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Jaewook Choi ㅣ Professor of Preventive Medicine, Korea Medical University, Chairman of the Scientific Verification Committee, National Health Protection Committee, Korean Medical Association
The number of treatment beds in Korean hospitals is 12.3 per 1,000 people according to OECD statistics in 2017, which is 2.6 times the OECD average (4.7) and the second largest in the world. world. Still, what is the reason for the lack of COVID-19 treatment beds? The main responsibility will be with the government, which has not fully prepared and responded to the purchase of beds. Even now, it is necessary to start analyzing the situation in the front-line medical field and preparing scientific countermeasures. However, it is not possible to secure a bed as a product by touching a calculator. The reality of hospitals is that it is technically difficult to block the coronavirus in the air through a ventilation system in a hospital. Also, the negative pressure isolation bed is already saturated. This is the reason why it is medically impossible to assign some of the beds in the emergency room, the intensive care unit, and the ward as a corona bed. However, the opinions of some experts that the difficulty of securing beds is due to the lack of cooperation of private hospitals and the inability of the government from the beginning were wrong. How does it differ from other forms of fake news in front-line hospitals, which are still tired of treating corona patients and emergency patients, desk controversies unfamiliar with medical reality, and sensational reporting from some outlets? who instigate them? Furthermore, to undermine and attack government officials and private medical institutions struggling through the Corona 19 pandemic crisis, it appears to revise the dichotomy of public and private healthcare and the political framework they experienced in August. From the perspective of the medical field, we would like to propose a countermeasure to secure beds. First, a specific hospital should be designated as a specialized corona hospital, such as ‘Corona 19 dedicated hospital’. Reducing the mortality rate of patients with crown depends on the treatment of critically ill patients in a nursing home. The specialized intensive care unit of a higher general hospital treats the most critical patients such as ECMO treatment, the ‘Corona 19 dedicated hospital’ treats patients needing general intensive care such as pneumonia treatment, and the center treatment program Life treats mild patients. It is necessary to reorganize the treatment system by dividing it into places. Second, there is a need to establish “ comprehensive measures to secure corona 19 beds and medical staff and supporting medical institutions. ” Beyond measures to secure emergency beds, it is necessary to prepare measures to secure beds for each of the worst and best scenarios for January of next year. This is not only to treat Corona 19, but also to treat serious general illnesses and to prevent the collapse of the essential emergency medical system, so comprehensive measures are necessary. We shouldn’t be buried alone in treating COVID-19. Third, it is necessary to establish the ‘Crown Emergency Public-Private Joint Medical Committee 19’ and lead the development and implementation of comprehensive bed insurance measures. In particular, the compensation system of the treatment hospital dedicated to the crown should be changed from the ex post settlement method supervised by the Damage Compensation Deliberation Committee of the Ministry of Health and Social Welfare to a comprehensive prior compensation plan by prior agreement . In fact, in February this year, Daegu Dongsan Medical Center participated as a hospital dedicated to the crown and made a very large contribution, but even ten months later, the government has not paid compensation for damages. In this situation, which hospitals will be able to participate in corona treatment exclusively? In a national crisis situation, effective public-private medical cooperation can be established only when government officials have established administrative standards to work with confidence, have given full authority, and have prepared an advance compensation system. To overcome the Corona 19 crisis, it is necessary to respond to the medical field with a cool awareness of the problem and medical reasons. It cannot be solved with the dichotomous political and economic framework of public and private healthcare and political slogans such as criticism and stigma. It must be based on the trust and solidarity of medical personnel, government authorities and the people who are still protecting the patient’s side in the front-line medical field.
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