How to make the right policy for the medical workforce

Article information

J Korean Med Assoc. 2017;60(3):210-212
Publication date (electronic) : 2017 March 23
doi : https://doi.org/10.5124/jkma.2017.60.3.210
Department of Anatomy, Yonsei University College of Medicine, Seoul, Korea.
Corresponding author: Hye Yeon Lee. leehy@yuhs.ac.kr
Received 2017 January 12; Accepted 2017 January 20.

Abstract

What is the most important area to focus on to improve health in Korea? The overall number of doctors is the only indicator of the health care system that is currently emphasized by the government. Instead, we should focus on the number of public hospital beds, which is very low, and health expenditures, which are below average when normalized for gross domestic product. In most Organization for Economic Cooperation and Development countries, the public sector is the main source of health care financing, with approximately three-quarters of health care spending originating from the public sector. In Korea, social health insurance and the government currently finance approximately 55% of all health expenditures. In contrast, Korea has a top ranking in comparison to other countries with regard to the number of private hospital beds. The ratio of medical doctors, dentists, and Korean traditional doctors in the workforce in primary clinics is approximately 2.5:1.3:1. Therefore, the Korean government should decide whether traditional doctors should be included in the health care delivery system. Most medical doctors in primary clinics are specialists who require a corresponding support system. The training of new doctors is too fast, as the overall number of doctors in Korea is sufficient. The government should develop the best possible plan to help doctors be doctors and show their devotion to the community.

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