韓醫學의 發展過程과 社會寄與度에 關한 硏究 = (A)study on the developmental process and social contribution of oriental medicine in Korea

다국어 초록 (Multilingual Abstract)

This study is to review the historical background of oriental medicine in Korea. The purpose of this study is to estimate the current condition of oriental medicine in Korea by investigating current health care delivery system and to make some suggetions for the future development.
The results of this study are summarized as follows :
1. Oriental medicine in Korea started to develop under King Sejong's medical education policy. It continued to develop for about 300 years and established its original health care delivery system independently of the Chinese medicine.
2. Afterwards, it went through the period of stagnation during the Japanese reign for about 50 years. During this period the health care system in Korea was influenced by Japanese health care system along with the knowledge of western medicine.
3. Oriental medical care system in Korea had not been modernized until the legislation of national health care law in 1951. Since then, oriental medicine has developed to a remarkable degree.
Recently, greater interest has focused on oriental medicine, which has made a great contribution to the improvement of public health in Korea. In order to prepare for opening of the medical market and for establishing the health care delivery system, we have to improve the methods of the oriental medical treatment and the quality of herb drugs and need to plan a new national health care policy in which oriental and western medicine can cooperate with each other.
Fundamental solutions to the tasks presented above can be suggested as follows :
Firstly, Korean society is becoming aged now and the cases of chronic diseases are increasing remarkably, which induces greater demands of health care than before. Therefore we need to establish a health care delivery system model including the application of oriental medicine which was proved to treat the chronic diseases effectively.
Secondly, since Koreans tend to want a specialized medical care, the current health care delivery system should be reconstructed according to the demand of the society. Health care policy should be adapted to establish the primary health care and the emergency care system, Various health educational programs should be prepared concerning adolescence, drug, and sex, and oriental medical professionals should be utilized fully at public health care institutes.
Thirdly, it is necessary to make better application of the resources of oriental medicine in Korea. We have to urge early modernization of oriental medicine through curriculum exchange between oriental and western medicine, the introduction of modern technology and of medical examination system in the field of oriental medicine. Therefore, radical reformation of health care policy should be encouraged.
Fourthly, well-balanced development between oriental and western medicine should be made by changing government policy. Especially all oriental medical academics themselves have to try to modernize orienatal medicine in the era of nationwide health insurance. However, this change can not be done without interdisciplinary cowork and broad understanding among the health related fields like medicine and pharmacy. Government tries to modernize oriental medicine by building National Research Institute for Oriental Medicine and the National Oriental Medical Hospital.
Fortunately, now government is planning a long term project for well-balanced development of oriental and western medicine. Above all increasing cases of chronic diseases caused by aged population in Korea, demand greater concern in the field of oriental medicine.

목차 (Table of Contents)

• 目次 = i
• Ⅰ. 緖論 = 1
• 1. 硏究의 背景 및 必要性 = 1
• 2. 硏究의 目的 = 4
• Ⅱ. 硏究方法 = 5
• 1. 資料蒐集 및 調査 = 5
• 2. 資料分析 方法 = 6
• Ⅲ. 硏究內容 = 8
• 1. 近世 韓國韓醫學의 變遷過程 = 8
• 가. 開花期 ： 朝鮮朝-舊韓末 = 8
• 나. 衰退期 ： 甲午改革-日政下 = 13
• 다. 光復期 ： 8.15解放-建國初 = 15
• 라. 發展期 ： 60年代以後 = 16
• 2. 最近世 韓醫學의 發展過程 = 22
• 가. 8·15解放과 美軍政影響 = 22
• 나. 韓醫學發展의 試練 = 24
• 다. 韓醫師制度 法制化運動 = 27
• 라. 韓醫師會·學會·醫權事業의 變遷 = 29
• 1) 韓醫師會創立과 運營 = 29
• 2) 學術事業의 活性化 = 31
• 3) 東洋醫學開發事業 着手 = 33
• 4) 韓醫學會의 活動 = 38
• 마. 醫療法 改正背景과 韓醫師位相 = 45
• 1) 傳統醫學의 再認識과 摩擦 = 45
• 2) 朝鮮醫療令과 國民醫療法 比較 = 47
• 3) 醫療法改正과 6年制 韓醫科大學 鼎立 = 52
• 4) 「漢醫學」이 「韓醫學」으로 改稱 = 54
• 5) 韓方病院의 增設과 韓方病院協會 創立 = 56
• 바. 國家韓方專擔機構와 育成策 變遷 = 59
• 1) 醫政3課 新設 = 59
• 2) 東洋醫學開發育成協識會 發足 = 62
• 3) 國民醫療政策 審議機構의 設置 = 65
• 4) 「國立醫療院 韓方診療部」 設置 = 68
• 사. 藥事法波動과 韓醫學 發展施策 = 71
• 1) 藥事法改正과 韓·藥紛爭 過程 = 71
• 2) 韓醫藥 保謨育成策 = 75
• 아. 韓國韓醫學硏究所의 設立 = 79
• 1) 現代韓醫學 50年史의 結晶體 = 79
• 2) 國立韓方病院·硏究所·韓醫藥專擔局 모델試案 硏究 = 83
• 3) 私立 韓醫學硏究機關의 變遷 = 83
• 자. 韓醫學 敎育制度의 發展 = 86
• 1) 韓醫學校의 創立 = 86
• 2) 韓醫科大學 增設 = 88
• 3) 韓醫科大學別 變遷過程 = 89
• 차. 韓方醫療 示範事業과 保險擴大 = 95
• 1) 韓方保險 示範事業 導入背景 = 95
• 2) 保險示範事業 內容과 分析 = 97
• 3) 韓方醫療保險의 實施準備 過程 = 99
• 3. 韓方醫療의 社會寄與度 = 101
• 가. 保健醫療施設의 韓方醫療資源의 增加 = 101
• 나. 韓方診療實績과 受診動向 分析 = 104
• 다. 全國 韓方醫療保險 擴大와 實績 = 108
• 라. 韓方醫療에 對한 國民意識 = 112
• 마. 保健所 韓方診療 示範事業 評價 = 116
• 4. 中國과 北韓의 東洋醫學 制度와 發展 = 122
• 가. 中國의 中醫學 = 122
• 1) 中醫藥 政策基調 = 122
• 2) 中醫藥 振興計劃 = 124
• 3) 中國의 中藥師 制度 = 125
• 4) 中西醫 結合 = 125
• 5) 中國의 醫療資源 = 126
• 6) 中醫藥 現代化 現況 = 127
• 나. 北韓의 東醫學 = 130
• 1) 東醫藥 政策基調 = 130
• 2) 醫療網과 硏究施設 = 130
• 3) 東醫學 敎育實相 = 137
• 4) 東醫藥 制度變遷 = 139
• 5. 21世紀 先進醫療體系에서의 韓醫學의 展望 = 141
• 가. 政府 保健醫療 長期發展計劃 = 141
• 1) 時代의 急激한 變化와 對應 = 141
• 2) 第7次 5個年計劃〈保健醫療 部門〉의 基本戰略 = 142
• 3) 新經濟 5個年計劃의 基本戰略 = 144
• 4) 第7次와 新經濟 5個年發展計劃 比較 = 148
• 5) 醫療保障改革 懸案과 推進 = 148
• 나. 21世紀 韓警學의 展望 = 152
• 1) 新經濟計劃과 韓醫學育成策 = 152
• 2) 東·西醫學의 相互補完政策 = 153
• 3) 潛在醫療 需要의 豫測과 可用化政策 = 154
• Ⅴ. 要約 및 結論 = 157
• 1. 要約 = 159
• 2. 結論 = 161
• 附表 = 165
• 參考文獻 = 195
• Abstract = 209