• 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 information and communication convergence engineering
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• v.9 no.1
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• pp.89-94
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• 2011

Telemedicine system means a remote support system among 4 remote telemedicine services of u-Health. A currently available service in Korea is the one checking and maintaining patient's status and supporting in emergency through video communication between an ambulance transferring patients and hospital under HSDPA and WiBro environment with coding of MPEG-2 and MPEG-4. With that, this paper improves the stability of the current telemedicine system service of ambulance confirms the improvement compared to the old system by generating a system communicating by RTP/RTCP under coding process through H.264/AVC after converting RGB video to YUV in order to improve network efficiency.

• Proceedings of the Korea Multimedia Society Conference
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• 2001.06a
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• pp.373-377
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• 2001

The telemedicine & distance education system that this paper suggests has been designed on the CTE(Collaborative Telemedicine & distance Education) framework, which is an integrated multimedia environment. This is a CBM-based collaborative telemedicine & distance education type, different from the conventional doctor based general practice, and is an integrated multimedia telemedicine & distance education system capable of many application developments using information super highway. This paper presents the content regarding electronic medical examination chart and data treatment for efficient medical examination and prompt treatment by realizing mutual conversation type remote medical examination system among 3 parties(patient, doctor, pharmacist) on internet base. And, The implementation of this new teaming system should be designed with multimedia application development platform base which is interfaced with computer engineering, computer network technology, CSCW (Computer-Supported Cooperative Work) technology, and education engineering.

• Journal of Korean Neurosurgical Society
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• v.66 no.5
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• pp.488-493
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• 2023

We aimed to develop a cloud-based telemedicine platform for patients with intracerebral hemorrhage (ICH) at local hospitals in rural and underserved areas in Gangwon-do using artificial intelligence and non-face-to-face collaboration treatment technology. This is a prospective and multi-center development project in which neurosurgeons from four university hospitals in Gangwon-do will participate. Information technology experts will verify and improve the performance of the cloud-based telemedicine collaboration platform while treating ICH patients in the actual medical field. Problems identified will be resolved, and the function, performance, security, and safety of the telemedicine platform will be checked through an accredited certification authority. The project will be carried out over 4 years and consists of two phases. The first phase will be from April 2022 to December 2023, and the second phase will be from April 2024 to December 2025. The platform will be developed by dividing the work of the neurosurgeons and information technology experts by setting the order of items through mutual feedback. This article provides information on a project to develop a cloud-based telemedicine platform for acute ICH patients in Gangwon-do.

• Korean Journal of Health Education and Promotion
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• v.31 no.2
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• pp.55-64
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• 2014

Objectives: This study is to identify the effects of utilizing a telemedicine service system on patients with hypertension at home in rural areas. Methods: The study was designed to be a retrospective case-control study. The subjects of this study were 152patients with hypertension who were managed by community health practitioner posts; using telemedicine service system group (n=76), usual care group (n=76). The data was collected through EMR (electric medical record) from September to December, 2013, and analyzed by descriptive statistics of $x^2$/t-test and ANCOVA. Results: The analysis showed that telemedicine service system was an effective way to deal with body weight (F=4.723, p=.031) and BMI (F=5.225, p=.024). Conclusions: This study provides evidence for utilizing the telemedicine service system based on information technology as intervention method in the hypertension management.

• Journal of the Korea Safety Management & Science
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• v.26 no.1
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• pp.1-8
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• 2024

This study explores the impact of technostress on the intention to use telemedicine applications (apps) in the post-COVID19 era, a period marked by the rapid popularization of such apps to mitigate COVID19 infection risks. Utilizing the Technology Acceptance Model (TAM), the study identifies variables and proposes a research model. A questionnaire survey involving 364 adults is analyzed through Partial Least Squares-Structural Equation Modeling. Results indicate positive significance for variables linked to the TAM (perceived usefulness, perceived ease of use, attitude, and intention to use). Notably, techno-complexity negatively affects perceived ease of use, while techno-unreliability negatively impacts perceived usefulness and ease of use. Surprisingly, techno-uncertainty has a positive effect on both perceived usefulness and ease of use. Techno-overload, although negatively impacting perceived usefulness and ease of use, does not reach statistical significance. The study underscores the need to consider both positive and negative aspects, including technostress, when evaluating telemedicine app usage. Additionally, recognizing the varying impact of technostress based on users' ICT(Information and Communication Technology) confidence levels is crucial. Overall, these findings contribute academically to telemedicine app adoption literature and hold industrial significance by providing a user perspective on these apps.

• Journal of Preventive Medicine and Public Health
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• v.49 no.4
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• pp.183-196
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• 2016

Objectives: There is no systematic review on economic evaluations of telemedicine in Japan, despite over 1000 trials implemented. Our systematic review aims to examine whether Japan's telemedicine is cost-saving or cost-effective, examine the methodological rigorousness of the economic evaluations, and discuss future studies needed to improve telemedicine's financial sustainability. Methods: We searched five databases, including two Japanese databases, to find peer-reviewed articles published between January 1, 2000 and December 31, 2014 in English and Japanese that performed economic evaluations of Japan's telemedicine programs. The methodological rigorousness of the economic analyses was assessed with a well-established checklist. We calculated the benefit-to-cost ratio (BCR) when a reviewed study reported related data but did not report the BCR. All cost values were adjusted to 2014 US dollars. Results: Among the 17 articles identified, six studies reported on settings connecting physicians for specialist consultations, and eleven studies on settings connecting healthcare providers and patients at home. There are three cost-benefit analyses and three cost-minimization analyses. The remaining studies measured the benefit of telemedicine only, using medical expenditure saved or users' willingness-to-pay. There was substantial diversity in the methodological rigorousness. Studies on teledermatology and teleradiology indicated a favorable level of economic efficiency. Studies on telehomecare gave mixed results. One cost-benefit analysis on telehomecare indicated a low economic efficiency, partly due to public subsidy rules, e.g., a too short budget period. Conclusions: Overall, telemedicine programs in Japan were indicated to have a favorable level of economic efficiency. However, the scarcity of the economic literature indicates the need for further rigorous economic evaluation studies.

• The Journal of the Korea Contents Association
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• v.14 no.8
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• pp.287-296
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• 2014

This study is to propose an acceptance model that explains the use of telemedicine effects for chronic disease. For this purpose, the effect factors and variables for Technology Acceptance Model (TAM) were investigated through a structural equation model by performing a sample survey for 210 senior patients who are under treatment with telemedicine in Kangwon area in 2013. The findings from the results are as follows: 1) perceived usefulness and perceived easy of use influence the intent to use telemedicine; 2) open-minded patients group is more positive to the easy of use and usefulness for the telemedicine; 3) it matches with the previous research that shows the trust in telemedicine system is affected by the experience for practical use of information; 4) it is known that the external control factors for health affect perceived usefulness positively. This study contributes to optimize the TAM by verifying the acceptance of telemedicine system in a rural community.

• 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.

• Journal of Information Technology Services
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• v.10 no.3
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• pp.265-284
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• 2011

The purpose of this study is to analyze the demand for telemedicine and telehealthmanagement services, which are key elements of home based u-health. The conjoint analysis, which is a conventional method for demand analysis for newly introduced products, is employed, utilizing the survey data on 500 seoul citizens. Further, multivariate probit model is used to estimate the demand. The result shows that the demand for telemedicine services is greater than that of telehealthmanagement services. Further, home-based u-health services will play a role as a complementary for face-to-face medical treatments, rather than a substitute. Meanwhile, the demand for home-based u-health services is found to be very sensitive to price.