통일 이후 북한지역 적정 일차간호인력 수급 추계 = An Estimation of Supply and Demand for Primary Healthcare Nursing Workforce in the North Korean Region after Korean Reunification

다국어 초록 (Multilingual Abstract)

Purpose: This study was done to estimate supply and demand for nursing workforce to provide community-basedprimary healthcare in the North Korean region to cost-efficiently narrow the health gap between the two Koreas incase of a Korean reunification. Methods: To understand the nursing education system and current state of nursingworkforce in North Korea, the authors interviewed six North Korean defectors who had worked as nurses in NorthKorea. Based on the interview results and literature review, the supply and demand for the primary healthcare nursingworkforce that would be needed after Korean reunification were estimated. Results: Currently, a total of 2,100 to2,700 North Korean nurses were estimated to have graduated from nursing schools with a 2 year curriculum or completed6-month military nurse training courses every year. The projected number of nurses in demand to provideprimary health care ranged from 84,160 to 105,200 and the shortage would be between 31,586 and 52,626.
Conclusion: An active utilization of the North Korean nursing workforce to improve the health of North Koreans afterreunification will be the best way to reduce the reunification cost which will be inflicted mainly on South Korea.

국문 초록 (Abstract)

연구목적: 본 연구의 목적은 통일 이후 남북한 건강격차를 비용 효과적으로 해소하기 위하여 북한지역에 지역사회 기반의 일차보건의료를 제공할 수 있는 적정 일차간호인력의 수급을 추계하고 공급방안을 제안하기 위함이다. 연구방법: 북한의 간호인력 양성체계와 수급현황을 파악하기 위하여 재북 당시 간호원으로 근무한 경험이 있는 6명의 북한이탈주민을 면담하였다. 면담과 문헌고찰 결과를 기반으로 통일 이후 북한지역 적정 일차간호인력의 수급을 추계하였다. 연구결과: 북한 간호원은 2년 교육과정의 간호학교와 6개월 교육과정의 군 간호원 양성소에서 매년 2,100～2,700명의 간호원을 양성하는 것으로 추정된다. 통일 이후 북한지역 적정 일차간호인력은 84,160～105,200명이 필요하고, 공급에 있어서는 31,586～52,626명이 부족할 것으로 추계되었다. 결론: 통일 이후 북한 지역 주민의 건강증진을 위해 북한 간호 인력을 적극 활용하는 것이 제도적으로나 비용효과의 측면에서 통일의료비용 절감을 위한 가장 타당한 방법이 될 것이다.

참고문헌 (Reference)

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