differences in health care concepts between the east and west associate professor of family medicine...

22
Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center Severance Hospital Yonsei University College of Medicine

Upload: taylor-lepper

Post on 28-Mar-2015

214 views

Category:

Documents


2 download

TRANSCRIPT

Page 1: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Differences in Health Care Concepts Between the East and West

Associate Professor of Family MedicineMedical DirectorInternational Health Care CenterSeverance HospitalYonsei University College of Medicine

Page 2: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center
Page 3: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Scientific Approach

• Self Identification• Problem Identification• Problem Resolution

Page 4: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

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”

Page 5: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Ideal Philosophy

• A - Attitude• S - Skill• K - Knowledge

Page 6: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

The Curse of Being Big

• Details lost• It’s not my mother!• Anybody, Somebody, Nobody……

Page 7: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

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

Page 8: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

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

Page 9: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Permission

• Informed consent– Procedure / X-ray dye etc

• Permission from the patient vs Surrogate Permission

• Privacy

Page 10: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

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)

Page 11: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Nursing Differences

• Skin to skin care : Who provides?–Nurse or family members–Sanitation–Pain management

Page 12: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Payment

• Insurance• Assistance

– ex : SOS

• Billing vs Prepayment

Page 13: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Need for Reform in Korea

• Healthcare• Education

Page 14: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Medicine

Is it a right?

or a privilege?

Page 15: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Problems of Healthcare in Korea

• Socialized Medicine• Lack of Stars• Lack of Services

Page 16: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Socialized Medicine

The worry of socialism / communism

Page 17: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Lack of Stars

Why Saudi kings do not come to

Korea for treatment?

Page 18: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Lack of Services

1. Medical / Administrative

(Payment, Credit-card etc.)

2. Door to door service lacking

3. 알선수재 4. Crowded atmosphere

Page 19: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Success stories

- Singapore- Hongkong- Thailand

Page 20: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Future possibilities

Medical Tourism- New US insurance concepts- Korean Americans (Severance alumni)- Focusing on international public relations

Page 21: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

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

Page 22: Differences in Health Care Concepts Between the East and West Associate Professor of Family Medicine Medical Director International Health Care Center

Let’s go together!