“Hit and run first help, pediatric and adolescent open race”. These are issues that the federal government intends to unravel by rising the variety of college students in medical colleges. The thought is to unravel the demand drawback by rising provide. Nonetheless, it ought to be emphasised that this method itself is one-dimensional. The consensus amongst consultants is that if medical utilization patterns are left unchecked, irrespective of how a lot provide will increase, the issue is not going to be solved.
Such feedback continued on the 2nd media discussion board held on the twenty third by the Nationwide Academy of Drugs of Korea and the Korean Affiliation of Medical Biojournalists on the subject of “Issues and Options in Medical Use in Korea.”
Park Jong-hoon, professor of orthopedics at Anam Hospital of Korea College, stated, “The state of affairs of solely discussing the variety of docs with out addressing the surplus of medical care is miserable,” and stated that the issue is that there is no such thing as a system to manage medical use. Professor Park stated: “Unchecked, medical use will improve dramatically and the ensuing medical health insurance monetary disaster is as apparent as wildfire. “Students warn that funding for medical health insurance will disappear round 2028 or 2030,” he stated.
On the 2nd Media Discussion board held on the twenty third by the Nationwide Academy of Medical Sciences of Korea and the Korean Affiliation of Medical Biojournalists, criticism continued that they had been solely making an attempt to extend provide with out a mechanism to manage medical use . (From left) Professor Jong-Hoon Park of Korea College Medical Faculty, Professor Lee Sang-il of Ulsan College Faculty of Drugs, Professor Seong-Woo Lee of Korea College Faculty of Drugs and Kang Jun, director of the Reform Division physician on the Ministry of Well being and Welfare (ⓒYounger Physician).
“A authorities reshaping a healthcare system that must be reset”
Professor Park stated: “Now’s the time to reset the entire medical system, however they’re misdiagnosing and misdiagnosing,” and added: “They maintain saying the variety of docs is decrease than the OECD common. So, how ought to we view different information in OECD statistics? “How will we clarify the issue of hospital beds and outpatient use, which is thrice the OECD common?” He additionally stated, “Medical use is rising at an unbelievable charge, however nobody is speaking about it,” with medical expenditures to GDP rising from 8.4% in 2020 to 9.7% in 2022.
Professor Park stated that the medical health insurance system was launched on the “precept of low price” and that it “was began with the stipulations of low costs by suppliers and overuse by customers.” Professor Park identified: “As a result of our nation maintains a low-cost coverage, sufferers are much less delicate to the price of medical care.” He additionally stated that cost-effective insurance coverage, which has diminished the burden of uncovered medical bills, “has performed a job in turning the medical ecosystem right into a catastrophe.”
As a result of there is no such thing as a system to manage provide and demand, using medical care is larger than in international locations with out out-of-pocket bills. Professor Park stated: “In Nordic international locations the place there aren’t any out-of-pocket prices, there’s a supervisor between the supplier and the consumer. “The state or the insurance coverage firm acts as supervisor, so the availability and use are strictly managed,” he stated. “Korea doesn’t have such a management system.”
He additionally stated the state of affairs has worsened as a result of absence of a mechanism to manage medical use and populist insurance policies. Professor Park stated: “(Sufferers) come to Seoul saying they cannot belief even professors from prestigious medical colleges within the provinces, if a brand new medical faculty is established within the provinces, will they go there (affiliated hospital)?” “I’ve a imprecise expectation that there can be a medical faculty in our space. He criticized: “The populism of the politicians who’re making an attempt to make it occur has ruined the medical care of our nation.”
Professor Sang-il Lee of the Division of Preventive Drugs at Ulsan College Faculty of Drugs additionally careworn that there is no such thing as a strategy to management using medical care. Professor Lee stated: “There’s a drawback with the overuse of medical care. “As a result of there is no such thing as a monitoring mechanism, some individuals have been to hospital greater than 2,000 instances a yr,” he stated. “As a result of there is no such thing as a mechanism to dam (extreme medical use), the variety of outpatient visits per particular person in Korea is 2.6 instances the OECD common. “It’s the nation with the very best variety of outpatients on this planet,” he stated.
Professor Lee additionally stated: “The focus of sufferers in giant hospitals can be an issue,” including: “The proportion of sufferers with easy hypertension or diabetes with out comorbidities is above 85% even in tertiary common hospitals. “Sufferers who do not essentially must obtain care in tertiary common hospitals use tertiary common hospitals,” he stated.
“Hit and run first help? “Let’s examine why we will not accommodate emergency sufferers.”
Professor Lee Seong-woo of the Division of Emergency Drugs at Anam Hospital of Korea College stated the primary purpose why the emergency room can’t accommodate sufferers is “uncontrolled medical use”. Even delicate “non-emergency” sufferers simply discover their strategy to the emergency room, making a state of affairs the place “true emergency sufferers” can’t be accommodated. The emergency room can be used as a assist desk for hospitalization. Within the case of college hospitals most well-liked by sufferers, hospitalization is just not easy. Finally, the variety of sufferers admitted to the emergency room will increase and the hospital can now not accommodate any extra. So, if the affected person can’t be accommodated, he turns into a “hit and run within the emergency room”.
Professor Lee stated: “What seems to be a social phenomenon is non-admission to the emergency division. “That is additionally defiantly referred to as ’emergency room hit and run,’” he stated. “One of many causes this phenomenon happens is as a result of there is no such thing as a remedy behind the scenes and the variety of emergency working rooms is reducing, making it so. unimaginable to accommodate sufferers requiring surgical procedure. “That is most evident in rural areas (the place medical sources are scarce),” he stated.
Professor Lee stated: “There’s additionally a robust detrimental notion in direction of rural areas. “Sufferers wish to obtain closing care within the first hospital they go to,” he stated. “However we’d like sufficient vitality sources.” He stated: “We are able to do it if we handle the suitable vitality provide properly or make investments sources to take action even when the traditional working charge is 50% (constructing sufficient hospital beds and working theatres).” He additionally requested, “However you may’t try this.”
Ministry of Well being and Welfare: “ window of alternative has opened for medical reform”
The Ministry of Well being and Welfare additionally agrees on this level. Kang Jun, head of the Medical Reform Division of the Ministry of Well being and Welfare, careworn that enchancment plans can be ready by the President’s Particular Committee on Medical Reform.
Supervisor Kang stated: “I believe the problem is how you can create an affordable self-discipline or administration normal for the present medical ecosystem the place everybody lives for themselves and there may be infinite competitors.” He added: “We can even enhance structural points comparable to efficient prices.” insurance coverage reform”.
Director Kang stated: “There’s a administration mechanism by way of self-payment of medical health insurance, however that mechanism mainly does not work presently. “Reforms are wanted to boost consciousness of prices, however there are additionally some unmet wants when shoppers use the medical companies they want,” he stated. “Establishing a provide system for unmet demand can be thought of an vital process to normalize the medical provide system can be underneath dialogue on the Particular Committee on Medical Reform.” “It was introduced as a process,” he stated.
Director Kang stated, “It looks like a terrific window of alternative has opened for medical reform. “If tough conditions are addressed shortly, the Particular Committee on Medical Reform can be utilized as a discussion board for dialogue and reform,” he stated. “We are going to do our greatest to function a possibility to consolidate belief by way of a course of of debate between the 2 international locations,” the federal government, the medical neighborhood and the general public stated.
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