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In Korea, after implementing a pilot project for remote medical treatment in 2000, the introduction of remote medical treatment and medical treatment has been in place since the backlash of doctors and pharmaceutical groups for 20 years. In 2019, the Ministry of Health and Welfare has been promoting the introduction of “ allow telemedicine between doctors and patients ” in its main work plan. However, he was frustrated by strong opposition from the Korean Medical Association focused on opening. There are not many tasks to resolve if this is implemented through opposition to the deal, and the medical side’s objection needs to be reversed for telemedicine to be implemented smoothly. The main reasons for the opposition are distractions from patients to large hospitals, bankruptcy of hospitals due to low numbers, deterioration of medical quality and leaking of patient information. In a word, management is getting worse. This leads to the completion of medical personnel. In this regard, it is noteworthy that the government first presented “alternatives” to the medical community that opposes telemedicine.
The Minister of Strategy and Finance, Kim Yong-beom, celebrated the 3rd. Central Headquarters for Emergency Economic Countermeasures at the Seoul Metropolitan Government Office on the 14th. He said.
In other words, there is a willingness to provide an increase in the number of medical expenses equivalent to medical expenses such as a ‘carrot’ for a local clinic or small hospital, which is most objectionable. In 2000, when the medical division of labor was introduced, the government finally healed a host of protests that mobilized the general strike in the medical industry through the increase in the number of doctors.
Liability is also an issue when misdiagnosis occurs due to remote medical treatment. It is difficult for the patient to demonstrate the doctor’s responsibility even in medical accidents caused by face-to-face treatment. In the unlikely event of a medical accident or misdiagnosis due to telemedicine, it may be more difficult to obtain relief.
The physician may not admit negligence that the patient did not correctly state the condition. Rather, the patient may not be able to follow the doctor’s instructions, and even if a medical accident occurs, the doctor can take responsibility. Currently, a medical accident or Ojin has a doctor and a hospital, but a social consensus must be reached on who is responsible and how to handle faceless telemedicine.
The government is developing a logic to support the introduction of ‘corruption’ such as the fact that no special accidents occurred and the public response was high after the temporary and face-to-face medical treatment allowed by the spread of Corona19. The government has allowed face-to-face medical treatments since February 24, allowing for limited and limited consultations and phone prescriptions. During 3 months, 3853 hospitals participated and 260,000 telephone consultations were made. No medical accidents or side effects were reported.
In the medical industry, a change in the air stream is being detected. The Free Zone in Gangwon-do suffered difficulties due to the lack of primary hospitals (dongneun clinics) to participate in the remote medical demonstration project, but the atmosphere changed rapidly due to the crown19. Initially, only one primary hospital participated in the medical testing project due to the revulsion, but the number of participating hospitals recently increased to eight since Corona19. Legal and institutional support is also needed. After the government launched the telemedicine pilot project in 2000, the National Assembly made three attempts to review the medical law to allow full telemedicine, but failed due to intense resistance from the opposition to telemedicine.
In particular, groups of savvy physicians have presented a ‘group ban’ card whenever legislation that allows telemedicine can reject the legislation. An official from the Ministry of Health and Social Welfare said: “There is a story that Corona 19 is likely to be a pandemic in the fall, and the word Endemic (Endemic, endemic). “You need to talk about face-to-face care.” Off-site treatment requires a review of the law, which is possible through medical or infection prevention methods.
According to a recent research report on the economic ripple effect of deregulating remote medical services by a private research institute, the PfTouch Research Institute, if regulations are relaxed in a way that allows telemedicine between doctors and patients, telemedicine jobs are 5.16% The total number of jobs related to medical services has increased by approximately 0.18%.
[이병문 선임기자 / 김연주 기자 / 양연호 기자]