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On the Legality of the Telemedicine between the Patient and Doctor Under the Medical Service Act - Focused on the Prescriptions to the Distanced Patients- (의사 환자 간 원격 의료의 의료법상 적법성에 관하여 - 원격 환자에 대한 처방 중심으로 -)

  • Kim, Jang Han
    • 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.

Improvement Strategies for Prehospital Medical Direction in Korea (병원전 의료지도 개선방안)

  • Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.3
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    • pp.111-118
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    • 2007
  • Purpose : It was to present strategies on activation of prehospital medical direction in Korea. Methods : This study was conducted by analysing some papers on prehospital medical direction and statistical data from the National Emergency Management Agency. Results : There was no active application of medical direction methods such as Priority Dispatch System, Pre-Arrival Instructions, System Status Management and no data on prehospital medical direction. To estimate direct medical control on emergency patients who were sorted by EMTs in 2006 was only 2.5%. Conclusion : To improve prehospital medical direction, it needed to applicate data collecting & using system and in-direct & direct medical control by medical doctor.

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Analysis of medical disputes in Jeju (제주의 의료분쟁판례분석)

  • Huh, Jung-Sik;Kim, Ki-Young
    • Journal of Medicine and Life Science
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    • v.16 no.1
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    • pp.10-12
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    • 2019
  • Medical disputes can always arise in the medical environment. We aimed to decrease the medical disputes by analysis for causes and results of cases of medical disputes. The cases of medical dispute were found on the homepage of the Supreme Court based on the judgment data which was searched using the keyword 'Jeju, Medical accident' and it was described as the area related to each medical accident. There was total of 13 cases related medical disputes in Jeju. The final states of the patients were different in each causes, but death accounted for 10 cases (76.92%), comatose state for one and disability for two respectively. The cases were 2 related with an injury from a fall. The major cause was violation of medical care obligation. Physician have to learn recent medical knowledge, have competence, and explain the detailed procedures and complications before the procedures dependent on patient autonomy.

A Study of Quotation Medical Text in 『Susehyunseo』 (『수세현서(壽世玄書)』의 인용문헌 연구)

  • Lee, Seon Young;Kim, Nam Il;Cha, Wung Seok
    • The Journal of Korean Medical History
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    • v.20 no.2
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    • pp.70-80
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    • 2007
  • "Susehyunseo" is an unpublished writing of Kimyounghun, a Korean doctor who was active in the Japanese occupation era. This book reveals the details about the traditional medical education of his time rather than his medical opinion because he had written it as a student to check his own medical system. Many representative TKM texts such as "Donguibogam", "Yixueruwen", and "Bangyakhappyun" are mentioned, but many medical documents that are lost now are also mentioned, making it a useful document in understanding the medical education circumstances of those times.

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The Study of Bibliography on "Kwangje-bikeup"("廣濟秘笈") ("광제비급(廣濟秘笈)"에 대한 서지학적(書誌學的) 연구(硏究))

  • Cha, Ung-Seok;Park, Chan-Guk
    • Journal of Korean Medical classics
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    • v.10 no.2
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    • pp.93-113
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    • 1997
  • Through the study of "Kwangje-bikeup"("廣濟秘笈"), the writer obtained results as follows 1. The Historical Background of "Kwangje-bikeup"("廣濟秘笈") "Kwangje-bikeup"("廣濟秘笈") is a medical book written by Lee-Kyunghwa(李景華), a medical doctor in Sungcheun(成川), Pyungan-do(平安道). It was done through the good offices of Lee-Byungmo(李秉模), who was a governor of Hamgyung-do(咸鏡道), in 1790-the 14th year of Jungjo dynasty(正祖). 2. The Author of "Kwangje-bikeup"("廣濟秘笈") The author of "Kwangje-bikeup"("廣濟秘笈") is Lee-Kyunghwa. Some contemporary historians mistake him for Lee-Kyunghwa who joined the school of Song-siyul. Yet, they are two different people with the same name. Lee-Kyunghwa, the writer of "Kwangje-bikeup"("廣濟秘笈") was born in Sungcheun, Pyungan-do, in the year of 1720. At first he studied Confucianism in order to enter government services. Later he passed the Jinsa exam which was the first exam to become a qualified government offical. However, after he was disillusioned in the discrimination against northwestern people, he chose to study medicine and put his effort and time on medicine. Gradually he won a great reputation as a medical doctor and came to write "Kwangje-bikeup"("廣濟秘笈") at the request of Lee-Byungmo in 1790. 3. Medical books affecting "Kwangje-bikeup"("廣濟秘笈") This book is influenced by "Dongeui-bogam"("東醫寶鑑"), "Suse-bowen"("壽世保元"), "Boncho-gangmok"("本草綱目"), etc. 4. Domestic Herbs in "Kwangje-bikeup"("廣濟秘笈") Lee-Kyunghwa seperately recorded clinical cases with domestic herbs in the last volume, which was associated with the effort to have been made for domestic herbs, since the middle era of Koryo.

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The Effect of General Hospital Inpatient's Perceived Service Quality on Satisfaction and Customer Loyalty (종합병원 입원환자가 인지하는 의료서비스 품질이 고객만족도 및 충성도에 미치는 영향)

  • Kang, Cheon-Kook
    • The Journal of the Korea Contents Association
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    • v.17 no.12
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    • pp.617-627
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    • 2017
  • The purpose of this study was to investigate the effect of medical service quality perceived by general hospital inpatients on satisfaction and loyalty. Data were collected and analyzed through questionnaires of 310 hospitalized patients in general hospital in Gyeonggi-do. The main results of this study are as follows. First, the effect of medical service quality on satisfaction was statistically significant in procedural procedure, hospital life (doctor, nurse), employee friendliness, hospital environment and service satisfaction(p <.001). Second, the effect of medical service quality on loyalty was statistically significant in hospitalization (nurse), hospitalization (doctor), hospital environment and service loyalty(p <.05). Finally, the effect of inpatient satisfaction on loyalty was found to have a significant effect on satisfaction(p <.001). The higher satisfaction with medical service quality affects the loyalty, and it is an important factor in future re-hospitalization and recommendation of hospital to others. Therefore, management should establish policies on quality of medical service to improve the satisfaction and loyalty of hospitalized patients. It should be reflected.

Groping about suitable early treatment method of Eastern Medicine to present-day Korea (현대(現代) 한국사회(韓國社會)에 적합한 한의학(韓醫學) '치미병(治未病)'방법(方法)에 대한 모색(摸索))

  • Lyu, Jeong-Ah;Jang, Woo-Chang;Baik, You-Sang;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.24 no.4
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    • pp.175-193
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    • 2011
  • In present-day Korea, a climatic change is causing various changes to the life of people and their body. The climate is more and more warm, so the internal environment of people's body is exchanging to warm. The climatic change's range is big and the speed is fast. So the harmony of human body is being destroyed and the human body's adaptation ability is becoming low. At this condition, diseases more frequently occur. So doctor must expect the occur of diseases and practice early treatment. And in present-day Korea, a life environmental change is being advanced. The life environmental change is causing big changes to the people's body and having influences to the occur of diseases. To this problem, doctor must expect and practice early treatment. This thesis would like to interpret about present-day Korea's climatic changes and life environmental changes in Korean Medicine point of view, and try to present the method of Korean Medicine early treatment. And comment on present-day Korea's early treatment method especially on health supplement or functional food and vaccination.

Study on Laws related to the Scope of Both Medical Doctors' Practice in Korea (한의사와 의사의 업무 범위와 관련된 법령 고찰)

  • Park, Yu Lee;Kang, Yeonseok;Baek, Kyung Hee;Ra, Sewhan
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.91-104
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    • 2014
  • Objective : This study aims to compare the scope of practice of Korean Medicine doctors and western medicine doctors based on laws related to medical practice Method : We searched for laws related to medical practice using terminologies such as "Korean Medical practice", "Korean Medicine", "Principles of Korean Medicine", "western medicine", "Korean Medicine doctor", "western medicine doctor" at the national law information center(http://law.go.kr/main.html). Results : We categorized the laws we found into four categories: diagnosis, treatment, prescription, and all the other areas including public health. In diagnosis, both Korean Medicine doctors and western medicine doctors have a right to issue medical certificates including birth and death. However, diagnosis of a few specific diseases is allowed only to western medicine doctors. In treatment, laws related to emergency medicine and nursing at home were searched. Korean Medicine doctors and western medicine doctors are emergency care providers; however, most of emergency medicine can be done by western medicine doctors. In prescription, the scope of practice is divided by herbal medicine and western medicine. Finally, as public health professionals, both of them need to do lots of public health works. However, in some area such as vaccination, maternal and child health care, and industrial health, only western medicine doctors can practice. Conclusion : This study suggests that, in diagnosis, treatment, prescription, and all the other areas including public health, the scope of practice of Korean Medicine doctors and western medicine doctors has huge difference. There is also lack of consistency in current law, and some laws do not reflect current health care system and health care services.

Research for the Development of an Integrated Medical System for Idiopathic Pulmonary Fibrosis: Based on an Analysis of Questionnaire Survey in Doctor and Patient Groups (특발성 폐섬유증의 통합의료 협진 모델 개발을 위한 의료진 및 환자 대상 설문조사 연구)

  • Jiwon Park;Beom-Joon Lee;Jeong-Won Shin;Su-Hyun Chin;Jung-Min Yang;Sooduk Kim;Kwan-Il Kim;Hye Sook Choi;Hee-Jae Jung
    • The Journal of Internal Korean Medicine
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    • v.44 no.3
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    • pp.366-386
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    • 2023
  • Objective: In this study, a questionnaire survey was conducted for doctors and patients to obtain basic data necessary for the development of an integrated medical system for idiopathic pulmonary fibrosis (IPF). Methods: Questionnaires were developed separately for doctors and patients through an expert group meeting. The survey subjects were recruited online and offline, and finally, responses from 231 doctors and 59 patients were used for statistical analysis. Results: The most important parts in the treatment of IPF for both doctors and patients were the "improvement of respiratory symptoms," "improvement of quality of life," and "prevention of disease progression." Antifibrotic agents were prescribed at a high rate, and 100% of the specialists in Western medicine (WM) and 45.8% of patients reported experiencing side effects. As for the additional payment costs that patients considered as affordable for an integrated medical system, "under 50,000 won (about 38$)" was reported the most in both doctor and patient groups. With regard to the reasons for their reluctance to recommend an integrated medical system for IPF, specialists in WM responded highly to "uncertain evidence for treatment effectiveness." Regarding complementary and alternative medicine therapies that can be beneficial in patients with IPF, "lifestyle management," "diet management," "herb," "relaxation therapy," and "psychotherapy" were ranked high in both doctor and patient groups. Conclusions: In this study, a questionnaire survey on IPF was conducted to review actual treatment status, analyze shortcomings, and identify considerations for the development of an integrated medical system for IPF in the future.

A Study of Hyungsang Medicine's definition and features (형상의학(形象醫學)의 정의(定義)와 특징(特徵)에 대한 고찰(考察))

  • Park, Jun Gyu;Kim, Nam Il
    • The Journal of Korean Medical History
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    • v.20 no.2
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    • pp.87-92
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    • 2007
  • Hyungsang Medicine is a medical theory a Korean traditional medical doctor Park In Kyu established based on the contents of "Donguibogam" that is currently practiced commonly today in Korean TKM clinics. Although it is based on "Donguibogam", the most basic text of TKM, it differs from "Donguibogam" in that its diagnosis, treatment, and treatment methods of illnesses are based on the person's appearance. This study organizes the medical theory by considering its relation to other medical theories and organizing the theoretical backgrounds through examining documents that it is based on.

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