• The Korean Society of Law and Medicine
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• v.23 no.2
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• pp.141-169
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• 2022

Article 34 of 'Medical Service Act' of Korea provides telemedicine service between medical personnel. Telemedicine between medical personnel and patients, therefor, in principle, is not recongnized. Increasing demand for telemedicine fueled by COVID-19 pandemic and accumulation of telemedicine experience lead a change in stubborn opposition of the medical community, tenuous though it may be. This article focuses on the telemedicine legislation in France, which can be used as a reference for the telemedicine legislation premised on telemedicine between medical personnel and patients. The legislation stipulates the concept, types, and conditions of telemedicine performance through 'Code de la santé publique'. The principle that telemedicine shall be performed alternately with direct medical treatment to a patient and details relating to such telemedicine performance as telemedicine costs, medical fees, and telemedicine equipment support are stipulated through an agreement between the medical community and health insurance organizations. From this point, the implications for our legal system were presented.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.49 no.1
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• pp.39-46
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• 2012

We can adapt telemedicine systems in advancement of information technology capabilities and increase of network bandwidth. The telemedicine service can be applied to a public health center, a school, a prison and islands in lacks of medical equipments and medical staffs. The telemedicine services which can be provided high quality medical services. We designed the multiple control server system consisting 3 sub-function, patients and doctors name list, network types, connection states and computer equipments. The telemedicine link configuration was decided as 'Flowing', or 'By-passing' in accordance the network type and bandwidth of patient systems or doctor systems. The multiple control server system was performed the best communication configuration over heterogeneous networks. This system was achieved high quality telemedicine services through dynamic wired and wireless networks at any time. This study represented a hybrid multimedia telemedicine system over heterogeneous networks. We expected that the designed system could provide not only the high quality services, tele-diagnosis and tele-consultation, but also the effective emergency telemedicine services to multi-patients in the heterogeneous network environments.

• The Korean Society of Law and Medicine
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• v.22 no.1
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• pp.3-23
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• 2021

Telemedicine is a field of medicine in which medicine doctors who are in remote distance can treat the patients using audio, video devices which can help the diagnosis. In medicine, even the face-to-face diagnosis and treatment is the traditional way, the telemedicine could provide the convenient way for the patients in long distance, disabled or anyone who want to be stay ones' home. But telemedicine has the task to maintain the quality of medical cares compare with the traditional medicine. Among the several types of telemedicine, the specific type telemedicine in which the medicine doctors examine, diagnosis and do the prescription to the remotely distanced patients could be defined tele-prescription. Under The Medical Service act, it is unclear that teleprescription could be allowed. The Medical Service Act has introduced the specific clause for the prescription. That clause includes the duty of patients who have to receive the prescriptions directly from medical doctors. Under this clause, the constitutional court had decided the tele-prescription was illegal, but the supreme court has been decided tele-prescription could be legalized under the certain circumstances. But the other supreme court decided the tele-prescription was illegal under the article 34 of presenting Medical Service Act. So to understand the interpretations of Supreme court and Constitutional court decisions for the cases of prescription via telephone, we need to understand the history and presented reasons for the revision of prescription clause and also need to understand the other related clauses in the same act. In conclusion, To consider the values of telemedicine should be the level with the ordinary treatments, It is reasonable to interpret that the presenting Medical Service Act only legalize the telemedicine between doctor to doctor and which is regulated by the telemedicine clause.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.21 no.1
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• pp.205-214
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• 2017

In this paper, we proposed an iris-based authentication for smart healthcare service in secure telemedicine system. The medical and healthcare information's are very important data in telemedicine system from privacy information. thus, the proposed system provides a secure and convenient authentication method than the traditional ID/PW authentication method to a telemedicine system for age-related chronic diseases. When considering the peculiarities of the use of age-related chronic diseases convenience and healthcare environments, the proposed approach is difficult to secure than traditional ID/PW authentication method with the appropriate means to easily change when stolen or lost to others. In addition, the telemedicine system for the smart healthcare services is one of the types of privacy sensitive medical and health data. it is very important security needs in telemedicine system. Thus we protocol are offer high confidentiality and integrity than existing ID/PW method.

• Proceedings of the Korean Society of Computer Information Conference
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• 2012.07a
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• pp.123-126
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• 2012

현재 정보통신의 비약적인 발전은 의료서비스 전달체계에서도 큰 변화와 진전을 야기하고 있으며 세계적으로 점차 확대되어가고 있는 추세이다. 이는 의료정보화라는 이름으로 환자에게는 질병의 진단, 치료에 있어서 보다 신속, 세밀하고 정확히 판단할 수 있게 하여 수준 높은 보건의료서비스를 제공하는 한편 의료기관 및 관련기관은 업무의 효율성을 높여가고 있다. 그 중 원격의료는 의료기관의 방문 없이 대기시간의 단축, 일률적인 고도의 의료수준을 기대할 수 있는 등의 장점이 있는 제도이다. 그러나 현행 우리 의료법에서는 이를 규정하고는 있으나 그 내부적 관계에 따르는 세부적인 법률관계의 부재와 현장에서 이루어지는 의료행위가 아닌 정보통신망을 이용한 비대면접촉에 의한 특수한 형태라는 측면에서 제도적, 시설적, 환경적 제약이 있음을 부인할 수 없다. 따라서 본 논문에서는 원격의료의 법적 문제점 및 개선점을 고찰해보고 이를 통한 원격의료를 활성화할 수 있는 활로를 모색하고자 한다.

• Journal of Korean Public Health Nursing
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• v.29 no.3
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• pp.565-581
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• 2015

Purpose: This study was conducted to confirm the factors affecting recipients' quality of life by two types of hypertension management, one was telemedicine provided by community health posts(CHPs) in a rural area, the other was traditional hypertension management by comparing patients' health related lifestyles, self-efficacy and health related quality of life. Methods: The study was conducted from February 1, 2015 through April 25, 2015 on 193 hypertension patients in 6 CHPs consisting of 98 patients in 2 CHPs running telemedicine and 95 patients in 4 CHPs running traditional hypertension management services. The data were analyzed and assessed with frequency, percentage, chi-square test and multiple regression. Results: Self-efficacy and health related quality of life were high for the subjects managed by traditional hypertension management services. Self-efficacy, age, hobby, balanced meals, more than 7~8 hours sleep and regular exercise, which affected the quality of life for recipients were explanatory in 45.9%(F=22.368, p<.001). Conclusion: When any services utilizing telemedicine are provided in the future, consideration of emotional aspects including self-efficacy and quality of life is recommended.

• 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 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.

• The Journal of the Korea institute of electronic communication sciences
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• v.3 no.4
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• pp.247-253
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• 2008

The TMO may contain two types of methods, time-triggered methods(also called the spontaneous methods of SpMs) which are clearly separated from the conventional service methods (SvMs). The SpM executions are triggered upon design time whereas the SvM executions are triggered by service request message from clients. In this paper, we describes the application environment as the patient monitor telemedicine system with TMO structure. Vital sign information web viewer systems is also the standard protocol for medical image and transfer. In order to embrace new technologies as telemedicine service, it is important to develope the standard protocol between different systems in the hospital, as well as the communication with external hospital systems.

• Journal of the Korea Society of Computer and Information
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• v.17 no.12
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• pp.241-249
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• 2012

The rapid development of the current information and communication brings big changes and progress in the health service delivery system. And it is becoming the worldwide trend increasingly. As the name of medical information, by more rapid, detail and more quickly to the patients and diagnosis of the disease it provides not only a high level of health care services but also hospitals and related institutions are making increase the efficiency of the work. Among them, the Telemedicine, that system has many advantage which can expect the shorten the waiting time and the uniform high level of medical, etc. without visiting medical institutions. Especially, the most advantage is it can increase the accessibility of information about extensive medical, without regard to the time and place. But this is the reality, which compared speed the development of modern science and technology with lack of operational regulations and mindset. Current in our Medical Law, it regulates the Telemedicine, but it has Institutional, facility, and environmental constraints. Because, there is no detailed legal relationship. And it takes that in terms of a special form called by a non-face-to-face contact with medical practice rather than the scene. Therefore, in this paper will find a way out to activate the Telemedicine by presupposes the development potential is infinite and find the legal issues and improvements.