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제목 공공의료 확충의 필요성과 전략
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첨부파일  건강보험연구원 Issue Report_공공의료 확충의 필요성과 전략.pdf  

공공의료 확충의 필요성과 전략에 관한 리포트 입니다.

2013년 진주의료원 폐쇄 및 2015년 메르스 사태 등을 겪으면서 공공의료의 필요성과 확충에 대한 사회적 논의는 지속되고 있지만, 여전히 가시적인 성과는 없는 상황이다. 건강보험을 근본적으로 개혁하기 위해서는 보건의료재정 개혁인 ‘문재인 케어’와 함께 보건의료공급체계 개혁이 함께 추진되어야 하며, 공공의료기관 확충을 통한 전달체계 개편이 이루어져야 할 것이다. 특히, 공공의료 기반 확충은
COVID-19의 대확산을 계기로 감염 및 재난 대응의 관점에서 그 중요성이 더욱 부각되고 있다. 본 보고서는 그 동안 잔여적, 기능중심적 관점의 공공의료 확충 논리의 한계를 넘어서 보건의료체계 개혁의 근본적 전략으로서 공공의료 확충의 담론을 제공하고자 한다. 이를 위하여 본 보고서는 ‘공공의료’ 대상은 소유형태에 따른 기관중심으로, 논의의 범위는 공공의료의 향후 바람직한 역할 설정과 장기적인
공급방안과 기대효과를 집중적으로 분석하고자 한다.

 

Ⅰ. 논의 배경 ····························································································1
1. 공공의료 논의에 앞서 ··································································1
2. 왜 다시 공공의료인가? ··································································4
Ⅱ. 현재 공공의료의 진단 ········································································8
1. 공공의료 공급 현황 ·······································································8
2. 공공의료 취약으로 인한 문제점 ·················································12
3. 공공의료 취약 원인 ·····································································19
Ⅲ. 공공의료기관의 역할 재정립 ···························································22
1. 추진 방향 ·····················································································22
2. 공공의료기관 역할 ·······································································23
Ⅳ. 공공의료기관 역할 수행 방안 ·························································30
1. 공공의료기관 확충(양적 성장) ····················································30
2. 공공의료기관 투자(질적 성장) ····················································39
Ⅴ. 공공의료 강화로 인한 기대효과 ······················································42
1. 민간의료기관 선도(민간의료에 대한 균형자) ·····························42
2. 공공의료 중심 의료전달체계 구축을 통한 의료비 절감 ···········42
3. 의료산업 및 ICT 활성화 ····························································43
4. 국민건강증진을 위한 거래비용 감소 ··········································45
Ⅵ. 시사점 ·····························································································46
1. 주요 내용 ···················································································46
2. 시사점 ···························································································47
부록 ·········································································································48
참고문헌 ··································································································59

출처 : 국민건강보험 건강보험연구원