Browsing by Author "Pak, Yuliya"
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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
- ItemHealth service utilization, unmet healthcare needs, and the potential of telemedicine services among Korean expatriates.(0000-00-00) Kim, Ho Young; Kim, Ju Young; Park, Hwa Yeon; Jun, Ji Hye; Koo, Hye Yeon; Cho, In Young; Han, Jinah; Pak, Yuliya; Baek, Hyun Jung; Lee, Ju Yeon; Chang, Sung Hee; Lee, Jung Hun; Choe, Ji Soo; Yang, Sun-Kyung; Kim, Kyung Chul; Park, Jeong Ha; Paik, Seul KiBACKGROUND With the significant growth of migration and expatriation facilitated by increased global mobility the number of Koreans living abroad as of 2016 is approximately 7 4 million 15 of the Korean population Healthcare utilization or health problems especially among expatriates in developing countries have not been well researched despite the various health risks these individuals are exposed to Consequently we identified the health utilization patterns and healthcare needs among Korean expatriates in Vietnam Cambodia and Uzbekistan METHODS This cross sectional survey examined 429 Korean expatriates living in Vietnam n 208 Cambodia n 60 and Uzbekistan n 161 who had access to the Internet and were living abroad for at least 6 months A 67 item questionnaire was used and feedback was received via an online survey program Stepwise logistic regression analyses were performed to evaluate factors associated with unmet healthcare needs and preferences of certain type of telemedicine RESULTS We found that 45 5 195 429 of respondents had used medical services in their country of stay Among those who visited health institutions 3 times the most popular choice was general hospitals 39 4 15 38 however they initially visited Korean doctors or local doctors offices The most essential criteria for healthcare service facilities was a skilled professional 39 3 169 429 42 wanted a health program for chronic disease management and 30 wanted specialized internal medicine A substantial number wanted to access telemedicine services and were willing to pay for this service They were particularly interested in experts second opinion 61 5 264 429 and quick 24 h medical consultations 60 8 261 429 Having unmet healthcare needs and being younger was strongly associated with all types of telemedicine networks CONCLUSIONS Nearly half of the expatriates in developing countries had unmet healthcare needs Telemedicine is one potential solution to meet these needs especially in developing countries
- 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