Journal of Internet Computing and Services (인터넷정보학회논문지)

Korean Society for Internet Information (한국인터넷정보학회)
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Findings from the Survey Responses by Cambodian Doctors and Patients for Telemedicine

캄보디아 환자와 의사의 원격 의료에 대한 반응 조사

  • Yoo, Sun-gil (Department of Medical Science, Soonchunhyang University Graduate school) ;
  • Oh, Dongik (Department of Medical IT Engineering, Soonchunhyang University) ;
  • Min, Sedong (Department of Medical IT Engineering, Soonchunhyang University) ;
  • Shin, Wonhan (Soonchunhyang University College of Medicine, Bucheon Hospital)
  • Received : 2015.04.30
  • Accepted : 2015.06.30
  • Published : 2015.08.31
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Abstract

In order to reduce public medical expenses as well as to provide effective medical services, telemedicine between doctors and patients is considered as an alternative to the conventional hospital visit. But the medical community has been protesting the introduction of telemedicine for the efficacy and safety reasons. Korean government has been conducting a number of pilot projects to demonstrate the efficacy and safety of telemedicine for more than 10 years. However, still the system is not yet legalized. In this study, we have conducted a telemedicine pilot project in Cambodia for one year, where telemedicine can be more freely exercised. After the project, we conducted a survey based on the 'Rogers diffusion' theory. Survey results show that both physicians and patients are positive about the relative advantage of the telemedicine. However, the complexity and high cost of the equipment used in telemedicine has been found to be a possible obstacle. In addition, we found that there is no problem for providing telemedicine services under challenged environment, such as in Cambodia.

날로 증가하는 공공의료비 지출을 줄이고, 의료 취약계층에 효과적인 의료 서비스를 제공하기 위해 의사와 환자 간 원격 의료도입이 하나의 대안으로 제시되고 있으나, 의료계에서는 유효성과 안전성 등을 이유로 이에 반대하고 있다. 정부는 지난 10여년간 꾸준히 원격의료의 도입을 위해 다양한 시범사업을 진행하고 있으나, 아직 이를 실제화 시키지 못하고 있다. 이러한 상황에서 본 연구팀에서는 국내에 비해 비교적 원격의료에 대한 거부감이 덜한 캄보디아에서 원격의료 시범사업을 1년 간 진행하였다. 사업진행 후 이러한 새로운 진료방식이 앞으로 확산될 수 있을 것인지를 파악해 보고자 로저스 확산 이론에 근거한 설문을 진행하였다. 설문 분석결과, 의사와 환자 모두 원격진료의 상대적 이점에 대하여 긍정적으로 생각하고 있는 것으로 나타났다. 그러나 원격의료에 사용되는 기기의 복잡도와 가격은 보완 되어야 할 필요가 있는 것으로 나타났다. 또한 캄보디아와 같이 상대적으로 열악한 환경에서도 원격의료 서비스의 제공이 의미가 있는 것으로 분석되었다.

Keywords

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