A Qualitative Study on Utilization and Unmet Needs of Healthcare Service for Overseas Koreans in Vietnam

Ryou, In Sun; Kim, Ju Young; Park, Hwa Yeon; Han, Jinah; Pak, Yuliya; Lee, Hyang Yuol; Baek, Hyun Jung; Lee, Ju‐Yeon; Chang, Sung Hee; Lee, Jung Hun; Choe, Ji Soo

doi:10.21215/kjfp.2018.8.4.585

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“…This study was part of the project of “Development and demonstration of telehealth counseling program for overseas Koreans” funded by the Korea Health Industry Development Institute. Detailed project with its outcomes were described elsewhere [ 12 , 13 ] but briefly speaking, we set up global Digital Health Centers(DHCs) for overseas Korean populations in Vietnam, Uzbekistan and Cambodia. These sites were chosen based on the location of Korean Association centers because their help with support was needed in establishing DHCs and also in relation to the location of collaborating hospitals with Seoul National University Bundang Hospital.…”

Section: Methodsmentioning

confidence: 99%

“…A structured questionnaire was developed based on the review of relevant literature about medical service utilization, a focus group interview concerning expatriates’ healthcare needs [ 13 ], and expert-group consultations.…”

Section: Methodsmentioning

confidence: 99%

“…Respondents were asked about what types of healthcare services they wish to be provided with when consulting Korean doctors online. These healthcare service types were derived from qualitative interviews with Korean expatriates [ 13 ] and included having an online family doctor for a regular check-up or health consultation, a 24-h online medical consultation whenever needed, receiving a second opinion from Korean doctors regarding their medical status, and telehealth diagnosis with treatment if feasible for dermatologic or psychiatric problems. Participants responded using a 5-point Likert scale (1–5), depending on the strength of the need.…”

Section: Methodsmentioning

confidence: 99%

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Health service utilization, unmet healthcare needs, and the potential of telemedicine services among Korean expatriates

Kim

Park

et al. 2018

Global Health

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BackgroundWith 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.MethodsThis 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.ResultsWe 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.ConclusionsNearly half of the expatriates in developing countries had unmet healthcare needs. Telemedicine is one potential solution to meet these needs, especially in developing countries.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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