±¹°¡ÇʼöÀǾàÇ°
À§¾Æ´õ¿µ(³ªÇý¿µ, À̳ª¿µ, ÀÌÀ¯¿µ)
¾È³çÇϼ¼¿ä! À§¾Æ´õyoung ÀÔ´Ï´Ù. ¿À´ÃÀº ±¹°¡ÇʼöÀǾàÇ°¿¡ ´ëÇØ ½±°Ô ¾Ë¾Æº¸´Â ½Ã°£À» °®°Ú½À´Ï´Ù! ¸¸¾à Ä¡·áÇöÀå¿¡¼ ¹Ýµå½Ã ÇÊ¿äÇÑ ÀǾàÇ°À» ±¸ÇÒ ¼ö ¾ø´Ù¸é ±× ȯÀÚ´Â »ý¸íÀÌ À§ÇèÇØÁú ¼öµµ ÀÖ½À´Ï´Ù. ÀÌ¿Í °°ÀÌ È¯ÀÚÀÇ ¾ÈÀüÀ» º¸ÀåÇϱâ À§Çؼ ÇʼöÀǾàÇ°¿¡ ´ëÇÑ °ø±Þü°è°¡ ±¸ÃàµÇ¾î¾ß ÇÕ´Ï´Ù. ÇʼöÀǾàÇ°ÀÌ ¹«¾ùÀÎÁö, ¿Ö ÇÊ¿äÇÏ°í ÇöÀçÀÇ ÇöȲÀº ¾î¶²Áö ÇÔ²² ¾Ë¾Æº¼±î¿ä?
1. ¹è°æ
ÇʼöÀǾàÇ°(essential medicine)À̶õ ±¹¹Îº¸°ÇÀ» À§ÇÏ¿© ±¹°¡ ³»¿¡¼ ¹Ýµå½Ã °®Ãß¾î¾ß ÇÒ ÀǾàÇ°À» ÀǹÌÇÕ´Ï´Ù. Àú¼Òµæ±¹°¡»Ó¸¸ ¾Æ´Ï¶ó °í¼Òµæ±¹°¡¿¡¼µµ ÇÑÁ¤µÈ ÀÚ¿ø ÇÏ¿¡¼ ±¹¹ÎÀÇ º¸°ÇÀÇ·á¼ö¿ä¸¦ ¸¸Á·½ÃÅ°±â À§ÇØ ÇʼöÀǾàÇ°ÀÇ °³³äÀ» µµÀÔÇÏ¿´½À´Ï´Ù. ÇʼöÀǾàÇ°ÀÇ °³³äÀº ¼¼°èº¸°Ç±â±¸(World Health Organization, WHO))¿¡¼ óÀ½À¸·Î ³íÀÇµÇ¾î °ü·Ã ¸ñ·ÏÀÌ ÀÛ¼ºµÇ¸ç µµÀԵǾú°í, ÇöÀç ÇʼöÀǾàÇ° ¸ñ·ÏÀº 2³â¸¶´Ù °»½ÅµÇ°í ÀÖ½À´Ï´Ù. ÇʼöÀǾàÇ°ÀÇ ¼±Åÿ¡ °í·ÁµÇ´Â ¿ä¼Ò¿¡´Â °ø°øº¸°ÇÀÇ ÀûÁ¤¼º, Áú, ¾ÈÁ¤¼º, È¿°ú µîÀÌ ÀÖ½À´Ï´Ù. ÇʼöÀǾàÇ° ¸ñ·ÏÀ» ÅëÇØ Á¦ÇÑµÈ ÀÚ¿øÀ¸·Î ÃÖÀûÀÇ ÀǾàÇ° ±¸¸Å¸¦ ÇÒ ¼ö ÀÖ´Â ÁöħÀÌ ¸¶·ÃµÇ¾úÁö¸¸ º¹ÀâÇÑ ÀǾàÇ°ÀÇ °ø±Þ°úÁ¤ ¼Ó¿¡¼ ÇʼöÀǾàÇ°ÀÇ °ø±ÞÀÌ ÀϽÃÀûÀ¸·Î ÁߴܵǴ µîÀÇ ºÒ¾ÈÀü¼ºÀ» º¸À̱⵵ ÇÕ´Ï´Ù. ÀÌ¿¡ ´ëÀÀÇØ ¹Ì±¹ ½ÄÇ°ÀǾ౹(Food and Drug Administration, FDA)¿¡¼´Â °ø±Þ°ï¶õÀǾàÇ°°ü¸®ÇÁ·Î±×·¥(Drug Shortage Program, DSP)À» ¿î¿µÇÏ´Â µî ÇʼöÀǾàÇ°À» ¾ÈÁ¤ÀûÀ¸·Î °ø±ÞÇϱâ À§ÇØ Ã¼°èÀûÀÎ °ü¸®Á¦µµ¸¦ ½ÃÇàÇÏ°í ÀÖ½À´Ï´Ù.
2. ¸ñÀû
±âÁ¸ ½ÃÀå±â´É¸¸À¸·Î´Â ÀǾàÇ° °ø±ÞÀÌ ºÒ¾ÈÁ¤Çϱ⿡ À̸¦ °³¼±Çϱâ À§ÇØ ±¹°¡ÇʼöÀǾàÇ°À» ÁöÁ¤µÇ¾ú½À´Ï´Ù. Áï, ±âÁ¸ ±¹°¡ ÀǾàÇ° Á¤Ã¥¿¡ ‘ÇʼöÀǾàÇ°’ °³³äÀ» µµÀÔÇÏ¿© ½ÃÀåÀÇ »óȲ°ú´Â »ó°ü¾øÀÌ Ç×»ó ±¹¹Î¿¡°Ô ÀǾàÇ°ÀÌ °ø±ÞµÉ ¼ö ÀÖµµ·Ï º¸ÀåÇϱâ À§ÇÔÀÔ´Ï´Ù. À̸¦ À§ÇØ ±¹°¡ÇʼöÀǾàÇ°À» Ã¥ÀÓÁö°í ÀÖ´Â ½ÄÇ°ÀǾàÇ°¾ÈÀüó(ÀÌÇÏ ½Ä¾àó)´Â ´ÙÀ½°ú °°Àº Á¤Ã¥µéÀ» ÃßÁøÇÏ°í ÀÖ½À´Ï´Ù.
1. »ó½Ã ¸ð´ÏÅ͸µ: °øÁߺ¸°Ç À§±â¿¡ ¹ßºü¸£°Ô ´ëÀÀÇÏ°í ÀÇ·áÇöÀå¿¡¼ ȯÀÚÄ¡·á¿¡ ÇʼöÀûÀÎ ÀǾàÇ°ÀÌ ¾ÈÁ¤ÀûÀ¸·Î °ø±ÞµÉ ¼ö ÀÖµµ·Ï ±¹°¡ÇʼöÀǾàÇ° °ø±Þ»óȲÀ» Áö¼ÓÀûÀ¸·Î ¸ð´ÏÅ͸µÇÏ¸é¼ À§±â »óȲ ¹ß»ý ½Ã ¼öÀÔÀ̳ª ÇàÁ¤ Áö¿ø µîÀÇ Á¶Ä¡¸¦ ÃëÇÏ´Â ¿ªÇÒÀ» ÇÕ´Ï´Ù.
2. ‘±¹°¡ÇʼöÀǾàÇ° ¾ÈÁ¤°ø±Þ ÇùÀÇȸ’ ¿î¿µ: ‘±¹°¡Çʼö ÀǾàÇ° ¾ÈÁ¤°ø±Þ ½Ç¹«ÇùÀÇȸ’¸¦ ¿î¿µÇÏ¿©, Á¤ºÎºÎó °ø¹«¿ø°ú º¸°ÇÀÇ·á Àü¹®°¡ °£ ³×Æ®¿öÅ©¸¦ Çü¼ºÇÏ°í, ÀÀ±ÞÀÇ·á ÇöÀå¿¡¼ ÇÊ¿äÇÑ ÀǾàÇ° ¼ö¿ä¿¡ ´ëÀÀÇÕ´Ï´Ù.
3. ±¹°¡ÇʼöÀǾàÇ° ÇöȲ
1) ±¹°¡ÇʼöÀǾàÇ° ¿î¿µ ü°è
<»çÁøÃâó: ½ÄÇ°ÀǾàÇ°¾ÈÀüó º¸µµÀÚ·á.
Available from: https://www.mfds.go.kr/brd/m_99/view.do?seq=43501>
±¹°¡ÇʼöÀǾàÇ°Àº ‘±¹°¡ÇʼöÀǾàÇ° ¾ÈÁ¤°ø±Þ ÇùÀÇȸ’¸¦ ÅëÇÏ¿© ÁöÁ¤µË´Ï´Ù. ±¹°¡ÇʼöÀǾàÇ° ¾ÈÁ¤°ø±Þ ÇùÀÇȸ´Â ½Ä¾àó¿¡ ¼ÓÇÑ ÇùÀÇȸ·Î, ÃÑ 8°³ÀÇ ºÎó(±¹¹«Á¶Á¤½Ç, ±³À°ºÎ, ÇàÁ¤¾ÈÀüºÎ, º¸°Çº¹ÁöºÎ, °í¿ë³ëµ¿ºÎ, ±¹°¡º¸ÈÆó, ¿øÀڷ¾ÈÀüÀ§¿øȸ)°¡ ÇÔ²²ÇÏ°í ÀÖ½À´Ï´Ù. ¿ÃÇØ Ãß°¡µÈ 36°³ÀÇ ÀǾàÇ° ¶ÇÇÑ ÇùÀÇȸ¸¦ ÅëÇÏ¿© ÁöÁ¤µÈ °ÍÀÔ´Ï´Ù. ½Ä¾àóÀÇ »êÇϱⱸÀÎ ‘Èñ±Í¤ýÇʼöÀǾàÇ° ¼¾ÅÍ’´Â ÇöÀå ¼ö±Þ¸ð´ÏÅ͸µ ¼¾ÅÍ(´ëÇѾà»çȸ, Çѱ¹±Û·Î¹úÀǾà»ê¾÷Çùȸ µî)¸¦ ÅëÇÏ¿© ±¹°¡ÇʼöÀǾàÇ°°ú °ü·ÃµÈ ±¹³»¿Ü °ü·Ã Á¤º¸¸¦ ¼öÁýÇÏ°í, ±¹°¡ÇʼöÀǾàÇ°À» ¼öÀÔÇÏ¿© ÇöÀå(º´¿ø, ¾à±¹, Á¦¾àȸ»ç µî)¿¡ °ø±ÞÇÏ´Â ¿ªÇÒÀ» ÇÏ°í ÀÖ½À´Ï´Ù. Áï, ±¹°¡ÇʼöÀǾàÇ°ÀÌ ‘±¹°¡ÇʼöÀǾàÇ° ¾ÈÁ¤°ø±Þ ÇùÀÇȸ’¿¡ ÀÇÇØ ÁöÁ¤µÇ°Ô µÇ¸é, ½ÇÁ¦ ÇöÀå¿¡ °ø±ÞÀº ‘Èñ±Í/ÇʼöÀǾàÇ° ¼¾ÅÍ’¸¦ ÅëÇÏ¿© ÀÌ·ç¾îÁö°Ô µÇ´Â °ÍÀÔ´Ï´Ù.
2) ±¹°¡ÇʼöÀǾàÇ° È®´ë
¿ÃÇØ 5¿ù, ½ºÀ§½º Á¦³×¹Ù¿¡¼ 194°³ÀÇ ±¹°¡°¡ ¸ð¿© Á¦ 72Â÷ WHO ÃÑȸ°¡ ÁøÇàµÇ¾ú½À´Ï´Ù. ÀÌ ÃÑȸ´Â UNÁö¼Ó°¡´É¹ßÀü¸ñÇ¥ 3¹ø(¸ðµÎ¸¦ À§ÇÑ Àü ¿¬·ÉÃþÀÇ °Ç°ÇÑ »îÀ» º¸ÀåÇÏ°í À£ºù(well-being)À» ÁõÁøÇÑ´Ù)À» ¸ñÇ¥·Î ¸Å³â 5¿ù¿¡ ¿¸³´Ï´Ù. À̹ø ÃÑȸÀÇ º¸°ÇÀÇ·áºÐ¾ß ÁÖÁ¦´Â ‘º¸ÆíÀû ÀǷẸÀå: ´©±¸µµ ¼Ò¿ÜµÊ ¾øÀÌ(Universal Health Coverage: Leaving no one behind)’¿´½À´Ï´Ù. ¿ì¸®³ª¶ó¸¦ ´ëÇ¥ÇÏ¿© ±Ç¼ø¸¸ ±³¼ö´Ô(¼¿ï´ëÇб³ º¸°Ç´ëÇпø º¸°ÇÇаú)²²¼ ±¹³»¿ÜÀûÀÎ ÀǾàÇ° º¸±Þ °³¼±¿¡ ´ëÇÑ ¹ßÇ¥¸¦ ÁøÇàÇϼ̽À´Ï´Ù. ÀÌó·³, ÀǾàÇ° º¸±ÞÀÇ ¿ëÀ̼ºÀ» Çâ»ó½ÃÅ°±â À§ÇÑ ³ë·ÂÀÌ Áö¼ÓµÇ°í ÀÖ°í, º¸´Ù ¾ÈÁ¤ÀûÀ¸·Î ÀǾàÇ°ÀÌ º¸±ÞµÉ ¼ö ÀÖµµ·Ï ±¹°¡ÇʼöÀǾàÇ°À» È®´ëÇØ¾ß ÇÑ´Ù´Â À뱂 Â÷¿øÀÇ Æò°¡°¡ Áõ°¡ÇÏ°í ÀÖ½À´Ï´Ù. ÀÌ¿¡ ¿ÃÇØ 6¿ù, ½Ä¾àó´Â ±âÁ¸ 315°³ÀÇ ±¹°¡ÇʼöÀǾàÇ°¿¡¼ 36°³¸¦ Ãß°¡ ÁöÁ¤ÇÏ¿© ÇöÀç, ±¹°¡ÇʼöÀǾàÇ°Àº 361°³·Î È®´ëµÇ¾ú½À´Ï´Ù. Ãß°¡µÈ ±¹°¡ÇʼöÀǾàÇ°Àº °áÇÙ Ä¡·áÁ¦(3°³), ¸»¶ó¸®¾Æ Ä¡·áÁ¦(7°³), ¹ýÁ¤ °¨¿°º´ Ä¡·áÁ¦(20°³), Àç³´ëÀÀ ¹× ÀÀ±ÞÀÇ·á¿ë ¾à(1°³), ÁöÁ¤ °¨¿°º´ µîÀÇ Ä¡·áÁ¦(5°³)ÀÔ´Ï´Ù.
¿À´Ã ÀÌó·³ ±¹°¡ÇʼöÀǾàÇ°¿¡ ´ëÇØ ¾Ë¾Æº¸¾Ò´Âµ¥¿ä! ÇѸ¶µð·Î, ±¹°¡ÇʼöÀǾàÇ°Àº ÀǾàÇ° ½ÃÀå »óȲ°ú »ó°ü¾øÀÌ ¸ðµç ±¹¹Î¿¡°Ô ÇʼöÀûÀÎ ÀǾàÇ°ÀÌ °ø±ÞµÇµµ·Ï ³ë·ÂÇÏ´Â ‘ÀǾàÇ° ¾ÈÀü¸Á’ À̶ó°í ¸»ÇÒ ¼ö ÀÖ½À´Ï´Ù. ±¹¹ÎÀÇ °Ç°±Ç º¸ÀåÀ» À§ÇÑ ±¹°¡ÇʼöÀǾàÇ°! ¾ÕÀ¸·Î Áö¼ÓÀûÀ¸·Î À¯Áö?È®´ëµÇ¾úÀ¸¸é ÁÁ°Ú³×¿ä! ¿©·¯ºÐ²²¼ ¸ðµÎ ¿À´Ã ¼Ò°³ÇØ µå¸° ³»¿ëÀ» Àß ÀÌÇØÇϼ̱⸦ ¹Ù¶ó¸ç, ÀÌ»ó À§¾Æ´õyoungÀ̾ú½À´Ï´Ù! °¨»çÇÕ´Ï´Ù!
Âü°í¹®Çå
- ±è¼±, ±èÀ¯Áø, ¹é¼ÒÇý, ¾çºÀ¹Î, ±ÇÇý¿µ. ÇʼöÀǾàÇ°¿¡ ´ëÇÑ Á¢±Ù º¸Àå°ú ±¹¿µÁ¦¾à»çÀÇ ¿ªÇÒ: ÇØ¿Ü»ç·Ê°¡Çѱ¹¿¡ ÁÖ´Â ½Ã»çÁ¡. º¸°Ç°æÁ¦¿Í Á¤Ã¥¿¬±¸(±¸ º¸°Ç°æÁ¦¿¬±¸). 2015;21(1):1-30.
- ¹Ú½Çºñ¾Æ. ÀǾàÇ°ÀÇ ¾ÈÁ¤Àû °ø±Þü°è¿Í ±¸ÃàÀ» À§ÇÑ ÇʼöÀǾàÇ° °ü¸®¹æ¾È. ¼¿ï: Çѱ¹º¸°Ç»çȸ¿¬±¸¿ø; 2009.
- ÀÌÁ¤À±. Á¤ºÎ,±¹°¡ÇʼöÀǾàÇ° 17Á¾ Ãß°¡ ÁöÁ¤. ÀÇÇнŹ®. 2017. 7. 4. [cited 2019. 9. 15.]. Available from: http://www.bosa.co.kr/news/articleView.html?idxno=2064136
- ±è¾çÁß. °áÇÙ Ä¡·áÁ¦ µî 36°³ ÀǾàÇ°, ±¹°¡ÇʼöÀǾàÇ°À¸·Î ÁöÁ¤µÅ. ÇÑ°Ü·¹. 2019. 6. 12. [cited 2019. 9. 15.]. Available from: http://www.hani.co.kr/arti/society/health/897557.html
- ±è¿¬¼÷, ±è¼º°æ, °û¸í¼·, ¼Û¿µÁø. ÀǾàÇ° Á¢±Ù¼º È®º¸, ÀÌÁ¦´Â ÇൿÇØ¾ß ÇÒ ¶§. º¸°Çº¹ÁöºÎ º¸µµÀÚ·á. 2019. 5. 21. [cited 2019. 9. 15]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=349507
- ±è»óºÀ, ÀÓ»ó¿ì. Á¤ºÎ, ±¹°¡ÇʼöÀǾàÇ° 36°³ Ãß°¡ ÁöÁ¤, ÃÑ 351°³·Î È®´ë. ½ÄÇ°ÀǾàÇ°¾ÈÀüó º¸µµÀÚ·á. 2019. 6. 12. [cited 2019. 9. 15]. Available from: https://www.mfds.go.kr/brd/m_99/view.do?seq=43501
- kodc.or.kr. [Homepage from the Internet]. ¼¿ï: Çѱ¹Èñ±Í¤ýÇʼöÀǾàÇ°¼¾ÅÍ. . [cited 2019. 9. 15]. Available from: http://www.kodc.or.kr/home/board/read.do?menuId=28&boardId=56&boardMasterId=7
Ãâó: https://hineca.kr/1938 [Hi NECA]