국내 정신건강의학과 진료 관련 건강보험 이슈와 향후 전망: 성인 정신건강의학과 입원서비스를 중심으로

• 영문명: Health Insurance Issues and Future Prospects Related to Korean Mental Health Care: Adult Mental Health and Hospitalization Services
• 발행기관: 대한신경정신의학회
• 저자명: 손지훈 이병철 박선영 오규한 김홍래 김낙영 박성용 석정호
• 간행물 정보: 『신경정신의학』제63권 제2호, 83~95쪽, 전체 13쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2024.05.31

국문 초록

The landscape of mental health services in Korea has evolved due to changes in the payment system. Despite the increasing societal focus on mental health, challenges persist. In 2021, 3622695 patients received treatment for mental and behavioral disorders, but decreasing bed numbers in general hospitals and a shortage of psychiatry specialists posed significant hurdles. Although reimbursements for psychiatry remain modest compared to other medical fields, the proportion of expenses allocated to psychotherapy is rising steadily, indicating a growing demand for mental health services. The Korean psychiatric hospitalization system faces a critical juncture. Inadequate reimbursement rates have led to a reduction in the number of beds in general hospitals, compromising acute psychiatric care. Psychiatric hospitals also suffer from low reimbursements, resulting in substandard care environments. These issues exacerbate the societal challenge of acute mental illness and psychiatric emergencies. Despite the recent regulatory efforts, including facility standards, the underlying problem of a discriminatory payment system persists, disproportionately affecting those with medically insured mental illnesses. Although some positive systemic changes have occurred, establishing an effective acute care system for mental illness remains a distant goal. Additional measures are essential to address the disparities and inadequacies within the current mental health payment system and ensure equitable access to quality care for all individuals with mental health needs.

목차

서 론

정신건강의학과 진료 규모와 현황

국내 정신건강의학과 입원 제도의 변화와 급성기 중심 정신의학과 입원 제도 개선 필요성

개별 사안의 진행 상태, 향후 전망과 과제

결 론

키워드

Mental health Health insurance Hospitalization