▲ 김해시-경남도, 공공의료원 설립 타당성 용역 1차 중간보고회 개최

[브레이크뉴스=이성용 기자] 김해시가 민선 8기 경남도지사와 함께 주요 공약으로 밝힌 김해 공공의료원 설립 추진을 위해 나서고 있는 가운데 지난 16일 타당성 용역 1차 중간보고회를 개최했다.

보고회는 경남도 보건행정과장과 김해시보건소장 등 15명이 참석한 가운데 지역환경 분석, 진료권 분석, 의료서비스계획 등에 대해 용역사인 한국보건산업진흥원 의료서비스혁신단장이 보고했다.

이날 보고에서 김해시와 비슷한 규모의 천안시, 전주시, 포항시, 제주시가 비교 대상 지역으로 주요 분석했다.

또 경남도 중진료권을 중심으로도 분석했으며 김해권은 양산시와 밀양시가 포함됐다.

기초현황 분석에 의하면 김해시는 비교 지역에 비해 공공의료기관이 없는 유일한 지역으로 중환자실, 격리병실, 무균실 등 특수 병상 대비에 매우 취약했으며 300병상 이상 종합병원 기준 인구 1,000명당 병상수가 0.8병상으로 매우 낮고 인구 1,000명당 의사 수도 전주 4.1, 천안 3.4에 비해 2.1명으로 가장 낮아 전문의 인력이 부족한 것으로 나타났다.

또 응급, 소아, 분만, 산부인과의 경우 시간 내 관내 의료 이용률이 전체적으로 낮아지고 있고 특히 산부인과 관내 이용률은 가장 낮게 나타났으며 연간 미충족 의료율은 17.6%로 경남과 비교 지역 중 가장 높은 수준이다.

이밖에 인구 10만명당 연령 표준화 사망률은 비교 지역에 비해 가장 높고 주요 사망 원인으로는 신생물과 순환계통 질환으로 나타났으며 2021년 김해시 관외 진료비는 4,400억원, 비중은 41.1%로 전국보다 높게 나타났다.

이런 가운데 54만 인구수에 비해 공공병원이 전무한 김해시를 주진료권, 양산시와 밀양시를 부진료권으로 설정하고 지역 친화도와 지역환자 구성비 등을 포함한 진료권 분석을 통해 병상 규모를 추정한 결과 345병상 정도 부족으로 나타났다.

의료서비스계획의 경우 정부의 필수의료 강화 정책에 따라 지역거점공공병원과 지역책임의료기관으로서의 기능과 역할 그리고 진료권 의료서비스 유출입 현황, 보건의료 현황 등 진료권 현황 분석에 따라 진료과목은 필수의료를 포함한 17개 정도로 보고됐다.

이에 대해 경남도 관계자는 양산시와 밀양시에 대한 분석자료가 미흡한 부분이 있고 경제적 사유로 병원에 가지 못하는 취약계층과 외국인, 중소기업에 다니는 근로자 등 충분한 수요가 있다는 내용이 반영되어야 한다는 의견을 냈다.

용역사인 한국보건산업진흥원 관계자는 ”중간보고회에서 주신 의견은 최대한 반영하고 지속적인 협의를 거쳐 김해 공공의료원 설립 근거가 마련될 수 있도록 노력하겠다“고 말했다.

허목 김해시보건소장은 민선 8기 도지사와 시장 공약인 김해 공공의료원이 조속히 설립되어 동부경남권 거점 공공병원과 지역책임의료기관으로서의 역할을 수행할 수 있도록 2차 중간보고회에는 김해권인 양산시와 밀양시 관계자들을 참여시킬 예정이라고 밝혔다.

또한 용역 최종보고회는 경남도지사 공약사업임을 감안해 경남도청에서 개최할 것을 제안했다.

김해 공공의료원 설립 타당성 및 민간투자 적격성 조사 용역은 지난 2월 한국보건산업진흥원과 계약하고 4월 착수보고회를 개최했으며 내년 2월 완료 예정이다.

용역비는 도비와 시비 1대1 매칭으로 총 2억 4,300만원이다.

*아래는 위 기사를 '구글 번역'으로 번역한 영문 기사의 [전문]입니다. '구글번역'은 이해도 높이기를 위해 노력하고 있습니다. 영문 번역에 오류가 있을 수 있음을 전제로 합니다. *The following is [the full text] of the English article translated by 'Google Translate'. 'Google Translate' is working hard to improve understanding. It is assumed that there may be errors in the English translation.

Gimhae City and Gyeongnam Province move forward with establishing public medical center

Feasibility service first interim report held... Results expected in February next year

While Gimhae City is working to promote the establishment of Gimhae Public Medical Center, which was announced as a major pledge along with the 8th popularly elected governor of South Gyeongsang Province, the first interim report on feasibility services was held on the 16th.

The briefing session was attended by 15 people, including the head of the Gyeongnam Province Health Administration Department and the head of the Gimhae City Public Health Center, and the head of the Medical Service Innovation Division of the Korea Health Industry Development Institute, a service provider, reported on regional environment analysis, treatment rights analysis, and medical service plans.

In this day's report, Cheonan-si, Jeonju-si, Pohang-si, and Jeju-si, which are similar in size to Gimhae-si, were mainly analyzed as comparison areas.

In addition, the analysis focused on the mid-care treatment area in Gyeongnam-do, and the Gimhae area included Yangsan-si and Miryang-si.

According to the basic status analysis, Gimhae City is the only region without public medical institutions compared to the comparative regions, and is very vulnerable to special hospital beds such as intensive care units, isolation rooms, and sterile rooms. The number of beds per 1,000 people based on general hospitals with 300 beds or more is very low at 0.8 beds per 1,000 people, and the population The number of doctors per 1,000 people was the lowest at 2.1 compared to Jeonju's 4.1 and Cheonan's 3.4, indicating a shortage of specialist manpower.

In addition, in the case of emergency, pediatric, childbirth, and obstetrics and gynecology, the overall rate of on-hour medical utilization is decreasing. In particular, the utilization rate of obstetrics and gynecology was the lowest, and the annual unmet medical care rate was 17.6%, the highest among Gyeongnam and comparison regions.

In addition, the age-standardized death rate per 100,000 population was the highest compared to comparison regions, and the main causes of death were neoplasms and circulatory system diseases. In 2021, Gimhae City's out-of-hospital medical expenses were KRW 440 billion, with a proportion of 41.1%, which was higher than nationwide.

Meanwhile, Gimhae City, which has no public hospitals compared to its population of 540,000, was set as the main treatment area, and Yangsan-si and Miryang-si were set as secondary treatment areas. As a result of estimating the size of hospital beds through analysis of the treatment area including regional affinity and the proportion of local patients, it was found that there was a shortage of about 345 beds. .

In the case of the medical service plan, in accordance with the government's policy of strengthening essential medical care, the functions and roles of local public hospitals and regional responsible medical institutions, and the status of medical service inflow and outflow, and health care status, are analyzed. According to the analysis of the medical treatment rights status, there are 17 medical subjects including essential medical care. It was reported to that extent.

In response to this, an official from Gyeongnam Province expressed the opinion that the analysis data for Yangsan City and Miryang City is insufficient and that sufficient demand should be reflected, including from vulnerable groups who cannot go to hospitals for economic reasons, foreigners, and workers at small and medium-sized businesses.

An official from the Korea Health Industry Development Institute, a service provider, said, “We will reflect the opinions received at the interim report as much as possible and strive to establish a basis for the establishment of the Gimhae Public Medical Center through continuous consultation.”

Heo Mok, head of the Gimhae City Public Health Center, said that officials from Yangsan and Miryang, both in the Gimhae region, will participate in the second interim report so that the Gimhae Public Medical Center, which is a pledge of the 8th popularly elected governor and mayor, will be established as soon as possible so that it can fulfill its role as a public hospital and regional responsible medical institution in the eastern Gyeongnam region. It was announced that it was planned.

In addition, it was proposed that the final report on the service be held at the Gyeongnam Provincial Office, considering that it is a pledge project of the Gyeongnam Provincial Governor.

The service to investigate the feasibility of establishing the Gimhae Public Medical Center and suitability for private investment was contracted with the Korea Health Industry Development Institute in February, and a start-up briefing session was held in April, and is scheduled to be completed in February next year.

The total service fee is 243 million won, with 1:1 matching of provincial and municipal fees.