Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

Accepting telemedicine in a circulatory medicine ward in major hospitals in South Korea: patients’ and health professionals’ perception of real-time electrocardiogram monitoring

Authors: Seo-Joon Lee, Tae-Young Jung, Tae-Ro Lee, Jae-Hoon Han

Published in: BMC Health Services Research | Issue 1/2018

Login to get access

Abstract

Background

South Korean government is currently in progress of expanding the coverage of telemedicine projects as part of an attempt to vitalize service industry, but is facing fierce opposition from KMA. Practice of telemedicine requires sufficient discussions among related parties. Although the participation of medical specialists is important, agreement from the public is essential.

Methods

Three main tertiary care centers in Seoul were selected for data collection. A total of 224 patients (patients n = 180, patient guardian n = 44) and medical professionals (n = 41) were selected using simple random sampling. Mixed method of quantitative survey and qualitative semi-interview was used.

Results

This study analyzed patients’ and medical professionals’ perception about the application of telemedicine in cardiology ward in tertiary care centers to provide baseline data when developing and applying telemedicine services. Results implied high need for encouraging telemedicine projects in order to appeal needs among population by providing experience (p < 0.001) and knowledge (p < 0.001). Other results showed that the need for electrocardiography monitoring was high among not only in remote areas but also in areas close to the capital. 64.52% of all participants thought that telemedicine was needed, and 73.21% of participants were willing to use telemedicine service if provided. Semi-interviews revealed that participants expected more cost and time saving services through remote treatment, by not having to visit long distance hospitals frequently.

Conclusions

Research results oppose Korean Medical Association’s opinion that the population is against enforcing telemedicine related laws. The findings in this study reflect an up-to-date perception of telemedicine among patients and medical professionals in a tertiary care centers’ cardiology ward. Moreover, the study provides a baseline that is needed in order to overcome past failures and to successfully implement telemedicine in South Korea.
Appendix
Available only for authorised users
Literature
1.
2.
3.
4.
Head Office of National Demonstration, Press conference objecting service industry development basic law, telemedicine, hospital M&A, additional project expansion, And medical privatization: welfare trends; 2014.
5.
Lee HY, Lee JS, Kim J. Prerequisites for effective implementation of telemedicine: focusing on current situation in Korea (vol 21, pg 251, 2015). Healthcare Informatics Research. 2016;22(1):61.CrossRefPubMedPubMedCentral
6.
7.
Saxon LA. Mobile Health Application Solutions, Circ Arrhythm Electrophysiol. 2016;9(2):1–12.
8.
Cho GY, Lee SJ, Lee TR. An optimized compression algorithm for real-time ECG data transmission in wireless network of medical information systems. J Med Syst. 2015;39(1):1–8.
9.
Smith C. Scouting for approval: lessons on medical device regulation in an era of crowdfunding from Scanadu’s “scout”. Food Drug Law J. 2015;70(1):209–35.PubMed
10.
Jeroudi OM, Christakopoulos G, Christopoulos G, Kotsia A, Kypreos MA, Rangan BV, Banerjee S, Brilakis ES. Accuracy of remote electrocardiogram interpretation with the use of Google glass technology. Am J Cardiol. 2015;115(3):374–7.CrossRefPubMed
11.
Kiser N.C. and Marshall L.J. Slap band watch; 2011.
12.
Jung SC, Lee CH. Preferences analysis of U-City services J Korean Information Technol. 2014;19(4):372–6.
13.
Cho YJ, Ahn SJ, Jang JH. Citizen-friendly U-City Service Model and Demand Research. J Korea Contents Assoc. 2010;10(4):406–14.CrossRef
14.
Han DH, Kim GS, Lim CS. A Study on the affecting factors of U-City Service acceptance Society e-Business Studies. 2014;19(2):53–74.
15.
Bradford NK, Caffery LJ, Smith AC. Awareness, Experiences and perceptions of telehealth in a rural Queensland community. BMC Health Serv Res. 2015;15:1–10.
16.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.CrossRefPubMed
17.
Hew TS, Kadir S. Predicting the acceptance of cloud-based virtual learning environment: the roles of self determination and channel expansion theory. Telematics Inform. 2016;33(4):990–1013.CrossRef
18.
Ravi N, Edgington S, Auerbach AD, Black JT, Ganiats TG, Greenfield S, Romano PS, Ong M. Relationship of language, education, and health literacy and adherence to telemedicine among elderly heart failure patients. J Am Geriatr Soc. 2016;64:121.
19.
Lee Y.J. and Kim E.J. The Effects of Accessibility to Medical Facilities and Public Transportation on Perceived Health of Urban and Rural Elderly: Using Generalized Ordered Logit Model The Korean Regional Development Association 2015;27(1):65–87.
20.
Park YH. Utilization Patterns of other region inpatients in general hospitals located in Seoul area. Korean J Health Serv Manag. 2011;5(3):63–76.
21.
Ahmadian L, Khajouei R, Nejad SS, Ebrahimzadeh M, Nikkar SE. Prioritizing barriers to successful implementation of hospital information systems. J Med Syst. 2014;38(12):1–6.
22.
Miyahara S, Tsuji M, Iizuka C, Hasegawa T, Taoka F. On the evaluation of economic benefits of Japanese telemedicine and factors for its promotion. Telemed J E Health. 2006;12(6):691–7.CrossRefPubMed
23.
Albert M, Laberge S, Hodges BD, Regehr G, Lingard L. Biomedical scientists’ perception of the social sciences in health research. Social Science & Medicine. 2008;66(12):2520–31.CrossRef
24.
Siminerio L, Ruppert K, Huber K, Toledo FGS, Telemedicine for Reach, Education, Access, and Treatment (TREAT). Linking Telemedicine With Diabetes Self-management Education to Improve Care in Rural Communities. Diabetes Educ. 2014;40(6):797–805.CrossRefPubMed
25.
NTT Trends in telehealth: Making healthcare more collaborative, affordable, And effective; 2014.
26.
Ahn J, Shin J, Lee J, Shin K, Park H. Consumer preferences for telemedicine devices and Services in South Korea. Telemed E-Health. 2014;20(2):168–74.CrossRef
27.
28.
Touati F, Tabish R. U-Healthcare System: State-of-the-art review and challenges. J Med Syst. 2013;37(3):1–20.
29.
Tozzi AE, Carloni E, Gesualdo F, Russo L, Raponi M. Attitude of families of patients with genetic diseases to use m-health technologies. Telemed E-Health. 2015;21(2):86–9.CrossRef
Metadata
Title
Accepting telemedicine in a circulatory medicine ward in major hospitals in South Korea: patients’ and health professionals’ perception of real-time electrocardiogram monitoring
Authors
Seo-Joon Lee
Tae-Young Jung
Tae-Ro Lee
Jae-Hoon Han
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3105-y

Other articles of this Issue 1/2018

BMC Health Services Research 1/2018 Go to the issue

Research article

Active listing and more consultations in primary care are associated with reduced hospitalisation in a Swedish population

Research article

Factors influencing the capacity of women to voice their concerns about maternal health services in the Muanda and Bolenge Health Zones, Democratic Republic of the Congo: a multi-method study

Research article

Challenges and opportunities of integration of community based Management of Acute Malnutrition into the government health system in Bangladesh: a qualitative study

Research article

Geographic assessment of access to health care in patients with cardiovascular disease in South Africa

Research article

Use of a public-private partnership in malaria elimination efforts in Sri Lanka; a case study

Research article

Implementing Community-based Health Planning and Services in impoverished urban communities: health workers’ perspective