culminaram na efetivação de um jardim medicinal, propiciando um espaço para a troca de conhecimentos e experiências. Conclusão: Conclui-se que a estruturação de um jardim medicinal no âmbito da atenção primária à saúde conclama um prodigioso potencial no fortalecimento dos princípios que norteiam esse nível de atenção, reposicionando o usuário no centro do modelo de cuidado e ampliando as opções terapêuticas eficazes e de baixo custo.
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Schveitzer MC, Abdala CVM, Portella CFS, Ghelman R. Traditional, complementary, and integrative medicine evidence map: a methodology to an overflowing field of data and noise. Rev Panam Salud Publica 2021; 45:e48. [PMID: 33907557 PMCID: PMC8064289 DOI: 10.26633/rpsp.2021.48] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Accepted: 12/01/2020] [Indexed: 01/08/2023] Open
Abstract
Every day there is criticism about lack of evidence on traditional, complementary, and integrative medicine (TCIM). But is this narrative evidence-based? Are we really missing research about TCIM? Or are we just not looking correctly at the evidence? Evidence maps are a useful method with the dual function of synthesizing available evidence on a specific topic and identifying knowledge gaps. This article presents a six-step evidence map methodology along with recently published TCIM evidence maps, including one related to COVID-19. TCIM evidence maps are useful instruments to inform decision-making for policymakers, health practitioners, and patients.
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Affiliation(s)
- Mariana Cabral Schveitzer
- Universidade Federal de São PauloSão PauloBrazilUniversidade Federal de São Paulo, São Paulo, Brazil
| | - Carmen Verônica Mendes Abdala
- PAHO/WHO Latin American and Caribbean Center on Health Sciences Information (BIREME)São PauloBrazilPAHO/WHO Latin American and Caribbean Center on Health Sciences Information (BIREME), São Paulo, Brazil
| | - Caio Fabio Schlechta Portella
- Brazilian Academic Consortium for Integrative Health (CABSIN)São PauloBrazilBrazilian Academic Consortium for Integrative Health (CABSIN), São Paulo, Brazil
| | - Ricardo Ghelman
- Brazilian Academic Consortium for Integrative Health (CABSIN)São PauloBrazilBrazilian Academic Consortium for Integrative Health (CABSIN), São Paulo, Brazil
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Lauwers L, Bastiaens H, Remmen R, Keune H. Nature's Contributions to Human Health: A Missing Link to Primary Health Care? A Scoping Review of International Overview Reports and Scientific Evidence. Front Public Health 2020; 8:52. [PMID: 32257986 PMCID: PMC7093563 DOI: 10.3389/fpubh.2020.00052] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Accepted: 02/13/2020] [Indexed: 11/30/2022] Open
Abstract
Nature's contributions to human health (NCH) have gained increased attention internationally in scientific and policy arenas. However, little attention is given to the role of the health care sector in this discussion. Primary health care (PHC) is a vital backbone for linking knowledge and practice within the organization of health care. The objective of this scoping review is to evaluate how international overview reports and scientific literature on NCH address to PHC. More specifically, we extracted data on arguments, practice supporting tools and guidelines, challenges and constraints, and management approaches to integrate NCH and PHC. The scientific literature search was run in Web of Science. Two independent reviewers screened the scientific publications. Through the scientific literature search, we identified 1,995 articles of which 79 were eligible for analysis. We complemented the search with a selection of six international overview reports. Both the international overview reports and the scientific publications paid limited attention to the role of PHC regarding NCH. To cope with the current challenges and constraints to integrate NCH and PHC, more evidence on NCH, further development of PHC practice supporting tools, bottom–up integrated approaches, and closer interdisciplinary collaborations are required.
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Affiliation(s)
- Laura Lauwers
- Department for Interdisciplinary and Primary Care, University of Antwerp, Wilrijk, Belgium
| | - Hilde Bastiaens
- Department for Interdisciplinary and Primary Care, University of Antwerp, Wilrijk, Belgium
| | - Roy Remmen
- Department for Interdisciplinary and Primary Care, University of Antwerp, Wilrijk, Belgium
| | - Hans Keune
- Department for Interdisciplinary and Primary Care, University of Antwerp, Wilrijk, Belgium.,Research Institute Nature & Forest (INBO), Belgian Biodiversity Platform, Brussels, Belgium
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Fabrizzio GC, Gonçalves Júnior E, Cunha KSD, Kahl C, Santos JLGD, Erdmann AL. Care management of a patient with Devic's Disease in Primary Health Care. Rev Esc Enferm USP 2018; 52:e03345. [PMID: 30088542 DOI: 10.1590/s1980-220x2017024603345] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2017] [Accepted: 01/31/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Describing the care management of a patient affected by Devic's Disease in the Primary Health Care setting. METHOD A clinical-qualitative case study based on the health status of a Devic's Disease patient in a Health Center of the municipality of Florianópolis, accompanied by the Family Health Team. Data collection was carried out by electronic medical records, documents of the patient's domain, as well as a semi-structured interview with the participant. Ethical aspects of research involving human beings were respected. RESULTS The categories were defined according to relevance criteria with the purpose of reporting the case study, presenting a unique implemented therapeutic project and describing the patient's perception of her situation. CONCLUSION Acupuncture and auriculotherapy were successfully performed, evidencing an improvement in the patient's pain, which may contribute to new possibilities of care. Despite this, not all the available care tools were implemented, considering the range of complementary care therapies that go beyond the medicinal approach.
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Affiliation(s)
- Greici Capellari Fabrizzio
- Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem, Florianópolis, SC, Brasil
| | | | - Kamylla Santos da Cunha
- Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem, Florianópolis, SC, Brasil
| | - Carolina Kahl
- Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem, Florianópolis, SC, Brasil
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