시공간 관점에서 본 원격진료 이용자 행태 변화에 관한 연구 = A Geographical Study on the Behavior Changes of Telemedicine Participants in Terms of Time and Space

다국어 초록 (Multilingual Abstract)

This research aims to examine the behavior changes of telemedicine participants with regard to time space reconfiguration and to address the implications of telemedicine in terms of extensibility and restrictions(ambilaterality). According to the results of this research, telemedicine can lead to behavior changes in telemedicine participants, particularly patients. However, it is difficult to anticipate the time-space reconfiguration of telemedicine participants drastically. In other words, although telemedicine minimizes patients` burden of accessibility to and utilization of medical institutions, it requires the patients to visit medical institutions at least once due to restricted application of telemedicine related to techno-logical problems, the characteristics of medical practice and mutual stakes among the medical institutions involved in telemedicine, And physicians (telemedicine provides as mediators between medical specialists and patients) and medical specialists (as the ultimate telemedicine providers) do not evidence consider-able change in their behaviors, expect for offline meetings for information sharing and medical training. Because the present telemedicine system does not require simultaneity between physicians, patients and medical specialists. Furthermore, present telemedicine operation is absorbed into existing medical activities as a health care delivery method. These phenomena are due to 1) the interests among medical institutions and the limitation or generalization of telemedicine technologies to stimulate regional-based telemedicine operation and 2) the goal of face-to-face interactions between patients and doctors, which is to avoid misdiagnosis and side effects. Finally, medical activities related to telemedicine do not differ from general medical activities. The ambilaterality of telemedicine in terms of extensibility and restriction of time-space reconfiguration is an unsettled problem in the ICT technologies of medical services.