• Journal of the Korea Society of Computer and Information
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• v.20 no.11
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• pp.151-156
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• 2015

Recently, the government tends to address the health policy as an economic logic. However, health policy must be priority to national health right than economic logic. Thus, in this paper analyzes the problems of telemedicine for telemedicine that are at issue in South Korea, based on this, and presents reasonable health policy directions for telemedicine. To amend the law and legislation the health policy and law, analyze the rationality, feasibility of law and sufficient review should be implemented. Comparing to the foreign which introduced telemedicine earlier, discussion on telemedicine in South Korea remains a long way to go and it is now beginning step. Therefore, it should not forget that the health policy of the government with crass insensitivity can bring great disaster. Above all, to the health care, the sufficient review and social consensus which can reduce the side-effects are priority.

• Journal of the Economic Geographical Society of Korea
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• v.16 no.2
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• pp.198-217
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• 2013

This research aims to examine the behavior changes of telemedicine participants with regard to time-space reconfiguration and to address the implications of telemedicine in terms of extensibility and restrictions (ambilaterality). According to the results of this research, telemedicine can lead to behavior changes in telemedicine participants, particularly patients. However, it is difficult to anticipate the time-space reconfiguration of telemedicine participants drastically. In other words, although telemedicine minimizes patients' burden of accessibility to and utilization of medical institutions, it requires the patients to visit medical institutions at least once due to the restricted application of telemedicine related to technological problems, the characteristics of medical practice and mutual stakes among the medical institutions involved in telemedicine. And physicians (telemedicine providers as mediators between medical specialists and patients) and medical specialists (as the ultimate telemedicine providers) do not evidence considerable changes in their behaviors, except for offline meetings for information sharing and medical training. Because the present telemedicine system does not require simultaneity between physicians, patients and medical specialists. Furthermore, present telemedicine operation is absorbed into existing medical activities as a health care delivery method. These phenomena are due to 1) the interests among medical institutions and the limitation or generalization of telemedicine technologies to stimulate regional-based telemedicine operation and 2) the goal of face-to-face interactions between patients and doctors, which is to avoid misdiagnosis and side effects. Finally, medical activities related to telemedicine do not differ from general medical activities. The ambilaterality of telemedicine in terms of extensibility and the restriction of time-space reconfiguration is an unsettled problem in the ICT technologies of medical services.

• Journal of Internet Computing and Services
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• v.16 no.4
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• pp.13-23
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• 2015

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.

• Journal of the Semiconductor & Display Technology
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• v.11 no.3
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• pp.51-56
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• 2012

In this paper, we propose a telemedicine system based ECG data using a bio-signal meter and a smart device for treating faraway patients. This system is composed of a patch-shaped portable bio-signal meter, patient's smart device application, and doctor's PC software. Using these components, doctors and patients can do telemedicine. First, a patient measures his own ECG signal with a bio-signal meter and send the data to a doctor using a smart device application. Then, the doctor checks the ECG data, and make and send a diagnosis chart to web server. Likewise, doctors and patients can be offered a medical environment without time and space restraints. Applying this system to real medical system can improve the problem of low accessibility and efficiency and also can reduce medical expenses.

• The KIPS Transactions:PartB
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• v.9B no.3
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• pp.287-292
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• 2002

In general cases, the conventional internet connected to a terrestrial network is transmit too large medical images. To overcome this low speed transmitting rate problem of the interned, we have studied about an image division communication system as a fast telemedicine system. The image division communication system was 5-10 times faster than the conventional terrestrial internet link. Also we have developed a Web-based telemedicine system that can access every permitted server of hospitals via the internet. Studied image division communication corrected problem of other reflex quality decline in erratic transmission of reflex by transmission speed imbalance that is problem of single communication techniques that used in existing reflex transmission. Also, could keep quality state of fixed reflex gouge abnormal transmission speed. Visual Basic and C++, ASP programming techniques were used to make our system and it can access and retrieve medical information and image through only public web browse such as internet explorer without additional specific tools. To increase the transmitting speed of our telemedicine system, JPEG method was used. In conclusion, we were able to develop a fast and public telemedicine system using the proposed image division communication system and Web technology. Image division communication system technology increased the speed of the conventional internet and Web technology extended the scope of use for telemedicine system from intrahospital to public use.

• The Korean Society of Law and Medicine
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• v.23 no.1
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• pp.3-33
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• 2022

In relation to telemedicine in Korea's medical law, there are Articles 17, 17-2, and 34 of the Medical Act. Since 'direct examination' in Articles 17 and 17-2 of the Medical Act can be interpreted as 'self-examination' rather than 'face-to-face examination', it is difficult to see the above regulation as a regulation prohibiting telemedicine. Prohibiting telemedicine only with the concept of medical examination or the 'principle of face-to-face treatment' is against the principle of "nulla poena sine lege"(the principle of legality). However, in order to qualify as 'examination', it must be faithful enough to replace face-to-face examination, so issuing a medical certificate or prescription after a poor examination over the phone is considered a violation of the Medical Act. In that respect, the above regulation can be said to be a regulation that indirectly limits telemedicine. On the other hand, most lawyers interpret that telemedicine between medical personnel and patients is completely prohibited based on Article 34, and the Supreme Court recently ruled that such telemedicine is not permitted even if there is a patient's request. However, this interpretation is not only far from the legislative intention at the time when telemedicine regulations were introduced into the Medical Act of 2002, but also does not match the needs of reality or the legislative trend of foreign countries. The reason is that telemedicine regulations are erroneously legislated. The premise of the legislation is wrong, and there are considerable problems in the form and content of the legislation. As a result, contrary to the original legislative intent, telemedicine was completely banned. In foreign countries, it is difficult to find cases where telemedicine is completely banned and criminal punishment is imposed for it. In order to fundamentally solve the problem of telemedicine, Article 34 of the Medical Act needs to be deleted.

• Journal of the Korea Society of Computer and Information
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• v.7 no.4
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• pp.24-32
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• 2002

Recent advances in Telecommunication and Internet have how made it possible to break the space-time barriers and allow physicians to deliver health care to patients at any time and any place, having led to a new branch of computer applications called Telemedicine System. In Telemedcine, Network and I/O performance requirements are generally more important than computing capability. Accordingly, this thesis is aimed at inquiring into how to satisfy QoS guarantee of network to compensate for the defects of the existing best-effort services and suggesting how to solve network bottleneck problem. using DiffServ in Telemedicine service system through Internet.

• Knowledge Management Research
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• v.21 no.4
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• pp.1-19
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• 2020

Recently, implementation of telemedicine in Korea has been conducted as one of pilot projects with public health doctors. To manage and expand telemedicine services sustainably, it is necessary to understand the positions of various stakeholders. The purpose of this study is to observe and describe major phenomena around stakeholders related to telemedicine to capture major issues following the implementation of telemedicine. This study interviewed 24 research participants, including public health doctors who participated in the pilot project for telemedicine services. As a result of analyzing the interview manuscript using the grounded theory method, totally 68 concepts were derived at the coding stage, and 19 sub-categories, 11 categories, were proposed through the categorization process. In addition, through the elicitation concepts and categories of this study, conflicts among stakeholders were explained, conceptual models that presented the process of resolving conflicts, and five types of stakeholders were proposed. This study has theoretical and practical implications in that it captures and describes important issues from stakeholders in telemedicine services. The results of this study are expected to give some hints for problem solving to all of the stakeholders who wish to successfully build telemedicine services.

• Journal of Internet Computing and Services
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• v.1 no.1
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• pp.95-104
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• 2000

In general cases, the conventionl Internet connected to a terrestrial network is too slow to transmit large medical images. To overcome this low speed problem of the Internet, we have developed asymmetric satellite data communication system (ASDCS) as a fast satellite Internet communication method. The ASDCS uses a receive-only satellite link for dat delivery and a terrestrial network for control communication. The satellite communication link we implemented showed the very high-speed performance compared to the terrestrial link. Using ASDCS, the satellite Internet communication was 10-30 times faster than the conventional terrestrial Internet link. Also we have developed a Web-based Telemedicine system that can access every permitted server of hospital via the Internet. Java programming techniques were used to make our system and it can access and retrieve medical information and images through only public web browser such as Netscape TM without additional specific tools. To increase the transmitting speed of our Telemedicine system, JPEG method was used. In conclusion, we were able to develop a fast and public Telemedicine system using the proposed ASDCS and Web technology. ASDCS technology increased the speed of the conventional Internet and Web technology extended the scope of use for Telemedicine system from intrahospital to public use.

• Journal of Advanced Navigation Technology
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• v.27 no.1
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• pp.139-145
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• 2023

When a doctor examines a patient in a hospital, the doctor directly checks the patient's condition and conducts a face-to-face diagnosis through dialogue with the patient. However, it is often difficult for doctors to directly treat patients. Recently, several types of telemedicine systems have been developed. However, the systems have lack of capabilities to observe heart disease, neck condition, skin condition, inside ear condition, etc. To solve this problem, in this paper, an interactive telemedicine robot system with autonomous driving in a room capable of visual examination and auscultation of patients is developed. The developed robot can be controlled remotely through the WebRTC platform to move toward the patient and check a patient's condition under the doctor's observation using the multi-joint robot arm. The video information, audio information, patient's heart sound, and other data obtained remotely from patients can be transmitted to a doctor through the web RTC platform. The developed system can be applied to the various places where doctors are not possible to attend.