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telemedicine :

the use of information technology through devices

such as smartphones

in order to provide

clinical health care at a distance.

------------------------------------------------------

Doctors speak out against telemedicine

Published : 2014-09-23 21:20

While attending medical school,

physician Shin Hyun-young learned there are

four things that a doctor should do when examining a patient:

-----------------------------------------------

**reference**

1. a doctor should do when examining a patient:

2. what she is supposed to do for her patients.

3. there are things that must be done in person.

--> in order to make the right diagnosis

--> take this into account

------------------------------------------------

see (inspection),

listen (auscultation),

touch (palpation)

and tap (percussion).

The doctor, however, is worried she may

no longer be able to do what she is supposed to do for her patients

if the controversial telemedicine bill

goes into effect next year.

“As doctors,

there are things that must be done in person

in order to make the right diagnosis,”

Shin, who also serves as the spokeswoman of the Korean Medical Association,

told The Korea Herald.

“The idea of telemedicine does not

take this into account.”

Shin is one of some 110,000 doctors in South Korea

who are against the government’s current plan to introduce telemedicine,

-------------------------------------------

**reference**

1.are against the government’s current plan

2. protested against the plan

3. voiced protest.

----------------------------------------------    

the use of information technology through devices

such as smartphones

in order to provide

clinical health care at a distance.

Following the Health Ministry’s announcement of the launch of

the long-awaited pilot program for telemedicine services last week,

a total of five representative bodies of local health care providers ―

doctors,

nurses,

pharmacists,

doctors of traditional Korean medicine and

dentists ―

immediately protested against the plan.

The members of the groups, some 500,000 in total, are arguing

that telemedicine would

lower the quality of medical services here and

jeopardize the operations of small local clinics and regional hospitals.

If the ongoing pilot program,

which kicked off on Sept. 19, proves to be successful,

the telemedicine bill will likely go into effect next year.

Health care providers estimate that

50,000 medical industry workers

will lose their jobs

following the legalization of telemedicine.

“We are aware that the current pilot program only involves

patients with

diabetes or

high blood pressure, as well as those with

mild medical conditions that do not always require in-person treatment,”

Shin said.

“But we have no guarantee that

the technology will only be allowed to be used on

patients with specific diseases.

We consider this telemedicine plan to be a part of the government’s plan

to introduce for-profit,

IT-driven health care facilities in the country.”

Shin said there are also many

unresolved safety concerns about the technology, including risks associated with

Internet connection problems, a risk of

data leakages, as well as a risk of

misdiagnoses.

“What if the patient (who lives in a remote area)

loses his or her Internet connection?” she said.

“And as this technology is based on the Internet,

there is always the risk of

personal data leaks, as well as

digital chart mix-ups.”

Each participating patient in the ongoing pilot program is given

personal equipment for treatment,

such as

glucose meters and

blood pressure monitors, to

monitor their own medical conditions at home and

share the information with their doctors during weekly online meetings.

“It is dangerous to just rely on

 the patients’ accumulated records of their condition to find out the state of their current health,” Shin said.

“Even

chronic disease patients always have the risk of

developing complications. And this is

not always predictable based on their regular checkup results.

In-person hospital visits are very often mandatory.”

***

As for nurses,

the government’s telemedicine plan will

overlap with the currently available medical service whereby nurses make

home visits to patients who are immobile or live in remote areas.

The current law allows telecommunication between

health care providers, including

doctors and nurses,

while it is illegal to provide clinical health care at a distance.

The government said the telemedicine service,

(if legalized after the pilot program,)

would especially

benefit

the disabled, those who live in remote areas and immobile,

elderly patients with chronic conditions that need constant medical attention.

“The government does not have legitimate proof that

telemedicine can be a better option than

what we visiting nurses already offer,

who are legally allowed to communicate with doctors at a distance,”

(***while it is illegal to provide clinical health care at a distance.)

said Baek Cheon-ki from the Korean Nurses Association.

***

For pharmacists and doctors of Korean traditional medicine,

it is important to

protect smaller local clinics.

“The public has always

preferred general hospitals over smaller clinics, and

once telemedicine services become available,

they would

prefer to see doctors who practice in bigger hospitals,”

said an official from the Korean Pharmaceutical Association

who wanted to remain anonymous.

“And if

the smaller local clinics are affected, then

small local pharmacies will inevitably be jeopardized as well.”

Meanwhile,

there are currently some 20,000 registered doctors of

Korean traditional medicine,

and more than 80 percent of them

practice at small clinics, not general hospitals.

“Because of the specific

practices of Korean traditional medicine,

such as

acupuncture and

feeling the pulse for diagnosis,

telemedicine is

not going to be an option for many of the doctors of Korean medicine,”

said Kim Tae-ho from the Association of Korean Medicine. “And

we are concerned about

how (legalization of telemedicine) is going to

affect

our practice, as well as

our patients.”

http://khnews.kheraldm.com/view.php?ud=20140923000975&md=20140926005056_BL

NPAD accuses government of favoritism to Samsung hospital

Published : 2015-06-19 20:39

The opposition party and

medical experts on Thursday

accused the Park Geun-hye administration of

giving special treatment to Samsung Medical Center

by temporarily legalizing telemedicine at the MERS-infected hospital.

-----------------------------------------------

**reference**

1. giving special treatment to Samsung Medical Center  by temporarily legalizing telemedicine

2. to give SMC ways to provide health care

3. allowing the SMC to practice the controversial service

------------------------------------------------

The government had said

the exception aims to give SMC ways to provide health care to

patients (scared of visiting the hospital)

due to the recent MERS outbreak there.

But

lawmakers of the main opposition New Politics Alliance for Democracy and

a group of medical professionals

accused the government of

using the recent MERS outbreak

as an excuse to bypass legislative opposition to telemedicine,

by allowing the SMC to practice the controversial service.

“The Health Ministry

has allowed a medical center

  (that was partially suspended because of its poor response to the MERS outbreak to reopen services.)

using a medical service that is explicitly outlawed,” NPAD officials said.

Telemedicine is illegal here,

but a draft bill backed by the ruling Saenuri Party and the Park administration

proposes to legalize it.

The bill has been stalled by the opposition in the National Assembly.

The Saenuri Party says telemedicine would

create jobs and

improve care.

The opposition says

high profits from telemedicine would induce hospitals to

reduce unprofitable services to the poor,

  who would likely be unable to afford telemedicine.

“The government first failed to contain the MERS outbreak

because it had privatized the health care industry here too much,”

NPAD lawmakers said.

“We cannot help but ask

how far the Park administration is ready to go in

its efforts to protect Samsung,” they added,

in a thinly veiled reference to the administration’s initial

refusal to publicize the name of hospitals that treated MERS patients,

apparently fearing the move would hurt business at the hospitals.

The Korean Medical Association,

a civic group representing thousands of Korean doctors,

also voiced protest.

“The government should try to

induce non-emergency patients to visit local hospitals,”

the KMA said in a statement later Thursday.

“Treating visiting patients is also something that can be done by

cooperation among medical professionals at different hospitals.

Legalizing telemedicine that fast without consulting medical experts

leaves many scratching their heads.”

http://www.koreaherald.com/view.php?ud=20150619000970

[Tia~*]

What a hard worker! I admire your enthusiasm! Thank you for sharing!!!

[Mr. kim7]

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