한국병원경영학회지 (Korea Journal of Hospital Management)

한국병원경영학회 (Korean Society of Hospital Management)
권호 표지

서울시립병원의 코로나19 대응을 통해 본 공공병원의 시사점 고찰

The Response of the Seoul Municipal Hospitals against COVID-19 and Its Implications for Public Hospitals

  • 손창우 (서울연구원 도시사회연구실)
  • Shon, Changwoo (Department of Urban Society Research, The Seoul Institute)
  • 투고 : 2020.06.05
  • 심사 : 2020.09.10
  • 발행 : 2020.09.30
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초록

Purpose: The purpose of the study is to suggest the main functions and implications of public hospitals to effectively respond to the future epidemic crisis based on analyzing the accessibility to designated Coronavirus Disease 2019 (COVID-19) medical institutions of Seoul and examining the main features of the quarantine of Seoul municipal hospitals. Method: To analyze the response and function of Seoul municipal hospitals, we reviewed the Infectious Disease Control and Prevention ACT, 258 articles of Seoul Metropolitan Government press releases from January to the end of April, 48 articles of Seoul Metropolitan Government's daily newsletters, 2019 Health Bureau Budget report. We also referred to internal data of Seoul Children's Hospital, Seoul Seobuk Hospital, and Seoul Eunpyeong Hospital during the same period. Besides, the accessibility to medical institutions was analyzed by using the COVID-19 data which was announced daily basis. Results: The accessibility of COVID-19 patients living in the Southeastern part of Seoul to a medical institutions was 16.2km on a distance basis, and it was the lowest accessibility among four regions of Seoul since it took about 40 minutes by car. On the other hand, patients living in the Northeast part had the highest accessibility, as the access to medical institutions was 10.7km and 27 minutes by car. Also, the main functions of the municipal hospital of Seoul against COVID-19 were to shift the public hospital function to COVID-19 patients only hospitals, to perform the epidemiological investigation by medical doctors, and to support the operation of self-isolation facilities, community treatment centers and triage rooms of community health centers. Conclusion: Through the experience of COVID-19, we suggested that the functions of public hospitals will be reorganized as the reinforcement of infectious disease treatment and mental health for quarantined patients, cooperation with private hospitals, supporting for strengthening community health capacity and preparation for another epidemic.

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참고문헌

  1. COVID-19 Dashboard [cited 2020 June 5]. Available from https://coronaboard.kr/
  2. Korea Centers for Disease Control and Prevention. Updates on COVID-19 in Republic of Korea (2020 June 4). Press Release. 2020 June 4.
  3. Fiscella, K., Williams, D. R. Health disparities based on socioeconomic inequities: implications for urban health care. Academic Medicine, 2004;. 79(12), 1139-1147. https://doi.org/10.1097/00001888-200412000-00004
  4. Vlahov, D., Boufford, J. I., Pearson, CE., Norris, L. Urban Health: Global Perspectives. 18. John Wiley & Sons; 2010, 27-44.
  5. Lee, M., You, M. Psychological and behavioral responses in South Korea during the early stages of coronavirus disease 2019 (COVID-19). Int J Environ Res Public Health, 2020;17(9), 2977. https://doi.org/10.3390/ijerph17092977
  6. Lee SY. A Mixed Methods Study on the Policy Processes for Improving Emergency Medical Services System and Infection Control Program after MERS Outbreak in Korea [Doctoral dissertation]. Seoul: Seoul National University;2020.
  7. Lee SH, Lee JW. A Design Methodology for the Temporary Isolation Room Based on the MERS-Cov Infection Control Guideline - In Case of Temporary Negative Pressure Isolation Room Using Shipping Container. Journal of the Architectural Institute of Korea Planning & Design, 2017;33(12), 19-28. https://doi.org/10.5659/JAIK_PD.2017.33.3.19
  8. Lee JC. Lessons from MERS and improving the infection control system. Medical Policy Forum. 2016;14(2):101-103.
  9. Seoul Metropolitan Government: COVID-19 [cited 2020 July 25]. Available from https://www.seoul.go.kr/coronaV/coronaStatus.do
  10. Oh MH. In response to infectious diseases, expanding public health is the answer. Korea Hospital Association News. 2020. Feb 26
  11. Sim IO, Hwang EJ. The Effects of Performance of Public Health Services and Personal Characteristics on Community Image of Public Hospitals. J Korea Acad Industr Coop Soc, 2015;16(9):6089-6098 https://doi.org/10.5762/KAIS.2015.16.9.6089
  12. Kim R. Role of hospitals of Korea Workers' Compensation and Welfare Service as public hospitals. Public Health Aff. 2017;1(1):195-203. https://doi.org/10.29339/pha.1.1.195
  13. Park CB. Functions and roles of public healthcare for controlling infectious diseases. J Korean Med Assoc. 2015;58(7):617-623. https://doi.org/10.5124/jkma.2015.58.7.617
  14. Lee HW, Lee HJ, Kim JK, Choi WS. Comparative analysis on the effectiveness of public and private hospitals.. Korean Acedemy of Health Policy and Management Conference, 2004;2:210-211.
  15. William C, James C. Essentials of Health Care Finance.8thed.Burlington(MA): Jones& artlett Learing; 2017.131-132
  16. Gabow P, Eisert S, Wright R. Denver Health: A Model for the Integration of a Public Hospital and Community Health Centers. Ann Intern Med. 2003;138:143-149. https://doi.org/10.7326/0003-4819-138-2-200301210-00016
  17. Anderson J, Boumbulian J, Pickens S. The role of US public hospitals in urban health. ACAD MED. 2004;79(12):1162-1168. https://doi.org/10.1097/00001888-200412000-00008
  18. Lee S, Jung J, Kim D, Yoon K, Choi J, Kim D. Reinforcing the role and reestablishing the function of the public health and medical care service of the National University Hospital. Korea Institute for Health and Social Affairs;2015.
  19. Inoue Y, Jeong SW, Seo YJInnovation of Public Hospitals in Japan and Its Implications for Korea. Korea Journal of Hospital Management. 2013;18(4): 39-53
  20. Seoul Metropolitan Government Ordinance on the Installation and Operation of Seoul Metropolitan Hospital, Ordinance No. 6386(Jan 5, 2017)
  21. Seoul Metropolitan Government Ordinance on the Installation of Seoul Metropolitan Administrative Organization, Ordinance No. 4353(July 1, 2020)
  22. Seo J, Yoon A, Kim B, Kim M, Park H, Jo K. 2018 Public hospital evaluation report. Ministry of Health and Welfare, National Medical Center. 2018.
  23. Shon CW, Kim JA, The Diagnosis of Health Problems and its Suggestions in terms of Public Health Perspective. Seoul: The Seoul Institute; 2019.
  24. Seo HS, Tuberculosis patient management of Seoul Metropolitan Seobuk Hospital. AIDS & TB Symposium; 2016 FEB 19; Seoul, Korea.
  25. Seoul Metropolitan Government: Municipal Hospitals of Seoul [cited 2020 Apr 17]. Available from http://news.seoul.go.kr/welfare/archives/246329
  26. Denison, MR, Graham, RL, Donaldson EF, Eckerle, LD, Baric RS. Coronaviruses: an RNA proofreading machine regulates replication fidelity and diversity. RNA biology. 2011;8(2):270-279. https://doi.org/10.4161/rna.8.2.15013
  27. Korea Centers for Disease Control and Prevention. COVID-19 Response Guideline (9-1sted.). 2020. July 7.
  28. Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med. 2020;382(16):1564-1567. https://doi.org/10.1056/NEJMc2004973
  29. Seoul Health Foundation, Seoul Center for Infectious Disease Control and Prevention. The Daily News Review 106. 2020. July. 24
  30. CoronaBoard. COVID-19 Dashboard [cited 2020 July 24]. Available from https://coronaboard.kr
  31. Ministry of Health and Welfare. Daily Briefing of Central Disaster and Safety Countermeasures Headquarters. Press Release. 2020 May 4.
  32. Seoul Metropolitan Government. Seoul Metropolitan Government Vehicle Speed Report. Seoul Metropolitan Government. 2019.
  33. Korea Centers for Disease Control and Prevention. Government-designated inpatient treatment beds management and management guidelines. 2019.
  34. Zheng X, Tao G, Huang P, He F, Shao X, et al. Self-Reported Depression of Cancer Patients Under 2019 Novel Coronavirus Pandemic. Preprints with Lancet. 2020 Mar 12.
  35. Qian Y, Wu K, Xu H, Bao D, Ran F, Wei W, et al. A Survey on Physical and Mental Distress among Cancer Patients during the COVID-19 Epidemic in Wuhan, China. J Palliat Med. 2020;23(7):888-889. https://doi.org/10.1089/jpm.2020.0240
  36. Song JY, Yun JG, Noh JY, Cheong HJ, Kim WJ. Covid-19 in South Korea - Challenges of Subclinical Manifestations. N. Engl. J. Med. 2020 Apr. DOI: 10.1056/nejmc2001801.
  37. Lee KS, Lee SK, Hwang SW, Oh EH. Analysis of public health system and policies of Korea. Korea Institute for Health and Welfare Policy; 2013.
  38. Central Disaster and Safety Countermeasures Headquarters, Coronavirus Disease 2019 Response Guidelines (for Local Government) 8-1thed. 2020. 5. 20.
  39. Xiao H, Zhang Y, Kong D, Li S, Yang N. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020; 26: e923549-1-e923549-8.
  40. Hong MY, Lee HJ, Lee DW, Joo HS. The Determinants of Profitability Performance in Regional Public Hospitals. Korea Journal of Hospital Management. , 2009;14(2):1-20.
  41. Lee KS. Definition of Public Health Care and It's Policy Directions. Public Health Aff. 2017;1(1), 79-97. https://doi.org/10.29339/pha.1.1.79