노인요양시설 원격협진에 대한 촉탁의와 간호사의 인식
Doctors and Nurses' Perceptions of Tele-consultation in Long Term Care Institutions in South Korea
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Purpose It is important to improve accessibility to healthcare for disabled elders, a policy agenda in South Korea. The aim of this study was to investigate part-time doctors and nurses' perceptions of tele-consultation using information and communication technology (ICT) for elders in long term care institutions. Methods Data used for this study was from the database of the tele-consultation pilot project done from November 2016 to October 2017 by National Health Insurance Service (NHIS). In addition, a questionnaire survey was conducted with part-time doctors and nurses who participated in the pilot project. Results In 89 long term care institutions, a total of 1,258 residents had 2,202 tele-consultations on their health problems over 1 year. Both part-time doctors and nurses had low satisfaction with the tele-consultation pilot project but negatively recognized its usefulness. They were also interested in continuing to participate in the tele-consultation project, if it was modified effectively. Conclusion The results of this study confirm that considerable modification of this tele-consultation model is needed. It should be helpful for policy makers, researchers, and practitioners to understand the problems and come up with new ideas for further development.
Abstract
Purpose It is important to improve accessibility to healthcare for disabled elders, a policy agenda in South Korea. The aim of this study was to investigate part-time doctors and nurses' perceptions of tele-consultation using information and communication technology (ICT) for elders in long term care institutions. Methods Data used for this study was from the database of the tele-consultation pilot project done from November 2016 to October 2017 by National Health Insurance Service (NHIS). In addition, a questionnaire survey was conducted with part-time doctors and nurses who participated in the pilot project. Results In 89 long term care institutions, a total of 1,258 residents had 2,202 tele-consultations on their health problems over 1 year. Both part-time doctors and nurses had low satisfaction with the tele-consultation pilot project but negatively recognized its usefulness. They were also interested in continuing to participate in the tele-consultation project, if it was modified effectively. Conclusion The results of this study confirm that considerable modification of this tele-consultation model is needed. It should be helpful for policy makers, researchers, and practitioners to understand the problems and come up with new ideas for further development.
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