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KMID : 0892719970010010019
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Journal of the Korean Society of Maternal and Child Health
1997 Volume.1 No. 1 p.19 ~ p.24
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Current Status of Neonatal Intensive Care in Korea
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Shin Son-Moon
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Abstract
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Regionalization of the perinatal care had already been established in the developed countries. But the perinatal care is not yet organized here in Korea.
Three main factors are related to the lack of the organized regional perinatal care system. Fist, there are insufficient numbers of the neonatal intensive care beds in the tertiary hospitals, and physical facilities including equipments. Only twenty-seven percent of the estimated bed requirements for intensive care was available and the numbers of the equipments such as monitors, ventilators, infusion pumps, incubators and infant care systems were also only twenty to thirty percent of the requirement. The next factor is personnel shortages, of both doctors and nurses. The number of patients a nurse has to take care of is about five times the number recommended by the American Academy of Pediatrics and American College of Obstetricians and Gynecologists. The last factor is inadequate medical fee for the neonatal intensive care which were regulated by the government. Fee for the incubator care is only 4,500 won(about 5 US dollars) per day. Moreover, only 18,330 won(about 21 US dollars) can be charged for the ventilator care per day. It is insufficient not only for the renewal of the equipments every five years, but also for supporting the cost of the maintenance of the equipments.
By recruitment of medical personnels and physical facilities including equipments through improvement of the medical insurance policy, a regionalized neonatal intensive care system can be established in Korea.
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KEYWORD
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Neonatal Intensive Care, Regionalization
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