PDF(Pubmed)
Abstract：
UNASSIGNED: South Korea\'s Ministry of Health and Welfare has developed clinical pathways for Korean Medicine (KM-CPs). As part of this initiative, a panel comprising Korean Medicine doctors (KMD) was assembled. This implementation study aimed to preliminarily explore how KM-CP implementation affects the appropriateness and efficiency of the clinical process and its relation to attitude.
UNASSIGNED: Through random sampling, 311 KMDs were recruited as panelists to participate in two surveys. The surveys included information regarding the KM clinical environment and KM-CP implementation. A panel management program and educational materials were provided to KMDs between the two survey periods. Only 262 KMDs who responded to both surveys were included in the analysis. Three analyses were conducted: 1) descriptive analysis of the study variables, 2) panel analysis using the ordered logit regression model to elucidate the impact of KM-CP on the appropriateness and efficiency of the clinical process, and 3) ordered logit regression analysis of the association between KM-CP implementation and attitude.
UNASSIGNED: More than two-thirds of the KMDs attempted to adopt KM-CP, with mostly positive perception expressed by these doctors. However, expectations and concerns coexist with the standardization of KM-CP. Cases in which KM-CPs were partially and mostly implemented respectively had negative and positive effects on the appropriateness and efficiency of the clinical process compared to those in which KM-CPs were not implemented. Compared to neutral attitude, positive and very positive attitudes tended to be associated with increased implementation of KM-CP. However, statistical significances were not observed.
UNASSIGNED: The impact of KM-CP on the clinical process and its association with attitude were found to be statistically unclear or inconsistent. Considering the study limitations and implications, we suggest a policy and academic strategies aimed at fostering improvement to enhance its utility.
UNASSIGNED: Through random sampling, 311 KMDs were recruited as panelists to participate in two surveys. The surveys included information regarding the KM clinical environment and KM-CP implementation. A panel management program and educational materials were provided to KMDs between the two survey periods. Only 262 KMDs who responded to both surveys were included in the analysis. Three analyses were conducted: 1) descriptive analysis of the study variables, 2) panel analysis using the ordered logit regression model to elucidate the impact of KM-CP on the appropriateness and efficiency of the clinical process, and 3) ordered logit regression analysis of the association between KM-CP implementation and attitude.
UNASSIGNED: More than two-thirds of the KMDs attempted to adopt KM-CP, with mostly positive perception expressed by these doctors. However, expectations and concerns coexist with the standardization of KM-CP. Cases in which KM-CPs were partially and mostly implemented respectively had negative and positive effects on the appropriateness and efficiency of the clinical process compared to those in which KM-CPs were not implemented. Compared to neutral attitude, positive and very positive attitudes tended to be associated with increased implementation of KM-CP. However, statistical significances were not observed.
UNASSIGNED: The impact of KM-CP on the clinical process and its association with attitude were found to be statistically unclear or inconsistent. Considering the study limitations and implications, we suggest a policy and academic strategies aimed at fostering improvement to enhance its utility.
摘要：
■韩国卫生和福利部已经开发了韩国医学临床路径（KM-CPs）。作为这一举措的一部分,由韩国医学博士（KMD）组成的小组成立。这项实施研究旨在初步探讨KM-CP实施如何影响临床过程的适当性和效率及其与态度的关系。
■通过随机抽样，招募了311名KMD作为小组成员参加两项调查。调查包括有关KM临床环境和KM-CP实施的信息。在两个调查期间之间，向KMD提供了小组管理计划和教育材料。只有262名回答这两项调查的KMD被包括在分析中。进行了三项分析：1)研究变量的描述性分析，2）使用有序logit回归模型进行面板分析，以阐明KM-CP对临床过程的适当性和效率的影响，3)对KM-CP实施与态度之间的关联进行有序logit回归分析。
■超过三分之二的KMD试图采用KM-CP，这些医生表达了大部分积极的看法。然而,期望和担忧与KM-CP的标准化并存。与未实施KM-CP的情况相比，部分和大部分实施KM-CP的情况分别对临床过程的适当性和效率产生了负面影响和积极影响。与中立态度相比，积极和非常积极的态度往往与KM-CP实施的增加有关。然而,没有观察到统计学意义。
■发现KM-CP对临床过程的影响及其与态度的关联在统计学上不清楚或不一致。考虑到研究的局限性和影响，我们建议一项旨在促进改善以提高其效用的政策和学术策略。
■通过随机抽样，招募了311名KMD作为小组成员参加两项调查。调查包括有关KM临床环境和KM-CP实施的信息。在两个调查期间之间，向KMD提供了小组管理计划和教育材料。只有262名回答这两项调查的KMD被包括在分析中。进行了三项分析：1)研究变量的描述性分析，2）使用有序logit回归模型进行面板分析，以阐明KM-CP对临床过程的适当性和效率的影响，3)对KM-CP实施与态度之间的关联进行有序logit回归分析。
■超过三分之二的KMD试图采用KM-CP，这些医生表达了大部分积极的看法。然而,期望和担忧与KM-CP的标准化并存。与未实施KM-CP的情况相比，部分和大部分实施KM-CP的情况分别对临床过程的适当性和效率产生了负面影响和积极影响。与中立态度相比，积极和非常积极的态度往往与KM-CP实施的增加有关。然而,没有观察到统计学意义。
■发现KM-CP对临床过程的影响及其与态度的关联在统计学上不清楚或不一致。考虑到研究的局限性和影响，我们建议一项旨在促进改善以提高其效用的政策和学术策略。
