Perceptions of Integrated Medical Service Among Stroke Patients in South Korea: Self-Reported Web-Based Survey Study

Area of Science:

• Integrative Medicine
• Stroke Rehabilitation
• Health Services Research

Background:

• Integrated Medical Service (IMS) combines conventional and Korean medicine in stroke care.
• While recognized for efficacy, clinical implementation of IMS faces significant barriers.
• Understanding patient perceptions is crucial for widespread adoption of IMS.

Purpose of the Study:

• To investigate Korean stroke patients' perceptions of IMS.
• To identify barriers and facilitators for universalizing IMS in stroke treatment.
• To provide data for improving IMS accessibility and patient satisfaction.

Main Methods:

• A web-based, self-reported survey was conducted in December 2021.
• 100 Korean stroke patients participated in the survey.
• The questionnaire covered demographics, stroke history, and perceptions of IMS for acute stroke and sequelae.

Main Results:

• A majority of patients had positive expectations for IMS effectiveness for both acute stroke and sequelae.
• Economic burden was a significant concern, with 50-52% feeling the cost.
• Lack of recommendation from conventional doctors was a barrier, particularly for acute stroke.
• National Health Insurance-covered Korean medicine treatments were most desired.

Conclusions:

• Stroke patients generally view IMS favorably with high expectations for outcomes.
• Key barriers include treatment costs and insufficient cooperation from conventional medicine physicians.
• Policy changes and enhanced interdisciplinary collaboration are essential to improve IMS access and patient satisfaction.