외국인환자 모객 활성화를 위한 해외 ‘원격의료’센터 구축방안

국문 초록 (Abstract)

최근 정부는 서비스산업의 진흥계획을 발표하면서 ‘의료’ 와 ‘관광’을 주요 진흥대상 서비스산업으로 발표하였다. 이는 국내에 방문하는 외국인환자의 증가와 무관하다고 할 수 없다. 하지만 대부분의 외국인환자가 국내 병원진료에 대해 만족감을 표현하는 것은 아니며, 국내 병원 또한 외국인환자를 대상으로 수익실현이 안정적인 것은 아니다. 따라서 외국인환자의 진료만족도를 높이고 국내 병원들의 안정적인 수익실현을 위한 방편으로 본 논의에서는 해외 ‘원격의료’센터 구축을 정책대안으로 제시하였다. 그 논의방식으로 ‘의료관광’과 ‘원격의료’의 개념을 다시금 환기시키고 현재까지의 외국인환자 시장분석을 통해 ‘원격의료’의 도입필요성을 제시하였다. 이후 해외 주요 의료관광 선험병원들의 ‘원격의료’ 도입사례를 분석함으로써 우리나라의 해외 ‘원격의료’ 센터 구축방안을 제시하였다. 다만, 본 논의가 상당부분 경험에 근거한 사실과 추론을 바탕으로 하여, 정책적 시사점 도출에 한계가 있었으나 이는 추후 논의에서 더욱 보완하여 검증되고 완성된 모형을 제시하도록 노력해 나갈 것이다.

다국어 초록 (Multilingual Abstract)

Recently government reasserted “medical tourism” as a presidential initiative for enhancing economic growth. Emphasis was placed on attracting more international patients and their travelling companions, thereby setting a very bold target number of international medical tourists to be attracted during the current Administration. But the reality tells that not sufficient percentage of international patients are satisfied with medical services they received from our medical institutions, while most medical institutions are a long way from profit-making from service provision to international patients. As a promising solution to this double trouble the concept of ‘telemedicine center overseas’ emerges onto the policy agenda.
In this study we provide our definitions of the concepts, medical tourism and telemedicine. Our concepts were developed and defined in way which is suitable for policy discussion. The concept of telemedicine centers overseas is discussed in more detail by analyzing international medical tourism industries and the global adoption cases of telemedicine practice.
Our study is basically exploratory, in that it provides a basic model concept of telemedicine centers overseas which may support government and related institutions’ effort to attract more international medical tourists. It is hoped that the seemingly crude model concept will be fleshed out in subsequent work.

목차 (Table of Contents)

• 논문요약
• Ⅰ. 서론
• Ⅱ. 의료관광과 원격의료 사이의 관계에 관한 이론적 논의
• Ⅲ. 의료관광산업 내 원격의료 도입현황 및 사례분석
• Ⅳ. 해외 ‘원격의료(센터)’ 구축모형
• Ⅴ. 결론 및 시사점
• 참고문헌

참고문헌 (Reference)

1 보건산업진흥원, "해외보건의료현황조사보고서" 2011

2 현경선, "한국인의 태국 의료기관 이용 경험" 간호행정학회 14 (14): 396-403, 2008

3 법무부, "출입국 통계연보" 2011

4 문종국, "재원기간에 영향을 미치는 요인분석" 20-29, 1996

5 보건산업진흥원, "인도, 싱가포르 출장결과 보고서" 2009

6 한국u헬스협회, "의사-환자간 원격진료 도입 현황"

7 세계보건기구, "의료관광의 효과; 태국의 경험" 2011

8 유지윤, "의료관광의 융․복합 촉진을 위한 의료관광정책에 관한 탐색적 연구" 5 (5): 143-156, 2008

9 경향신문, "의료관광의 메카 태국, 수요 늘면서 ‘의료비 폭증’ 부메랑"

10 산업연구원, "의료관광산업의 국제경쟁력 분석과 정책과제" 555 : 2013-2008, 2013

11 유태규, "의료관광 선도국의 보건의료시스템의 거버넌스 구축형태 - B. Guy Peters의 4가지 정부모형을 중심으로-" 한국공공관리학회 23 (23): 257-280, 2009

12 강인귀, "원격의료 도입 관련 의료법 개정안 수정...원격의료 전문기관은 금지"

13 "외교부 홈페이지 ‘태국의료관광산업’ 현황(게재)자료"

14 유태규, "보건의료관광행정" 지구문화사 2013

15 메디컬옵져버, "범룽랏·래플즈·아폴로에 외국인환자 몰리는 이유는?"

16 서정석, "모바일 기반 개인 맞춤형 의료서비스 지원 시스템 설계 및 구현" 한국인터넷방송통신학회 13 (13): 37-45, 2013

17 강남세브란스병원, "내부자료"

18 정진용, "글로벌헬스케어(의료관광)융복합 비즈니스 모델 개발효과 분석 : 외국인환자군(群)분석을 중심으로" 한국보건산업진흥원 2013

19 홍승욱, "글로벌 헬스케어 발전방향-외국인환자 유치사업 발전을 위한 제도개선 방향;메디컬 비자 발급 개선 시급" 8-, 2013

20 류시원, "공공의료 강화를위한 원격의료 수용성 제고방안" 한국보건사회연구원 2004

21 American Telemedicine Association, "What is telemedicine"

22 연세의료원, "U-health 기반의 디지털 진단센터 소개 (2011): 수정본"

23 Wongkit, M., "Toward a typology of medical tourists: A case study of Thailand" 38 : 4-12, 2013

24 Guler, N. F., "Theory and Applications of Telemedicine" 26 (26): 199-220, 2002

25 Jagyasi, P., "The role of telemedicine within medical tourism industry"

26 Ministry of Health of the Republic of Kazakhstan, "The new funding model APT Integrated capitated: CPN formation technique; Simulation budget for 2014 with alignment"

27 George, B. P., "The incorporation of telemedicine with medical tourism: a study of consequences" 18 : 512-522, 2009

28 Enderwick, P., "The competitive challenge of emerging markets: the case of medical tourism" 6 (6): 329-350, 2011

29 Kohlhä ufl, M., "Telemedizin bei Patienten mit COPD – gibt es eine Evidenz?" 11 (11): 214-218, 2014

30 Helliwell, S., "Telemedicine: Virtual medical tourism"

31 LeRouge, C., "Telemedicine: Technology mediated service relationship, encounter, or something else?" 81 : 622-636, 2012

32 World Health Organization., "Telemedicine: Opportunities and Developments in Member States. Report on the Second Global Survey on eHealth. Global Observatory for eHealth Series. Volume 2" 2010

33 NICTA., "Telemedicine in the context of the National Broadband Network’" Department of Broadband, Communications and the Digital Economy 2010

34 김윤상, "Telemedicine in U.S.A. with Focus on Clinical Applications and Issues" 연세대학교의과대학 45 (45): 761-775, 2004

35 Tunden, T., "Telemedicine and its effect on medical tourism" 2011

36 Fong, B., "Telemedicine Technologies : Information Technologies in Medicine and Telehealth" John Wiley & Sons Ltd 2011

37 Piper, A., "Telehealth: a real advantage or just nice to have?"

38 Merriel, S.W.D., "Telehealth interventions for primary prevention of cardiovascular disease: A systematic review and meta-analysis" 64 : 88-95, 2014

39 Arnaert, A., "Telehealth in Medical Tourism: Personalizing Health Care" 2010

40 Simmons, S. C., "Telehealth in Medical Tourism. Medical Tourism Magazine"

41 Lawford, S., "Telehealth Communications Enhances Medical Tourism Services to Patients Worldwide"

42 American Medical Association. Council of Medical Services, "REPORT OF THE COUNCIL ON MEDICAL SERVICE 2"

43 Crooks, V. A., "Promoting medical tourism to India: Messages, images, and the marketing of international patient travel" 72 : 726-732, 2011

44 Lunt, N, "Patient mobility in the global marketplace: a multidisciplinary perspective" 2 : 155-157, 2014

45 Lunt, N., "Medical tourism: Assessing the evidence on treatment abroad" 66 : 27-32, 2010

46 Cohen, E., "Medical tourism in Thailand" 1 (1): 24-37, 2008

47 Pocock, N. S., "Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia" 7 : 1-12, 2011

48 Deloitte., "Medical Tourism: Consumers in Search of Value" 2008

49 Ben-Natan, M., "Medical Tourism: A New Role for Nursing? Online Journal of Issues in Nursing"

50 Youngman, I., "Medical Tourism Research: Facts And Figures 2014. Report Summary"

51 Craig, J., "Introduction to the practice of telemedicine" 11 : 3-9, 2005

52 Satjapot, S. P., "International medical travelers, length of stay, and the continuum of care: inquiry and comparison" 20 (20): 76-83, 2011

53 Joseph, S., "Intel Health & Life Sciences Group"

54 Goodrich, J. N., "Health-care tourism: an exploratory study" 8 (8): 217-222, 1987

55 Carrera, P., "Globalization and healthcare : understanding health and medical tourism" 6 (6): 447-454, 2006

56 Tan, J., "From telemedicine to e-health: Uncovering new frontiers of biomedical research, clinical applications and public health services delivery" 42 (42): 7-18, 2002

57 United Nations., "Foreign Affiliates Trade in Services Statistics: Balance of Payments Manual" 2002

58 Turner, L., "First world health care at third world prices: globalization, bioethics and medical tourism" 2 : 303-325, 2007

59 Ekeland, A. G., "Effectiveness of telemedicine: A systematic review of reviews" 79 : 736-771, 2010

60 Hudson, S., "Domestic Medical Tourism: A Neglected Dimension of Medical Tourism Research" 21 (21): 227-246, 2012

61 Connell, J., "Contemporary medical tourism conceptualisation, culture and commodification" 34 : 1-13, 2013

62 Bhattacharyy, S. B., "Asian Hospital & Healthcare Management. Medical Tourism: Role of tele medicine"

63 Yu, J., "A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea" 33 : 80-88, 2012

64 Goran, S. F., "A Second Set of Eyes: An Introduction to Tele-ICU" 30 (30): 46-55, 2010

65 Heung, V. C. S., "A Conceptual Model of Medical Tourism: Implications for Future Research" 27 (27): 236-251, 2010

66 복지부, "2013년 외국인환자유치 실적조사결과" 2014

67 한국보건산업진흥원, "2011년도 외국인환자 유치실적 보고" 2012

68 보건산업진흥원, "2011 외국인환자 통계" 2012