한국 醫療福祉서비스 傳達體系에 관한 硏究 = The study on Health Care Delivery System in Korea

다국어 초록 (Multilingual Abstract)

The social welfare of Korea was promoted cetnteral government centered after the 1945 Liberation. For Korean government had to solve the social problem in short time by the limited finance through the 1945 Liberation and the Korea War. And local govermnent was unable to settle the social problem for financial shortage. Moreover centeral government enforced the National Health Insurance System initiatively on July 1.1989.
This political will performance through the administrative organization. Therefore this article is designed to investigate the centeral departments involved health care and examine the problem and propose reform measures. The first, since the centeral departments involved health care are pluralistic, the health polcy is lacking consistency. The alternatives is to organize tentativerly named "the centeral council" and this mechanism coordinate the health polcy among the centeral departments involved health care and make a health plan and control a program and evaluate an effect.
The second, since the centeral departments involved health care operate the public medical institutions, the efficiency and self-control go down. The alternatives is that the public medical insitutions make to be a special corporation or a public corporation. Then the efficiency and self-control of the public medical institution will enhance.
The third, since absence of the health plan of community is a grave question, the alternatives is to expand community health system. Then even if a local autonomy put into operation in future, the health care of community will be no problem.
Additionly Health care delivery system is pointed as a problem. For instance, it is that the role and function of a hospital and a clinic, a medical specialist and a medical generalist is not divided in addition to confusion of patient referral system. The alternatives is to divided the role and function of a hospital and a clinic, a medical specialist and a medical generalist into primary, secondary and ternary medical institution.

목차 (Table of Contents)

• Ⅰ. 問題提起
• 1. 硏究目的
• 2. 硏究範圍와 限界
• Ⅱ. 醫療福祉서비스 傳達體系의 理論的 背景
• 1. 旣存硏究의 檢討
• 2. 醫療福祉서비스 傳達體系의 대두배경
• 3. 醫療福祉서비스 傳達體系의 類型
• 4. 醫療福祉서비스 傳達體系의 原則
• Ⅲ. 한국 醫療福祉서비스 傳達體系의 現況
• 1. 醫療福祉서비스 傳達體系의 實態
• 2. 醫療福祉서비스 傳達體系의 問題點
• Ⅳ. 한국 醫療福祉서비스 傳達體系의 改善方案
• 1. 醫療福祉서비스 傳達體系에 관한 基本構想
• 2. 行政構造의 改善
• 3. 醫療傳達體系의 改善
• 4. 地域社會保建制度의 擴充
• Ⅴ. 結 論
• 參考文獻
• Summary