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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2004.12
- 수록면
- 83 - 102 (20page)
- DOI
- 10.23948/kshw.2004.12.7.83
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초록· 키워드
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The research inquired into the Health Care System after Unification with examining characteristic of the Health Care System in North Korea and with comparing systems of Health Care and Man Power in North and South. That is, theories of North Korean Health Care are based on data presented by the Board of National Unification, while comparison on Systems of Health Care and Man Power of North and South Korea is based on data announced recently, with which the theorematical pattern of Health Care System has been studied.
The outcome of research are as the following:
(1) The central health administrative structure is controlled by the ministry of Health and welfare in south Korea, while the vice-minister of Health that is in charge of Health, corresponding to the deputy-prime minister with Department of Health perform Health Care affairs in North. For local administrative system, in South it is dualized with ministries of Home Affairs and Health and welfare at the present time, while North Korea has the simplified system under the control ministry of health.
(2) South Korea has 3 stages for performing medical care, whereas North Korea has the system of 4 stages for the purpose. Especially, in South at the lst stage Medical Office of the community, the public health doctor with other members of medical service are stationed to perform the serviced, but in North the hospital for units of city and Gun with the lst stage Medical Office medical service is rendered as the system of Doctor-in-Charge of District.
(3) In South Korea, mainly for civilians, Health Care serviced has been rendered, whiled North Korea renders medical service with a type led by government under socialism. Therefore, viewing from the flank of equity for Health Care service, there is a possibility that it might get transformed into medical goods on a commercial scale, deepening the sense of incompatibility in South Korea. In North on the contrary, as far as equity is concerned, there is no room for debate.
(4) After unification, considering the case of unification being accomplished by full consent of both sides, the basic principles for organizing Health Care System got divided into 3 stages, the lst of which is "Management during transitional period". the 2nd stage "period for perform example of Health Care", and the 3rd"period of settlement for Health Care System". Namely, (A) In the lst stage, existing Health Care Systems of North and South are to be maintained as the transitional ones, and let the citizens have the right of choice for utilizing Health Care service. The Management System is to control the whole after promoting all the tasks concentrated with Health Care to the level of deputy-prime minister of Health and welfare or of that in charge of health. For procurement of fund, Government revenue is to be appropriated for the system of free Medical fee, and Insurance Fee or Individual Payment is to used for the Medical Insurance system. (B) In the 2nd stage, which is "The period for performing examples of Health Care", the whole expense and effect on the work of Health Care System in both sides will be analyzed, and the evaluation of efficiency will be exercised. (C) The 3rd stage is "the period of settlement for Health Care". with these bases mentioned above, taking equity and efficiency into consideration, of systems of North and South, either one is to be selected by the consent of the people, going through the National Assembly that will make a decision on the bill, and then unified plan will be provide after holding public hearing on it.
(5) Therefore. after unification, the model for Health Care System is to maintain, as the transitional system, the South Korean Medical Insurance System and the North Korean fee Free Medical System, developing an exemplary work of two systems, for which analysis of expansions and efficiency will be practiced, and then they will be evaluated. For the standpoint of the people, the equity should be pursued, and for government, the efficiency is to be sought after. And the Korean style National Health Care Service System should expected to establish.
The outcome of research are as the following:
(1) The central health administrative structure is controlled by the ministry of Health and welfare in south Korea, while the vice-minister of Health that is in charge of Health, corresponding to the deputy-prime minister with Department of Health perform Health Care affairs in North. For local administrative system, in South it is dualized with ministries of Home Affairs and Health and welfare at the present time, while North Korea has the simplified system under the control ministry of health.
(2) South Korea has 3 stages for performing medical care, whereas North Korea has the system of 4 stages for the purpose. Especially, in South at the lst stage Medical Office of the community, the public health doctor with other members of medical service are stationed to perform the serviced, but in North the hospital for units of city and Gun with the lst stage Medical Office medical service is rendered as the system of Doctor-in-Charge of District.
(3) In South Korea, mainly for civilians, Health Care serviced has been rendered, whiled North Korea renders medical service with a type led by government under socialism. Therefore, viewing from the flank of equity for Health Care service, there is a possibility that it might get transformed into medical goods on a commercial scale, deepening the sense of incompatibility in South Korea. In North on the contrary, as far as equity is concerned, there is no room for debate.
(4) After unification, considering the case of unification being accomplished by full consent of both sides, the basic principles for organizing Health Care System got divided into 3 stages, the lst of which is "Management during transitional period". the 2nd stage "period for perform example of Health Care", and the 3rd"period of settlement for Health Care System". Namely, (A) In the lst stage, existing Health Care Systems of North and South are to be maintained as the transitional ones, and let the citizens have the right of choice for utilizing Health Care service. The Management System is to control the whole after promoting all the tasks concentrated with Health Care to the level of deputy-prime minister of Health and welfare or of that in charge of health. For procurement of fund, Government revenue is to be appropriated for the system of free Medical fee, and Insurance Fee or Individual Payment is to used for the Medical Insurance system. (B) In the 2nd stage, which is "The period for performing examples of Health Care", the whole expense and effect on the work of Health Care System in both sides will be analyzed, and the evaluation of efficiency will be exercised. (C) The 3rd stage is "the period of settlement for Health Care". with these bases mentioned above, taking equity and efficiency into consideration, of systems of North and South, either one is to be selected by the consent of the people, going through the National Assembly that will make a decision on the bill, and then unified plan will be provide after holding public hearing on it.
(5) Therefore. after unification, the model for Health Care System is to maintain, as the transitional system, the South Korean Medical Insurance System and the North Korean fee Free Medical System, developing an exemplary work of two systems, for which analysis of expansions and efficiency will be practiced, and then they will be evaluated. For the standpoint of the people, the equity should be pursued, and for government, the efficiency is to be sought after. And the Korean style National Health Care Service System should expected to establish.
목차
Ⅰ. 서론
Ⅱ. 연구방법
Ⅲ. 북한의 보건의료체계
Ⅳ. 남한의 보건의료체계
Ⅴ. 남북한 보건의료체계의 비교
Ⅵ. 보건의료체계의 통합 모형
Ⅶ. 결론
참고문헌
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