지방의료원의 구조적 문제 분석 및 코로나 대응 제도에서 참고할 운영 개선 방안

초록

This study was undertaken to evaluate and analyze the structural problems and fundamental causes of regional medical centers and present measures for their improvement, in connection with the COVID-19 response system. Our research revealed that no regional medical centers were established at the central and local government levels after 1964. Most recent papers related to local medical centers confirmed them to be the role models for pursuing efficiency. Although regional medical centers have structural problems, they play key roles ensuring public safety and saving lives during national disasters. The primary problem of the regional medical centers is related to its structuring, wherein the operations are linked to the independent profit system, due to which shortage of medical personnel cannot be solved owing to the burden of additional labor costs. This study therefore proposes the introduction of a plan (basic budget system) to provide flat labor costs according to the number of essential medical personnel, and is based on a system that provides flat loss compensation according to the number of COVID-19 patient treatment beds and empty beds. We believe that application of this model will resolve the structural problems of regional medical centers. We further suggest operational improvement measures that could help in the future development of regional essential medical providers.

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