문재인정부의 보건의료정책 평가와 차기 정부의 과제 = Moon Jae-in Government Health Policy Evaluation and Next Government Tasks

다국어 초록 (Multilingual Abstract)

Moon Jae-in Care can be seen as a 2.0 version of Roh Moo-Hyun Care. Just as Roh Care failed to achieve its coverage rate goal and 30% share of public beds, Moon Care also failed to achieve its expected goal. The reason is that it followed Roh Care’s failed strategy. Failure to control non-covered services has led to a long way to achieve a 70% coverage rate and induced the expansion of voluntary indemnity insurance, resulting in increased public burden. The universal coverage of non-covered services caused an immediate backlash from doctors. And Moon government also failed to control the private insurance market. The expansion of publicly owned beds has not become realized and has not obtained public support. Above all, it failed to overcome the resistance of doctors and failed to obtain consent from budget power groups in the cabinet for public investment. It was also insufficient to win the support of civic groups. Communication with interested groups failed and the role of private health care providers was neglected. The next government should also continue to strengthen health care coverage, but it should prioritize preventing medical poor and create a consensus with both medical providers and consumers for the control of non-covered services. Ahead of the super-aged society, the establishment of linkage between medical services and long-term care and visiting health care or welfare services is an important task. All public and private provisions and resources should be utilized in the view of a comprehensive public health perspective, and public investment should be input in sectors where public medical institutions can perform more effective functions. The next government, which will be launched in 2022, should design a new paradigm for health care in the face of a period of transformation, such as the coming super-aged society in 2026 and the Fourth Industrial Revolution, and recognize that the capabilities of the health care system represent the nation’s overall capacity.

참고문헌 (Reference)

• 1 최병호, "미국 의료개혁의 정치경제학" 한국보건경제정책학회 17 (17): 71-101, 2011
• 2 신성식, "문재인 대통령의 보건의료 공약과 과제" 한국보건행정학회 27 (27): 97-102, 2017
• 3 Kim J, "The need and strategy for enforcing public health" National Health Insurance Research Institute 2020
• 4 Ministry of Health and Welfare, "The comprehensive measures of strengthening public health" Ministry of Health and Welfare
• 5 Ministry of Health and Welfare, "The Second Public Health Plan(2021-2025)" Korea Insurance Research Institute
• 6 Ministry of Health and Welfare, "The First Public Health Plan (2016-2020)" Ministry of Health and Welfare
• 7 Bloomberg, "The COVID resilience ranking: the best and worst places to be as winter meets omicron" Bloomberg
• 8 Zaki MM, "Supporting value-based health care:aligning financial and legal accountability" 385 (385): 965-967, 2021
• 9 Ministry of Health and Welfare, "Strengthening public health for the protection from infectious diseases and the essential care" Ministry of Health and Welfare
• 10 Kwon S, "Policy issues in the coverage of the national health insurance" (272) : 5-14, 2019
• 11 Tchoe B, "Policy implications for the national health insurance coverage expansion" (289) : 7-22, 2020
• 12 Ministry of Health and Welfare, "Planning of integrated community care: community care for the elderly as the first step" Ministry of Health and Welfare
• 13 Ministry of Health and Welfare, "Performances of Moon Jae-in health care during 4 years" Ministry of Health and Welfare
• 14 National Health Insurance Corporation, "Notice of 2019 long-term care insurance statistics publication" Korea Insurance Research Institute
• 15 Choi ET, "Mega hospitals: patients up with major diseases and patients down with minor diseases"
• 16 Park SM, "Korea Disease Control and Prevention Agency considers the establishment of the fifth infection hospital"
• 17 Kim C, "Health as a public service and public health" Hanul Academy 2019
• 18 Ministry of Health and Welfare, "Dementia, now Government’s responsibility" Ministry of Culture, Sports and Tourism
• 19 Prime Minister’s Secretariat, "Convening trans-departments public hospitals consortium" Office for Government Policy Coordination, Prime Minister’s Secretariat
• 20 Financial Services Commission, "Containment of non-covered medical services and revamping indemnity insurance" Ministry of Culture, Sports and Tourism
• 21 Ko SJ, "Connected cooperation among departments for the consolidated public health"
• 22 Oh MH, "Congress man, Kim Sung-Ju, concerned the concentration of patients toward tertiary hospitals" Korean Hospital Press
• 23 Policy Wiki, "Community care" Ministry of Culture, Sports and Tourism
• 24 Jung S, "Claims of indemnity insurance and its issues" 12 : 1-7, 2020
• 25 Jung S, "Claims of cataract indemnity insurance and its issues" 7 : 14-16, 2021
• 26 Organization for Economic Cooperation and Development, "Beyond containment: health systems responses to COVID-19 in the OECD"
• 27 Ministry of Health and Welfare, "Achievements of two-years’ Moon Jae-in Care" Ministry of Culture, Sports and Tourism
• 28 National Planning Committee, "5 Year management plan of Moon Jae-in Government" Ministry of Culture, Sports and Tourism
• 29 Democratic Party, "19th Presidential Election Policy Promises" Democratic Party