The Centralization and Decentralization of Telemedicine Networks in Korea and Japan
This study scrutinizes telemedicine networks with regard to regionalization and the propensities and determinants of core telemedicine users (doctors and patients) by employing two case areas, Choongbook in Korea and Kagawa in Japan. According to the results, telemedicine networks in Choongbook are...
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| Опубликовано в: : | URI:https://journals.openedition.org/netcom, |
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| Формат: | Article ou chapitre numérique |
| Язык: | Anglais |
| Опубликовано: |
Netcom
2013
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| Предметы: | |
| Online-ссылка: | Accès Université d'Orléans et IFPM Accès Université d'Orléans et IFPM |
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openedition-oai:revues.org:netcom_543 |
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openedition |
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openedition-oai:revues.org:netcom_543 https://doi.org/10.4000/netcom.543 urn:doi:10.4000/netcom.543 en https://journals.openedition.org/netcom/543 2013-07-03T02:00:00Z info:eu-repo/semantics/openAccess article info:eu-repo/semantics/article urn:handle:20.500.13089/ij3l https://creativecommons.org/licenses/by-nc-nd/4.0/ The Centralization and Decentralization of Telemedicine Networks in Korea and Japan Netcom Netcom Association info:eu-repo/semantics/reference/issn/2431-210X info:eu-repo/semantics/reference/issn/0987-6014 URI:https://journals.openedition.org/netcom Park, Soo-kyung telemedicine Japan regionalization Choongbook Korea Kagawa telemedicine network télémédecine régionalisation Corée infrastructure de télécommunication Choongbook Kagawa This study scrutinizes telemedicine networks with regard to regionalization and the propensities and determinants of core telemedicine users (doctors and patients) by employing two case areas, Choongbook in Korea and Kagawa in Japan. According to the results, telemedicine networks in Choongbook are dominated by an inter-regional level (in particular, a national level), and most of the telemedicine networks are observed between clinical sites in Choongbook and tertiary care centers in Kyunggi. In contrast, telemedicine networks in Kagawa are dispersed within the diagnostic boundary of Kagawa at a regional level. Interviews with crucial decision-makers revealed the reasons why many patients enjoy health care via telemedicine at an inter-regional level, which include psychological considerations regarding quality and level of health care services, personal stakes in telemedicine service sites, acceptability and credibility of good tertiary care centers, and easy access to and use of medical institutions. In Kagawa, both the existing health care system and the telemedicine system support the maintenance of stable regional health care within Kagawa. Importantly, human relationships based on the regional health care system contribute to creating telemedicine networks within the original purpose of the telemedicine system regarding regionalization. Also, telemedicine’s technological value, convenience, and utility are associated with the regionalization of telemedicine networks within one diagnostic area. Cet article envisage le déploiement de la télémédecine de proximité sous l’angle de la régionalisation au Japon (Kagawa) et en Corée du Sud (Choongbook). Il interroge en particulier les modalités d’usages de ce nouveau service de santé par les médecins et les patients. Les résultats montrent que la situation se présente de façon très différente entre les deux pays. En Corée du Sud, la plupart des réseaux de télémédecine convergent vers la région de diagnostic de Kyunggi (centre du pays) et montrent que le niveau national reste essentiel dans son élaboration. Dans le cas du Japon par contre, les réseaux de télémédecine s’articulent clairement au sein même de la région de diagnostic (Kagawa). Au final, il s’avère que le bon fonctionnement de la télémédecine au Japon dépend de différents aspects : considérations psychologiques personnelles, qualité des services à distance, crédibilité de l’offre de proximité, accessibilité aux institutions régionales de santé. Au final, la relation de confiance s’établit sur la base du maintien du système de santé traditionnel rendu plus efficace par l'appui de la télémédecine. |
| collection |
OpenEdition Journal |
| language |
Anglais |
| format |
Article ou chapitre numérique |
| building |
0/Bibliothèque numérique/ 1/Bibliothèque numérique/OpenEdition Journals/ |
| topic |
telemedicine Japan regionalization Choongbook Korea Kagawa telemedicine network télémédecine régionalisation Corée infrastructure de télécommunication Choongbook Kagawa |
| spellingShingle |
telemedicine Japan regionalization Choongbook Korea Kagawa telemedicine network télémédecine régionalisation Corée infrastructure de télécommunication Choongbook Kagawa Park, Soo-kyung The Centralization and Decentralization of Telemedicine Networks in Korea and Japan |
| description |
This study scrutinizes telemedicine networks with regard to regionalization and the propensities and determinants of core telemedicine users (doctors and patients) by employing two case areas, Choongbook in Korea and Kagawa in Japan. According to the results, telemedicine networks in Choongbook are dominated by an inter-regional level (in particular, a national level), and most of the telemedicine networks are observed between clinical sites in Choongbook and tertiary care centers in Kyunggi. In contrast, telemedicine networks in Kagawa are dispersed within the diagnostic boundary of Kagawa at a regional level. Interviews with crucial decision-makers revealed the reasons why many patients enjoy health care via telemedicine at an inter-regional level, which include psychological considerations regarding quality and level of health care services, personal stakes in telemedicine service sites, acceptability and credibility of good tertiary care centers, and easy access to and use of medical institutions. In Kagawa, both the existing health care system and the telemedicine system support the maintenance of stable regional health care within Kagawa. Importantly, human relationships based on the regional health care system contribute to creating telemedicine networks within the original purpose of the telemedicine system regarding regionalization. Also, telemedicine’s technological value, convenience, and utility are associated with the regionalization of telemedicine networks within one diagnostic area. |
| author |
Park, Soo-kyung |
| author_facet |
Park, Soo-kyung |
| author_sort |
Park, Soo-kyung |
| title |
The Centralization and Decentralization of Telemedicine Networks in Korea and Japan |
| title_short |
The Centralization and Decentralization of Telemedicine Networks in Korea and Japan |
| title_full |
The Centralization and Decentralization of Telemedicine Networks in Korea and Japan |
| title_fullStr |
The Centralization and Decentralization of Telemedicine Networks in Korea and Japan |
| title_full_unstemmed |
The Centralization and Decentralization of Telemedicine Networks in Korea and Japan |
| title_sort |
centralization and decentralization of telemedicine networks in korea and japan |
| publisher |
Netcom |
| publishDate |
2013 |
| container_title |
URI:https://journals.openedition.org/netcom |
| url |
https://ezproxy.univ-orleans.fr/login?url=https://doi.org/10.4000/netcom.543 https://ezproxy.univ-orleans.fr/login?url=https://journals.openedition.org/netcom/543 |
| _version_ |
1877243524978573312 |