The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
권호 표지
DOI QR코드

DOI QR Code

Questionnaire Survey on Perception and Attitude Toward of Remote Treatment by Korean Medicine Doctors

한의사의 비대면 진료에 대한 인식과 수용도 설문조사연구

  • Juchul Kim (Research Institute of Korean Medicine Policy, The Association of Korean Medicine) ;
  • Sohyun Kim (Medical Association of Pharmacopunture Institute) ;
  • Hyunjoo Oh (College of Korean Medicine, Kyung Hee University) ;
  • Eunji Ahn (College of Korean Medicine, Dongshin University) ;
  • Dongsu Kim (College of Korean Medicine, Dongshin University)
  • 김주철 (대한한의사협회 한의약정책연구원) ;
  • 김소현 (사단법인 약침학회) ;
  • 오현주 (경희대학교 한의과대학) ;
  • 안은지 (동신대학교 한의과대학 예방의학교실) ;
  • 김동수 (동신대학교 한의과대학 예방의학교실)
  • Received : 2024.01.03
  • Accepted : 2024.02.16
  • Published : 2024.03.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: Following the global COVID-19 pandemic, with the escalation of remote medical care formalization in Korea, there is a pressing need for objective data in the Korean medicine field to respond to remote treatment medical care policies. This study aims to investigate the perceptions and acceptance of remote treatments among Korean Medicine Doctors (KMDs). Methods: After expert reviews and pilot testing, the 31-question survey covered participant characteristics, experiences, forms, intentions, and perceptions related to Remote Treatments. The survey was electronically distributed to members of the Association of Korean Medicine, and 662 clinical KMDs provided valid responses. Results: Among respondents, 76.1% engaged in remote treatments, utilizing various platforms. Those with experience in Remote Treatments showed a significantly higher willingness to continue participating during the institutionalization process (p<0.001). 49.7% of respondents stated that traditional Korean medicine is competitive in remote treatments, with the main reasons being the ability for regular management after herbal medication(26.1%) and increased patient satisfaction due to sufficient counseling compared to Western medicine(25.2%). Respondents preferred Remote Treatment conditions with a treatment time of less than 10 minutes(47.6%) and equivalent fees to in-person visits(45.6%). Regarding suitable intervention tools during Remote Treatment, respondents favored non-covered herbal prescriptions(39.0%), covered herbal granules(24.6%), and non-covered herbal granules(23.0%). Conclusion: This study investigated the perceptions and acceptance of KMDs regarding remote treatments. These findings provide valuable insights for policymakers aiming to establish effective policies for Remote Treatments suitable for the Korean medicine healthcare environment.

Keywords

Acknowledgement

이 논문은 대한한의사협회의 「정부의 비대면 진료정책방향에 대한 한의약 대응 방안 연구」 연구비 지원을 받아 수행된 결과로 이에 감사드립니다.

References

  1. WHO ends global health emergency declaration for COVID-19. [cited 2023 May 5] Available from: URL: https://www.npr.org/sections/goatsandsoda/2023/05/05/1174269442/who-ends-global-health-emergency-declaration-for-covid-19 
  2. President Yoon Seok-ryul declares coronavirus pandemic after three years and four months. [cited 2023 May 11] Available from: URL: https://www.donga.com/news/article/all/20230511/119239280/1 
  3. 9 Future Predictions For A Post-Coronavirus World [cited 2020 Apr 3] Available from: URL: https://www.forbes.com/sites/bernardmarr/2020/04/03/9-future-predictions-for-a-post-coronavirus-world/?sh=1789759a5410 
  4. Jin, S. (2020). A Study of Factors Affecting Use Intention of Untact Medical Diagnosis and Consultation Services. The Journal of the Korea Contents Association, 20(12), 180-197. https://doi.org/10.5392/JKCA.2020.20.12.180 
  5. Deloitte. (2021). Global Health care Industry Outlook-A full-scale industry transformation in 2021. 
  6. Korea Health Industry Development Institute. (2023). Keyword Analysis of International Healthcare Trends 2023. 
  7. Two out of three Remote Treatments are not available, so they need to be modify according to reality. [cited 2023 Aug 09] Available from: URL: https://mpharm.edaily.co.kr/news/read?newsId=01331686635705680&mediaCodeNo=257 
  8. United States Department of Health and Human Services Available at: https://www.hhs.gov/hipaa/for-professionals/special-topics/hipaa-covid19/index.html. Accessed Apr. 20, 2023. 
  9. Raza, T., Joshi, M., Schapira, R. M., & Agha, Z. (2009). Pulmonary telemedicine--a model to access the subspecialist services in underserved rural areas. International journal of medical informatics, 78(1), 53-59. https://doi.org/10.1016/j.ijmedinf.2008.07.010 
  10. Sevean, P., Dampier, S., Spadoni, M., Strickland, S., & Pilatzke, S. (2009). Patients and families experiences with video telehealth in rural/remote communities in Northern Canada. Journal of clinical nursing, 18(18), 2573-2579. https://doi.org/10.1111/j.1365-2702.2008.02427.x 
  11. President Yoon "will do my best to revise the non-contact medical treatment law" [cited 2024 Jan 30] Available from: URL: https://www.khan.co.kr/politics/politics-general/article/202401301105001 
  12. Jeon J, Park S, Park C, Shin Y, Park, S & Han S. (2022). A Research on the intention to accept telemedicine of undergraduate students: based on Social Cognitive Theory and Technology Acceptance Model. Journal of Digital Convergence, 20(2), 325-338. https://doi.org/10.14400/JDC.2022.20.2.325 
  13. Park J, Kim J. (2023) Survey study of telemedicine-experienced physicians on the acceptability of telemedicine: using propensity score matching method. J Korean Med Association, 66(6):393-401. http://doi.org/10.5124/jkma.2023.66.6.393 
  14. Kim J, Lim J, Kang J. (2022). Physicians' Perceptions and Policy Suggestions for Telemedicine after COVID-19. JOURNAL OF THE KOREA CONTENTS ASSOCIATION, 22(12). 576-586. https://doi.org/10.5392/JKCA.2022.22.12.576 
  15. Sim C, Lee E, Lim B. (2021). Korean Medicine Doctors' Perception of Telemedicine. Journal of Society of Preventive Korean Medicine, 25(3):1-14. https://doi.org/10.25153/spkom.2021.25.3.001 
  16. Kim, K. G., Jin, X. G. (2021). Comparison of Telemedicine between Korea and China. Journal of China Area Studies, 8(1), 189-214. https://doi.org/10.34243/JCAS.8.1.189 
  17. Korean Medical Association opposes allowing non-face-to-face medical first-time visits. [cited 2023 Sep 21] Available from: URL: http://www.newsmp.com/news/articleView.html?idxno=236316 
  18. Year Book of Traditional Korean Medicine 2021. National Institute of Korean Medicine Development, The Association of Korean Medicine, The School of Korean Medicine at Pusan National University, Korea Institute of Oriental Medicine. 
  19. Kim, J. S., Lim J. Y., Kang, J. H. (2022). Non-face-to-face care requirements study. Korean Medical Association Research Institute for Healthcare Policy Research report. 2022:15 
  20. Kim, D. (2022). Discrete choice experiment to measure consumer preference for the policy attributes of telehealth. Korea Institute for Health and Social Affairs. https://doi.org/10.23060/KIHASA.B.2022.03 
  21. The number of 'non-face-to-face' treatments is "unusually high compared to other countries." [cited 2023 Aug 29] Available from: URL: https://www.docdocdoc.co.kr/news/articleView.html?idxno=3009020 
  22. Ministry of Health and Welfare, Over three years of non-face-to-face medical treatment, the health of 13.79 million people has been protected. [cited 2024 January 2] Available from: URL: https://www.mohw.go.kr/board.es?mid=a10503000000&bid=0027&cg_code= 
  23. Koivunen, M., & Saranto, K. (2018). Nursing professionals' experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies. Scandinavian journal of caring sciences, 32(1), 24-44. https://doi.org/10.1111/scs.12445 
  24. Hiratsuka, V., Delafield, R., Starks, H., Ambrose, A. J., & Mau, M. M. (2013). Patient and provider perspectives on using telemedicine for chronic disease management among Native Hawaiian and Alaska Native people. International journal of circumpolar health, https://doi.org/10.3402/ijch.v72i0.21401 
  25. Ensuring adequate pay for primary care to improve personalized medicine in Korean medicine [cited 2020 Oct 15] Available from: URL: https://www.akomnews.com/bbs/board.php?bo_table=news&wr_id=41764 
  26. Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (2020). Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA. Family medicine and community health, 8(3), e000530. https://doi.org/10.1136/fmch-2020-000530 
  27. Reynolds, R., Dennis, S., Hasan, I., Slewa, J., Chen, W., Tian, D., Bobba, S., & Zwar, N. (2018). A systematic review of chronic disease management interventions in primary care. BMC family practice, 19(1), 11. https://doi.org/10.1186/s12875-017-0692-3 
  28. Reynolds, R., Dennis, S., Hasan, I., Slewa, J., Chen, W., Tian, D., Bobba, S., & Zwar, N. (2018). A systematic review of chronic disease management interventions in primary care. BMC family practice, 19(1), 11. https://doi.org/10.1186/s12875-017-0692-3