Journal List > J Korean Med Assoc > v.55(10) > 1042626

J Korean Med Assoc. 2012 Oct;55(10):940-949. Korean.
Published online October 17, 2012.  https://doi.org/10.5124/jkma.2012.55.10.940
Copyright © 2012 Korean Medical Association
Current status and new policy direction of healthcare personnel in Korea
Chun-Bae Kim, MD,1,2 and Pan Suk Kim, PhD2
1Department of Preventive Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
2Institute for Poverty Alleviation and International Development, Yonsei University, Wonju, Korea.

Corresponding author: Chun-Bae Kim, Email: kimcb@yonsei.ac.kr
Received September 20, 2012; Accepted September 30, 2012.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

The health insurance financial crisis and the aging population have overshadowed the South Korean healthcare market. Reforming healthcare has become a major policy issue in the upcoming presidential election on December 19, 2012. It is hard to imagine a time when expectations have been higher and the challenges have been greater for the next administration to create a sustainable healthcare system. Among healthcare policy problems, the new administration must keep in mind reforms for healthcare personnel. Accordingly, several intermediate and long-term actions and initiations for healthcare personnel can help lay the groundwork for sustainable development of Korea's healthcare system. Possible examples include balancing the supply plan of physicians and nurses according to the finances of the National Health Insurance, controlling the number of dentists, oriental medical doctors, and pharmacists, while enhancing health education specialists, and complementary and alternative medical therapists.

Keywords: Healthcare personnel; Healthcare policy; Sustainable development

Figures


Figure 1
The number of practising physicians per 1,000 inhabitants (From Organization for Economic Cooperation and Development. OECD factbook 2011-2012: economic, environmental and social statistics [Internet]. Paris: OECD Publishing; 2011) [2].
Click for larger image


Figure 2
Distribution of physicians as a percentage of total physicians (2009 or latest available year) (From Organization for Economic Cooperation and Development. OECD factbook 2011-2012: economic, environmental and social statistics [Internet]. Paris: OECD Publishing; 2011) [2].
Click for larger image


Figure 3
The number of practising nurses per 1,000 inhabitants (From Organization for Economic Cooperation and Development. OECD factbook 2011-2012: economic, environmental and social statistics [Internet]. Paris: OECD Publishing; 2011) [2].
Click for larger image


Figure 4
Ratio of nurses to physicians (2009 or latest available year) (From Organization for Economic Cooperation and Development. OECD factbook 2011-2012: economic, environmental and social statistics [Internet]. Paris: OECD Publishing; 2011) [2].
Click for larger image

Tables


Table 1
Classification of healthcare personnel according to laws in Korea
Click for larger image


Table 2
Current status and trend of healthcare personnel in Korea
Click for larger image


Table 3
Increasing trend of practicing physicians per 1,000 population (Organization for Economic Cooperation and Development 2009/2012 report)
Click for larger image


Table 4
Trend of the apply rate of intern and resident by specialty
Click for larger image

Acknowledgement

This work was supported by the National Research of Korea Grant funded by the Korean Government (NRF-2010-413-B00024).

References
1. United NationsThe future we want: outcome document adopted at Rio+20 [Internet]. New York: United Nations; 2012 [cited 2012 Sep 27].
2. Organization for Economic Cooperation and DevelopmentOECD factbook 2011-2012: economic, environmental and social statistics [Internet]. Paris: OECD Publishing; 2011 [cited 2012 Sep 27].
3. Ministry of Health and Welfare. Ministry of Health and Welfare year book 2011. Seoul: Ministry of Health and Welfare; 2012.
4. Fuchs VR. Reforming US health care: key considerations for the new administration. JAMA 2009;301:963–964.
5. Leavitt JK. The new administration and health care reform. Am J Nurs 2009;109:86–87.
6. Reiboldt M. Reforming healthcare becomes key focus of new administration. J Med Pract Manage 2009;24:267–269.
7. Wilensky GR. A new year, a new administration, and old, familiar challenges for health care. Healthc Financ Manage 2009;63:26–27.
8. Kim PC. A proposal for health insurance policy to the new administration. J Korean Med Assoc 2003;46:84–86.
9. Healthcare Future Commission, Ministry of Health and Welfare. Korea Institute for Health and Social Affairs. 2020 Vision and policy initiative of healthcare in Korea: Healthcare Future Commission action report. Seoul: Korea Institute for Health and Social Affairs; 2011.
10. Jeong HS, Kim JH, Park HK, Lee WJ, Han DW. In: Future need and supply of practicing doctors in total and by specialty. Wonju: Yonsei Institute for Health and Welfare; 2011.
11. Kim DH. Study on the supply and demand for the physician manpower in Korea. Health Soc Sci 2000;8:221–239.
12. Lim SM, Seo KH, Kim HK, Park YH. A survey of physicians working in a community health center. J Korean Med Assoc 2012;55:174–186.
13. Yoon SJ. Future directions of chronic disease management in South Korea. J Korean Med Assoc 2012;55:414–416.
14. Park HA, Choi YH, Rhee SJ. The supply and demand projection of nurses in Korea. Korean J Health Policy Adm 1993;3:146–168.
15. Kim JS, Choi E, Park HA, Lee W. The supply and demand projection of nurses in Korea. Korean J Health Policy Adm 1999;9:33–52.
16. Kim AJ. The review of the laws relevant with imbalance of health care services (medical facilities and manpower). Bioeth Policy Stud 2010;4:139–151.
17. Hussain A, Rivers PA, Glover SH, Fottler MD. Strategies for dealing with future shortages in the nursing workforce: a review. Health Serv Manage Res 2012;25:41–47.
18. Oh PJ, Lee KS, Hwang SH. A study on the projected manpower of psychiatric-mental health APN in Korea. J Korean Acad Psychiatr Ment Health Nurs 2002;11:560–571.
19. Shin HS, Hong SY. The supply and demand for dentists in Korea. Health Soc Welf Rev 2007;27:81–102.
20. Jung SH, Ma DS, Park DY. A survey on the imbalance of resident? Supply for dental specialists system. J Korean Dent Assoc 2005;43:728–736.
21. Choi EY, Kim JS, Lee JS, Lee WB, Lee WT. The supply and demand analysis of the oriental medical doctor and its uses in assisting policy making. J Korean Orient Med 1999;20:27–36.
22. Lee S, Byun J, Kim J. Demand and supply of physicians for oriental medicine: review and prospects. Korean J Orient Prev Med 2004;8:1–12.
23. Choi EY, Kim JS. The study of pharmacist manpower planning for the 21st century in Korea. J Korean Public Health Assoc 2000;26:249–259.
24. Yoon TH, Kim YS, Kim HR. Home-based physical therapy infrastructure and the direction of policy development for long term care insurance in community. J Korean Phys Ther Sci 2008;15:61–69.
25. Jeong WM, Choi HS, Lee JY. Demand and supply for occupational therapist. J Korean Acad Occup Ther 2000;8:111–120.
26. Kwon HS, Cho GS. A study on the role of dental hygienist for revitalization of dental health class in community health center. J Korean Soc Dent Hyg 2006;6:263–282.
27. Kong IS. Future directions of emergency healthcare policy in Korea. J Korean Med Assoc 2010;53:838–840.
28. United NationsRealizing the future we want for all: report to the secretary-general. New York: United Nations; 2012 [cited 2012 Sep 27].
29. Eaton DM, Redmond A, Bax N. Training healthcare professionals for the future: internationalism and effective inclusion of global health training. Med Teach 2011;33:562–569.
30. Anand S, Barnighausen T. Health workers at the core of the health system: framework and research issues. Health Policy 2012;105:185–191.