한국 내 공공보건의료 개념의 문제점과 재설정
Problems and Reconsideration of the Concept of Public Health Care (Public Health and Medical Services) in South Korea
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The concept of “public health care (public health and medical services)” as discussed in South Korea is used in an unclear sense, with a meaning unlike the terminology used worldwide. The terms “public health care (public health and medical services)” and “health care (health and medical services)” have the same legal definition in Korea. Globally, “public health care (public health and medical services)” refers to medical services provided to the public that are operated as publicly funded resources, but in Korea, this term is confined to limited medical services prescribed by the government. The following considerations regarding “public health care (public health and medical services)” in Korea are proposed: All medical services performed by the state, regional governments, health care institutions, or health care workers to protect and promote the health of the people should be clearly established as “public health care (public health and medical services)” by definition. The financial burden borne by the state through national health insurance should be increased to an appropriate level to clarify the state's responsibility. Improving public health is an urgent priority in Korea, and this goal can be achieved by improving regional public health through systematic relationships between the state and regional governments, establishing a Ministry of Health, and efficiently allocating public health doctors who are important for providing regional medical care in rural and remote areas. It will be possible to actively deal with infectious diseases at the national level through establishment of a Ministry of Disease Control and Prevention.
Abstract
The concept of “public health care (public health and medical services)” as discussed in South Korea is used in an unclear sense, with a meaning unlike the terminology used worldwide. The terms “public health care (public health and medical services)” and “health care (health and medical services)” have the same legal definition in Korea. Globally, “public health care (public health and medical services)” refers to medical services provided to the public that are operated as publicly funded resources, but in Korea, this term is confined to limited medical services prescribed by the government. The following considerations regarding “public health care (public health and medical services)” in Korea are proposed: All medical services performed by the state, regional governments, health care institutions, or health care workers to protect and promote the health of the people should be clearly established as “public health care (public health and medical services)” by definition. The financial burden borne by the state through national health insurance should be increased to an appropriate level to clarify the state's responsibility. Improving public health is an urgent priority in Korea, and this goal can be achieved by improving regional public health through systematic relationships between the state and regional governments, establishing a Ministry of Health, and efficiently allocating public health doctors who are important for providing regional medical care in rural and remote areas. It will be possible to actively deal with infectious diseases at the national level through establishment of a Ministry of Disease Control and Prevention.
참고문헌 (38)
- Yamakawa N, "What is public philosophy?", pp.9~ (2011), Ehak Publishing Co
- Greer SL, "Policy, politics and public health", Eur J Public Health, 27(4), pp.40~43 (2017)
- "In response to the pandemic, let’s coorporate private medicine with public medicine" (2021)[URL]
- "Local extinction crisis, the expansion of public medicine is key" (2021)[URL]
- "Establishment of a public medical school and large investment in public health care" (2021)[URL]
- "Request to establish a “Gwangju and Ulsan” public medical center" (2021)[URL]
- Chang-yup Kim, "Further conceptualizing of ‘publicness’ in health and health care in South Korea1)", Public Health Affairs, 1(1), pp.65~77 (2017), Korean Society for Public Health and Medicine[DOI]
- Saito J, "Democratic publicity: beyond Habermas and Arendt" (2009), Eumbooks
- Cho DY, "Transformation of modernity and reconstruction of social constructive publicity" (2012), Korean Sociological Association
- Moon JJ, "A study on the development of standards and indicators for public health assessment of medical institutions" (2009), Korea Health Industry Development Institute
- National Medical Center, "Explanatory data on guidelines for operational evaluation of local public hospitals" (2020), National Medical Center
- Ministry of Health, "National Medical Center operation evaluation report" (2016), Ministry of Health and Welfare
- Yoo MS, "A study on the public health evaluation and public health performance of private medical institutions" (2013), Seoul National University Graduate School of Public Health
- Health Insurance Review & Assessment Service, "Guidance on Medical Quality Evaluation Indicators" (2018), Health Insurance Review &Assessment Service
- Im GI, "Publicity and commonness, public health care", Public Health Aff, 1(1), pp.59~64 (2017)[DOI]
- "Public Health and Medical Services Act, Act No. 17194 (Apr 7, 2020)" (2020)[URL]
- "Regulations of the Korean Society for Public Health and Medicine" (2020)[URL]
- Jun Yim, "Conceptual Reconstruction and Challenges of Public Health Care", Public Health Affairs, 1(1), pp.109~127 (2017), Korean Society for Public Health and Medicine[DOI]
- Son MS, "Health Promotion and Public Health Law reform in Korea: a study on the legislation of a Fundamental Health Promotion Act" (2007), Asian Institute for Bioethics and Medical Law
- "Public Health and Medical Services Act, Law No. 17965 (Mar 23, 2021)" (2021)[URL]
- "Framework Act on Health and Medical Services, Law No. 17966 (Mar 23, 2021)" (2021)[URL]
- Ministry of Health and Welfare, "Comprehensive measures for the development of public health care" (2018), Ministry of Health and Welfare
- "Public health department" (2022)[URL]
- "The Center of Public Healthcare" (2022)[URL]
- Yim SM, "Analysis of the concept of medical underserved areas and support policies" (2020), Korea Medical Association, Research Institute for Healthcare Policy
- Hu SI, "Policy options to tackle unmet health needs" (2009), Korea Institute for Health and Social Affairs
- Kyu Sik Lee, "Definition of Public Health Care and It's Policy Directions", Public Health Affairs, 1(1), pp.79~97 (2017), Korean Society for Public Health and Medicine[DOI]
- Lee KS, "Essence of debate in public health and medical services" (2012), Korea Institute for Health and Welfare Policy
- Goodman JC, "National health care in Great Britain : lessons for the USA" (1980), The Fisher Institute Publication
- Phelps CE, "New directions in public health care", pp.129~166 (2017), Institute for Contemporary Studies
- Chakraborty S, "Private participation in health services", pp.75~156 (2003), The World Bank
- Ettelt S, "Investing in hospitals of the future", pp.47~66 (2009), WHO Regional Office for Europe, European Observatory on Health Care Systems and Policies
- National Medical Center, "Statistics on public health and medical care in Korea" (2019), National Medical Center
- Hwang DK, "Research on ways to strengthen medical support of the medical vulnerable" (2017), Korea Institute for Health and Social Affairs
- Organization for Economic Cooperation and Development, "Health at a glance" (2021), OECD Publishing
- Ministry of Health and Welfare, "Measures to strengthen regional medicine" (2019), Ministry of Health and Welfare
- Jeon BR, "The background of the discussion on the independence of the Ministry of Health and operation status of the Ministry of Health and Welfare", Healthc Policy Forum, 13(3), pp.17~26 (2015)
- 박은철, "국가질병관리 역량강화를 위한 중앙정부 조직개편", 대한의사협회지, 58(8), pp.714~722 (2015), 대한의사협회[DOI]