Abstract
Purpose
This study was done to estimate supply and demand for nursing workforce to provide community-based primary healthcare in the North Korean region to cost-efficiently narrow the health gap between the two Koreas in case of a Korean reunification.
Methods
To understand the nursing education system and current state of nursing workforce in North Korea, the authors interviewed six North Korean defectors who had worked as nurses in North Korea. Based on the interview results and literature review, the supply and demand for the primary healthcare nursing workforce that would be needed after Korean reunification were estimated
Results
Currently, a total of 2,100 to 2,700 North Korean nurses were estimated to have graduated from nursing schools with a 2 year curriculum or completed 6-month military nurse training courses every year. The projected number of nurses in demand to provide primary health care ranged from 84,160 to 105,200 and the shortage would be between 31,586 and 52,626.
Figures and Tables
References
1. Cho KS. Infant/Child mortality and humanitarian aids to North Korea. Health and Social Welfare Review. 2016; 36(3):485–515. DOI: 10.15709/hswr.2016.36.3.485.
2. Kim J, Jung Y. Supply and demand of adequate number of nurses in the North Korean region after a Korean reunification. Paper presented at: 2018 united conference for the laying of the foundation for Korean reunification. 2018 November 29; Seoul. Seoul National University.
3. Hwang NM. Healthcare strategies and issues in preparation for unification. Health · Welfare Issue & Focus. 2014; 240:1–8.
4. Lee M, Kim H, Cho D, Kim SY. Overview of healthcare system in North Korea. Journal of the Korean Medical Association. 2013; 56(5):358–367. DOI: 10.5124/jkma.2013.56.5.358.
5. Park SM, Lee HW. Current status of healthcare and effective health aid strategies in North Korea. Journal of the Korean Medical Association. 2013; 56(5):368–374. DOI: 10.5124/jkma.2013.56.5.368.
6. Kim GR. Understanding of Korean reunification: Good ways of reunification and preparation. Daejeon, Korea: Defence Agency for Spiritual & Mental Force Enhancement;2018.
7. International Council of Nurses. Primary healthcare. ICN strategic priorities [Internet]. Geneva: International Council of Nurses;2019. cited April 1, 2019. Available from: https://www.icn.ch/nursing-policy/icn-strategic-priorities/primary-healthcare.
8. Kim JE, Kim J. An integration plan for South-North Korean nursing education system in accordance with unification stage. Information: An International Interdisciplinary Journal. 2017; 20(1A):347–354.
9. World Health Organization. Country Office for DPR Korea WHO country cooperation strategy: Democratic People's Republic of Korea 2014–2019. Geneva: World Health Organization;2016.
10. Shin HY, Lee HW, An KS, Ahn HS, Lim AY, Jeon JE, et al. Unification healthcre: Inter-Korean health and medical cooperation and integration. Seoul National University Press;2017.
11. Organization for Economic Co-operation and Development. Doctors. OECD Data [Internet]. France: OECD;2015. cited November 27, 2018. Available from: https://data.oecd.org/healthres/doctors.htm#indicator-chart.
12. Kim SS. Workplace empowerment on nurse & patient safety. Paper presented at: 2018 Autumn Conference of the Korean Society of Nursing Science. 2018 October 22; Seoul. The Korea Science and Technology Center.
13. Central Intelligence Agency. The world factbook [Internet]. Washington, D. C.: Central Intelligence Agency;2018. cited November 27, 2018. Available from: https://www.cia.gov/library/publications/the-world-factbook/fields/2018.html.
14. Wikipedia®. Korean People's Army. Wekipedia [Internet]. Wikipedia Foundation, Inc;cited January 30, 2019. Available from: https://ko.wikipedia.org/wiki/%EC%A1%B0%EC%84%A0%EC%9D%B8%EB%AF%BC%EA%B5%B0.
15. Hong IC. Understanding and prospect of healthcare in DPRK with a glance at the education system of health professionals. Paper presented at: Unification Workshop. 2018 September 4; Seoul. Seoul National University College of Nursing.
16. Minister of Health and Welfare. Ministry of Health and welfare statistical yearbook 2017. Sejong: Ministry of Health and Welfare;2018.
17. Cho SH, Lee JY, June KJ, Hong KJ, Kim Y. Nurse staffing levels and proportion of hospitals and clinics meeting the legal standard for nurse staffing for 1996~2013. Journal of Korean Academy of Nursing Administration. 2016; 22(3):209–219. DOI: 10.11111/jkana.2016.22.3.209.
18. Hong KJ, Cho SH. Comparison of nursing workforce supply and employment in South Korea and other OECD countries. Perspectives in Nursing Science. 2017; 14(2):55–63. DOI: 10.16952/pns.2017.14.22.55.
19. Hong JY, Chae JM, Song MR, Kim EM. A utilization strategy of nursing staff by types of medical institutions: nurse staffing level of medium and small-sized hospitals. Journal of the Korea Academia-Industrial Cooperation Society. 2017; 18(8):162–170. DOI: 10.5762/KAIS.2017.18.8.162.
20. Kim J. Analysis of North Korean nursing education system and an integration plan in accordance with unification stage [dissertation]. Seoul: Seoul National University;2016.
21. Shin HY, Kim JC, Park YH, Park HA, Lee SP, Jeon JH, Lee HW, et al. Education systems for health professionals in two Koreas and an integration plan for unification. Seoul: Myoungmoon;2018.