제1장 서 론··········································································· 1
1. 연구 배경 및 목적······························································· 1
2. 연구 범위 ············································································ 3
1) 시간적 범위······································································· 3
2) 공간적 범위······································································· 3
3) 내용적 범위······································································· 3
4) 연구방법············································································ 4
제2장 서부산의료원 건립 필요성····································· 5
1. 서부산권 인구구조의 변화·················································· 5
2. 서부산권 의료기관 및 의료종사자····································· 8
3. 서부산권의 의료환경························································· 12
4. 서부산의료원의 필요성······················································ 14
제3장 공공의료 개념 및 공공의료원 사례···················· 19
1. 공공의료 개념····································································· 19
1) 세계보건기구의 정의······················································ 19
2) 공공보건의료에 관한 법률············································ 20
2. 국내 공공의료원의 운영 현황·········································· 22
1) 공공의료기관 운영 현황················································ 22
2) 공공의료기관 평가·························································· 23
3) 지방의료원의 기능 수행················································ 24
3. 국내 공공의료원의 사례···················································· 27
1) 기능 수행 현황······························································· 28
2) 규모 현황········································································· 35
4. 공공의료기관 BLT사업 추진 사례··································· 40
5. 부산의료원·········································································· 43
1) 일반적 현황····································································· 43
2) 기능 수행 현황······························································· 47
제4장 서부산의료원 입지분석········································· 49
1. 후보지 평가기준································································· 49
1) 후보지 선정절차····························································· 49
2) 부지선정 기준································································· 52
3) 부지선정기준··································································· 54
2. 후보지 평가 분석······························································· 55
1) 평가 기준········································································· 55
2) 대상지별 내용································································· 57
3) 평가결과와 내용····························································· 64
제5장 서부산의료원의 건립과 운영······························· 69
1. 서부산의료원의 건립························································· 69
2. 서부산의료원 건립에 따른 기술적 검토························· 72
1) 서부산의료원 예정부지 현황········································· 72
2) 현장확인 및 설명(2회) ··················································· 73
3) 의료기 전문업체 답변내용············································ 74
4) 의료기 전문업체 답변내용············································ 74
5) 종합의견··········································································· 75
3. 서부산의료원의 운영························································· 75
1) 서부산의료원 운영을 위한 법적 검토························· 75
2) 서부산의료원의 향후 과제············································ 77
제6장 결론 및 제언························································· 81
1. 결론······················································································ 81
2. 제언······················································································ 82
참고문헌 ·············································································· 84
<표 Ⅱ-1> 부산시 권역별 인구 추이··········································· 6
<표 Ⅱ-2> 권역별 의료종사자 ·················································· 10
<표 Ⅱ-3> 서부산권 의료종사자 비교······································· 11
<표 Ⅱ-4> 2015년 부산의료원 이용 현황 ······························ 13
<표 Ⅱ-5> 서부산권 의료기관 이용자······································· 15
<표 Ⅱ-6> 자치구별 인구수, 의료수요····································· 16
<표 Ⅱ-7> 부산시 병원 수 및 병상 수 현황··························· 17
<표 Ⅲ-1> 공공보건의료의 개념 및 역할 변화······················· 20
<표 Ⅲ-2> 공공의료의 개념 및 역할 변화······························· 21
<표 Ⅲ-3> 지역거점공공병원 평가 결과(A등급 기관) ············· 24
<표 Ⅲ-4> 국립 마산병원··························································· 36
<표 Ⅲ-5> 국립마산병원 부분별 소요공간 구성······················ 37
<표 Ⅲ-6> 경기도의료원 안성병원············································ 38
<표 Ⅲ-7> 경기도의료원 안성병원 부분별 소요공간 구성····· 39
<표 Ⅲ-8> 공공의료기관 BTL사업 추진현황···························· 40
<표 Ⅲ-9> 부산의료원 개요························································ 44
<표 Ⅲ-10> 부산의료원 운영평가·············································· 46
<표 Ⅳ-1> 7개 후보지································································· 51
<표 Ⅳ-2> 입지후보지 평가기준················································ 55
<표 Ⅳ-3> 서부산의료원 평가 기준·········································· 56
<표 Ⅳ-4> 자치구별 의료환경 평가 결과································· 64
<표 Ⅳ-5> 서부산의료원 입지평가 결과··································· 65
<그림 Ⅰ-1> 연구방법··································································· 4
<그림 Ⅱ-1> 서부산권 인구 변화················································ 6
<그림 Ⅱ-2> 부산시 권역별 인구 비중······································· 7
<그림 Ⅱ-3> 서부산권 의료환경·················································· 8
<그림 Ⅱ-4> 서부산권 의료기관 유형········································· 9
<그림 Ⅱ-5> 권역 간 의료기관 증가율····································· 10
<그림 Ⅱ-6> 의료수요 비중························································ 12
<그림 Ⅲ-1> 부산의료원····························································· 46
<그림 Ⅳ-1> 후보지 선정절차···················································· 50
<그림 Ⅳ-2> 후보지 위치도························································ 52
<그림 Ⅴ-1> 서부산의료원 예상 위치도··································· 70
<그림 Ⅴ-2> 서부산의료원 예상 조감도··································· 72