Browsing by Author "Lee, Hyang Yuol"
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- ItemEvaluation of a Telehealth Counseling Program for Expatriates.(0000-00-00) Park, Hwa Yeon; Kim, Ju Young; Koo, Hye Yeon; Han, Jinah; Jun, Ji Hye; Lee, Wonjae; Na, Ki Young; Lee, Hyang Yuol; Pak, Yuliya; Jang, Seunghee; Kim, Sergey; Jeong, Chulkyu; Nam, TaewookBACKGROUND Health problems for expatriates are common due to their vulnerability to local infectious diseases psychosocial problems and chronic diseases but many problems go largely unmet in this unique population INTRODUCTION Telehealth counseling was developed and tested for Korean expatriates We explored the current status of using telehealth counseling systems and showed its feasibility and acceptability in three countries MATERIALS AND METHODS This retrospective study was based on the Development and demonstration of telehealth counseling program for overseas Koreans project funded by the Korea Health Industry Development Institute In this project we established five Digital Healthcare Centers DHCs 3 in Vietnam and 1 each in Uzbekistan and Cambodia We used data from October 2016 to September 2017 descriptive analysis and one way ANOVA were used to present detailed information RESULTS A total of 442 patients made an appointment for telehealth counseling services Overall user satisfaction rates were 96 1 Over two thirds of patients 302 442 68 3 completed one time telehealth counseling About 13 were referred to primary care and 17 3 8 were referred to specialists or tertiary hospital The most common diagnostic category was endocrine nutritional and metabolic diseases 14 followed by diseases of the circulatory system 12 3 for one time visit patients DISCUSSION Our telehealth counseling program for expatriates was feasible and acceptable in three countries It also has the potential to minimize language barriers and the cost of healthcare usage CONCLUSION Further research for sustainable effective telehealth systems for expatriates will be needed
- ItemThe role of telehealth counselling with mobile self-monitoring on blood pressure reduction among overseas Koreans with high blood pressure in Vietnam.(0000-00-00) Lee, Hyang Yuol; Kim, Ju Young; Na, Ki Young; Park, Hwa Yeon; Han, Jinah; Pak, Yuliya; Nam, Bola; Pae, Chae Hyun; Lee, Jisun; Lim, Tae Ho; Lee, DonghunIntroduction Rapid globalization has produced a growing demand for the chronic care management of overseas populations living in medically underserved areas This study investigated the utilization pattern of telehealth counselling among overseas Koreans with high blood pressure and evaluated the relationships between mobile self monitoring application and blood pressure reduction Methods A global chronic management programme consisting of lifestyle modification and self monitoring blood pressure was launched to provide a telehealth counselling service for Koreans with high blood pressure living in Vietnam from August 2016 to December 2017 During the first telehealth session doctors educated patients on lifestyle modifications using a mobile self monitoring application and checked the change of blood pressure in a follow up telehealth visit We examined utilization patterns and compared the blood pressure change among the mobile self monitoring group versus the control group using Wilcoxon signed rank tests Results A total of 234 patients with systolic blood pressure of more than 130 mmHg or diastolic blood pressure of more than 80 mmHg were registered installed the mobile app and were provided with automated blood pressure devices with the telehealth counselling service by Korean doctors A follow up telehealth counselling session was provided at three months Only 15 36 234 received two or more telehealth counselling sessions Significant differences were found in the mean change of systolic blood pressure at three months in the monitoring group and the non monitoring group 16 0 vs 5 7 p 0 008 Discussion In this unique telehealth study a mobile self monitoring application was associated with significantly reducing systolic blood pressure levels in three months Encouraging patients via a mobile application that includes a self monitoring function might have the potential for self managing chronic diseases especially in resource limited environments