2024년 전공의 집단사직 사태 전후 국내 영상검사 이용량 재분배와 지역 판독 인프라 부담 : 외주·원격판독 의존을 높이는 구조적 조건
Redistribution of Diagnostic Imaging Utilization and Regional Reading Infrastructure Burden after Korea's 2024 Resident Physician Mass Resignation : Structural Conditions for Reliance on Outsourced and Remote Reading
Objectives: Using public data, this study examined the redistribution of imaging utilization and regional reading burden after Korea’s 2024 mass resignation of resident physicians and the conditions that increase reliance on outsourced/remote reading. Methods: Procedure, workforce, and population data (2020–2025) for six imaging groups were analyzed, and pre-crisis (2022–2023) and post-crisis (2024–2025) means were compared; interrupted time-series analysis and negative binomial regression were also conducted as supplementary analyses. Results: Utilization decreased by 14.5% in tertiary hospitals but increased in hospital- and clinic-level institutions. Non-capital regions showed a persistently higher per-radiologist burden (IRR=1.139, p=.001), and the gap did not widen post-crisis (p=.799). Conclusions: The findings do not directly measure outsourced reading, but show that crisis-driven redistribution compounds a pre-existing regional imbalance, increasing reliance on outsourced/remote reading. Therefore, reader traceability and quality management are essential factors.
목차
Ⅰ. 서론 Ⅱ. 연구방법 1. 연구설계 2. 자료원 및 변수 정의 3. 분석방법 4. 연구윤리 Ⅲ. 연구결과 1. 전국 영상검사 이용량의 장기 증가 및 전후변화 2. 요양기관 종별 검사량 재분배 3. 지역별 판독 인프라 부담: 2020-2025년 시계열 4. 요양기관 종별·검사군별 음이항 회귀분석 및단절적 시계열 보조분석 Ⅳ. 고찰 Ⅴ. 결론 REFERENCES