Healthc Inform Res.  2015 Oct;21(4):283-291. 10.4258/hir.2015.21.4.283.

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

• Kim HG
• Ahn ME
• Choi YA
• Choi EH
• Kim DW
• Shin SG
• Park KS
• Han JH

• KMID: 2166878
• DOI: http://doi.org/10.4258/hir.2015.21.4.283

Abstract

OBJECTIVES
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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
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.

Keyword

Telemedicine; Rural Health Services; Patient Satisfaction; Patient Compliance; Cost Benefit Analysis

MeSH Terms

Blood Glucose
Blood Pressure
Compliance
Cost-Benefit Analysis
Delivery of Health Care
Diabetes Mellitus
Gangwon-do*
Hemoglobin A, Glycosylated
Humans
Hypertension
Korea*
Life Style
Patient Compliance
Patient Satisfaction
Rural Health Services
Telemedicine*
Blood Glucose

Figure

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  Figure 1 Drug administration compliance rate and blood pressure adjustment rate for hypertensive patients.

Reference

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