# Evaluation of AI-Assisted Telemedicine Service Using a Mobile Pet Application
## 2 Background
### Perception of Telemedicine Services
According to the Korean Veterinary Law or veterinary hospital facility standard draft, telemedicine by veterinarians is not permitted in principle, and a series of treatment activities, such as treating animals and dispensing or administering medicines, must be performed by veterinarians [54]. Nevertheless, several veterinary hospitals are providing services to check the condition of animals and provide counseling through online or mobile social network services. They even issue prescriptions according to the condition of animals through e-mail. As such, cases of consulting and treatment using IT technology are steadily increasing. On the surface, mobile app services in Korea also advocate legitimate services such as pet supplies sales, veterinary hospital price comparisons, and healthcare solutions, but the service they actually provide through the app is telemedicine. Some Korean application services are \"Shiny,\" \"WAL,\" \"IntoPet,\" \"FITPET,\" \"MyPetPlus,\" \"Pet Price,\" and \"Ajinyangi.\" These mobile app services actually involve consultations with veterinarians who even provide prescriptions. We thus conducted a survey on real users to study the public's perceptions about mobile app services regarding \begin{table}
\begin{tabular}{c c c c} \hline \hline
**Issues** & **Pros (Representing the Gov.)** & **Cons (Representing the Medical Ass.)** \\ \hline \multirow{4}{*}{Telemedicine} & - & Expected synergy effect by & - & Possible to raise safety issues such \\  & & combining IT technology & & as risk of misdiagnosis and \\  & & and health care service & & unfaithful medical treatment \\  & - & Alleviate patient distraction & - & Threats to the survival of \\  & & and demand for large & & small-scale local hospitals due to \\  & & general hospitals & & lack of demand \\ \hline \multirow{4}{*}{Incorporation of a Medical Institution} & - & No change in the & & \\  & & governance structure of & - & Acceleration of commercialization \\  & & hospitals, a representative & & of the parent hospital, due to the \\  & & non-profit corporation & & concentration of subsidiary \\  & - & Institutional deregulation is & & commercial businesses \\  & & required for hospital exports & - & Possible collapse of the public \\  & & and increase of foreign & & medical system as a preliminary \\  & - & patients & & stage for practical medical \\  & - & Not complete privatization & & privatization \\  & & of public medical facilities & & \\ \hline \multirow{4}{*}{Low Medical Rate Problem} & - & Agree to increase the & - & As the public medical fee is \\  & & medical fee within an & & formed as low as about a quarter \\  & & appropriate range & & or half of the standard fee, \\  & - & However, the increase must & & possible to spread abnormal \\  & & be adjusted within the & & systems such as uninsured or \\  & & health insurance finances & & excessive medical care \\  & & & - & Urgent need for realization or \\  & & & fundamental improvement of the \\  & & & health insurance system \\ \hline \multirow{4}{*}{Organization of Council for System Improvement} & - & Possible to propose a & - & Establishment of a special \\  & & council in which the medical & committee for medical reform \\  & & community and national & & under the direct control of the \\ \cline{1-1}  & & representatives participate & & President (or Prime Minister) and \\ \cline{1-1}  & & at the same time (headed by & request for legalization as an \\ \cline{1-1}  & & the Minister of Welfare) & & independent organization \\ \hline \hline \end{tabular}
\end{table} 
Table 3: Comparison of telemedicine between the government and medical associations. telemedicine for companion animals currently being used. The purpose of this study is to predict the situation in which telemedicine services for humans will be introduced in the future and to suggest the possibility of treatment and service level.