남북 보건의료체계 통합을 위한 대북 지원 전략 = Study on the Strategy for Supporting North Korea to Unify Health Medical Systems both South and North Koreas

다국어 초록 (Multilingual Abstract)

The purpose of this study is to grope for the desirable ways to support North Korea in order to facilitate the unification of medical systems of both nations by decreasing the gap between two nations in preparation of the unification of two nations’ health medical systems and increasing mutual understating on different elements. For this, this study was conducted on the prerequisitions: 1)supporting North Korea may contribute to changing the exclusive attitudes of North Korea and providing good opportunities for opening its door to other countries; 2) supporting North Korea by both material benefits and exchanges of human resources may have influences on building mutual trust and on leading to North Korea’s adoption of ‘transformation through approaches’.
As a study method, I conducted comparative analyses on the two nations’ health medical systems by both utilizing the models of Klezkowski’s Health Medical System and using the health level of two nations’people by health index. From these comparative analyses, I examined three parts: 1) the gap between two nations’ health medical systems 2) the present status of domestic & foreign countries’ support for North Korea in aspect of health medical area; 3) evaluations on North Korea support in aspect of AGIL functions.
I suggested that the desirable direction for supporting North Korea in order to prepare for the unification of two nations’ health medical systems should progress under the conditions that eliminate the problems posed by supporting procedure and increase the same quality of both nations’medical systems through following three principles: transparency, consistency and inclusion. As a result, we need to set the 3 basic directions on how to support North Korea.
First of all, in order to streamline the use of limited resources,we need to set the priority considering the levels of significance and seriousness on health problems. Second, we need to establish long-term and comprehensive plans on health medical systems in order to achieve unification in this area through collecting a variety of opinions from governments, non-governmental fields and academic areas. Third, we need to set separate roles among governments, non-governmental fields and academic fields, which may facilitate close cooperation among them.
As far as specific strategies concerned, there are five ways in order to precipitate efficient medical supports for North Korea. First of all, it is necessary to develop various supporting programs for the weak classes such as children and women. Second, it is necessary to help North Korea revitalize health-medicine related infrastructure such as pharmaceutical industry, medical equipment industry and medical device industry which were almost collapsed during the economical turmoil in North Korea. Third, it is necessary to facilitate the cooperative supporting programs which supporting organizations, sponsoring institutes, experts groups and North Korean partners are participated in all together in order to prevent difficult tasks which sole actor can not solve and severe competitions among various actors. Fourth, it is necessary to promote local community based projects which not only are suitable in providing primary medicines and preventive services but also can connect North Korean health medical organizations. Finally, it is necessary to produce experts who have professional knowledge and skills on a health medical area and have abilities to manage supporting programs smoothly as well.

목차 (Table of Contents)

• 제 1장 서론 1
• 제 1절 연구 배경 및 필요성 1
• 제 2절 연구의 목적 2
• 제 3절 연구범위 및 방법 2
• 제 2장 이론적 고찰 4
• 제 1절 기능주의 통합론 과 사회체계이론 4
• 제 2절 국가 보건의료체계 구성요소 9
• 제 3절 보건의료분야 원조사업에 대한 선행 연구 12
• 제 3장 남북 보건의료체계 비교 15
• 제 1절 보건의료자원 15
• 제 2절 보건의료자원의 조직 23
• 제 3절 보건의료 제공 25
• 제 4절 보건의료의 경제적 지원 28
• 제 5절 보건의료체계 관리 30
• 제 6절 남북한의 보건상태 비교 33
• 제 4장 북한 보건의료와 해외원조 36
• 제 1절 대북한 보건의료 지원 현황 36
• 제 2절 한국의 대북 보건의료 지원 40
• 제 3절 국제적 대북 보건의료 지원 45
• 제 5장 대북 보건의료지원의 평가 48
• 제 1절 기능주의와 사회체계론적 평가 48
• 제 2절 대북 보건의료지원 기본원칙 준수의 필요성 55
• 제 3절 대북 보건의료지원 기본방향 정립의 필요성 56
• 제 6장 남북 보건의료 격차해소 프로그램 59
• 제 1절 취약계층 대상의 개발구호 사업 59
• 제 2절 보건의료 산업 인프라 구축 지원 61
• 제 3절 대북 보건의료 공동지원프로그램 활성화 63
• 제 4절 지역사회 중심의 구호사업 64
• 제 5절 보건의료 지원 사업 전문가 육성 65
• 제 7장 결론 66
• 참고문헌 69
• ABSTRACT 72