Fifteen-year Experience with Telemedicine Services in Gangwon Province in Korea

• Published in: Healthcare informatics research Vol. 21; no. 4; pp. 283 - 291
• Main Authors: Kim, Hyung-Gi, Ahn, Moo-Eob, Choi, Young-A, Choi, Eun-Hi, Kim, Dong-Won, Shin, Se-Gye, Park, Kyung-Suk, Han, Jae-Hyun
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Society of Medical Informatics 01.10.2015; The Korean Society of Medical Informatics; 대한의료정보학회
• Subjects: cost benefit analysis; Original; patient compliance; patient satisfaction; rural health services; telemedicine; 예방의학; Cost Benefit Analysis; Patient Compliance; Telemedicine; Patient Satisfaction; Rural Health Services
• ISSN: 2093-3681; 2093-369X
• DOI: 10.4258/hir.2015.21.4.283

This study attempted to identify the factors that contribute to successful telemedicine service. This was done by analyzing the operational state of successful telemedicine services offered in Gangwon Province of Korea and their outcome for the last fifteen years. A comparative analysis was made based on reports and a thesis on the satisfaction rate of patients and providers, patient compliance to treatment, and economic assessment of Gangwon telemedicine service, which were carried out in three periods: the years 2006, 2010, and 2012. The satisfaction surveys in all three periods showed similar results for patients (4.46±0.70 point) and healthcare practitioners, including nurses (3.82±0.62 point) and physicians (3.60±0.56 point), in decreasing order from the year 2012. Through the survey of patients' compliance with treatment, it was confirmed that telemedicine services increased patients' compliance with drug administration, facilitated improvement of lifestyle habits, improved glycated hemoglobin for patients with diabetes mellitus, and enhanced the rate of blood pressure control. In the survey conducted on patients' willingness to pay for telemedicine services in 2007, it was found that those patients were willing to pay about $3.5 for services. The telemedicine services of Gangwon Province increased patients' compliance with drug administration, improved blood glucose control, enhanced blood pressure control for patients with hypertension, and provided economic advantage.