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http://dx.doi.org/10.14367/kjhep.2013.30.2.023

Experience on Telemedicine Use of Community Health Practitioners  

Kwon, Myung Soon (Division of Nursing, Hallym University)
Park, Dong-Jin (School of Communication, Hallym University)
Choi, Jounghwa (School of Communication, Hallym University)
Publication Information
Korean Journal of Health Education and Promotion / v.30, no.2, 2013 , pp. 23-39 More about this Journal
Abstract
Objectives: This study was conducted to investigate practical experiences of telemedicine of community health practitioners(CHPs). Methods: Qualitative data were collected by in-depth interviews from 10 CHPs who have experiences in managing telemedicine system. All interviews were recorded and transcribed according to qualitative conventional content analysis processes. Results: As a result, 32 themes were deduced and 11 theme clusters and 3 categories were formed and each coding categories were derived directly from the text data. 11 theme clusters derived from the 32 meaningful themes were as follows: Human resources, equipments and systems, computer program (Input resources), human resource management, patient registration and management, medication, laboratory test (Progress), benefits in telemedicine system managing, difficulties in telemedicine system managing, complains in telemedicine system managing, client responses to telemedicine system (Outcome evaluation). 3 categories derived 11 theme clusters were 'input', 'progress', and 'outcome evaluation'. Conclusions: This study has contributed to the understanding of operation of telemedicine by CHPs in community health posts. For more systematic and comprehensive management, further study should be conducted to reflect experience and positions of public health center physicians, collaborative hospital physician and patients.
Keywords
Telemedicine; Community health practitioners; Experiences; Content analysis;
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1 Lee, W. J. (1996). Experiences in the U.S.A and Korea = Telehealth for rural health problems. Korean Journal of Hospital Management, 1(1), 188-202.
2 LeRoug,e C., Hevner, A. R., & Collins, R. W. (2007). It's more than just use: An exploration of telemedicine use quality. Decision Support Systems, 43, 1287-1304.   DOI   ScienceOn
3 LeRouge, C., Garfield, M. J., & Collins, R. W. (2012). Telemedicine: Technology mediated service relationship, encounter, or something else? International Journal of Medical Informatics, 8(1), 622-636.
4 Miller, E. A. (2001). Telemedicine and doctor-patient communication: an analytical survey of the literature. Journal of Telemedicine and Telecare, 7, 1-17.
5 Ministry of Government Legislation. (2013, January 1). Medical law. Retrieved from http://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nw Yn=1&query=%EC%9D%98%EB%A3%8C%EB%B2%95&x=0&y=0#liBgcolor7
6 Ministry of Government Legislation. (2013, January 23). Act on special measures for the health care of rural. Retrieved from http://www.law.go.kr/lsInfoP.do?lsiSeq=129336&efYd=20130123#0000
7 Ministry of Health & Welfare. (2012). 2012 Primary health care community health center guide. Seoul, Korea: Author.
8 Gangwongdo. (2012a). Overview of u-Health(Management of chronic disease) local specialized public health services. Chuncheon, Korea: Gangwondo.
9 Gangwondo. (2012b). Guideline of public u-health in 2012. Chuncheon, Korea: Gangwondo.
10 Gangwondo, & Hallym University. (2013). Gangwondo public u-health service operating performance: Telemedicine centered on chronic disease. Chuncheon, Korea: Hallym University.
11 Hjelm, N. M. (2005). Benefits and drawbacks of telemedicine. Journal of Telemedicine and Telecare, 11, 60-70.   DOI   ScienceOn
12 Hopper B., Buckman, M., & Edwards, M. (2011). Evaluation of satisfaction of parents with the use of videoconferencing for a pediatric genetic consultation. Twin Research and Human Genetics, 14(4), 343-346.   DOI   ScienceOn
13 Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288.   DOI   ScienceOn
14 Kim, K. H. (2006). A study on compliance of hypertensive patients registered in primary health care posts implementing the Gangwon telemedicine service system (Unpublished master's thesis). Hallym University, Chuncheon, Korea.
15 Kim, K. H., Lee, M. O., Lee, J. K., & Ryu, S., W. (2008). Compliance of hypertensive patients registered in primary health care posts implementing the Gangwon telemedicine service system. Journal of the Korean Society of Health Statistics, 33(2), 59-77.
16 Ko, H. J., & Yoo, T. W. (1999). Primary care oriented telemedicine. Korean Journal of Family Medicine, 20(1), 13-22.
17 Yoon, D. H., Kim, S. P., Kim, S. J., Cho, S. H., & Cho, N. S. (2008) Influence on a doctorless island residents' health care utilization by video telemedicine. The Korean Society of Emergency Medicine, 19(4), 359-365.
18 Ryu S. W., Jo, J. K., Song T. M., Lee S. Y., Kang E. J., Jang W. I., . . . & Lee, K. E. (2004). Enhancing acceptance of telehealth for the public sector. Seoul, Korea: Korea Institute for Health and Social Affairs.
19 Ministry of Health & Welfare. (2002). Standardized practice guidelines for community health practitioner. Seoul, Korea: Author.
20 Rey-Moreno, C., Reigadas, J. S., Villalba, E. E., Vinagre, J. J., & Fernandez, A. M. (2010). A systematic review of telemedicine projects in Colombia. Journal of Telemedicine and Telecare, 16, 114-119.   DOI   ScienceOn
21 Ryu S. W., Lee H. S., Lee K. H., & Yoon J. Y. (2006). The operational reality and performance evaluation of Kangwon chronic disease telemedicine service system. Seoul, Korea: Korea Institute for Health and Social Affairs.
22 Saliba, V., Legido-Quigley, H., Hallik, R., Aaviksoo, A., Car J., & McKee, M. (2012). Telemedicine across borders - A systematic review of factors that hinder or support implementation. International Journal of Medical Informatics, 8(1), 793-809.
23 Song, T. M., Lee, S. Y., Lee, K. H., Park, D. S., Jin, D. R., Ryu, S. W., & Jang, S. H. (2011). U-Health: Current status and tasks ahead. Seou, Korea: Korea Institute for Health and Social Affairs.
24 Song, Y. E. (2012, December). Community health practitioners in prescription drug use status and revision. Paper presented at the meeting of the Korean Academy of Rural Health Nursing's Fall Conference, Sunmoon University, Asan, Korea.
25 Statistics Korea. (2012). 2012 Statistics on the Aged. Retrieved from http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board
26 Touati, F., & Tabish, R. (2013). U-Healthcare system: State-of-th-art review and challenges. Journal of Medical Systems, 37, 2-20.
27 Doering, N., Legido-Quigley, H., Glinos, I. A., McKee, M., & Maarse, H. (2013). A success-story in cross-border telemedicine in Europe: The use of intra-operative teleneuromonitoring during aorta surgery. Health Policy and Technology, 2, 4-9.   DOI   ScienceOn