재택의료: 사람 중심 의료로의 패러다임 전환

초록

Purpose: This study aims to address the limitations of a hospital-centric healthcare system in an aging society, in order to meet the unmet medical needs of vulnerable populations who remain in healthcare blind spots due to mobility constraints. Current Concepts: Home-based medical care is a person-centered model in which a multidisciplinary team of physicians, nurses, and social workers directly visits patients in their homes. This approach enhances diagnostic accuracy through comprehensive assessments that consider the patient's real-life context and promotes holistic well-being by addressing not only physical conditions but also psychological and social needs. Furthermore, it functions as a key element of transitional care, bridging the gap between hospitals and community-based healthcare. Discussion and Conclusion: Despite its potential, home-based medical care currently faces low participation rates in pilot programs due to inadequate reimbursement structures and excessive administrative burdens. Additional challenges include insufficient specialized training in medical curricula and persistent legal and institutional barriers.To overcome these obstacles, a realistic reimbursement system must be established, and the legal framework for home care redefined. Furthermore, it is essential to strengthen public-private collaboration networks and expand multidisciplinary training programs. Transforming home-based medical care from a temporary service into a core component of the essential healthcare system will enable the delivery of dignified, equitable, and comprehensive care for all citizens in the future.

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