A trip to the
doctor can be daunting, especially when you're away from home. Miscommunication
and procedural differences contribute to the vulnerability that accompanies
illness.
"I've watched many new co-workers go to the doctor and get freaked
out by the pill cocktails and little baggies, as well as getting a shot
regardless of your symptoms" said Bruce Alexander, a manager at a leading
“hagwon” chain.
While major Korean medical institutions are looking to cash in on the
growing medical tourism industry, big changes can also be found in the small,
privately owned clinics of Korea. According to clinic owners, many of those
changes are fueled by customer demand and growing multiculturalism.
Family physician Park Soon-oak opened her clinic in 2002, in
Haebangchon (HBC) in the Yongsan district in Seoul, an area known for its large
expatriate population. She named it "Woori-dul Clinic", meaning
"Our clinic", but it has since been nicknamed the "The HBC Clinic"
among expats.
Park sees an average of 70 patients per day, 10 percent of whom are
foreigners. The clinic provides literature in Korean and English.
“When I first moved here, I didn't know the area had such a heavy
foreign population. It pushed me to study language, and it's made my job
challenging and interesting. It also inspired a lot of changes," said
Park.
Park's services have evolved with her clientele. A quick glance around
her waiting room shows advertisements for skin products, weight loss programs
and nutrition supplements.
"I'm a primary care provider,” she said. "However, people's
expectations of doctors are growing. People used to only visit when they were
sick. Now, we must address lifestyle. I expect more changes."
When considering the differences between Korean and western clinics,
Park sees distinctions.
"In countries like Canada, people may have one family doctor for
the majority of their lives who has access to comprehensive medical records,”
she said. "This isn't happening here yet, but it would make a doctor’s job
much easier."
What to expect
"I go to The HBC Clinic and I always have. It's way cheaper than
in the West," says Tracey Lawrence, a six-year resident of Seoul.
Consultations cost about 30,000 won or 14,000 won with Korean National
Health Insurance.
According to the American Academy of Family Physicians, a doctor's
visit in America varies according to location, and costs an average of 70,000
won.
Apart from price commonly noted distinctions lie in the manner in which
medicine is dealt with.
"I see the use of multiple medications as a cultural habit,” Park
said. "A lot of trust is put into doctors, and we do our best to make sure
patients know what to expect from their medicine."
In North America, a great deal of effort goes into educating patients
about medication, side effects and options, and negligence can lead to lawsuits
or criminal charges.
In terms of educational responsibility in Korea, Park says the
situation is "unclear."
Another cultural habit is the infamous “shot in the hindquarters,” or
intramuscular injection, which Park sees as a dying tradition.
"We avoid injecting young patients, though elderly patients expect
it. The injection is usually a painkiller or anti-inflammatory, but doctors are
moving away from it," said Park.
Perhaps the biggest difference between the East and West is the
prevalence of psychotropic medications, such as anti-depressants and
anti-anxiety medicines.
"Ten years ago, these medications seemed strange to me, and some
doctors refused to prescribe them,” Park said. "However, my views have
changed. The number of Koreans using these medications is increasing."
Regardless of culture, Park believes the keys to a good medical
experience are good communication and trust.
"Everyone feels vulnerable when they are sick. We do our best to
create a trusting environment."
Kelly Frances
koreatimes.co.kr
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