Clinical reasoning in traditional medicine exemplified by the clinical encounter of Korean medicine
Background: Clinical reasoning is generally defined as a way of thinking about diagnostic or therapeutic decision making in clinical practice. Different cognitive models have been proposed for the clinical reasoning process which takes place during the clinical encounter with a patient. This may hav...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | Integrative Medicine Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213422020302730 |
| _version_ | 1818576220175990784 |
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| author | Tae-Hun Kim Terje Alraek Zhao-Xiang Bian Stephen Birch Mark Bovey Juah Lee Myeong Soo Lee Nicola Robinson Christopher Zaslawski |
| author_facet | Tae-Hun Kim Terje Alraek Zhao-Xiang Bian Stephen Birch Mark Bovey Juah Lee Myeong Soo Lee Nicola Robinson Christopher Zaslawski |
| author_sort | Tae-Hun Kim |
| collection | DOAJ |
| description | Background: Clinical reasoning is generally defined as a way of thinking about diagnostic or therapeutic decision making in clinical practice. Different cognitive models have been proposed for the clinical reasoning process which takes place during the clinical encounter with a patient. This may have similarities with similar approaches used in Traditional Korean Medicine (TKM). Jinchal, the clinical encounter, has specific features in TKM and different Jinchal processes are closely related to several underlying cognitive models in clinical reasoning. It is a necessary process to see the patient, but in TKM, the method has characteristic aspects which should be evaluated based on the principle of clinical reasoning. Methods: To obtain a narrative description and explanation of the concept of the Jinchal process, literature from with four authentic KM schools was explored first and expert panel discussion was conducted. Results: This article analyses the Jinchal process using theoretical concepts from four authentic KM schools of clinical reasoning which are currently used in contemporary practice. Conclusion: Future research should focus on the similarities and differences in understanding clinical reasoning in KM as well as the broader field of traditional East Asian Medicine. |
| first_indexed | 2024-12-16T06:10:33Z |
| format | Article |
| id | doaj.art-de19b298c2e14e049bdfd5fa91ba1ccb |
| institution | Directory Open Access Journal |
| issn | 2213-4220 |
| language | English |
| last_indexed | 2024-12-16T06:10:33Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj.art-de19b298c2e14e049bdfd5fa91ba1ccb2022-12-21T22:41:24ZengElsevierIntegrative Medicine Research2213-42202021-06-01102100641Clinical reasoning in traditional medicine exemplified by the clinical encounter of Korean medicineTae-Hun Kim0Terje Alraek1Zhao-Xiang Bian2Stephen Birch3Mark Bovey4Juah Lee5Myeong Soo Lee6Nicola Robinson7Christopher Zaslawski8College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea; Korean Medicine Clinical Trial Center, Korean Medicine Hospital, Kyung Hee University, Seoul, Republic of KoreaFaculty of Health Science, Department of Community Medicine, The National Research Center in Complementary and Alternative Medicine, NAFKAM, UiT The Arctic University of Norway, Tromsø, Norway; Norwegian School of Health Sciences, Kristiania University College Oslo, Oslo, NorwayInstitute of Brain and Gut Research, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong, SAR, PR China; Hong Kong Chinese Medicine Clinical Study Centre, Hong Kong Baptist University, Hong Kong, SAR, PR ChinaDepartment of Health Sciences, Kristiania University College, Oslo, NorwayBritish Acupuncture Council, London, UKHwa-pyeong Institute of Integrative Medicine, Incheon, Republic of KoreaClinical Medicine Research, Korea Institute of Oriental Medicine, Daejeon, South KoreaSchool of Health and Social Care, London South Bank University, London, UK; Center for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaChinese Medicine Discipline, School of Life Sciences, University of Technology, Sydney, Australia; Corresponding author at: Chinese Medicine Discipline, School of Life Sciences, University of Technology, PO Box 123, Broadway 2007, Sydney, Australia.Background: Clinical reasoning is generally defined as a way of thinking about diagnostic or therapeutic decision making in clinical practice. Different cognitive models have been proposed for the clinical reasoning process which takes place during the clinical encounter with a patient. This may have similarities with similar approaches used in Traditional Korean Medicine (TKM). Jinchal, the clinical encounter, has specific features in TKM and different Jinchal processes are closely related to several underlying cognitive models in clinical reasoning. It is a necessary process to see the patient, but in TKM, the method has characteristic aspects which should be evaluated based on the principle of clinical reasoning. Methods: To obtain a narrative description and explanation of the concept of the Jinchal process, literature from with four authentic KM schools was explored first and expert panel discussion was conducted. Results: This article analyses the Jinchal process using theoretical concepts from four authentic KM schools of clinical reasoning which are currently used in contemporary practice. Conclusion: Future research should focus on the similarities and differences in understanding clinical reasoning in KM as well as the broader field of traditional East Asian Medicine.http://www.sciencedirect.com/science/article/pii/S2213422020302730Clinical reasoningClinical encounterTheoretical modelsJinchalTraditional Korean medicine and narrative review |
| spellingShingle | Tae-Hun Kim Terje Alraek Zhao-Xiang Bian Stephen Birch Mark Bovey Juah Lee Myeong Soo Lee Nicola Robinson Christopher Zaslawski Clinical reasoning in traditional medicine exemplified by the clinical encounter of Korean medicine Integrative Medicine Research Clinical reasoning Clinical encounter Theoretical models Jinchal Traditional Korean medicine and narrative review |
| title | Clinical reasoning in traditional medicine exemplified by the clinical encounter of Korean medicine |
| title_full | Clinical reasoning in traditional medicine exemplified by the clinical encounter of Korean medicine |
| title_fullStr | Clinical reasoning in traditional medicine exemplified by the clinical encounter of Korean medicine |
| title_full_unstemmed | Clinical reasoning in traditional medicine exemplified by the clinical encounter of Korean medicine |
| title_short | Clinical reasoning in traditional medicine exemplified by the clinical encounter of Korean medicine |
| title_sort | clinical reasoning in traditional medicine exemplified by the clinical encounter of korean medicine |
| topic | Clinical reasoning Clinical encounter Theoretical models Jinchal Traditional Korean medicine and narrative review |
| url | http://www.sciencedirect.com/science/article/pii/S2213422020302730 |
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