디지털융복합연구 (Journal of Digital Convergence)

  • 제20권3호
  • /
  • Pages.367-376
  • /
  • 2022
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

코로나19(COVID-19) 방역상황에서 공중보건의사의 업무 수행 현황과 지원방안

Current Status of Work Performance and Support Plan for Public Health Doctors in the COVID-19 Quarantine

  • 김진숙 (대한의사협회 의료정책연구소) ;
  • 오수현 (대한의사협회 의료정책연구소)
  • Kim, Jin-Suk (Research Institute for Healthcare Policy, Korean Medical Association) ;
  • Oh, Su-Hyun (Research Institute for Healthcare Policy, Korean Medical Association)
  • 투고 : 2022.01.21
  • 심사 : 2022.03.20
  • 발행 : 2022.03.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구의 목적은 코로나19 방역상황에 투입된 공중보건의사(PHD)의 업무 수행 현황을 조사하고, 향후 효과적인 국가 감염병 방역을 위한 공중보건의사 지원방안을 제시하는 것이다. 연구결과, 공중보건의사는 주로 검체채취, 문진 및 진료, 치료를 수행했던 것으로 나타났다. 방역에 투입된 공중보건의사의 39%는 음압시설이 없는 곳에서 근무했고, 개인 보호 장비와 복리후생 지원도 열악했던 것으로 나타났다. 또한 높은 감염위험성, 정신적 고통, 의사결정과정에서 배제, 공무원과의 갈등, 업무지침 문제, 사전교육 부족 등을 경험한 것으로 조사되었다. 따라서 향후 효과적인 감염병 관리를 위해서는 공중보건의사에게 적절한 직급 부여, 방역 관련 의사결정 과정 참여, 적절한 보상과 규정 명시, 교육과 정신건강 지원이 필요하다.

The purpose of this study is to investigate the current status of work performance of public health doctors(PHDs) involved in quarantine of COVID-19, and to suggest a plan to support PHDs for effective national epidemic prevention and control in the future. As a result of the study, it was found that PHDs mainly performed sample collection, interview, and treatment. 39% of PHDs worked in places without negative pressure facilities, and personal protective equipment and welfare support were poor. In addition, it was investigated that they experienced high-risk infectious diseases, mental distress, exclusion from the decision-making process, conflicts with officials, problems with work guidelines, and lack of prior education. For effective infectious disease management, it is necessary to assign appropriate ranks and to participate in the decision-making process for quarantine, to specify appropriate compensation and regulations, to education, and to support mental health.

키워드

참고문헌

  1. The Ministry of Health and Welfare, COVID-19. http://ncov.mohw.go.kr/
  2. J. S. Kim. & S. H. Kim. & KAPHD. (2020). A Study on a Plan for supporting for Public Health Doctors in National Infectious Disease Pandemic. Seoul: KMA.
  3. S. H. Lee et al. (2015). Development of Mid to Long-term Supply and Allocation Model of Public Health Doctors. Gyeonggido: CHA University.
  4. The National Law Information Center. (2021). Act on Special Measures for Health and Medical Services in Agricultural And Fishing Villages, Etc. no. 14183. https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EB%86%8D%EC%96%B4%EC%B4%8C%ED%8A%B9%EB%B3%84%EB%B2%95#undefined
  5. The Ministry of Health and Welfare. (2020). Implementation guidelines of public health doctors 2020.
  6. The National Law Information Center. (2021). Military Service Act. no.16356. https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EB%86%8D%EC%96%B4%EC%B4%8C%ED%8A%B9%EB%B3%84%EB%B2%95#undefined
  7. The National Law Information Center. (2021). State Public Officials Act . no.15857. https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EB%86%8D%EC%96%B4%EC%B4%8C%ED%8A%B9%EB%B3%84%EB%B2%95#undefined
  8. The National Law Information Center. (2021). Medical Service Act. no.16375. https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EB%86%8D%EC%96%B4%EC%B4%8C%ED%8A%B9%EB%B3%84%EB%B2%95#undefined
  9. The Ministry of Health and Welfare. (2020). Annual Report on Health and Welfare 2020.
  10. The Korea Disease Control and Prevention Agency. (2020). 7th-3 edition of COVID-19 Response Guidelines.
  11. The Ministry of Health and Welfare. (2020). Current status of allocation of public health doctors 2020.
  12. The Korea Disease Control and Prevention Agency.(2020). 5th edition of support operation guidelines for medical personnel dispatched for COVID-19 treatment.
  13. S. J. Choi. (2020). A Hidden Key to COVID-19 Management in Korea: Public Health Doctors. Journal of Preventive Medicine & Public Health, 53(3), 175-177. DOI: 10.3961/jpmph.20.105
  14. Y. J. Lee.(2021.04.23). 200 per day per doctor!... what to do after a medical accident?. doctorsnews. https://www.doctorsnews.co.kr/news/articleView.html?idxno=139178
  15. K. J. Choi. & J. A. Yun. (2021). Survey on mental health status of Korean Public Health Doctors who dealt with COVID-19 pandemic. Seoul: KMA.
  16. S. J. Han. & S. J. Choi. & S. H. Cho. & J. H. Lee. & J. Y. Yun. (2021). Associations between the working experiences at frontline of COVID-19 pandemic and mental health of Korean public health doctors. BMC psychiatry, 21(1), 1-18. DOI : 10.1186/s12888-021-03291-2
  17. The Ministry of Health and Welfare. (2021). Results of the Corona-19 Central Disaster and Safety Countermeasures Headquarters Meeting.