경성부립부민병원의 운영과 경성 내 의료접근성 해결의 한계
The Operation of Gyeongseong Bumin Hospital and the Limitations of Medical Accessibility Solutions in Gyeongseong
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
This article examines how medical administration and social projects combined and were used during the transition of colonial policy in the early 1930s by analyzing the background, operation, profit structure, and user characteristics of the Gyeongseong Bumin public hospital. The Gyeongseong City government continued to devise measures to carry out hygiene and medical projects even in the absence of medical administration authorities and facilities. In the first half of the 1920s, the establishment of a direct medical institution was planned, and in the second half, a path was created to implement free medical care through the social welfare commissioner system. In 1931, the government launched a “social project” in earnest and set up various initiatives; as part of this process, it submitted a plan to establish a municipal medical institution called the “Low-Priced Clinic Installation Plan.” Bumin Hospital did not strictly comply with user regulations. This is because it was advantageous for the hospital to receive many paying patients, as it operated with the income from user fees and the fees spent by paying patients. Most of the paying patients were middle-class Koreans who had difficulty using existing medical institutions. Therefore, the reliance on Koreans was gradually expanded at the hospital. At Bumin Hospital, the management policy was based on the revenue structure of beneficiary burden and the profit structure of outpatient care. This allowed it to minimize the financial drain on the city’s government. However, due to the profit structure centered on outpatients, which increased the turnover rate, medical treatment and a lack of facilities worsened at Bumin Hospital. The facilities were also not actively improved to reduce the financial burden on the government. These structural problems were passed on to relatively low-income Koreans, who could not afford to choose other medical institutions.
Abstract
This article examines how medical administration and social projects combined and were used during the transition of colonial policy in the early 1930s by analyzing the background, operation, profit structure, and user characteristics of the Gyeongseong Bumin public hospital. The Gyeongseong City government continued to devise measures to carry out hygiene and medical projects even in the absence of medical administration authorities and facilities. In the first half of the 1920s, the establishment of a direct medical institution was planned, and in the second half, a path was created to implement free medical care through the social welfare commissioner system. In 1931, the government launched a “social project” in earnest and set up various initiatives; as part of this process, it submitted a plan to establish a municipal medical institution called the “Low-Priced Clinic Installation Plan.” Bumin Hospital did not strictly comply with user regulations. This is because it was advantageous for the hospital to receive many paying patients, as it operated with the income from user fees and the fees spent by paying patients. Most of the paying patients were middle-class Koreans who had difficulty using existing medical institutions. Therefore, the reliance on Koreans was gradually expanded at the hospital. At Bumin Hospital, the management policy was based on the revenue structure of beneficiary burden and the profit structure of outpatient care. This allowed it to minimize the financial drain on the city’s government. However, due to the profit structure centered on outpatients, which increased the turnover rate, medical treatment and a lack of facilities worsened at Bumin Hospital. The facilities were also not actively improved to reduce the financial burden on the government. These structural problems were passed on to relatively low-income Koreans, who could not afford to choose other medical institutions.
참고문헌 (58)
- "朝鮮總督府官報", ~
- "朝鮮總督府統計年報", ~
- "京城彙報", ~
- "每⽇申報", ~
- "東亞⽇報", ~
- , ~
- "京城⽇報", ~
- "中外⽇報", ~
- "朝鮮中央⽇報", ~
- "朝鮮及滿洲", ~
- "朝鮮社會事業", ~
- "統計年報", ~
- "地方官官制改定書類", CJA0002692, ~ (1929)
- "京城府豫算書類(1932)", CJA0002895, ~ (1932)
- "各府⼀般經濟豫算", CJA0003737, ~ (1932)
- "府に關スル書類綴", CJA0003232, ~ (1932)
- "各府⼀般經濟豫算書", CJA0002957, ~ (1933)
- "府⼀般經濟歲入出決算書", CJA0003024, ~ (1934)
- "京城府 關係書", CJA0003048, ~ (1934)
- "京城府⼀般會計歲入出豫算書", CJA0003085, ~ (1935)
- "京城府⼀般經濟關係書綴", CJA0003255, ~ (1937)
- "⼀般會計歲入出決算書類", CJA0003226, ~ (1937)
- 京畿道衛生課, "衛生槪要" (1937), 京畿道衛生課
- 京城府, "京城府史 3" (1934), 京城府
- 京城醫師會, "京城醫師會⼆十五周年誌" (1932), 京城醫師會
- 社会部報告』第109号, "大阪市社会部労働課", 大阪市社会部労働課, ~ (1935)
- 鈴木梅四郎, "醫療の社會化運動" (1929), 実生活社出版部
- 鈴木孝之助, "醫療制度改善案" (1935), 鈴木孝之助
- 李如星, "『數字朝鮮硏究』第4輯" (1933), 世光社
- 朝鮮總督府醫院, "朝鮮總督府醫院第十三回年報" (1928), 朝鮮總督府
- 朝鮮總督府, "(增補)朝鮮總督府 三十年史 1" (1999), クレス出版編
- 漢城醫師會, "漢城醫師會報" (1933), 漢城醫師會
- 국가기록원, "일제문서해제 – 지방행정편Ⅰ" (2007), 국가기록원
- 국사편찬위원회, "한국근현대인물자료", 한국사데이터베이스, ~
- 서울대학교병원사편찬위원회, "서울大學校病院史" (1993), 서울대학교
- 서울대학교의과대학사편찬위원회, "서울大學校醫科大學史 : 1885-1978" (1978), 서울대학교의과대학
- 서울역사박물관, "大京城府大觀(1936)" (2015), 서울역사박물관
- 서울역사편찬원, "서울근현대사자료집5 : 일제강점기 경성부윤 자료집" (2020), 서울역사편찬원
- 上田正昭, "⽇本⼈名大辞典" (2001), 講談社
- 김영희, "일제 지배시기 한국인의 신문접촉 경향", 한국언론학보, 46(1), pp.39~71 (2002), 한국언론학회
- 박세훈, "구제와 교화 - 일제 시기 경성부의 방면 위원 제도 연구", 사회와역사(구 한국사회사학회논문집), (61), pp.4~155 (2002), 한국사회사학회
- 박세훈, "식민국가와 지역공동체" (2006), 한국학술정보
- 박윤재, "한국 근대 의학의 기원" (2005), 혜안
- 박윤재, "조선총독부의 지방 의료정책과 의료 소비", 역사문제연구, 13(1), pp.161~183 (2009), 역사문제연구소
- 방기중, "1930년대 朝鮮 農工倂進政策과 經濟統制", 동방학지, (120), pp.75~123 (2003), 국학연구원
- 여인석, "한국의학사" (2018), 역사공간
- 이꽃메, "식민지시기 일반인의 한의학 인식과 의약 이용", 의사학, 15(2), pp.222~231 (2006), 대한의사학회
- 이순영, "1930년대 초반 경성의 의료접근성 문제와 부립경비진료소 설치 논쟁", 역사와 현실, (114), pp.205~247 (2019), 한국역사연구회[DOI]
- 이연경, "용산, 도시를 살리다" (2022)
- 이형식, "1910년대 조선총독부의 위생정책과 조선사회", 한림일본학 (구 한림일본학연구), (20), pp.5~28 (2012), 일본학연구소[DOI]
- 정근식, "식민지 위생경찰의 형성과 변화, 그리고 유산: 식민지 통치성의 시각에서", 사회와역사(구 한국사회사학회논문집), (90), pp.221~270 (2011), 한국사회사학회
- 鄭泰憲, "京城府 財政의 歲入構成과 시기별 特徵", 韓國史學報, (24), pp.191~235 (2006), 고려사학회
- 조경희, "1920년대 식민지조선 사회사업의 성격과 그 한계 -‘방빈(防貧)’의 좌절에서 노동사업으로-", 역사와 담론, (80), pp.81~122 (2016), 호서사학회
- 허광무, "戰前 ⽇本의 社會政策과 方面委員制度", ⽇本學報, 51 (2002)
- ZHANG ZILI, "일제강점기 미키 사카에(三木榮)의 경력에 대한 고찰 -조선에서의 활동을 중심으로-", 한국의사학회지, 35(2), pp.101~111 (2022), 한국의사학회
- 愼英弘, "近代朝鮮社會事業史硏究：京城における方面委員制度の歷史的展開" (1984), 山川出版社
- 尹晸郁, "近代⽇本の植⺠地朝鮮に於ける社會事業政策硏究", 博士, pp.1995
- 川上武, "現代⽇本醫療史" (1973), 勁草書房