Sapporo Medical Journal

Abstract : Telemedicine is defined as the utilization of medical information that is transmitted electronically from one location to another to improve patient health. To improve the quality of health services in Indonesia is to reduce the gap in access to health, so that it is available to all people equally. Telemedicine is one of the modalities that can be used to achieve this goal. This study aim is descibe the development of telemedine in Indonesia especially in National Health Insurance System (JKN). From the Literature review, we can find although the telemedicine provided by JKN provides significant convenience to access to health services, there are limitations in the implementation of telemedicine, both as a whole and the obstacles faced by JKN. Doctors and patients who conduct teleconsultation have limitations only on history taking and physical examination, while doctors are taught to do a thorough physical examination before making a diagnosis and providing therapy for patients. This obstacle poses a greater risk of misdiagnosis compared to direct examination. Supportive examinations and therapies other than drugs still need to come to health facilities, so telemedicine cannot completely replace conventional health services. Telemedicine cannot stand alone because it still requires adequate facilities to access adequate health services. Advances in infrastructure and human resources in particular have an important role in the smooth operation of telemedicine.