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NTIS 바로가기Health policy and management = 보건행정학회지, v.26 no.3, 2016년, pp.195 - 206
Background: Concentration of patients to large hospitals is serious problem in Korea. The purpose of this paper is to propose appropriate policy direction to relieve concentration of patients to large hospitals. It is focused on evaluation of the possibility of family doctor system as a policy alter...
핵심어 | 질문 | 논문에서 추출한 답변 |
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World Health Organi-zation(WHO)을 정의하면? | 이와 같은 대형병원 환자집중현상은 의료자원의 낭비, 의료의질 저하 등의 문제를 야기할 수 있으며, 특히 일차의료의 붕괴를 초래할 수 있다는 점에서 심각한 문제가 된다. World Health Organi-zation (WHO)는 ‘일차보건의료’라는 개념을 보건 및 사회경제분 야의 핵심 부분으로 보건의료체계의 중심적 기능을 담당하여 질병치료뿐 아니라 건강증진, 예방, 치료 및 재활 등의 서비스까지 통합된 보건의료제공체계라고 정의하고 있다[3]. 때문에 일차의료의 붕괴는 비단 일차의료 공급자뿐 아니라 지역사회 전체에까지 그 영향이 미칠 수 있다. | |
대형병원의 환자집중현상은 어떤 문제를 초래하는가? | 이와 같은 대형병원 환자집중현상은 의료자원의 낭비, 의료의질 저하 등의 문제를 야기할 수 있으며, 특히 일차의료의 붕괴를 초래할 수 있다는 점에서 심각한 문제가 된다. World Health Organi-zation (WHO)는 ‘일차보건의료’라는 개념을 보건 및 사회경제분 야의 핵심 부분으로 보건의료체계의 중심적 기능을 담당하여 질병치료뿐 아니라 건강증진, 예방, 치료 및 재활 등의 서비스까지 통합된 보건의료제공체계라고 정의하고 있다[3]. | |
대형병원 환자집중현상 완화정책의 목적은 의료이용량 자체의 감소가 아닌, 대학병원 의료 수요를 의료기관으로 이동시킨다는 것의 근거는 무엇인가? | 한편 대형병원 환자집중현상 완화정책의 목적은 대형병원 의료 수요를 의원급 의료기관으로 이동시키는 것이지 의료이용량 자체의 감소가 아니라는 사실을 기억해야한다. 의료이용량이 감소할 경우 미충족의료가 발생할 수 있고, 상대적으로 취약계층이 우선적으로 미충족의료에 노출될 가능성이 높기 때문이다. 때문에 의원급 상용치료원의 대형병원 이용 감소효과가 잉여 의료를 감소시킨 것인지, 의료수요를 의원급 의료기관으로 이동시킨 것인지, 혹은 미충족의료를 발생시킨 것인지에 대한 고찰이 필요하다. |
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