공공의료기관의 노후화 해결에 관한 비교법적 고찰

Abstract

Public medical institution means medical institutions established and operated by the state or local governments to provide public health care to the people. Public medical institutions play a role in supplying inexpensive and good quality medical services to the public and supplying medical services to residents or socially disadvantaged people where the medical environment is weak. In addition, in the event of an infectious disease or other disaster, it is in charge of preventing and managing infectious diseases and treating victims affected by the disaster, and plays a role in responding to the crisis systematically at the national level. In particular, public medical institutions play an important role in preventing polarization in the medical field because they generally provide medical services to the public without considering profitability.
 Public medical institution that play such an important role are having difficulties in solving the aging of public medical institutions due to chronic deficits. In recent years, regional variations in the degree of aging have intensified, resulting in regional imbalances in medical service quality. Therefore, it is necessary to solve this problem by preparing a plan to solve the aging of public medical institutions by attracting private capital. However, under the current Act On Public-Private Partnerships In Infrastructure(2020), only the Private Finance Initiative(PFI) scheme accompanied by construction is used. So, in this scheme, new facilities such as hospital wards must be built or if old facilities exist, new building after full demolition of old one must be made. Therefore, it is necessary to omit the construction stage and introduce an operating Private Finance Initiative(PFI) scheme that allows the private sector to repair the ward, supply and maintain new medical devices, etc.
 In this motivation, the writer suggests to solve the aging of public medical institutions through comparison with Japan's public-private partnership law so that public safety can be secured from various risks such as COVID-19. Particularly, “The Right to Operate the Public Facility”(公共施設等運営権制度), which is a Japanese operating Private Finance Initiative(PFI) scheme, is reviewed, and the implications and limitations of this system on the Korean Private Finance Initiative(PFI) legislation are discussed.