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

 

Without the tyranny of low expectations pushed by medical staff; EVERY SINGLE PERSON WOULD STATE STROKE RECOVERY IS A SHITSHOW OF NOTHINGNESS!

Stroke is a complete shitshow of failure!

This proves the complete failure:

1. tPA full recovery? Better than 12%?
2. Rehab full recovery? Better than 10%?

Maybe after you are the 1 in 4 per WHO that has a stroke? Then you just might want 100% recovery. Scream at your doctor for putting any limit on your recovery. 

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

Authors Lee HG , Jung WS , Woo HG , Kwon S , Heo SH 

Received 22 September 2025

Accepted for publication 8 January 2026

Published 29 January 2026 Volume 2026:19 Pages 1—17

DOI https://doi.org/10.2147/JMDH.S569481

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr David C. Mohr

 Han-Gyul Lee,¹ Woo-Sang Jung,¹ Ho Geol Woo,² Seungwon Kwon,¹ Sung Hyuk Heo<sup>2

1</sup>Department of Cardiology and Neurology, Kyung Hee University College of Korean Medicine, Kyung Hee University Medical Center, Seoul, Republic of Korea; ²Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Medical Center, Seoul, Republic of Korea

Correspondence: Seungwon Kwon, Email kkokkottung@hanmail.net Sung Hyuk Heo, Email shheo73@hanmail.net

Background: Integrated medical service (IMS) refers to the collaborative treatment of conventional medicine and Korean medicine in Korea. IMS for stroke is recognized for its efficacy, however, there are many barriers to obtaining therapeutic effects in clinical settings. This study was aimed to investigate the current perceptions of IMS among Korean stroke patients to provide a basis for exploring ways to universalize IMS in real-world stroke clinical practice.
Methods: We conducted a self-reported web-based survey in December 2021. We recruited 100 Korean patients who had been diagnosed with stroke. The questionnaire developed by the research team was composed of 5 sections: demographic information, stroke history, perceptions of IMS for acute stroke and stroke sequelae, and other perceptions of IMS for stroke treatment.
Results: For both acute stroke and stroke sequelae, half of the patients agreed (45% and 52%) and about 15% of the patients disagreed to receive IMS (18% and 12%), had positive expectations of IMS effects (49% and 53%), and feel the economic burdensome of IMS (50% and 52%); National Health Insurance (NHI) covered treatments such as acupuncture and electroacupuncture (69.5% and 69.3%) were the most common types of KM treatment desired; private insurance subscribers had higher preference for NHI uncovered treatments such as NHI uncovered herbal medicines; the most common reason for reluctance to receive IMS was economic burden (38.9% and 58.3%) and treatment not being recommended by a conventional medicine doctor in acute stroke (38.9%) even though most patients had positive expectations of IMS effects (49% and 53%).
Conclusion: Stroke patients were favorable to IMS and had high expectations for its effectiveness. Cost and lack of cooperation from conventional medicine doctors were barriers to patients’ access to IMS. Policy reform and active cooperation between conventional and traditional doctors may improve IMS access and satisfaction.

Comparison of Hospital Performance in Acute Ischemic Stroke Based on Mortality and Functional Outcome in South Korea

So where are the results showing which hospitals have tPA full recovery? Better than 12%?

Or: rehab full recovery? Better than 10%?

Because you should only go to those hospitals that pass those tests.

Comparison of Hospital Performance in Acute Ischemic Stroke Based on Mortality and Functional Outcome in South Korea

Bosco Seong Kyu Yang,

Minuk Jang,

Keon-Joo Lee,

Beom Joon Kim,

Moon-Ku Han,

Joon-Tae Kim,

Kang-Ho Choi,

Jae-Kwan Cha,

Dae-Hyun Kim,

Dong-Eog Kim,

Wi-Sun Ryu,

… See all authors

Originally published19 Jul 2023https://doi.org/10.1161/CIRCOUTCOMES.122.009653Circulation: Cardiovascular Quality and Outcomes. 2023;0:e009653

Abstract

BACKGROUND:

Recent evidence suggests a correlation between modified Rankin Scale-based measures, an outcome measure commonly used in acute stroke trials, and mortality-based measures used by health agencies in the evaluation of hospital performance. We aimed to examine whether the 2 types of measures are interchangeable in relation to evaluation of hospital performance in acute ischemic stroke.

METHODS:

Five outcome measures, unfavorable functional outcome (3-month modified Rankin Scale score ≥2), death or dependency (3-month modified Rankin Scale score ≥3), 1-month mortality, 3-month mortality, and 1-year mortality, were collected for 8292 individuals who were hospitalized for acute ischemic stroke between January 2014 and May 2015 in 14 hospitals participating in the Clinical Research Collaboration for Stroke in Korea – National Institute of Health registry. Hierarchical regression models were used to calculate per-hospital risk-adjusted outcome rates for each measure. Hospitals were ranked and grouped based on the risk-adjusted outcome rates, and the correlations between the modified Rankin Scale-based and mortality-based ranking and their intermeasure reliability in categorizing hospital performance were analyzed.

RESULTS:

The comparison between the ranking based on the unfavorable functional outcome and that based on 1-year mortality resulted in a Spearman correlation coefficient of −0.29 and Kendall rank coefficient of −0.23, and the comparison of grouping based on these 2 types of ranks resulted in a weighted kappa of 0.123 for the grouping in the top 33%/middle 33%/bottom 33% and 0.25 for the grouping in the top 20%/middle 60%/bottom 20%, respectively. No significant correlation or similarity in grouping capacities were found between the rankings based on the functional outcome measures and those based on the mortality measures.

CONCLUSIONS:

This study shows that regardless of clinical correlation at an individual patient level, functional outcome-based measures and mortality-based measures are not interchangeable in the evaluation of hospital performance in acute ischemic stroke.

Factors Influencing the Quality of Life of Stroke Patients : A Systematic Review

This is so fucking simple. With NO 100% RECOVERY PROTOCOLS; your quality of life is pretty much a piece of shit.

 Factors Influencing the Quality of Life of Stroke Patients : A Systematic Review

뇌졸중 환자의 삶의 질에 영향을 끼치는 요인: 체계적 문헌고찰.  Therapeutic Science for Neurorehabilitation , Volume 4(1) , Pgs. 39-51.

NARIC Accession Number: I246632.  What's this?
Author(s): Jung, Jun-Sik.
Publication Year: 2015.

Abstract: 

The objective of this study was to identify and synthesize studies delineating the relationship between quality of life and other factors in stroke patients in South Korea. To this end, electronic databases were searched, including KISS, NDSL, National Assembly Library, and KmBase. The search terms included stroke, quality of life, and relationship. The search was limited to papers published in Korean. Twelve studies, from 256 references screened, were included. All studies were non-experimental using correlational analysis. A correlation coefficient between Quality of Life and ADL .293~.622, Depression -.804~-.533, Cognition .090~.610, Quality of Sleep .107, Quality of Satisfaction .367, Fatigue -.260, MAL (Quality of Movement .208, Amount of Use .364), Family Support .824, Pain -.306, Motivation for Rehabilitation .51~.86, Balance .740, Self-efficacy .388 were analyzed respectively. Results revealed that the quality of life of stroke patients was influenced by multiple factors. Occupational therapists need to consider upper extremity functions and activities of daily living as well as depression, cognition, sleep, family support, pain, and self-efficacy to improve the quality of life of stroke patients.
Descriptor Terms: Literature reviews, Quality of life, Stroke.
Language: Korean
Geographic Location(s): Republic of Korea, East & Southeast Asia.

Can this document be ordered through NARIC's document delivery service*?: Request Information.
Get this Document: http://www.koreascience.or.kr/article/JAKO201534542399888.pdf.

Citation: Jung, Jun-Sik. (2015). Factors Influencing the Quality of Life of Stroke Patients : A Systematic Review.  뇌졸중 환자의 삶의 질에 영향을 끼치는 요인: 체계적 문헌고찰.  Therapeutic Science for Neurorehabilitation , 4(1), Pgs. 39-51. Retrieved 12/27/2020, from REHABDATA database.

Risk of Ischaemic Stroke in Patients With Migraine: A Longitudinal Follow-Up Study Using a National Sample Cohort in South Korea

Useless, NOTHING ON HOW TO PREVENT EITHER THE MIGRAINE OR THE STROKE. You are completely on your own to solve that.

This is where stroke leadership would make sure ALL stroke research would create results helping survivors. 

Risk of Ischaemic Stroke in Patients With Migraine: A Longitudinal Follow-Up Study Using a National Sample Cohort in South Korea 

Sang-Yeon Lee  ¹ , Jae-Sung Lim  ² , Dong Jun Oh  ³ , Il Gyu Kong, Hyo Geun Choi  ⁴

Affiliations

• PMID: 30944141
• PMCID: PMC6500292
• DOI: 10.1136/bmjopen-2018-027701

Free PMC article

Abstract

Objective: Accumulating evidence has supported the association between migraine and stroke, but the causative association remains unclear. We aimed to investigate the risks of different types of stroke in patients with migraine.
Design: A longitudinal follow-up study.
Setting: Data collected from a national cohort between 2002 and 2013 by the South Korea Health Insurance Review and Assessment.
Participants: We extracted the data from patients with migraine (n=41 585) and 1:4 matched controls (n=1 66 340) and analysed the occurrence of ischaemic and haemorrhagic strokes. The migraine group included participants treated for migraine (International Classification of Disease-10 (ICD-10): G43)≥2 times. Haemorrhagic stroke (I60-I62) and ischaemic stroke (I63) were determined based on the admission histories. The crude and adjusted HRs were calculated using Cox proportional hazard models, and the 95% CI were determined. Subgroup analyses stratified by age and sex were also performed.
Results: Higher rates of ischaemic stroke were observed in the migraine group (2.3% [964/41,585]) than in the control group (2.0% [3294/166 340], P<0.001). The adjusted HR for ischaemic stroke was 1.18 (95% CI=1.10 to 1.26) in the migraine group (P<0.001). Compared with control subjects, participants who reported migraine with aura and migraine without aura had increased adjusted HRs of 1.44 (95% CI=1.09 to 1.89) and 1.15 (95% CI=1.06 to 1.24), respectively, for ischaemic stroke, but no increased risk of haemorrhagic stroke. In our subgroup analysis, a strong association between migraine and ischaemic stroke was observed in young patients, specifically young women. The contribution of migraine to the occurrence of ischaemic stroke was also observed in middle-aged women and old women (each P<0.05). The risk of haemorrhagic stroke did not reach statistical significance in any age group.
Conclusion: Migraine is associated with an increased risk of ischaemic stroke, but not haemorrhagic stroke.

Keywords: Korea; cohort study; migraine; stroke.

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Conflict of interest statement

Competing interests: None declared.

Figures

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A schematic illustrating the participant…

A comparison of two LDL cholesterol targets after ischemic stroke

Will this change your doctors protocol post stroke?  Do you prefer your doctor's incompetence in NOT KNOWING or NOT DOING?

A comparison of two LDL cholesterol targets after ischemic stroke

New England Journal of Medicine — Amarenco P, Kim JS, Labreuche J, et al. | November 22, 2019

In this parallel-group trial carried out in France and South Korea, researchers randomized 2,860 individuals with ischemic stroke in the former 3 months or a transient ischemic attack (TIA) within the former 15 days to a target LDL cholesterol level of less than 70 mg per deciliter (lower-target group, n = 1,430) or to a target range of 90 mg to 110 mg per deciliter (higher-target group, n = 1,430) in order to examine the target level for LDL cholesterol to decrease cardiovascular events following stroke. It was concluded that following an ischemic stroke or TIA with evidence of atherosclerosis, compared with those who had a target range of 90 mg to 110 mg per deciliter, individuals who had a target LDL cholesterol level of less than 70 mg per deciliter had a lower risk of succeeding cardiovascular events.

Read the full article on New England Journal of Medicine

Risk of ischaemic stroke in patients with migraine: A longitudinal follow-up study using a national sample cohort in South Korea

I see nothing here that suggests they considered auras.

Migraine with aura – but not without – increases risk of stroke  Sept. 2017

 The latest here:

Risk of ischaemic stroke in patients with migraine: A longitudinal follow-up study using a national sample cohort in South Korea

BMJ Open — Lee SY, et al. | April 04, 2019

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In this study involving migraineurs, researchers studied the risks of different types of stroke. They gathered data from a national cohort between 2002 and 2013 by the South Korea Health Insurance Review and Assessment. Data were extracted from migraine patients (n=41,585) and 1:4 matched controls (n=166,340), which they used to analyze the occurrence of ischemic and hemorrhagic strokes. In the migraine group, they observed higher rates of ischemic stroke vs the control group. The adjusted HR for ischemic stroke was 1.18 in the migraine group. In middle-aged women and older women, the contribution of migraine to the occurrence of ischemic stroke was also observed. Overall, the investigators concluded that migraine was not associated with hemorrhagic stroke but was instead linked to an increased risk of ischemic stroke.

Read the full article on BMJ Open

Design factors and opportunities of rehabilitation robots in upper-limb training after stroke

You'll have to ask your doctor to get the EXACT STROKE PROTOCOLS from this study. No excuses.
http://ieeexplore.ieee.org/abstract/document/7992694/?reload=true

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Author(s)

Yu-Hsiu Hung ; Pin-Ju Chen ; Wan-Zi Lin

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Abstract:

The occurrence of strokes has been progressively increasing. Upper limb recovery after stroke is more difficult than lower limb. One of the rapidly expanding technologies in post-stroke rehabilitation is robot-aided therapy. The advantage of robots is that they are able to deliver highly repetitive therapeutic tasks with minimal supervision of a therapist. However, from the literature, the focus of robotic design in stroke rehabilitation has been technology-driven. Clinical and therapeutic requirements were not seriously considered in the design of rehabilitation robots. The purpose of this study was twofold: (1) demonstrate the missing elements of current robot-aided therapy; (2) identify design factors and opportunities of rehabilitation robots (in upper-limb training after stroke). In this study, we performed a literature review on articles relevant to rehabilitation robots in upper-limb training after stroke. We identified the design foci of current rehabilitation robots for upper limb stroke recovery. Using the therapeutic framework for stroke rehabilitation in occupational therapy, we highlighted design factors and opportunities of rehabilitation robots. The outcomes of this study benefit the robotics design community in the design of rehabilitation robots.

Published in: Ubiquitous Robots and Ambient Intelligence (URAI), 2017 14th International Conference on

Date of Conference: 28 June-1 July 2017

Date Added to IEEE Xplore: 27 July 2017

ISBN Information:

DOI: 10.1109/URAI.2017.7992694

Publisher: IEEE

Conference Location: Jeju, South Korea, South Korea