|
KMID : 1142920170010010109
|
|
Public Health Affairs
2017 Volume.1 No. 1 p.109 ~ p.127
|
|
|
Conceptual Reconstruction and Challenges of Public Health Care
|
|
Yim Jun
|
|
|
Abstract
|
|
|
Objective: In Korea, the crisis of health care is intensifying as the privatization of health care system that weakens the publicness. To overcome the market failure of health care and to control government failure, new policies on public health care are needed.
Methods: The research was conducted using a deductive research methodology that draws conclusions based on the theoretical proofs and historical contexts.
Results: Public health care can be classified into public health, which means mainly prevention and health promotion for the population, and public medical care, which means mainly prevention, treatment, and rehabilitation for individuals. The role should be understood as a universal meaning for the entire population, not the residual. In public health care, there are few public medical institutions, public private medical institutions are rare, and public health institutions are also insufficient to carry out prevention and health promotion for the entire population. There is a shortage of the overall healthcare workforce. The provision of public health care services is tailored to vulnerable groups and targets, and there is no strategy to improve the overall health of the population and to reduce health inequality.
Conclusions: To solve these problems, it is necessary to build a public health care system based on population,leading to resolution of health inequality, acting as a control tower in a public health crisis, and based on community participation. In the case of public medical care, the position and role of the National Medical Center should be strengthened, the regional hospital should be designated and operated for each service area, and the provincial hospital led by the national university should be designated and operated. In the case of public health, a public health system based on community participation should be established by expanding full-time public health workers and establishing a small-area health safety net.
|
|
|
KEYWORD
|
|
|
Public Health Care, Public Health, Public Medical Care
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|