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32 In-depthReportonNationalSection
the World Medical Association divides telemedicine into three
Argus
categories: tele-assistance, tele-monitoring and tele-consultation.
The
Incontrast,therevisedlawseemstoindicatethattelemedicineis
/
Jeong-a
onlyusefulforcheckups.AndDr.LeeMan-woooftheSociology
Department at the National Assembly Research Service said
Kwon
telemedicinehastoberegulated.
Safety concerns about telemedicine have also gone up. As the
spokeswoman of the KMA, Moon said each person has the right
to safe, convenient and affordable health care. She asserted that
personal examinations could be conducted in various ways:
personalinterviews,auscultation,andcheckingbodytemperature
and pulse. From time to time, doctors should carry out detailed
examinations, Moon said. This will allow doctors to provide
optimum treatment. However, she claims it is hard to completely
rely on telemedicine because important examinations are likely
to be neglected. Dr. Lee said medical accuracy would suffer
comparedtoface-to-faceexaminations.Healsosaidthatpatients
would struggle with the unfamiliar medical equipment, making
ithardtogetreliableinformation.Inaddition,therearequestions
about the safety of telemedicine, although the government firmly
Smallhospitalisimportantasprimarycarefacilities.
statesthereshouldbenoconcerns.ChoKyung-ae,arepresentative
of the Health Right Network, said the government has never announced the specifics behind
telemedicinesafetyindetail.Andsheinsiststhegovernmenthasnoexactfiguresontheissue.
Anotherissueisthelackofwrittenlawregardingresponsibilityincasethereisanaccident.Kim
Jong-myung, executive of the Association of Physicians for Humanism, said many doctors are
worried about conducting examinations in front of telecommunication equipment and monitors.
Hestronglystatedthattherehasbeennodiscussionaboutresponsibilityintheinstanceanaccident
occurs using the medical equipment. He claims patients cannot help avoiding blame under the
revisedlaw.Dr.LeeandrepresentativeChoalsoworryaboutthepossibilitythatpatientscouldsue
formedicalmalpractice.
Inaddition,societyisconcernedthattelemedicinecouldcausethepublicmedicalwelfaresystem
to collapse. Moon said the current medical system will crumble gradually. These days, large
hospitals in the big cities and metropolitan areas are more accessible. And large medical centers
that have a lot of capital want to widen the telemedicine system. At the same time, local small
clinics will lose patients. Finally, patients, especially those living in the countryside, won’t have
nearbyhospitalstotraveltoasthehospitalswillbeforcedtoclosedownduetoalackofrevenue.
Representative Cho said that large hospitals and medical corporations will dominate the medical
sector due to telemedicine. And she asserted that only the upper class will be able to afford
telemedicineandU-healthservices.
Moreover, doctors insist that face-to-face examinations are more effective. Also, they said we
should think carefully about implementing the new system. Executive Kim said that a personal
examination and consultation is important even if it only takes 10 minutes. And he claimed that
thecurrentinefficientwayofconductingcheckupsresultedfromthereductionofmedicalservices,
not because of a better way to carry out examinations. Regular doctors are busy examining a lot
of patients. Actually, most doctors at university hospitals have a steady stream of patients every
day. Kim said this practice should be revised. Choi Q-jin, manager of the Korean Federation of
MedicalGroupsforHealthRights,saidthateveninplacesthatlackaccesstosuperiorhealthcare,
www.theargus.org

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