题名

韓國遠距醫療政策與阻礙因素

并列篇名

Telemedicine policy in Korea

作者

許良因(HSU, Liang-Yin)

关键词

韓國 ； 遠距醫療 ； 電子健康 ； 健康產業 ； Korea ； telemedicine ； eHealth ； health industry

期刊名称

國際文化研究

卷期/出版年月

14卷1期（2018 / 06 / 01）

页次

1 - 35

内容语文

繁體中文
中文摘要

韓國將科技做為國家發展的重點，並於近幾年致力推動遠距醫療政策。本文的目的在 於探討韓國近幾年的遠距醫療政策發展歷程，專注在從盧武鉉政府開始，歷經李明博 政府，以及到朴槿惠政府時期對於遠距醫療推動的背景及立場，此外，也討論這個過 程中所遇到的反對聲浪與理由。本文指出，政府看好遠距醫療，因此嘗試修法以開放醫師與病患間的遠距醫療，認為它可做為強化公共衛生及改善醫療可近性的新工具；同時，政府也將它視為醫療產業的一環，認為它具有強大的市場潛力，可以為國內經濟成長做出貢獻。不過，大韓醫師協會以及民間團體對於遠距醫療則採取反對立場，認為遠距醫療的推動意味著醫療體系走向市場化，將造成基層醫師生存困難，以及現行醫療系統崩壞。由於韓國雙向轉診系統無法充分發揮，加上市場主導的醫療體系，向財團醫院傾斜的醫療結構，導致醫界及民間組織對發展遠距醫療產生諸多疑慮。本文總結出過去以西方國家為主，在探討影響遠距醫療政策推動的因素中，很少被提出的面向，即新科技應用在融入舊體制的過程中，既存的醫療體系服務遞送結構，將對遠距醫療政策的接受度產生影響。
英文摘要

Despite the promise of telemedicine in improving the organization and delivery of health care, the telemedicine has poor records of sustainability and national-wide implementation. In this paper, I focused on telemedicine policy development in Korea and explored the reasons for contest over the telemedicine policy. The interest in telemedicine in Korea stems mostly from the economic aspect. But the Korean Medical Association and the other civil society organizations regarded the introduction of telemedicine as a means of healthcare privatization. Because the role of primary care in gatekeeping in Korea is rather weak, the Korean Medical Association worried that telemedicine might exacerbate the situation and lead to the collapse of health system as a whole. This analysis highlights the important role of referral system at the national level in the discussion of telemedicine policy.
主题分类 人文學 > 人文學綜合
社會科學 > 社會科學綜合
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