“Face-to-face care, not remote attention” … Weight to discuss limited training



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In 2018, at Gangnam Severance Hospital in Seoul, Professor Shin-young Lee (right) and an interpreter are consulting in real time with a patient in Russia via internet telemedicine to prescribe. [중앙포토]

In 2018, at Gangnam Severance Hospital in Seoul, Professor Shin-young Lee (right) and an interpreter are consulting in real time with a patient in Russia via internet telemedicine to prescribe. [중앙포토]

“‘Face-to-face medical care’ is better than ‘remote medical care'” (Park Seong-jun and a Democratic Party spokesperson)

“(It does not mean that the opposition can change). In the meantime, if you need a position, there is a consultation stage to modify it. ”

Faced with the controversy over the introduction of telemedicine on the 14th, the Democratic Party seemed unable to do this or that. The day before, Kim Yeon-myeong, head of the Blue House, did not deny the “affirmative review” message, but instead withdrew and said, “There is nothing special,” and confused the air, causing confusion. He also directed a scene to avoid controversy by changing the terms. Instead of the “remote doctor” expression that has been controversial in medical marketing and privatization, he argued that it is correct to use the term “contactless (contactless) doctor” as President Moon Jae-in in the post-election phase. crown.

◇ “Can be revised, promotion not decided”= Said, “There is no definition in textbooks, but face-to-face healthcare is a treatment where doctors and patients don’t confront each other, and telemedicine is a broad area that extends to IT intervention (information technology) “. (The two are slightly different.) “The ‘face-to-face industry’ recently launched by the current government is based on the introduction of IT and online technologies. In the 3rd anniversary speech launched on the 10th, President Moon called for ‘face-to-face medical services, education online and online transactions “and referred to them as” post-crown industry. “A spokesman for the Democratic Party of the National Assembly Health and Welfare Committee also said in a call that” remote and off-site care are the same”.

In an atmosphere where neither the pros nor cons can be spoken, the spokespersons slept without being able to speak. In the context of the extremely sensitive reaction of the Democratic Party to promoting the adoption of telemedicine, there is the opposite logic of “concerns about industrialization and commercialization”. When the Lee Myung-bak and Park Geun-hye governments followed through with the introduction of telemedicine, the Democratic Party spread the word claiming that “primary and secondary medical institutions will be closed due to the large number of patients in the hospital general”. At the party, there is the burden of canceling complaints that focus on advertising during the night. A key Democratic Party official said earlier today: “Kim’s words are a little overlooked” and “(remote doctor) is not a totally acceptable story.” Not that someone is going to push immediately. ”

President Moon Jae-in chairs the State Council meeting held at the Blue House inn on the 12th. (Provided by the Blue House)

President Moon Jae-in chairs the State Council meeting held at the Blue House inn on the 12th. (Provided by the Blue House)

◇ Expected to discuss “limited training”= However, within the Democratic Party, there is a consensus that the situation has changed since before Corona19. It is judged that it is inevitable that the request of the times as “the stages in which the practical consultations such as telephone consultation and face-to-face treatment have already been experienced in the process of overcoming Corona 19 is discussed” (Huh spokesperson) it is unavoidable. An official with the Democratic Party Policy Office said: “There are no changes in the opposite direction, but there is definitely a need to discuss new legislation at the 21st National Assembly.” He is said to plan to take a closer look at the results of the ‘analysis of 170,000 telephone counseling treatments (data) temporarily allowed according to the crown prevention methods’ mentioned by Kim Kim the day before.

Telemedicine has been carried out several times as an experiment in vulnerable areas such as islands and mountains or in military and prison camps. This is the background to the observation that policy may agree on the need for limited adoption at the medical welfare level. “The government has carried out four pilot research projects in the past 17 years, and based on these data, we have prepared a representative proposal for amendments to the law, with limited permission last year (remote physician).” “Let’s look for a way to lift some of the training discussions that are already underway from the crown crisis to the water’s surface” (key Democratic Party officials).

◇ Subtle entry car Dang, Jeong and Cheong= The problem is social consensus. Since the pros and cons of the medical community are clear, if the Democratic Party presents telemedicine as a speech, the pros and cons within the progressive field may stagnate, increasing confusion. Democratic Party Chairman Lee Gwang-jae of Post Corona headquarters said in a call: “Some medical care is unavoidable, but face-to-face medical care will continue to increase.” Social consensus must be reached so that we can take a leap forward. ”

Prime Minister Lee Nak-yeon (center) is greeted at the first meeting of the high-ranking party council in January to review the way the government works. From the left, Hong Nam-ki, Deputy Prime Minister and Ministry of Strategy and Finance, Prime Minister Lee and Lee Hae-chan, along with the Democratic Party. Reporter Lim Hyun-dong

Prime Minister Lee Nak-yeon (center) is greeted at the first meeting of the high-ranking party council in January to review the way the government works. From the left, Hong Nam-ki, Deputy Prime Minister and Ministry of Strategy and Finance, Prime Minister Lee and Lee Hae-chan, along with the Democratic Party. Reporter Lim Hyun-dong

The government expresses itself in favor of the Ministry of Strategy and Finance. The reason for the disability of the remote medical field has been the ankle of the “Basic Law on Development of the Service Industry” presented to the National Assembly during the Director of Policy Coordination (2012) by Deputy Prime Minister Hong Nam-ki and the Minister of Strategy and Finance was in the field for 9 years. “The Ministry of Science and Technology continues to maintain the basic position that the introduction of face-to-face care needs to be actively reviewed,” said Kim Yong-beom, the first deputy minister in the Ministry of Strategy and Finance.

How the tension between the party and the party will be resolved is the primary variable that will determine the direction and scope of telemedicine adoption in the future. There is also an opinion that the values ​​between the Democratic Party and the Ministry of Finance, which accumulated after discussions about the provision of emergency disaster aid payments last month, may increase again in relation to remote medical care . A Democratic member of the Health and Welfare Committee said: “I don’t say anything at the party, but I don’t know what the Ministry of Commerce (remote doctor) is talking about.” Cheong Wa Dae said on the day that the introduction of telemedicine needs to be considered to strengthen medical and public health services.

By reporter Shim Sa-rom, [email protected]




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