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Current Clinical Status of Telehealth in Korea: Categories, Scientific Basis, and Obstacles

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초록

Through telehealth, medical services have expanded beyond spatial boundaries and are now available in living spaces outside of hospitals. It can also contribute to patient medical knowledge improvement because patients can access their hospital records and data from home. However, concepts of telehealth are rather vague in Korea. Methods: We refer to several clinical reports to determine the current clinical status of and obstacles to telehealth in Korea. Results: Patients’ health conditions are now reported regularly to doctors remotely, and patients can receive varied assistance. Self-improvement based on minute details that are beyond medical staff’s reach is another possible benefit that may be realized with the help of a variety of medical equipment (sensors). The feasibility, clinical effect, and cost-benefit of telehealth have been verified by scientific evidence. Conclusions: Patients will be able to improve their treatment adherence by receiving help from various professionals, such as doctors, nurses, nutritionists, and sports therapists. This means that the actual treatment time per patient will increase as well. Ultimately, this will increase the quality of patients’ self-administration of care to impede disease progression and prevent complications.

Abstract

Through telehealth, medical services have expanded beyond spatial boundaries and are now available in living spaces outside of hospitals. It can also contribute to patient medical knowledge improvement because patients can access their hospital records and data from home. However, concepts of telehealth are rather vague in Korea. Methods: We refer to several clinical reports to determine the current clinical status of and obstacles to telehealth in Korea. Results: Patients’ health conditions are now reported regularly to doctors remotely, and patients can receive varied assistance. Self-improvement based on minute details that are beyond medical staff’s reach is another possible benefit that may be realized with the help of a variety of medical equipment (sensors). The feasibility, clinical effect, and cost-benefit of telehealth have been verified by scientific evidence. Conclusions: Patients will be able to improve their treatment adherence by receiving help from various professionals, such as doctors, nurses, nutritionists, and sports therapists. This means that the actual treatment time per patient will increase as well. Ultimately, this will increase the quality of patients’ self-administration of care to impede disease progression and prevent complications.

참고문헌 (46)

  1. "Promotion of telemedicine: neighborhood clinics-centered approach" (2013)[URL]
  2. "The telehealth demonstration project between doctor and patient will start from the end of September" (2014)[URL]
  3. Lustig TA., "The role of telehealth in an evolving health care environment: workshop summary" (2012), National Academies Press
  4. "Overall satisfaction appears high in the telehealth demonstration project" (2015)[URL]
  5. "Issues and policy advisory opinion in telehealth" (2014)[URL]
  6. "State telehealth laws and reimbursement policies: a comprehensive scan of the 50 states and the District of Columbia" (2015)[URL]
  7. "Teleconsultation of emergency patients from emergency specialists in hub metropolitan hospitals" (2015)[URL]
  8. Yoon KH, "Epidemic obesity and type 2 diabetes in Asia", Lancet, 368(9548), pp.1681~1688 (2006)
  9. 김헌성, "Efficacy of the Smartphone-Based Glucose Management Application Stratified by User Satisfaction", Diabetes and Metabolism Journal, 38(3), pp.204~210 (2014), 대한당뇨병학회[DOI]
  10. Kim SI, "Effectiveness of mobile and internet intervention in patients with obese type 2 diabetes", Int J Med Inform, 77(6), pp.399~404 (2008)
  11. 조재형, "Ubiquitous Diabetes Management System via Interactive Communication Based on Information Technologies: Clinical Effects and Perspectives", Diabetes and Metabolism Journal, 34(5), pp.267~273 (2010), 대한당뇨병학회
  12. Zolfaghari M, "The impact of nurse short message services and telephone follow-ups on diabetic adherence: which one is more effective?", J Clin Nurs, 21(13-14), pp.1922~1931 (2012)
  13. Istepanian RS, "Evaluation of a mobile phone telemonitoring system for glycaemic control in patients with diabetes", J Telemed Telecare, 15(3), pp.125~128 (2009)
  14. Kwon HS, "Establishment of blood glucose monitoring system using the internet", Diabetes Care, 27(2), pp.478~483 (2004)
  15. Cho JH, "Long-term effect of the Internet-based glucose monitoring system on HbA1c reduction and glucose stability : a 30-month follow-up study for diabetes management with a ubiquitous medical care system", Diabetes Care, 29(12), pp.2625~2631 (2006)
  16. Cho JH, "Mobile communication using a mobile phone with a glucometer for glucose control in type 2 patients with diabetes : as effective as an Internet-based glucose monitoring system", J Telemed Telecare, 15(2), pp.77~82 (2009)
  17. Kwon HS, "Development of web-based diabetic patient management system using short message service (SMS)", Diabetes Res Clin Pract, 66(Suppl 1), pp.133~137 (2004)
  18. Anhoj J, "Feasibility of collecting diary data from asthma patients through mobile phones and SMS (short message service): response rate analysis and focus group evaluation from a pilot study", J Med Internet Res, 6(4), pp.42~ (2004)
  19. Winkler S, "A new telemonitoring system intended for chronic heart failure patients using mobile telephone technology : feasibility study", Int J Cardiol, 153(1), pp.55~58 (2011)
  20. Seto E, "Mobile phone-based telemonitoring for heart failure management: a randomized controlled trial", J Med Internet Res, 14(1), pp.31~ (2012)
  21. Britto MT, "Pilot and feasibility test of adolescentcontrolled text messaging reminders", Clin Pediatr(Phila), 51(2), pp.114~121 (2012)
  22. Pinnock H, "Understanding the potential role of mobile phone-based monitoring on asthma self-management : qualitative study", Clin Exp Allergy, 37(5), pp.794~802 (2007)
  23. Lester RT, "Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya(WelTel Kenya1) : a randomised trial", Lancet, 376(9755), pp.1838~1845 (2010)
  24. Pop-Eleches C, "Mobile phone technologies improve adherence to antiretroviral treatment in a resource-limited setting : a randomized controlled trial of text message reminders", AIDS, 25(6), pp.825~834 (2011)
  25. Mbuagbaw L, "The Cameroon mobile phone SMS(CAMPS)trial : a protocol for a randomized controlled trial of mobile phone text messaging versus usual care for improving adherence to highly active antiretroviral therapy", Trials, 12, pp.5~ (2011)
  26. Prabhakaran L, "The use of text messaging to improve asthma control : a pilot study using the mobile phone short messaging service(SMS)", J Telemed Telecare, 16(5), pp.286~290 (2010)
  27. Seid M, "The in vivo adherence intervention for at risk adolescents with asthma : report of a randomized pilot trial", J Pediatr Psychol, 37(4), pp.390~403 (2012)
  28. Scherr D, "Effect of home-based telemonitoring using mobile phone technology on the outcome of heart failure patients after an episode of acute decompensation:randomized controlled trial", J Med Internet Res, 11(3), pp.34~ (2009)
  29. Lee JS, "The effect of a cellular-phone video demonstration to improve the quality of dispatcher-assisted chest compression-only cardiopulmonary resuscitation as compared with audio coaching", Resuscitation, 82(1), pp.64~68 (2011)
  30. Yang CW, "Interactive video instruction improves the quality of dispatcher-assisted chest compression-only cardiopulmonary resuscitation in simulated cardiac arrests", Crit Care Med, 37(2), pp.490~495 (2009)
  31. Yousef J, "Validation of a real-time wireless telemedicine system, using bluetooth protocol and a mobile phone, for remote monitoring patient in medical practice", Eur J Med Res, 10(6), pp.254~262 (2005)
  32. Greaney ML, "Electronic reminders for cancer prevention : factors associated with preference for automated voice reminders or text messages", Prev Med, 55(2), pp.151~154 (2012)
  33. Maguire R, "Nurse's perceptions and experiences of using of a mobilephone-based Advanced Symptom Management System(ASyMS)to monitor and manage chemotherapy-related toxicity", Eur J Oncol Nurs, 12(4), pp.380~386 (2008)
  34. Kim HS, "Future prospects of health management systems using cellular phones", Telemed eHealth, 20(6), pp.544~551 (2014)
  35. Ryan D, "Clinical and cost effectiveness of mobile phone supported self monitoring of asthma: multicentre randomised controlled trial", BMJ, 344, pp.1756~ (2012)
  36. Liu WT, "A mobile telephone-based interactive self-care system improves asthma control", Eur Respir J, 37(2), pp.310~317 (2011)
  37. Kim HS, "Using mobile phones in healthcare management for the elderly", Maturitas, 79(4), pp.381~388 (2014)
  38. Yoo HJ, "A ubiquitous chronic disease care system using cellular phones and the internet", Diabet Med, 26(6), pp.628~635 (2009)
  39. Park MJ, "Cellular phone and Internetbased individual intervention on blood pressure and obesity in obese patients with hypertension", Int J Med Inform, 78(10), pp.704~710 (2009)
  40. 임수, "A Survey on Ubiquitous Healthcare Service Demand among Diabetic Patients", Diabetes and Metabolism Journal, 35(1), pp.50~57 (2011), 대한당뇨병학회
  41. "Centura Health at Home:home telehealth as the standard of care" (2013)[URL]
  42. Spaulding R, "Hospital and emergency department resource usage : a cost analysis from a home telehealth project in Kansas", J Telemed Telecare, 18(7), pp.423~424 (2012)
  43. "Medicaid HCBS/FE home telehealth pilot: final report for study years 1–3 (September 2007–June 2010)" (2010)[URL]
  44. "Home telehealth: enhancing care, saving costs" (2012)[URL]
  45. Cho JH, "Effectiveness and safety of a glucose data-filtering system with automatic response software to reduce the physician workload in managing type 2 diabetes", J Telemed Telecare, 17(5), pp.257~262 (2011)
  46. 김헌성, "New Directions in Chronic Disease Management", Endocrinology and Metabolism, 30(2), pp.159~166 (2015), 대한내분비학회

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