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노인요양시설 원격협진에 대한 촉탁의와 간호사의 인식

Doctors and Nurses Perceptions of Tele-consultation in Long Term Care Institutions in South Korea

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Purpose: It is important to improve accessibility to healthcare for disabled elders, a policy agenda in South Korea. The aim of this study was to investigate part-time doctors and nurses perceptions of tele-consultation using information and communication technology (ICT) for elders in long term care institutions. Methods: Data used for this study was from the database of the tele-consultation pilot project done from November 2016 to October 2017 by National Health Insurance Service (NHIS). In addition, a questionnaire survey was conducted with art-time doctors and nurses who participated in the pilot project. Results: In 89 long term care institutions, a total of 1,258 residents had 2,202 tele-consultations on their health problems over 1 year. Both part-time doctors and nurses had low satisfaction with the tele-consultation pilot project but negatively recognized its usefulness. They were also interested in continuing to participate in the tele-consultation project, if it was modified effectively. Conclusion: The results of this study confirm that considerable modification of this tele-consultation model is needed. It should be helpful for policy makers, researchers, and practitioners to understand the problems and come up with new ideas for further development.

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