differences in health care concepts between the east and west associate professor of family medicine...
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Differences in Health Care Concepts Between the East and West
Associate Professor of Family MedicineMedical DirectorInternational Health Care CenterSeverance HospitalYonsei University College of Medicine
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Scientific Approach
• Self Identification• Problem Identification• Problem Resolution
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Good and difficult patients
• The problem is not how you serve the 95%
“Good Patients”
• The problem is how to take care of the 5%
“Troubled or Difficult Patients”
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Ideal Philosophy
• A - Attitude• S - Skill• K - Knowledge
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The Curse of Being Big
• Details lost• It’s not my mother!• Anybody, Somebody, Nobody……
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Concept of Medication
• West– Medication is a toxin (necessary evil)
• East – Medicine is a substance that corrects imbal-
ances in the body (yin/yang; the more the bet-ter)
• Different combinations are effective for dif-ferent diseases
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Different Views on the Value of the Sci-entific Approach
• West–Scientific approach is the mainstream or
the way (Evidence Based Medicine)–Other ways are alternative
• East–Scientific based medicine is one of
many alternative treatments
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Permission
• Informed consent– Procedure / X-ray dye etc
• Permission from the patient vs Surrogate Permission
• Privacy
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Telling the patient the severity of the disease
• Morbidity rate• Mortality at 5 years
West East
Tell all directlyAvoid bad news
(inform family in detail)
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Nursing Differences
• Skin to skin care : Who provides?–Nurse or family members–Sanitation–Pain management
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Payment
• Insurance• Assistance
– ex : SOS
• Billing vs Prepayment
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Need for Reform in Korea
• Healthcare• Education
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Medicine
Is it a right?
or a privilege?
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Problems of Healthcare in Korea
• Socialized Medicine• Lack of Stars• Lack of Services
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Socialized Medicine
The worry of socialism / communism
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Lack of Stars
Why Saudi kings do not come to
Korea for treatment?
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Lack of Services
1. Medical / Administrative
(Payment, Credit-card etc.)
2. Door to door service lacking
3. 알선수재 4. Crowded atmosphere
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Success stories
- Singapore- Hongkong- Thailand
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Future possibilities
Medical Tourism- New US insurance concepts- Korean Americans (Severance alumni)- Focusing on international public relations
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Merging of service departments
• Department of External Affairs• V team• International Health Care Center
• A 24hr 365day service providing contact tele-phone number is an essential start
• Systemized approach to patient’s care• Personal contacts are inadequate
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Let’s go together!