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An Organizational Factors in the Role Sharing of Medical Professions in U.S. Hospitals Focusing on Doctors, Nurses, and Non-Physician Clinicians

  • Legal Theory & Practice Review
  • Abbr : LTPR
  • 2021, 9(3), pp.85-114
  • Publisher : The Korea Society for Legal Theory and Practice Inc.
  • Research Area : Social Science > Law
  • Received : August 4, 2021
  • Accepted : August 25, 2021
  • Published : August 31, 2021

Jongho Kim 1

1호서대학교

Candidate

ABSTRACT

The current state of the medical profession in the United States can be said to represent the unique American doctors and nurses working methods and the hospital organization created by the medical profession. In this paper, among the characteristics of hospitals in the United States, three characteristics of the medical organization are fragmented, rationalization and standardization are in progress, and an open system is being adopted. Discuss whether PA/NP has influenced the division of roles. It is absolutely not realistic to introduce the NP/PA system of the United States, such as the insurance system, the medical fee system, the number of medical workers, the income of doctors, and the nationality, to Korea. However, knowing the actual situation of the NP/PA system in the US can give hints for improving the current situation in Korea, and it is thought that it will contribute to the discussion on the promotion of team medical care in the future. When the right or wrong to introduce medical professions is debated in Korea, the system itself is established, objectively verifies the basic direction of the hospital organization and the roles of doctors and nurses, and how to establish and utilize the medical profession in a form suitable for the hospital organization in Korea. I think it’s more important to do it. In order to promote team medical care, the introduction of the NP/PA system is considered to be one of the effective means, and it is better to discuss in more detail the needs of the field, the division of roles, and the advantages and disadvantages of introducing them. Additional research tasks include the clarification of discretion and responsibility through the revision of related laws, establishment of professional training system and qualification test standards, and the understanding of health care workers and the public.

Citation status

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