A Study of Correlation between Public Service and Profitability of the National University Hospital

국립대병원의 공공성과 수익성의 상관관계에 관한 연구

I argue that the National University Hospital has to take its responsibility as the third health care service center for leading other public health care corporations, as well as its responsibility for educating, researching, and serving as a health center, as it written on its act of incorporation. As its management system had changed from a state-owned enterprise system to a self-supporting accounting system of a special corporation, the National University Hospital has pursued more heavily upon the profitability without showing any differences with the private university hospitals, even though the National University Hospital is a state-owned and public health care corporation. Therefore, after I have specifically analyzed the correlation between public service and profitability in a National University Hospital, I present my ideas on how to assign the public health care responsibilities to the National University Hospital in the current situation of pursuing heavily on profitability. Also how to partake in the service roles of the National University Hospitals in harmony with other health care corporations, and how to balance public service and profitability in the National University Hospitals.

국립대병원은 국가가 설립주체이고 엄연한 공공의료기관임에도 불구하고, 국가가 직접 운영하던 방식에서 특수법인 형태의 독립채산제로 전환되면서 사립대병원과 차이가 없이 수익성에 치중하여 운영되고 있는 실정이다. 국립대병원이 설립법에 명기된 교육, 연구, 진료 외에도 지역내에서 선도병원으로서의 3차진료기관에 합당한 공공성의 책무를 다하여야 한다고 본다. 따라서, 현재 수익성에 치중하고 있는 국립대병원에 어떠한 공공성 기능을 부여하여야 할것이가. 그리고, 지역사회내에서 다른 공공의료기관과는 어떻게 역할분담을 하여야 할것인가. 또한 국립대병원내에서 공공성과 수익성의 조화로운 강화방안은 어떻게 하여야 하는지를 다각도로 분석하여 상관관계를 살펴보고 방안을 제시하고자 한다.