Abstract

It is difficult to control supply and demand of medical personnel through the market, so public regulation is required. In Korea, there is a serious problem of shortage of medical personnel and imbalanced distribution between regions. Due to lack of functional differentiation between medical institutions, personnel allocation that matches the characteristics of the medical institution is not being carried out, and quality management is also not being carried out properly. Although there is a large supply of hospital beds, there is a shortage of medical personnel, and the labor intensity is high due to the competitive medical environment led by the private sector combined with the fee-for-service system. As a result, the turnover rate is high, making it difficult to maintain the quality of medical care at an appropriate level. Under the assumption that the number of oversupplied hospital beds will be reduced and the number of medical personnel per bed will be increased to the level of advanced countries, we need to estimate manpower and train insufficient medical personnel. Rather than increasing the number of students in the nursing school, nurses convert inactive personnel into active personnel, and doctors prepare expansion plans by expanding the number of students in medical schools combined with local talent selection. In addition to expanding the medical workforce, regional imbalances should be resolved by establishing new regional public medical schools. We need to improve working environments, including night work, and improve the quality of medical personnel to increase our ability to respond to future demand. Establish a provincial-level resident training system, expand the number of nurses dedicated to education, and strengthen training for new nurses. It is necessary to strengthen the government's regulatory authority in training and management, and reorganize the fee-schedule and payment system to ensure compensation for appropriate input resources.