However, the limitations of the current military medical service seem difficult to
overcome. Sufficient quality medical personnel and medical equipment must be secured to
solve problems of insufficient skilled medical personnel, shortage/deterioration of medical
equipment, insincere/unfriendly treatment, long waiting times for reservations and
reception. However, the difficulties arising in the process can be easily predicted, and this
problem has yet to be resolved.
In order to increase the servicemen's satisfaction with health care services, it is also
necessary to continuously educate military commanders and military health care personnel
so that patient-centered communication and treatment can be achieved, and secure
high-quality medical personnel and medical equipment. However, given the realistic
difference in human and material resources between civilian hospitals and the military
medical facilities, a task that should be resolved with a higher priority is for the soldiers to
freely use the medical institutions, especially civilian hospitals.
Since 2019, the Ministry of National Defense has implemented measures to “simplify the
procedure for using civilian hospitals for the active duty soldiers,” allowing the soldiers to
receive medical treatment at a civilian hospital on the same day if approved by the unit
commander, and starting in 2021, the ‘Soldier Private Hospital Medical Expense Support
Program’ (providing up to 80% of co-pay) has been implemented. However, it is necessary to
devise a plan to better utilize the civilian medical system because many of the soldiers do not
use medical services due to ‘difficulty saying that he/she is sick due to the atmosphere in the
unit,’ ‘not having time to go to a medical institution or leave their place of work due to training
or work,’ ‘going to a hospital will make it difficult for their colleagues,’ and the military still
retains a system and practice that prioritizes ‘treatment at military medical institutions.’
To this end, it is necessary to take measures, including establishing statutory provisions to
guarantee the soldiers’ ‘right to choose medical treatment’ and a new provision requiring
commander’s approval when applying for sick leave for the purpose of medical treatment,
easing of the requirements for the soldiers to use sick leave, and allowing soldiers to use
vacation in 1-hour increments, etc. This will minimize factors that hinder soldiers from
receiving medical treatment at civilian hospitals, and at the same time, the military medical
institutions need to more actively operate nighttime medical care so that the soldiers can
receive medical treatment more conveniently.
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