• Journal of Fisheries and Marine Sciences Education
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• v.27 no.5
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• pp.1211-1220
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• 2015

There exists dead zone from the aspects of health equity and health medical equity for maritime personnel. They could not have been benefited from disease prevention and health promotion in comparison with shore personnel due to the restricted medical accessibility caused by long voyage ship operation. Furthermore, the system of health management and medical assistance for maritime personnel is insufficient, the continuous health monitoring system does not exist, nor health diagnosis system, maritime industrial accidents and occupational disease control systems are adequate. The International Maritime Organization and the International Labour Organization recommend their Member Governments to take necessary measures in the management of seafarers' health and diseases through conducting continuous and systematic investigation. Thus, this study intends to propose action strategy and tasks for introducing marine telemedicine system aiming to provide seafarers with health management service for the years to come. The conclusions of this study can be given as follows. First, it is required that a systematic medical service system needs to be provided to promote seafarers' health. Second it is recommended to establish the marine telemedicine system incorporating U-Health technology. Third, it is necessary to revise the relevant laws and regulations to introduce the marine telemedicine system. Fourth, it is also necessary to provide various assistance system at the national level in the furtherance of global marketing of marine telemedicine system.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2019.11a
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• pp.209-210
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• 2019

This paper deals in the wireless communication module for a realization of maritime telemedicine system. In order to provide a maritime telemedicine service, we realized a digital electronic circuit for a visual communication and remote control system. In this work, we report the digital circuit structure, and communication method, etc.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.18 no.6
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• pp.221-228
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• 2018

The purpose of this study is to design and implement a maritime telemedicine system to provide the best medical service for patients who rescue and happens in sailing ship. For this purpose, INMARSAT and MVAST, which are necessary communication channels for maritime telemedicine, were examined and diversity in maritime communication path was suggested. It was implemented to enable maritime telemedicine by linking smart devices and medical devices for physical examination. The marine telemedicine system adopts the HTTP communication protocol to configure the web server and process the client request. The patient's chart information was entered using an application for AndroidPad and the patient was diagnosed using Bluetooth electronic stethoscope for diagnosis. This system enables appropriate medical treatment to emergency patients at maritime, which ultimately can improve medical services. It is expected to be a more effective medical support system through linkage with various medical equipment.

• Journal of Fisheries and Marine Sciences Education
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• v.28 no.5
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• pp.1508-1516
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• 2016

This research intended to analyse the perception level of seafarers in order to propose enhancement of health management for seafarers and improvement of marine telemedicine assistance system. To this end, questionnaire survey was conducted for 422 seafarers in relation to current status of utilizing Emergency Medical Advice by radio(EMAR). By trading area, experience of benefiting EMAR by coastal seafarers was higher than that of ocean-going seafarers. By kinds of ships the rate of utilizing EMAR by fisherman was higher than that of seafarers of merchant ships. The level of satisfaction on the EMAR was 14.9% and regarded to be very low while the answering rate of necessity and urgency toward introducing marine telemedicine assistance system for the future through utilizing telemedicine equipment what is called U-helath including motion pictures information was very high. The answering rate of willingness to provide their personal health information positively when introducing marine telemedicine system was very high(97.4%). It is thus necessary to permit marine telemedicine service system, establish service model of marine telemedicine through conducting demonstration projects, promote marine telemedicine actively at the level of government, etc.

• Journal of Navigation and Port Research
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• v.42 no.6
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• pp.406-414
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• 2018

The objective of this study was to analyze the effect of characteristics of maritime telemedicine (service quality, recognition or not of service, health counselling service experience or not) on seafarer's satisfaction, and also analyze the effect of seafarer's satisfaction on loyalty. This study's data was collected from the Research Report of Survey of telemedicine service subjects in 2017 conducted in the maritime telemedicine pilot project. However, only 103 seafarers who received maritime telemedicine (Tele-Monitering) services were analyzed statistically. The main results of this study were as follows. ⅰ) Better service quality led to higher levels of satisfaction, ii) High levels of seafarer's satisfaction led to high levels of loyalty, iii) Seafarers whose age is under 50 than 30 years old are less satisfied, ⅳ) In total boarding career, Seafarers with more than 5 years but less than 10 years were more satisfied than seafarers with less than 5 years, ⅴ) Seafarers with more than 10 years but less than 15 years were more satisfied than seafarers with less than 5 years, ⅵ) Seafarers with more than 15 years but less than 20 years were more satisfied than seafarers with less than 5 years, ⅶ) Also, Seafarers in excess of 20 years were more satisfied than seafarers with less than 5 years, In conclusion, ⅰ) Better service quality led to higher levels of satisfaction and loyalty. Accordingly, the improvement of service quality is not only an important factor in improving satisfaction and loyalty, but also plays an important role in forming a positive image of maritime telemedicine. ⅱ) Seafarers with younger age and lower overall total boarding career were more satisfied. It is believed that the seafarer who are willing to use telemedicine and who are willing to refer to others are young.

• Journal of Fisheries and Marine Sciences Education
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• v.28 no.4
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• pp.994-1005
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• 2016

Expansion and spreading of marine telemedicine is rather restricted due to the conflict of laws relating to medical service and lack of provisions in the Seafarers' Act, Medical Service Act, etc. Thus, this study is intended to reveal the current status and problems of marine emergency medical advice system for the furtherance of health care of seafarers and emergency medical assistance conditions and deduce relevant proposals for legislative improvements thereof in order to resolve underlying problems and issues. The results of this study can be summated as follows. First, in respect of directions to provide marine emergency service based on marine telemedicine system, emergency radio medical advice system needs to be strengthened to meet domestic and international instrument, marine telemedicine system needs to be provided through integrating u-Health technology and special marine medical center needs to be established. Second, regarding directions to provide health promotion service based on the marine telemedicine system, a new process of health care service for seafarers needs to be devised and provided involving seafarers' life cycle covering from prior to boarding to after leaving a ship. The conclusions of this study can be given as follows. First, the following new provisions need to be introduced in the Seafarers' Act. (1) The Minister of Oceans and Fisheries and a shipowner shall conduct matters pertaining to preventive health promotion and care for seafarers; (2) a provisions regarding establishment of seafarers' health promotion center by the Minister; (3) a special exemption permitting marine telemedicine service and qualification requirements for marine telemedicine assistant; (4) shipowner's obligation of carrying seafarers' health measuring equipment on board. Second, the relevant provisions regarding medical care persons needs to be revised in such a way that master or chief officer shall be appointed to be in charge of medical care on board. Last but not least, it is also essential to amend and update the minimum standards on drug and medicines to be carried on board and medicine chest and equipment on board.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2013.10a
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• pp.230-232
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• 2013

해양원격진료를 위한 해상통신환경에 관한 연구로 GMDSS 제도와 e-Navigation을 연계하여 해결 해야될 기술과 정책에 관한 부분을 고찰하였다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2023.01a
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• pp.493-494
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• 2023

해상에서 운항되는 선박에서 인명사고가 발생하면 육상과 달리 적시에 의료지원을 받기 구조적으로 어렵다. 특히 연안선박의 경우 원양선에 비해 상대적으로 고령의 선원들이 승무하고 있기 때문에 인명사고가 빈번하며 인명사고에 취약하다. 본 연구는 AR과 VR과 같은 실감기술을 기반으로하는 연박선박의 원격의료지원 모델 개발하기 위한 방향성을 제시하고자 한다.

• Journal of Navigation and Port Research
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• v.28 no.3
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• pp.239-245
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• 2004

Electrocardiogram and phonocardiogram acquired from ECG and stethoscope by a non-invasive method are bio-signals which laue been a great role in patients diagnosis and used extensively by doctors. And these are mainly used at the examination room or first-and room of hospital. When the patients are located at some places far away from hospital like a car, an airplane and a vessel under way, there are some difficulties in confirming their cardiac sound Especially the patient of ocean going vessel might not have a medical treatment from the professional doctor at times. In this paper, we developed the digital ECG and stethoscope system based on personal computer which can easily measure the patient's cardiac sound and ECG signal, and this might shorten the appearance of the remote maritime telemedicine.

• Journal of the Health Care and Life Science
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• v.11 no.1
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• pp.87-96
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• 2023

This descriptive research study aims to identify the importance and satisfaction of new advanced safety education and marine telemedicine service, and to identify the priority of educational needs for trainees who have received advanced safety reeducation. Data from 190 trainees who conducted advanced safety retraining at the MarineCom were used for the study. As a result of the study, the vital sign measurement method was selected as the top priority for the new advanced safety education, and the nervous system, circulatory system, and surgical system were selected as the top priority for the educational need by type of marine telemedicine guidance. These results suggest that there was a high demand for education on vital sign measurement methods in order to determine the appropriate first aid by grasping the overall condition of the patient in the event of an emergency. Working and monotonous daily life acted as a cause of mental and physical stress, so the incidence of patients in the nervous system, circulatory system, and surgical system was high, and compared to other systems, it was judged that the demand for education was high because the patient was related to life.