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의료 취약지역 지원제도 개선방안 ＝ Improvement of supportive systems for medically underserved areas / 임선미 ; 김계현 1

[요약] 1

서론 1

의료 취약지역 제도 현황 및 문제점 2

1. 국내 의료 취약지역 지원제도 현황 2

2. 국외 의료 취약지역 지원정책 4

3. 현행 의료 취약지역 제도에 대한 법적 검토 및 문제점 분석 5

의료 취약지역 지원 확대를 위한 정책제언 7

1. 의료 취약지역 선정기준 조정 및 평가지표 개선 7

2. 법 개정 측면 8

3. 의료 취약지역 관리를 위한 협력체계 구축 8

4. 의료 취약지역 의료인 확보를 위한 인센티브 제도 9

5. 의료 취약지역 비대면진료 도입 및 관련 지원 필요 9

결론 9

Supplementary Materials 10

References 10

Peer Reviewers' Commentary 11

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우리나라 성인 비만의 현황 및 역학 = Current status and epidemiology of adult obesity in Korea 남가은 p. 394-399

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비만의 비약물적 치료 = Non-pharmacologic treatment for obesity 구보경 p. 400-407

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비만의 약물치료 = Pharmacologic treatment of obesity 정한나, 정창희 p. 408-416

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비만의 수술적 치료 = Surgical treatment for obesity 이다영, 이창민 p. 417-422

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비만과 코로나19의 연관성 = Association between obesity and COVID-19 임수 p. 423-429

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급성 허혈뇌졸중에서 재관류치료 = Reperfusion therapy in acute ischemic stroke 이상화, 이주헌 p. 430-439

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폐색전증의 약물치료 : Pharmacotherapy for pulmonary embolism : new anticoagulants / 새로운 항응고제 황헌규, 김양기 p. 442-448

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의료 취약지역 지원제도 개선방안 = Improvement of supportive systems for medically underserved areas 임선미, 김계현 p. 449-459

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참고문헌 (33건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Park GS, Na BJ, Lim JS. A study on the selection criteria for medically underserved areas. Sejong: Ministry of Health and Welfare; 2010. 미소장
2 Moon GJ, Lee GH, Lee TH, Lee HH, Gwak MG, Im J, Jeong BG. A study on deriving medically underserved areas through regional medical status analysis. Seoul: Ministry of Health and Welfare; 2013. 미소장
3 Korea Health Promotion Institute. Report on areas vulnerable to local health by city/province. Seoul: Korea Health Promotion Institute; 2016. 미소장
4 Ministry of Health and Welfare. 2018 Medically underserved areas monitoring. Sejong: Ministry of Health and Welfare;2018. 미소장
5 Health Resources and Services Administration (HRSA). What is shortage designation? [Internet]. Rockville: HRSA; 2020[citied 2021 Dec 1]. Available from: https://bhw.hrsa.gov/shortage-designation/what-is-shortage-designation. 미소장
6 Australian Government, Department of Health. General practice rural incentives program: program guidelines. Canberra: Australian Government, Department of Health;2019. 미소장
7 Ministry of Health, Labour and Welfare. A study on securing doctors in preparation for countermeasures against doctor imbalances. Tokyo: Ministry of Health, Labour and Welfare;2020. 미소장
8 Bill Information. Public Health and Medical Services Act, Partial amendment bill, No. 2100193 [Internet]. Seoul:National Assembly; 2020 [citied 2020 Jun 30]. Available from:http://likms.assembly.go.kr/bill/billDetail.do?billId=PRC_K2C0L0I6N0G5M1P4F2P9Y4O6Z2A0C8. 미소장
9 Moon GJ, Lee GH, Lee TH, Lee HH, Gwak MG, Im J, Jeong BG. Medical institution model and management plan according to the derivation of medically underserved areas. Seoul: National Medical Center; 2013. 미소장
10 Ministry of Health and Welfare. 2020 Medically underserved areas support project. Sejong: Ministry of Health and Welfare;2020. 미소장
11 China C, Park A, Galloway-Gilliam L. Health professional shortage areas: a history and guide to proposed revisions. Los Angeles: Community Health Councils; 2012. 미소장
12 Ono T, Schoenstein M, Buchan J. Geographic imbalances in doctors supply and policy responses (OECD Health Working Paper No.69). Paris: Organisation for Economic Co-operation Development; 2014. 미소장
13 Rural programs: a guide to the rural physician programs in British Colombia. Victoria: Physician Compensation Rural Practice Programs Ministry of Health; 2018. 미소장
14 Australian Government, Department of Health. District of workforce shortage [Internet]. Canberra: Australian Government, Department of Health; 2021 [citied 2021 Sep 20]. Available from: https://www.health.gov.au/healthworkforce/health-workforce-classifications/district-ofworkforce-shortage. 미소장
15 Australian Government, Department of Health. Modified Monash Model [Internet]. Canberra: Australian Government, Department of Health; 2021 Dec 14 [cited 2022 May 2]. Available from: https://www.health.gov.au/health-workforce/health-workforce-classifications/modified-monash-model. 미소장
16 Australian Government, Department of Health. Workforce Incentive Program Guidelines. Canberra: Australian Government, Department of Health; 2020. 미소장
17 Youn HM, Yun C, Kang SH, Kwon J, Lee HJ, Park EC, Jang SI. A study on regional differences in healthcare in Korea: using position value for relative comparison index. Health Policy Manag 2021;31:491-507. 미소장
18 Organisation for Economic Co-operation and Development. Health at a glance 2011: OECD indicators. Paris: Organisation for Economic Co-operation and Development; 2011. 미소장
19 Hawkins M. 2017 Survey of physician appointment wait times and medicare and medicaid acceptance rates [Internet]. Dallas: Merritt Hawkins; 2017 [cited 2022 Jun 28]. Available from: https://www.merritthawkins.com/uploadedFiles/MerrittHawkins/Content/Pdf/mha2017waittimesurveyPDF. pdf. 미소장
20 Korea Institute for Health and Social Affairs. 2017 Patients’satisfaction with medical service. Seoul: Ministry of Health and Welfare, Korea Institute for Health and Social Affairs;2017. 미소장
21 Organisation for Economic Co-operation and Development. Health at a glance 2019: OECD indicators. Paris: Organisation for Economic Co-operation and Development; 2019. 미소장
22 Seoul National University. A study on providing balanced medical services by region. Seoul: Ministry of Health and Welfare; 2016. 미소장
23 National Medical Center. Support for labor costs for medical personnel dispatched to local public hospitals [Internet]. Seoul: National Medical Center; 2020 [citied 2020 Sep 7]. Available from: https://www.ppm.or.kr/contents/contentsView.do?MENUID=A01020205. 미소장
24 KMA Research Institute for Healthcare Policy. 2016 Korean physician survey. Seoul: KMA Research Institute for Healthcare Policy; 2017. 미소장
25 Epstein AM. Paying for performance in the United States and abroad. N Engl J Med 2006;355:406-408. 미소장
26 Doran T, Fullwood C, Gravelle H, Reeves D, Kontopantelis E, Hiroeh U, Roland M. Pay-for-performance programs in family practices in the United Kingdom. N Engl J Med 2006;355:375-384. 미소장
27 Moon JY. Creating the nation’s first ‘Public-Private Cooperation Clinic’ in a small village in Jeju [Internet]. Kookmin Ilbo. 2022 Mar 1 [citied 2022 Mar 1]. Available from: http://news.kmib.co.kr/article/view.asp?arcid=0924233889&code=11131426&stg=ws_real. 미소장
28 Grumbach K, Fry J. Managing primary care in the United States and in the United Kingdom. N Engl J Med 1993;328:940-945. 미소장
29 Lee SH, Lee YT, Park SB, Lee SG, Song TG, Kang DW, Kim SY. A study on the expansion of medical personnel in public health care institutions using the will to retire. Seoul: Korea Health Industry Development Institute; 2008. 미소장
30 Park HY. Easing restrictions on telemedicine in the wake of the coronavirus outbreak. Seoul: The Korean Institute of Public Administration; 2020. 미소장
31 Ministrere Des Solidarites Et De La Aante. 2012: Territorial health pact 2012-2015 [Internet]. Paris: Ministrere Des Solidarites Et De La Aante; 2022 [citied 2022 Mar 28]. Available from: https://solidarites-sante.gouv.fr/archives/pts/article/2012-pacte-territoire-sante-2012-2015. 미소장
32 Ministry of Health and Welfare. Guide to medical support pilot project for vulnerable areas. Seoul: Ministry of Health and Welfare; 2021. 미소장
33 Kim DJ, Che SM, Choi JH, Lee JA. A study on improving the quality of life of farmers and fishermen: a plan to secure public health and medical personnel in rural areas. Sejong:Korea Institute for Health and Social Affair; 2017. 미소장

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