In order to resolve a medical blind spot as a result of the deregulation of health and medical care, the government has submitted a revised bill for the Medical Act regarding remote medical services that is now pending in the National Assembly. The government has been conducting clinical safety, efficacy, and utility tests of a pilot business since September 2014.
Even though the EMS infrastructure in vulnerable areas such as farming and fishing villages has continuously been expanded with constant efforts, the gap between big cities and vulnerable areas regarding the quality of EMS is still huge.

• The public health doctors in the ERs in vulnerable areas might not be competent enough to respond to emergency situations. In addition, there are cases where patients are transported to a big city because there is no specialist to properly decipher a CT scan.
  * Regions without EMS institutions: 43 regions in 2003 -> 12 regions in 2014
• Some convalescent hospitals that lack professional medical personnel require professional support in responding to emergency situations, diagnosis, etc. even if they are not in vulnerable areas.

There is a great need for measures with which professional manpower working in base hospitals in big cities can support the treatment of emergency patients in vulnerable areas, such as farming and fishing villages, using ICT technology.

To prepare measures with which professional manpower working in base hospitals in big cities can support the treatment of emergency patients in vulnerable areas with comparatively poor EMS infrastructure to resolve the gap between the quality of EMS and medical blind spot.

• When there are emergency patients in vulnerable areas such as farming and fishing villages that lack medical specialists, the specialists at nearby base hospitals provide medical treatment by cooperating with the ER doctors in the hospitals in the vulnerable areas.
  • Construction of remote cooperative treatment system that enables real-time transmission and sharing of images, sound, and information (such as CT scans) between base hospitals in big cities and hospitals in vulnerable areas.
• Construction of a constant EMS cooperative system between base hospitals and hospitals in vulnerable areas so that emergency patients can be promptly treated.
  • Sharing medical records: Transmission of images and video from hospitals in vulnerable areas, such as EMR, so that they can be checked by the specialists in ER of base hospitals on smartphones, etc.
  • Sharing PACS: Transmission of medical images in files from hospitals in vulnerable areas to a central server so that base hospitals can review the files (full mobile PACS).

A constant EMS cooperative system between hospitals in vulnerable areas and base hospitals can be constructed so that prompt and appropriate medical treatment can be provided to emergency patients. Also, it can save time and expenses in the case of expansion by excluding elements affected by the informatization environment of an individual hospital as much as possible when constructing the system.