보건의료자원배분의 효율성 증대를 위한 모니터링시스템 구축 및 운영 -2006~2010년 결과 보고서-

오영호; 도세록; 손창균; 문정운; 이난희; 박대순; 유형석

보건의료자원배분의 효율성 증대를 위한 모니터링시스템 구축 및 운영 -2006~2010년 결과 보고서- = Development and Management of Monitoring System to Improve the Efficiency of Health Care Resources Allocation: Health Care Resources, Korea, 2006~2010

제목: 보건의료자원배분의 효율성 증대를 위한 모니터링시스템 구축 및 운영 -2006~2010년 결과 보고서- = Development and Management of Monitoring System to Improve the Efficiency of Health Care Resources Allocation: Health Care Resources, Korea, 2006~2010

저자: 오영호 ; 도세록 ; 손창균 ; 문정운 ; 이난희 ; 박대순 ; 유형석

키워드: 보건의료자원배분 ; 모니터링스시템 구축

발행연도: 2011

발행기관: 한국보건사회연구원

초록: ◈ 보건의료자원 모니터링 시스템 구축ㆍ개선 및 확대
- 보건의료정보 수집/관리시스템 개선 및 확대
- 정보분석시스템 개선 및 확대
- 보건의료정보제공시스템 개선 및 확대
◈ 보건의료자원 실태조사 내용
- 보건의료기관 구분: 약국을 포함한 90,000여개의 보건의료기관
- 조사내용: 병상 및 시설, 보건의료인력, 의료장비 등

The number of health care institutions in Korea increased from 72,917 in 2006 to 80,850 in 2010, an annual average of 2.6%. The annual increase rate ranged between 3.7% for Gyung-gi and 1.5% for Gang-won and Jeju. In terms of the type of establishment, the most increase in number was in private clinics from 67,799 in 2006 to 75,171 in 2010, an annual average of 2.6, while during the same period public health care institutions increased by as little as 0.3% annually from 3,526 to 3,565. The number of medical corporations increased at the highest rate among all health care institutions, at an annual average of 8.6%, from 697 in 2006 to 971 in 2010. By provider type, the number of “hospitals and clinics” increased at an annual rate of 2.8% from 26,584 to 29,708, “dental hospitals and clinics” from 12,768 to 14,612 (3.4%), and “oriental medical hospitals and clinics” from 10,061 to 12,100 (4.7%).
Of all specialty practice areas, those that saw decreases include internal medicine, general surgery, orthopedic surgery, chest surgery, thoracic and cardiovascular surgery, obstetrics & gynecology, pediatrics, urology, radiology, and laboratory medicine, while anesthesiology, ophthalmology, dermatology, rehabilitation medicine, and family medicine were found to have increased in their proportions in all specialty areas offered. The number of beds increased by 80% times during the same period, from 325,169 to 586,374, among which acute care beds took up increased from 296,909 to 486,265, a 60% increase, and long-term care beds by 3.5 times from 28,260 to 100,209. Over the past 5 years between 2006 and 2010, the number of doctors grew by an annual average of 5.2% from 66,207 to 81,117. Dentists numbered 20,667 as of 2010, rising by 3.8% annually from 17,787 in 2006, and the number of nurses increased by an annual average of 5.3%, from 92,216 to 113,497. The number of doctors per 100,000 population increased by 28.9 from 137.1 in 2006 to 166.0 in 2010. There was only a modicum of increase in the number of CT scanners, from 1,556 to 1,705, while the number of MRI scanners increased by 50% from 616 to 922 and the number of extracorporeal shock wave lithotripters (ESWL) by 40% from 481 to 697 units. The per-100,000-population number increased to a great extent for both MRI scanners and ESWL, from 1.3 to 1.9 and from 1 to 1.4, respectively.
Health care resources need to be allocated in an efficient and equitable manner so as to allow all in all areas access to quality services. Policy consideration on health care resources needs to focus primarily on how to raise the rationality, efficiency, equitability of their distribution. To do this would require monitoring health care demand and supply, setting distributive principles and thresholds for different areas, establishing residence-based health care entitlements, and dividing the roles of different providers.

목차: Abstract 1
요 약 5
제1장 서 론 29
제1절 조사의 배경 29
제2절 조사목적 30
제3절 조사의 법적 근거 31

제2장 조사 개요 35
제1절 추진 배경 35
제2절 조사 목적 35
제3절 조사 대상 및 조사 기간 36
제4절 조사 내용 37
제5절 조사 방법 38

제3장 보건의료자원 조사 결과 43
제1절 전체 의료기관 현황 43
제2절 지역별 현황 60
제3절 설립형태별 현황 135
제4절 의료기관 종별 현황 168

제4장 주요 국가 간 보건의료자원 비교 분석 207
제1절 보건의료시설의 국제 비교 207
제2절 보건의료인력의 국제 비교 210
제3절 주요의료장비의 국제 비교 215

제5장 요약 및 정책과제 227
제1절 요약 227
제2절 보건의료자원 적정수급을 위한 정책방향 236

참고문헌 239