요양병원 근무 한의사의 지위와 역할에 관한 연구
A Study on the Position and Role of Korean Medicine Doctors Working at Long-Term Care Hospitals
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective : The purpose of this study is to discuss the role and ways to improve the position and rights of Korean Medicine Doctors (KMDs) working at long-term care hospitals (LTCHs) through survey analysis. Method : (1) The legal and institutional position of KMDs is studied using current law and related papers. (2) The online survey was conducted through KMD community websites, targeted at KMDs working at LTCHs. Results : (1) Whereas there is perceived added benefit for the eight specializations for a specialist of Western medicine at LTCHs, in the case of a specialist of Korean Medicine, their value is not institutionally recognized at all. (2) A Western inpatient’s medical fee is more than a Korean inpatient’s medical fee, and the individual fee for the same medical treatment is also higher in Western hospitalization. So, Korean medical hospitalization actually cannot be made. Because of that, Korean Medicine Doctors find it difficult to be primary care physicians. (3) Musculoskeletal diseases and the aftereffects of cerebrovascular diseases were the most common chief complaints addressed in Korean medical consultations. Conclusion : This study shows that KMDs working at LTCHs have suffered many kinds of inequality. That is because of the limited medical scope of the current medical system and real constraints from the gap in Korean-Western medical fees by the National Health Insurance Corporation. Therefore, it is necessary to eliminate these variations along with revising the statute with continuous research.
Abstract
Objective : The purpose of this study is to discuss the role and ways to improve the position and rights of Korean Medicine Doctors (KMDs) working at long-term care hospitals (LTCHs) through survey analysis. Method : (1) The legal and institutional position of KMDs is studied using current law and related papers. (2) The online survey was conducted through KMD community websites, targeted at KMDs working at LTCHs. Results : (1) Whereas there is perceived added benefit for the eight specializations for a specialist of Western medicine at LTCHs, in the case of a specialist of Korean Medicine, their value is not institutionally recognized at all. (2) A Western inpatient’s medical fee is more than a Korean inpatient’s medical fee, and the individual fee for the same medical treatment is also higher in Western hospitalization. So, Korean medical hospitalization actually cannot be made. Because of that, Korean Medicine Doctors find it difficult to be primary care physicians. (3) Musculoskeletal diseases and the aftereffects of cerebrovascular diseases were the most common chief complaints addressed in Korean medical consultations. Conclusion : This study shows that KMDs working at LTCHs have suffered many kinds of inequality. That is because of the limited medical scope of the current medical system and real constraints from the gap in Korean-Western medical fees by the National Health Insurance Corporation. Therefore, it is necessary to eliminate these variations along with revising the statute with continuous research.
참고문헌 (20)
- 최영환, "19개 노인성 질환의 의료이용 및 의료비의 시계열 비교", 의학, pp.2010
- 전국 시도별 요양기관 현황, "건강보험심사평가원", ~ (2009)
- 김재수, "요양병원의 한양방수가 비교분석연구", 대한한의학회지, 34(1), pp.35~51 (2013), 대한한의학회
- 종별 인력현황, "건강보험심사평가원", ~ (2009)
- 임진택, "보건소 근무 한의사의 법·제도적 지위와 역할에 대한 고찰", 한의학, pp.2001
- 건강보험심사평가원, "의·치과·한방 수가파일", ~ (2014)
- 원희진, "요양병원 노인 진료비의 변화추이", 보건관리학, pp.2010
- 이중규, "요양병원형 일당정액수가제의 도입과 전망", HIRA정책동향, 1(12), pp.6~7 (2007)
- 하은, "광주 · 전남지역 요양병원 간호사의 포괄수가제에 대한 인식 및 적용 후 간호업무 변화", 간호행정학회지, 18(2), pp.176~188 (2012), 간호행정학회
- 김덕진, "노인요양병원의 제도적 문제점과 개선방안", 대한병원협회지, 38(5), pp.9~16 (2009)
- 최홍식, "요양병원의 한방치료에 대한 분석 연구", 대한침구의학회지, 31(1), pp.23~33 (2014), 대한침구의학회
- 김영배, "요양병원형수가제 전환에 대한 요양병원의 평가 및 개선방안 연구", 보건의료산업학회지, 5(2), pp.105~117 (2011), 보건의료산업학회
- 문준석, "요양병원 근무한의사의 소진에 영향을 미치는 요인- 광주⋅전남지역을 중심으로 -", 대한예방한의학회지, 17(3), pp.115~128 (2013), 대한예방한의학회
- 문희수, "한국연극배우의 근로조건 및 복지현황 연구", pp.2013
- "의료법", 법률 제10609호, ~ (2011)
- "의료법 시행령", 대통령령 제25050호, ~ (2013)
- "의료법 시행규칙", 보건복지부령제262호, ~ (2014)
- "국민건강보험법 시행령", 대통령령 제26651호, ~ (2015)
- "국민건강보험 요양급여의 기준에 관한 규칙", 21, ~ (2015)
- "20. 강동경희대학교 병원 홈페이지 관절류마티스센터건강정보"[URL]
