• Title/Summary/Keyword: 원격 의료

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Preliminary issues and suggestions for promoting telemedicine: mainly in Japan (원격의료 추진을 위한 선결과제 및 시사점: 일본을 중심으로)

  • Kwon, Ju-Young
    • Journal of the Korea Convergence Society
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    • v.11 no.12
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    • pp.309-317
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    • 2020
  • In the post-corona era, telemedicine is becoming more important. This is the case in which it is written, in terms of this study, and in relation to the relationship between the Koreans and the Korean government. In addition, the aim is to prepare effective measures and seek policy suggestions for expanding the introduction of domestic telemedicine in the future. Although Japan has insisted on the necessity of introducing telemedicine in the medical community, it has institutionalized it with a cautious attitude until the establishment of telemedicine. On the other hand, South Korea lacks clear provisions on medical fees for telemedicine and legal measures regarding the responsibility for medical malpractice. Therefore, a clear legal interpretation of the telemedicine subject is needed, and a strategic approach is prioritized, including guidelines and measures for the legal responsibilities and limitations of physicians and patients.

Comparison of Telemedicine Service and Existing Medicine Service: the Case of Endoscopy (일반의료서비스와 전화를 이용한 원격의료서비스의 비교: 내시경 진료 사례)

  • Lee, Jeong-Son;Lee, Min-Jung
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2014.07a
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    • pp.143-144
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    • 2014
  • 2014년 2월 정보통신 진흥 및 융합 활성화 등에 관한 특별법(ICT 특별법)이 시행되었고, 2014년 6월 의료법개정에 따른 원격의료서비스 시범사업이 가능해졌다. 본 연구에서는 기존의 병원을 방문하여 진료 후에 약 처방을 받던 일반적인 내시경 의료서비스와 병원 방문 없이 전화를 이용한 진료 및 처방과 함께 약을 배송해 주는 원격의료서비스를 의료서비스 제공자들을 대상으로 FGI(Focus Group Interview)를 통하여 비교하였다. 본 연구는 향후 보다 나은 내시경환자를 위한 원격의료서비스 설계를 위한 기초자료로 활용될 것으로 기대한다.

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Findings from the Survey Responses by Cambodian Doctors and Patients for Telemedicine (캄보디아 환자와 의사의 원격 의료에 대한 반응 조사)

  • Yoo, Sun-gil;Oh, Dongik;Min, Sedong;Shin, Wonhan
    • 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.

Prerequisites for Activation of Telemedicine (원격의료 활성화를 위한 선결과제)

  • Jeon, Young-Ju
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.8
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    • pp.169-176
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    • 2014
  • 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. In order to implement established what policy peacefully is sufficient review and dialogue, social consensus are integral components. The government in the telemedicine services, health care industry that is directly related to the public health and development spheres as nations of the society which to vote on new growth policy is a great social health policies of the push ahead with an unconditional side effects. But before it was activated, telemedicine, which is capable of ensuring the health and lives of the people in need of revision of the safety and effectiveness of any kind, and enforces a stretch enough before review and social consensus, must necessarily be a prerequisite. In conclusion, it presently appears to be inappropriate and impossible to conduct telemedicine system through the foreign of telemedicine. It suggested to present the problems on telemedicine in korea.

초고속 통신망을 이용한 원격진료시스템

  • 박경수;조동호
    • Information and Communications Magazine
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    • v.12 no.9
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    • pp.124-132
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    • 1995
  • 의료분야에서의 통신망 이용은 의료분야 전산화의 진전과 함께 계속 증가하고 있으며, 이의 일환으로 외국에서는 의료용 화상정보 표현, 전송 및 검색을 위한 표준 프로토콜인 DICOM을 이용한 PACS를 개발, 시험 또는 상용화 하고 있는 상황이다. 한편 국내에서는 이러한 PACS 시스템의 도입이 미미한 실정으로, 삼성의료원을 비롯한 몇몇 대형 의료기관에서 PACS의 일부를 도입, 운영하고 있으며, 보험청구 및 환자정보 관리를 중심으로 한 의료분야 전산화가 꾸준히 이루어지면서 많은 병원에서도 PACS 시스템의 도입 및 원격 진료 서비스 제공에 많은 관심을 가지고 있는 상황이다. 또한 이러한 의료용 화상정보 뿐만 아니라 일반적인 문자기반 의료정보의 표현, 전송 및 검색을 위한 표준 프로토콜인 HL7(health level 7)을 이용하여 의료보험 등과 같이 직접적인 의료행위 이외의 기타 부가정보를 의료기관 사이 또는 의료기관과 비의료기관 사이에서 공유하고 있다. 이러한 의료분야에서의 통신망 이용기술과 함께, 현재 고속 통신망에서 많이 개발되어지고 있는 화상회의 시스템의 발전에 기인하여 원격 진료 서비스에 관한 연구가 활발히 이루어지고 있는데, 이는 원거리에 위치한 의료기관간에 표준 프로토콜을 이용한 의료용 화상 또는 문자정보 공유가 가능해지고, 고속 통신망을 이용한 화상회의 및 긴급성을 가진 대용량 화상정보의 실시간 전송이 가능한 점에 기인한다. 본 고에서는 이러한 원격 진료 시스템의 발전 배경 및 전반적 시스템의 구조와 특성을 고찰하고, 국내외의 원격 진료 시스템 활용 현황에 관하여 기술한다.

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The Legitimacy of Telemedicine and its Limit (원격의료의 허용 여부와 그 한계)

  • Hyu, Doo-youn
    • The Korean Society of Law and Medicine
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    • v.21 no.3
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    • pp.3-33
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    • 2020
  • Telemedicine can be defined as "medical activities performed remotely by medical personnel using information and communication technology." So far, many scholars in Korea have understood that only telemedicine between medical personnel is allowed and telemedicine between medical personnel and patients is prohibited based on Article 34 of Medical Service Act. However, Article 34 is only a restriction on the performing place of medical profession, not a prohibition on telemedicine itself. And, there are no regulations prohibiting telemedicine under the korean medical law. So, it is difficult to say that telemedicine is generally prohibited under the korean medical law, apart from the health insurance medical treatment benefit standards. However, there is controversy in interpretation regarding the meaning of "direct diagnosis" in Articles 17 and 17-2 of Medical Service Act. The Constitutional Court of Korea interpreted this as "face-to-face diagnosis", while the Supreme Court of Korea interpreted it as "self diagnosis". In light of the dictionary meaning of 'direct' and the interpretation of related medical law regulations, I think the Supreme Court's interpretation is valid. Although "direct diagnosis" does not mean "face-to-face diagnosis", the concept of "diagnosis" implies "principle of face-to-face diagnosis". In addition, "non-face-to-face diagnosis" are only allowed to supplement "face-to-face diagnosis", so the problems caused by "non-face-to-face diagnosis" can be fully overcome. In the end, the limit of telemedicine is how faithful the diagnosis was.

Personal Information Protection for Biometric Verification based TeleHealth Services (바이오인식을 이용한 원격의료에서의 개인정보보호)

  • Shin, Yong-Nyuo;Chun, Myung-Geun
    • Journal of the Korean Institute of Intelligent Systems
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    • v.20 no.5
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    • pp.659-664
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    • 2010
  • This paper provides an integrated framework for biometric data and private information protection in TeleHealth. Biometric technology is indispensable in providing identification and convenience in the TeleHealth environment. Once biometric information is exposed to mallicious attacker, he will suffer great loss from the illegferuse of his biometric data by someone else because of difficulty of change not like ID and password. We have to buil by someone esystem data bon the integrated framework for biometric data and private information protection in TeleHealth. First, we consider the structure of the biometric system and the security requirements of y someone esystem data bon the biometrics. And then, we define the TeleHealth system model and provide the vulnerabilities and countermeasures of the biometric-data by someone eintegrated model.byhe TeleHealth sse bec requires two-phata authentication for countermeasure. Finally, we made some functionferrequirements for main componenets of biometric-data bintegrated TeleHealth system framework to protect biometric data.

Implementation of Medical Image DB Access Agent for Ubiquitous Medicine

  • Lee Sang-Bock;Lee Jun-Haeng;Ahn Byung-Ju
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.3 s.35
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    • pp.111-118
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    • 2005
  • 과학시술의 발달로 유비쿼터스 환경에서 원격의료가 가능하게 하였다. 유비쿼터스 환경에서 원격의료를 위해서는 센서기술과 DBMS(Data Base Management System), 서버, 멀티미디어 정보통신망 등이 혼합된 원격의료정보시스템을 구축하여야 한다. 원격의료정보시스템은 분산형 데이터 베이스인 텍스트, 비디오, 오디오 등으로 구성되고, 이를 유비쿼터스 환경에서 액세스하여야 한다. 본 논문에서는 원격의료를 위해 원격지에 분산되어 있는 멀티미디어 형태의 데이터베이스를 원격지에서 빠르게 접속하여 검색할 수 있는 검색 에이전트를 설계하고 구현하며 성능을 평가하였다.

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Untact Teleradiology System based on Mobile medical imaging devices (모바일 영상진단기기기반 비대면 판독 시스템)

  • Noh, Si-Hyeong;Lee, Chungsub;Kim, JiEon;Kim, Tae-Hoon;Jeong, Chang-Won;Yoon, Kwon-Ha
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.01a
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    • pp.317-319
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    • 2021
  • 최근 코로나 19가 장기화하면서, 비대면서비스로 대체되고 있는 한편, 의료분야에도 서비스 패러다임이 변화되고 있다. 특히, 국내의 법 제도적으로 묶여 있는 원격 의료서비스의 적용이 가능하고 상급종합병원에서는 비대면 진료서비스를 도입하고 있다. 본 논문에서 제안하는 비대면 원격판독시스템은 모바일 의료영상진단기기를 기반으로 의료사각지대에 있는 환자들의 영상촬영과 이에 대한 판독 서비스를 제공하기 위한 시스템이다. 제안한 시스템은 의료환경에 적용하기 위해 환자의 개인정보를 보호하고, 원격으로 환자의 영상 데이터를 판독하기 위한 시스템과 그 처리 과정을 보인다. 그리고 끝으로 구축된 시스템의 수행 결과를 보인다.

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A Secure Telemedicine System for Smart Healthcare Service (스마트 헬스케어 서비스를 위한 홍채인식기반의 원격의료시스템)

  • Cho, Young-bok;Woo, Sung-Hee;Lee, Sang-Ho;Kim, Min-Kang
    • 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.