关键词: Focus group interview Qualitative study Thematic analysis Traditional Korean medicine Traffic accident Whiplash injury

来  源:   DOI:10.1016/j.pmedr.2024.102767   PDF(Pubmed)

Abstract:
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要:
车辆的激增增加了交通量,导致交通事故和随后的疾病上升。复杂的症状通常是这些事故造成的创伤后综合征的特征。韩国传统医学(TKM),越来越多地用于汽车保险,构成治疗费用的很大一部分。然而,目前的系统缺乏明确的收费准则和无偿TKM程序的批准标准,在没有强有力的循证决策的情况下,严重依赖从业者的判断。这种情况引起了人们对治疗适当性和透明度的担忧。我们的目标是探索医生在急诊医学中利用TKM的观点,他们的参与情绪,以及交通事故后他们的会话选择过程。
我们收集了TKM从业者关于他们在临床环境中的作用和参与交通事故后治疗患者的意见。需要全面和标准化的诊断方案,治疗,管理,创伤后综合征患者预后明显。此外,有必要进行改进,以促进医疗消费者的理性决策并保护医疗保健提供者的治疗权。结果强调了循证决策的重要性,为基于TKM的无偿程序建立适当的费用结构和详细标准,并加强对汽车保险背景下基于TKM的治疗的可靠性和透明度的规定。
必须考虑直接参与基于TKM的治疗的医疗保健提供者的观点,以维持可持续的车辆保险制度,超越行政政策话语。我们强调了在汽车保险背景下提高基于TKM的治疗方法的有效性和适当性的挑战和潜在解决方案。
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