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윤문수 ( Moonsoo Yoon ),김관익 ( Gwanik Kim ),김현영 ( Hyunyoung Kim ),나종수 ( Jongsoo Na ),손태종 ( Taejong Son ),채영문 ( Youngmoon Chae ) 국군의무사령부 2013 대한군진의학학술지 Vol.44 No.1
Objectives : The purpose is 1) to verify that IPTV telemedicine is effective to the soldiers at isolated and remote areas such as at the General Out Post(GOP) and Forward Edge of Battle Area(FEBA); 2) to analyze when the soldiers use telemedicine and what patterns of diseases, illnesses or injuries telemedicine is used to treat; 3) to suggest development measures in terms of law and regulations and to recommend the efficient defense health policies. Methods : This study used medical records of patients who utilized the IPTV telemedicine; and conducted a survey using questionnaire. In addition, this study includes the interview results with the doctors from both the remote hospital and the clinics at the GOP and FEBA. Frequency analysis was used to analyze the data of treatment records and survey results; χ² test was used to find the statistical significance for between case and control group. Results : First, 38 patients(95%) among 40 patients were satisfied with the IPTV telemedicine according to the survey results. There were 77 IPTV telemedicine cases in total for one year. Among them 55 cases(71.4%) did not need further treatment. Second, there were 25 cases(12.6%) at the GOP clinic and 52 cases(5.4%) at the FEBA clinic in terms of IPTV telemedicine. ENT was most frequently used, followed by Orthopaedic Surgery, Internal Medicine, Dental, Dermatology, General Medicine and Opthalmology patients. The reason IPTV telemedicine was used was to consult specialized doctors(70 pts, 90.9%). Conclusions : It is recommended that 1)the dedicated telemedicine department and hospital should be established for the soldiers at the remote and isolated areas; 2) the MND continue to implement telemedicine for GOP, FEBA and other remote ares using current Defense Network and/or Civilian IPTV Network; 3) the MND apply to stress management 4) the MND amend the law in terms of telemedicine for soldiers.
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