보건의료자원 배분의 효율성 증대를 위한 모니터링 시스템 구축 및 운영

오영호; 도세록; 이난희; 유형석; 김혜남; 오광호

보건의료자원 배분의 효율성 증대를 위한 모니터링 시스템 구축 및 운영 = Development and Management of Monitoring System to Improve the Efficiency of Health Care Resources Allocation: Health Care Resources, Korea, 2006~2011

제목: 보건의료자원 배분의 효율성 증대를 위한 모니터링 시스템 구축 및 운영 = Development and Management of Monitoring System to Improve the Efficiency of Health Care Resources Allocation: Health Care Resources, Korea, 2006~2011

저자: 오영호 ; 도세록 ; 이난희 ; 유형석 ; 김혜남 ; 오광호

키워드: health personnel ; medical equipment ; sick bed

발행연도: 2012

발행기관: 한국보건사회연구원

초록: - 우리나라 보건의료자원의 총량적인 수급과 지역간 수급실태를 모니터링 할 수 있는 보건의료자운 수집/관리시스템과 정보 분석 시스템 그리고 정보제공시스템 구축하고 개선
- 보건의료자원 모니터링시스템을 통하여 우리나라 보건의료자원 실태를 파악하여 보건의료시설, 인력 장비 등 보건의료자원 정보 생산

The number of health care institutions in Korea increased from 72,867 in 2006 to 81,664 in 2011, an annual average of 2.3%. The annual increase rate ranged between 3.2% 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 76,032 in 2011, an annual average 2.3, while during the same period public health care institutions increased by as little as 0.3% annually from 3,526 to 3,574. 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 1,040 in 2011. By provider type, the number of “hospitals and clinics” increased at an annual rate of 2.8% from 26,584 to 30,086, “dental hospitals and clinics” from 12,768 to 15,003 (3.3%), and “oriental medical hospitals and clinics” from 10,061 to 12,317 (4.1%).
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 1.47 times during the same period, from 325,169 to 479,309, among which acute care beds took up increased from 296,909 to 354,968, and long-term care beds by 4.4 times from 28,260 to 124,341.
Over the past 5 years between 2006 and 2011, the number of doctors grew by an annual average of 5.7% from 66,207 to 87,395. Dentists numbered 22,238 as of 2011, rising by 4.6% annually from 17,787 in 2006, and the number of nurses increased by an annual average of 8.6%, from 92,216 to 139,247. The number of doctors per 100,000 population increased by 28.9 from 137.1 in 2006 to 178.4 in 2011.
There was only a modicum of increase in the number of CT scanners, from 1,556 to 1,760, while the number of MRI scanners increased from 616 to 1,036 and the number of extracorporeal shock wave lithotripters (ESWL) from 481 to 715 units. The per-100,000-population number increased to a great extent for both MRI scanners and ESWL, from 1.3 to 2.1 and from 1 to 1.5, 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
요 약
제1장 서론
제1절 조사의 배경
제2절 조사목적
제3절 조사의 법적 근거
제2장 조사 개요
제1절 추진 배경
제2절 조사 목적
제3절 조사 대상 및 조사 기간
제4절 조사 내용
제5절 조사 방법
제3장 보건의료자원 조사결과
제1절 전체 의료기관 현황
제2절 지역별 현황
제3절 설립형태별 현황
제4절 의료기관 종별 현황
제4장 주요 국가간 보건의료자원 비교 분석
제1절 보건의료시설의 국제 비교
제2절 보건의료인력의 국제 비교
제3절 주요의료장비의 국제 비교
제5장 요약 및 정책과제
제1절 요약
제2절 보건의료자원 적정수급을 위한 정책방향
참고문헌