시스템 다이내믹스를 활용한 경상남도 의사인력 수급추계를 통한 적정성 연구
Analyzing the Projection of Physician Workforce Supply and Demand in Gyeongsangnam-Do, South Korea, through System Dynamics
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Background: The adequate provision of medical care relies on the availability of a suitable number of healthcare professionals. To ensure stability in healthcare delivery, it is crucial for a country to accurately estimate and address the supply of doctors. This study aims to contribute to the formulation of effective policies for securing and distributing doctor manpower, with a focus on medically underserved areas at both the national and local government levels. Methods: Employing the system dynamics methodology, this research utilizes stock and flow diagrams, including level and rate diagrams, to quantitatively analyze the cumulative structure of the doctor supply and demand system. Results: The analysis reveals a substantial shortage of clinical doctors in Gyeongsangnam-do, amounting to 15,477 as of 2021. Projections indicate a need for an additional 7,570 doctors by the year 2050 to maintain the current healthcare service level. Examination of medical treatment rights and distribution across cities and counties indicates an insufficiency in doctor supply relative to demand in the majority of regions. Alternative scenarios, such as increasing medical school enrollments and adjusting retirement ages, were explored, yet none provided a sufficient resolution to the shortage. Conclusion: The findings underscore an impending exacerbation of the doctor shortage in Gyeongsangnam-do if the existing system is perpetuated. Addressing this issue necessitates not only augmenting the number of medical school students and adapting retirement age policies but also implementing diverse strategies employed successfully in other countries. This study serves as a foundational step in informing evidence-based policies aimed at securing an ample and appropriately distributed doctor workforce for sustainable healthcare delivery.
Abstract
Background: The adequate provision of medical care relies on the availability of a suitable number of healthcare professionals. To ensure stability in healthcare delivery, it is crucial for a country to accurately estimate and address the supply of doctors. This study aims to contribute to the formulation of effective policies for securing and distributing doctor manpower, with a focus on medically underserved areas at both the national and local government levels. Methods: Employing the system dynamics methodology, this research utilizes stock and flow diagrams, including level and rate diagrams, to quantitatively analyze the cumulative structure of the doctor supply and demand system. Results: The analysis reveals a substantial shortage of clinical doctors in Gyeongsangnam-do, amounting to 15,477 as of 2021. Projections indicate a need for an additional 7,570 doctors by the year 2050 to maintain the current healthcare service level. Examination of medical treatment rights and distribution across cities and counties indicates an insufficiency in doctor supply relative to demand in the majority of regions. Alternative scenarios, such as increasing medical school enrollments and adjusting retirement ages, were explored, yet none provided a sufficient resolution to the shortage. Conclusion: The findings underscore an impending exacerbation of the doctor shortage in Gyeongsangnam-do if the existing system is perpetuated. Addressing this issue necessitates not only augmenting the number of medical school students and adapting retirement age policies but also implementing diverse strategies employed successfully in other countries. This study serves as a foundational step in informing evidence-based policies aimed at securing an ample and appropriately distributed doctor workforce for sustainable healthcare delivery.
참고문헌 (41)
- Jeong, B. G., "Improvements Direction for Communications Policy-making System of Physician Manpower in Korea", Journal of Critical Health Policy, 1(1), pp.19~25 (2021)
- The Survey on National Health Care Workforce, "Shin, Y. S.", Korea Institute for Health and Social Affairs, ~ (2022)
- 2022 Health Statistics Production and Management by International Organizations(OECD and so on) in Korean, "Ministry of Health and Welfare", ~ (2022)
- 2023 Analysis of Regional Healthcare Status, "Health Insurance Review & Assessment Service", Health Insurance Review & Assessment Service, ~ (2024)
- Lee, G. M., "Development of a Demand Model for Physician Workforce Projection on Regional Inequity Problem in Korea Using System Dynamics", Korean Academy of Health Policy and Management, 32(1), pp.73~93 (2022)
- Kang, H. G., "Factors that Influence Physician Salary Payment through Analyzing on Internet Invitation Webpage in Korea", Journal of Agricultural Medicine and Community Health, 46(1), pp.12~22 (2021)[DOI]
- Ministry of Health and Welfare, "OECD Health statistics 2022", ~ (2022)
- A Study on the Supply and Demand of Health Workers in Korea Ministry of Health and Social Affairs, "Ro, I. B.", ~ (1969)
- A Study on the Supply and Demand of Health and Medical Personnel in the Short and Short term-Doctors, Dentists, Oriental Medicine, Dental Technicians, Dental Hygiene, "H. A. Park", Korea Institute for Health and Social Affairs, ~ (1990)
- B. M. Yang, "Physician Manpower Shortage : Forecasting through 2005", The Korean Journal of Public Health, 29, pp.65~78 (1992)
- System for Supply and Demand of Health Medical Staff, "H. S. Jang", Korea Health Industry Development Institute, ~ (2000)
- J. W. Ryoo, "The Labor Market for Medical Doctors in Korea", The Korean Economic Review, 54, pp.5~34 (2006)
- Mid- and Long-Term Estimation of Medical Supply, "Y. H. Oh", Korea Institute for Health and Social Affairs, ~ (2006)
- Modelling for Health Care Finance Forecasting based on System Dynamics, "Y. H. Jung", Korea Institute for Health and Social Affairs, ~ (2017)
- Koichubekov B, "System dynamics modeling for general practitioner workforce forecasting in Kazakhstan", Ann Ig, 33, pp.242~253 (2021)[DOI]
- Supply and Needs-Based Requirement Projections of Malaysian Human Resources for Health using System Dynamics Approach 2016-2030, "Ministry of Health Malaysia", Ministry of Health Malaysia, 1~86 (2019)
- Natarai, S., "Options for Department of Defense Total Workforce Supply and Demand Analysis", pp.1~121 (2014), RAND Corporation
- Ishikawa T, "Forecasting the regional distribution and sufficiency of physicians in Japan with a coupled system dynamics—geographic information system model", Human Resources for Health, 15, pp.1~9 (2017)
- Leerapan B, "System dynamics modelling of health workforce planning to address future challenges of Thailand’s Universal Health Coverage Leerapan et al", Hum Resour Health, 19, pp.1~16 (2021)
- T. S. Kim, "System Dynamics Approach to Demand and Supply of Information Security Manpower", Korea Institute of Communication Sciences, 29, pp.642~653 (2004)
- J. H. Park, "A Study on the Estimation of Supply and Demand of Physicians", Korean Medical Association, 18, pp.24~31 (2020)
- "OECD Health Statistics 2020"[URL]
- Health Workforce Planning and Mobility in OECD Countries, "Lafortune, G.", OECD, 1~31 (2014)
- Oh, Y. I., "Assessment of the Reasonable Number of Physicians in Korea", Journal of Korean Medical Association, 63(12), pp.789~797 (2020)
- Oh, Y. H., "Forecasting for The Demand and Supply of Major Health Workforce in Korea : 2020∼2030", The Korea Institute of Public Administration, 32, pp.32~42 (2020)
- Modelling for Health Care Finance Forecasting based on System Dynamics, "Jung, Y. H.", Korea Institute for Health and Social Affairs, ~ (2017)
- Koichubekov B, "System dynamics modeling for general practitioner workforce forecasting in Kazakhstan", Ann Ig, 33, pp.242~253 (2021)
- Leerapan B, "System dynamics modelling of health workforce planning to address future challenges of Thailand’s Universal Health Coverage Leerapan et al", Hum Resour Health, 19, pp.1~16 (2021)
- Hasan, H. T., "A joint problem of strategic workforce planning and fleet renewal: With an application in defense European", Journal of Operational Research, 296, pp.615~634 (2021)
- Health Insurance Review & Assessment Service, "National Health Insurance Statistical Yearbook" (2020)
- Lee, H. W., "Comparative Analysis of Age Effect, Period Effect, and Cohort Effect through Time Series Data Analysis-Focus on Changes in Consumer Perception of Corporate Social Responsibility", Korean Society of Consumer Studies, 32, pp.49~73 (2021)
- Population Estimation Study Considering Direct Cohort Effects, "Heo, J. H.", National Assembly Futures Institute, 1~164, pp.20 (2020)
- "2020 Population Trend Survey"[URL]
- A Right Look into OECD Health Data - Focusing on Indicators of the Number of Practising physicians, "Seo, K. H.", Research Institute for Healthcare Policy Korean Medical Association, 14~18 (2020)
- A Study on the Appropriateness of Physicians for Future Preparation, "Hong, Y. C.", Korean Medical Association, 19~23 (2020)
- Jeong, H. S., "A Study on the Optimal Number of Physicians in Korea", Journal of Hospital Management & Policy, 2, pp.4~16 (2013)
- Ministry of Health and Welfare, "Medical school admissions increase by 1,509admissions next year for the first time in 27 years", ~ (2024)
- Ministry of Health and Welfare, "Essential health care policy packages", ~ (2024)
- The First Opinion of The Korean Medical Association on The Re-establishment of Public Health Care and The Increase in The Number of Doctors Board of Directors, "Korean Medical Association", ~ (2020)
- J. Y. Kwon, "Japan's Policy and Implications for Expansion of Doctoral Manpower", Journal of the Korea Convergence Society, 11, pp.345~352 (2020)
- H. Y. Lee, "How to Make the Right Policy for the Medical Workforce", Journal of the Korean Medical Association, 60, pp.210~212 (2017)