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한국의료법학회> 한국의료법학회지> 의료기관의 공적의료체계 참여방법에 관한 비교법적 고찰

KCI등재

의료기관의 공적의료체계 참여방법에 관한 비교법적 고찰

A study on the participation program of Health Care Institution

김계현 ( Kye Hyun Kim ) , 김한나 ( Han Nah Kim ) , 장욱 ( Wook Jang )
  • : 한국의료법학회
  • : 한국의료법학회지 17권2호
  • : 연속간행물
  • : 2009년 12월
  • : 135-158(24pages)
피인용수 : 39건

(자료제공: 네이버학술정보)

DOI


목차

Ⅰ. 논의의 배경
Ⅱ. 요양기관 참여방식에 대한 이론적 고찰
Ⅲ. 주요국의 요양기관 참여방법
Ⅳ. 우리나라 공적의료체계 참여방법에 관한 개선방안
Ⅴ. 결론 및 제언
참고문헌

키워드 보기


초록 보기


						
Korea's National Health Insurance program(NHI program) is considered to make an unprecedented achievement ever in a short period. The NHI program of korea covers the whole population as a compulsory social insurance system.
Especially The entire medical institutions are required to mandatorily join the NHI program. But most of medical institutions are privately owned without government support, however the government heavily intervenes in health care policy, which often triggers grievance from medical practitioners.
This study reviewed the participation method of medical institutions in other country. In foreign case the country that is not recognizing right of selection for level of medical examination and treatment and contents generally to medical treatment consumer or medical treatment caterer was Korea uniquely.
Mandatorily participation method with health insurance program might have negative effect on the development of health care system. And especially foreign case could serve as a benchmark which is very useful for policy makers.

UCI(KEPA)

간행물정보

  • : 사회과학분야  > 법학
  • : KCI등재
  • :
  • : 반년간
  • : 1598-9178
  • :
  • : 학술지
  • : 연속간행물
  • : 2004-2019
  • : 212


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발행기관 최신논문
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1성년후견인의 의료행위에 대한 동의권과 법률상의 제 문제

저자 : 문성제 ( Seong Jea Moon )

발행기관 : 한국의료법학회 간행물 : 한국의료법학회지 17권 2호 발행 연도 : 2009 페이지 : pp. 1-27 (27 pages)

다운로드

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초록보기

On September 18, 2009, the Ministry of Justice (MoJ) pointed out that “the current Civil Law of Korea contains provisions on behavioral capacity and guardianship system to help the mentally handicapped people, but still uses negative terms like incompetency and quasi incompetency. Besides, current Civil Law uniformly restricts behavioral capacity without regard to their own intents or disability level, causing social prejudices toward those people. And current Civil Law also caused the scope of legal protection to be limited to property-related legal actions, making it difficult to provide various and practical assistances in welfare for those handicapped people.” Furthermore, MoJ announced that “conventional behavioral capacity and guardianship system should be extended or reorganized into adult guardianship system from the viewpoint of social welfare, so that potential users of guardianship system to prepare for their weakened mental capacity in the future, as well as current mentally disabled people can rely upon a wide range of assistances in their welfare (e.g. medical treatment and recuperation) as well as their property-related legal actions.” In this context, MoJ beforehand informed legislation of a bill to revise some provisions of Civil Law.
The purpose of newly introduced adult guardianship system is not to restrict behavioral capacity of adult wards, but to respect their right of self-determination, empower adult guardian to complement their capacity of legal action in the interest of protecting persons who lack in ability of mental judgment due to old age and senile diseases, so that said system can make positive use of adult wards' potential capacity. In other words, the adult guardianship system is premised on the extensive modification of concepts on the capacity of human as principal of legal action; focuses on potential human ability; starts from the ideology of respecting one's self-determination depending on his or her ability; respects adult wards' current determination by their own mental capacity to the highest extent, although it is insufficient as compared to normal mental capacity; and assists them in doing what they need to do with the help of adult guardian, so that they can enjoy the daily life as normal people do, ultimately with a view to realizing the ideology of normalization.
Starting from the above critical mind, this study focused on examining adult guardian's right of consent to medical practices for adult ward in terms of new adult guardianship system that is supposed to be executed through partial revision of current Civil Law. Duty of care for ward is important one of adult guardian's duties, which involves actions of adult guardian responsible for signing appropriate medical contract or admission contract on behalf of ward in response to change of ward's health conditions. But it is inevitably disputable that the grant of right to consent to medical practices involving physical invasion may be extensively construed as adult guardian's consent to medical invasion in respect of his or her opinions on behalf of ward.
Particularly, the issue of right to consent to medical practices involving physical invasion is not limited only to that of aged people. Thus, it is possible that this issue is resolved with patient's own consent according to physician's description, as discussed so far. In addition, it is required to prepare new legislations on legal validity of patient's presumed intention and disposition inter vivos in order to prepare for potential cases that adult wards cannot express their own opinions on medical practices due to their old age or senile diseases. In this regard, it is necessary to make differentiated discussions on adult guardianship system from such legislative matters.

2우리나라에서 성년후견제도의 도입

저자 : 신은주 ( Shin Eun-joo )

발행기관 : 한국의료법학회 간행물 : 한국의료법학회지 17권 2호 발행 연도 : 2009 페이지 : pp. 29-59 (31 pages)

다운로드

(기관인증 필요)

초록보기

Our society is becoming an aged society. There are increasing human beings who have incomplete mental ability in our society. Under the current civil law, incompetence and quasi-incompetence system are used in case of deterioration of mental judgement. But the system is rigid because it only provides two types by law despite of being various degrees of mental judgement. Once incompetence or quasi-incompetence is pronounced by a court, it is recorded in the registration of family relationship. In addition, there are social prejudice against the words such as incompetence and quasi-incompetence. Hence, there are hardly anyone who use this system, and the system is practically not being used and is ending up as a mere scrap paper.
Therefore, in order to actively deal with these problems, we are trying to reform this system or to enforce the new adult guardianship laws. So, this study is designed to meet the needs of reforming the area of a guardianship for mentally incapacitated adults. When we reflect a new reform legislation, we should focus on respecting the human right and dignity of mentally incapacitated adults. And the new reform should guarantee their autonomy and minimize the public invention for assisting them. At the same time, their needs should be fully satisfied.
In addition, it is desirable to introduce and enforce the new guardianship regime after fulfilling all the conditions necessary for the operation of the regime, such as proper organization, enough funds and relevant procedure. In particular, the guardianship in the aging society should focus on the protection of the aged more thorouly. To do this, it is indispensable to cultivate guardians for the adults more systematically.

3원격의료 관련 의료법개정안에 대한 소고

저자 : 주지홍 ( Ji-hong Joo )

발행기관 : 한국의료법학회 간행물 : 한국의료법학회지 17권 2호 발행 연도 : 2009 페이지 : pp. 61-84 (24 pages)

다운로드

(기관인증 필요)

초록보기

My primary purposes in this paper are to explain and analyze the recent proposition of the amendment of Medical Act regarding e-medicine and to suggest possible improvement ways. In part 1, this paper provides a brief background of the recent proposition and its potential for changing the delivery of medical services. In part II, recent proposition of amendment of the Medical Act regarding e-medicine are examined, many of which will have an impact on the full implementation of e-medicine. The main issues of the proposition are to allow receiving prescription instead of the patient, to enlarge the scope of e-medicine, to limit the possible recipient of e-medicine, to uplift the regulation for the e-medicine facility, to relieve the liability of doctors and to transfer the liability into the patient when patient is liable, and to protect the private medical information. Part III of this paper describes the proposition based on the 3 analyzation framework, those are quality, access and standard, and cost. Also alternatives are suggested in Part II and Part III. In part IV, this paper concludes that the win-win strategy is best for us and suggest that next time the Government should try to focus on not only e-medicine but also e-health.

4여성의 재생산건강권 보장에 관한 소고 - 생식세포제공ㆍ수증의 문제를 중심으로 -

저자 : 김은애 ( Eun-ae Kim )

발행기관 : 한국의료법학회 간행물 : 한국의료법학회지 17권 2호 발행 연도 : 2009 페이지 : pp. 85-108 (24 pages)

다운로드

(기관인증 필요)

초록보기

여성의 재생산건강권은 여성이 재생산의 기능 및 과정과 관계되는 모든 문제들에 있어 신체적, 정신적, 사회적으로 완전히 안녕 상태에 있을 수 있도록 보장받을 권리로서 인권에 해당하는 권리임이 국제적 논의를 통해 확인되었다. 이에 생식세포를 수증하는 여성은 임신ㆍ출산을 수행하는 자로서, 그리고 생식세포를 제공하는 여성은 자신의 재상산능력을 이용하는 자로서 재생산건강권을 보장받을 수 있어야 한다. 우리나라에서는 모성보호를 규정하고 있는 「헌법」 등에 의해 여성의 재생산건강권이 보장되고 있으며, 최근 개정된 「생명윤리 및 안전에 관한 법률」을 통해 난자제공자의 재생산건강권을 보장하기 위한 적극적인 조치가 가능하게 되었다. 그러나 난자제공자의 재생산건강권을 온전히 보장하기 위해서는 난자제공의 의료적 측면을 설명 및 서면동의 되어야 하는 법적 사항에 포함시키고, 난자제공의 빈도 외에 나이 등 난자제공자의 조건을 보다 제한하는 한편, 실비보상이 난자제공자가 시술 전 건강상태로 회복될 수 있도록 하는 데에 실질적인 도움이 될 수 있도록 그 기준을 합리화함과 동시에 실비보상금을 일부라도 국가가 지원 할 수 있도록 하는 등 난자제공 관련 현실적인 문제점들을 해결하기 위한 추가적인 조치가 마련되어야 한다. 또한 생식세포수증자의 재생산건강권을 보장하기 위해서는 정자제공이나 정자은행에 대한 법적 규제 근거도 추가적으로 마련되어야 한다. 앞으로 여성의 재생산건강권은 임신ㆍ출산이라는 목적 내지 결과를 위해서만이 아니라 이의 주체가 되는 자 내지 재생산능력을 이용하는 자로서의 여성이 그 존재가치를 존중받아 건강한 삶을 영위할 수 있도록 하기 위해서 살펴져야 한다.

5범죄인 식별 목적의 유전자정보에 관한 소고

저자 : 이정념 ( Lee Jung Nyum )

발행기관 : 한국의료법학회 간행물 : 한국의료법학회지 17권 2호 발행 연도 : 2009 페이지 : pp. 109-133 (25 pages)

다운로드

(기관인증 필요)

초록보기

DNA-Analyse ist eine Methode zur Feststellung und zum Vergleich von bestimmten Bereichen der Desoxyribonukleinsaure aus menschlichen Korperzellen. Sie ermoglicht die sichere Zuordnung der Herkunft von Spuren wie z.B. Blut, Haut, Haare, Speichel oder Samen zu einer bestimmten Person und ist damit Mittel zum Beweis der Beteiligung an der Straftat. Sie lasst einen Ruckschluss auf die Erbanlagen des betreffenden Menschen zu. Bei der Verbrechensbekampfung ist die DNA-Analyse allgemein anerkannt und akzeptiert. But, Haare, Speichel, Sperma usw. ermoglichen eine Analyse der individuell unterschiedlichen Abfolgen von Basen auf den Genen(Short Tandem Repeats, STR).
Die DNA-Analyse darf im konkreten Strafverfahren durchgefuhrt werden, um die Abstammung festzustellen oder um festzustellen, ob aufgefundenes Spurenmaterial von dem Beschuldigten oder dem Verletzten stammt. Bei der Durchfuhrung der DNA-Analyse fur Zwecke aktueller und kunftiger Strafverfahren mussen Korperzellen dem Betroffenen entnommen werden. Es gibt gar nicht die wesentliche rechtliche Grundlagen des geltenden koreanischen Strafprozessrecht(kStPO), aber diese Untersuchungen sollten strafprozessrechtliche Grundlagen durchgefuhrt werden. Um eine ausreichende Ermachtigungsgrundlage fur DNA-Informationen zur Tateridentifikation im Strafverfahren zu bieten sollten wir die Regeln fur die Verwendung und Gewinnung der DNA-Informationen in der kStPO festlegen.
Da die DNA-Informationen besonders aussagekraftig und sensibel sind, wachst die Gefahr, dass sich durch die Verknupfung von Daten, gegebenenfalls unter Einbeziehung von Sozialdaten, eine Biographie des Betroffenen erstellen und sogar prognostizieren lasst. Dieser Gefahr muss begegnet werden, indem das Sammeln, die Verarbeitung und das Aufbewahren genetischer Daten(DNA-Informationen) auf das unbedingt erforderliche begrenzt werden. Eine Tendenz zur Ausweitung der DNA-Analyse durch Offnung der Zweckbindung des Straftatenkatalogs und Einschrankung des Taters kann zu vielen Ergebnissen im Strafverfahren fuhren. Die Moglichkeit, durch eine DNA-Analyse Straftaten aufzuklaren und Tater uberfuhren zu konnen, sind zweifelsohne verlockend, sollten aber nicht uberschatzt werden.

6의료기관의 공적의료체계 참여방법에 관한 비교법적 고찰

저자 : 김계현 ( Kye Hyun Kim ) , 김한나 ( Han Nah Kim ) , 장욱 ( Wook Jang )

발행기관 : 한국의료법학회 간행물 : 한국의료법학회지 17권 2호 발행 연도 : 2009 페이지 : pp. 135-158 (24 pages)

다운로드

(기관인증 필요)

초록보기

Korea's National Health Insurance program(NHI program) is considered to make an unprecedented achievement ever in a short period. The NHI program of korea covers the whole population as a compulsory social insurance system.
Especially The entire medical institutions are required to mandatorily join the NHI program. But most of medical institutions are privately owned without government support, however the government heavily intervenes in health care policy, which often triggers grievance from medical practitioners.
This study reviewed the participation method of medical institutions in other country. In foreign case the country that is not recognizing right of selection for level of medical examination and treatment and contents generally to medical treatment consumer or medical treatment caterer was Korea uniquely.
Mandatorily participation method with health insurance program might have negative effect on the development of health care system. And especially foreign case could serve as a benchmark which is very useful for policy makers.

7생식세포, 배아에 대한 쟁점사항 및 입법논의

저자 : 이인영 ( In Young Lee )

발행기관 : 한국의료법학회 간행물 : 한국의료법학회지 17권 2호 발행 연도 : 2009 페이지 : pp. 159-194 (36 pages)

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(기관인증 필요)

초록보기

Human Embryo means a vertebrate at any stage of development prior to birth or hatching, and the developing human individual from the time of implantation to the end of the eighth week after conception. Eggs are to live human eggs, including cells of the female germ line at any stage of maturity, but not including eggs that are in the process of fertilization or are undergoing any other process capable of resulting in an embryo, and sperm are to live human sperm, including cells of the male germ line at any stage of maturity.
Most embryonic stem cells are derived from embryos that develop from eggs that have been fertilized in vitro in an in vitro fertilization clinic and then donated for research purposes with informed consent of the donors. They are not derived from eggs fertilized in a woman's body. The embryos from which human embryonic stem cells are derived are typically four or five days old and are a hollow microscopic ball of cells called the blastocyst. But research on human embryonic stem cells has generated much interest and public debate.
In the case of embryonic stem cell research, the end that scientists hope to achieve is the relief of human suffering. That this is a humanitarian and worthy end is not in dispute. The controversy is about the means, namely, the consumption of donated embryos. the Holy See of the Roman Catholic is unequivocal in its opposition to the use of embryos as means. For one who holds that we should treat every embryo as a person for purposes of the duty not to kill, embryo-destructive experiments could gain justification only if it were argued that it is sometimes permissible to kill some persons in order to help other persons, and that is an uphill argument within any moral view.
According to Bioethics and Biosafety Act in Korea, no one shall produce embryos other than for the purpose of pregnancy. In producing embryos for the purpose of pregnancy, no one shall perform any of the following acts: 1. Fertilizing an oocyte, when the oocyte and/or sperm have been specially selected for the purpose of producing offspring of a particular gender; 2. Fertilizing an oocyte, when the oocyte and/or sperm are those of a non-living human; or 3. Fertilizing an oocyte, when the oocyte and/or sperm are those of an under-aged human. However, this shall be allowed when married under-aged parents wish to conceive a child. No one shall induce or assist in providing or utilizing sperm or eggs for the purpose of receiving financial reward, property, or any other personal benefits.
Payments to woman providing eggs should be fair and not so substantial that they become undue inducements that will lead donors to discount risks. to discourage improper decisions to donate eggs, programs should adopt an effective information disclosure and counseling process. Regardless of how prospective donors are recruited, programs should be ensure that they receive accurate and meaningful information on the potential physical, psychological, and legal effects of eggs retrieval and donation. But there are no regulations on the storage, disposal and donation of gamets. Though belated, government should strive actively to solve the matter and should be planning to enact the related laws.

1
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문화·미디어·엔터테인먼트 법(구 문화산업과 법)
14권 1호 ~ 2권 1호

KCI등재

법학연구
30권 2호 ~ 30권 2호

KCI등재

문화·미디어·엔터테인먼트 법(구 문화산업과 법)
1권 0호 ~ 5권 2호

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법학논총
44권 1호 ~ 44권 1호

KCI등재

외법논집
44권 2호 ~ 44권 2호

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과학기술법연구
26권 2호 ~ 26권 2호

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국제법무
12권 1호 ~ 12권 1호

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한국해법학회지
42권 1호 ~ 42권 1호

KCI후보

안암법학
60권 0호 ~ 60권 0호

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상사법연구
39권 1호 ~ 39권 1호

비교법학
31권 0호 ~ 31권 0호

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피해자학연구
28권 1호 ~ 28권 1호

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법교육연구
15권 1호 ~ 15권 1호

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경영법률
30권 3호 ~ 30권 3호

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형사정책
32권 1호 ~ 32권 1호

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세계헌법연구
26권 1호 ~ 26권 1호

KCI등재

법학연구
28권 2호 ~ 28권 2호

KCI등재

한국범죄학
14권 1호 ~ 14권 1호

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비교형사법연구
22권 1호 ~ 22권 1호

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환경법연구
42권 1호 ~ 42권 1호
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