한국의 의료 공공성에 대한 인식 격차
Awareness Gaps in the Public Nature of Korea’s Healthcare System
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의료는 삶의 중요한 가치인 건강, 생명, 안전, 사회적 기회의 보장 등과 연결된 중요한 사회적 서비스로서 많은 국가들은 공적 영역의 의료보험제도를 통해 이를 사회 구성원들에게 제공하고 있다. 우리나라 의료보험은 세계에서 유래를 찾을 수 없을 정도로 빠르게 성장하였고, 여러 국제 지표 상 매우 좋은 점수를 보인다. 하지만 정부의 지나친 의료 규제, 민간 중심의 의료자원 공급과 과도한 이용이 적절한 곳에 의료자원이 할당되지 못하는 문제의 원인이 되고 있다. 이 논문은 우리나라 정부와 의료계, 환자 및 시민들의 의료 공급과 이용 양태를 살펴보며 의료의 공적 가치, 공공성에 대한 인지도가 낮음을 보여준다. 현상에 대한 인지는 적정한 곳에 의료자원이 공급·이용되며, 지속 가능성을 보장할 수 있는 의료체제를 논의하기 위한 첫걸음이 될 것이다.
Abstract
Medical care is an essential social service that supports other valued goods, such as life, health, safety, and the guarantee of social opportunities. In many countries, access to medical care is provided through public health insurance systems. South Korea’s medical insurance system, which has expanded at an unprecedented rate in recent decades, performs very well by several internationally recognized indicators. However, excessive government regulations, a private-centered supply of medical resources, and overuse of the system by patients have led to a misallocation of medical resources. This article examines the supply and use of medical care by the Korean government, the medical community, patients, and citizens, highlighting awareness gaps in the public value and nature of medical care. Recognizing this issue is the first step in building a sustainable medical system that ensures that medical resources are appropriately allocated and utilized.
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