2018 보건복지백서

성과개요 2018 보건복지 주요성과

제1부 2018년 보건복지부 정책 개요

제1장 보건복지정책 환경 및 과제

제1절 정책 환경 ·····················································································2

제2절 보건복지정책의 비전 및 과제 ························································8

제2부 부문별 보건복지정책

제1장 국민기초생활보장

제1절 국민기초생활보장제도 ··································································14

Ⅰ. 개요 ·························································································14

Ⅱ. 기초생활보장 강화(부양의무자 기준 단계적 완화) ·······················19

Ⅲ. 정부양곡할인지원사업 ································································24

제2절 기초의료보장제도 ········································································26

Ⅰ. 개요 ·························································································26

Ⅱ. 의료급여제도의 개선 ··································································37

제3절 자활지원사업 ···············································································44

Ⅰ. 개요 ·························································································44

Ⅱ. 자활지원사업의 개선 ··································································45

제4절 긴급복지지원제도 ········································································58

Ⅰ. 개요 ·························································································58

Ⅱ. 긴급복지지원제도의 강화 ···························································63

제5절 노숙인 등 복지지원사업 ·······························································65

Ⅰ. 개요 ·························································································65

Ⅱ. 노숙인 등 보호 및 지원 ····························································65

MINISTRY OF HEALTH AND WELFARE WHITE BOOK │2018 보건복지백서

제6절 농어촌 주민의 보건복지 증진 ······················································70

Ⅰ. 개요 ·························································································70

Ⅱ. 농어촌 주민의 보건복지 증진을 위한 대책 추진 ·························71

제7절 사회보장정보시스템 ·····································································74

Ⅰ. 개요 ·························································································74

Ⅱ. 사회보장정보시스템(행복e음) 구축 내용 ······································76

Ⅲ. 사회보장정보시스템(행복e음) 운영 현황 및 성과 ························78

Ⅳ. 사회보장정보시스템(범정부) 구축 ················································83

Ⅴ. 향후 계획 ·················································································90

제8절 복지사업의 표준화 ·······································································91

Ⅰ. 개요 ·························································································91

Ⅱ. 기준 표준화의 내용과 절차 ························································93

Ⅲ. 추진 성과 ·················································································95

Ⅳ. 건강보험료 판정기준 ··································································98

Ⅴ. 향후 계획 ·················································································99

제9절 지역사회복지의 활성화 ······························································100

Ⅰ. 지역사회보장계획 수립 및 지역사회보장협의체 구성 ·················100

Ⅱ. 사회복지전달체계 개편 ····························································106

Ⅲ. 지방자치단체 복지평가 ····························································114

제2장 사회정책 총괄ㆍ조정 기능 강화

제1절 사회보장체계 구축 및 지원 ························································118

Ⅰ. 사회보장위원회 운영 ································································118

Ⅱ. 사회보장기본계획 ····································································123

Ⅲ. 사회보장제도 계획 추진 실적 평가 ··········································128

Ⅳ. 사회복지지출 산출 ···································································129

Ⅴ. 사회보장지표의 조사ㆍ분석 및 관리 ·········································132

목차 │ CONTENTS

제2절 사회보장제도의 협의ㆍ조정 ························································136

Ⅰ. 신설ㆍ변경되는 사회보장제도 협의ㆍ조정 ·································136

Ⅱ. 지자체 협치 강화를 위한 제도개선 ··········································140

제3절 사회보장제도 평가 ·····································································144

Ⅰ. 사회보장제도 평가 ···································································144

Ⅱ. 사회보장 대국민 인식조사 ·······················································147

제3장 사회서비스

제1절 사회서비스 정책 ········································································150

Ⅰ. 개요 ·······················································································150

Ⅱ. 사회서비스 활성화 대책 추진 ··················································152

Ⅲ. 사회서비스 일자리정책 ····························································158

Ⅳ. 지역자율형 사회서비스 투자 사업 ············································161

제2절 민간복지자원 육성 및 나눔문화 활성화 ······································165

Ⅰ. 사회복지공동모금회 지원 ·························································165

Ⅱ. 사회복지분야 자원봉사 활성화 ·················································167

Ⅲ. 기부식품등 제공사업 활성화 ····················································171

Ⅳ. 사회복무요원 직무교육 ····························································174

Ⅴ. 나눔문화 확산 ·········································································178

Ⅵ. 의사상자 예우 ·········································································184

제3절 장애인복지정책 ·········································································186

Ⅰ. 개요 ·······················································································186

Ⅱ. 장애인 차별 해소 및 사회 참여 ···············································198

Ⅲ. 장애인 소득보장 ······································································208

Ⅳ. 장애인 경제활동 지원 ······························································210

Ⅴ. 장애인복지 인프라 확충 ···························································215

MINISTRY OF HEALTH AND WELFARE WHITE BOOK │2018 보건복지백서

제4장 저출산ㆍ고령사회 대응정책

제1절 저출산ㆍ고령사회 대책 ······························································222

Ⅰ. 저출산ㆍ고령사회 기본계획 ······················································222

Ⅱ. 저출산 대응 인구정책 ······························································228

Ⅲ. 고령친화산업 육성 ···································································231

제2절 모성과 어린이 건강증진정책 ······················································236

Ⅰ. 개요 ·······················································································236

Ⅱ. 영유아 사전ㆍ예방적 건강관리 ·················································237

Ⅲ. 모성 건강관리 강화 ·································································239

Ⅳ. 출산ㆍ양육부담 경감 ·······························································244

제3절 아동복지정책 ·············································································246

Ⅰ. 개요 ·······················································································246

Ⅱ. 아동의 권리와 참여 증진 ·························································249

Ⅲ. 아동복지체계 확충 ···································································256

Ⅳ. 아동안전 강화 ·········································································271

제4절 노인복지정책 ·············································································274

Ⅰ. 개요 ·······················································································274

Ⅱ. 노인 사회 활동 참여 ·······························································278

Ⅲ. 안전한 노후 생활 ····································································284

Ⅳ. 편안한 노후 생활 ····································································289

Ⅴ. 노인장기요양보험제도 ······························································295

Ⅵ. 건강한 노후 생활 ····································································301

Ⅶ. 장사제도 및 경로우대제도 ·······················································302

제5절 보육정책 ···················································································308

Ⅰ. 개요 ·······················································································308

Ⅱ. 보육비용 지원 확대를 통한 부모 육아부담 경감 ·······················311

Ⅲ. 보육서비스 인프라 확충 ···························································315

목차 │ CONTENTS

Ⅳ. 부모와 영유아의 특성에 따른 맞춤형 보육서비스 강화 ··············318

Ⅴ. 보육서비스의 질 제고 ······························································322

Ⅵ. 효율적인 보육지원체계 구축 ····················································330

제5장 연금제도

제1절 국민연금 운영 ···········································································334

Ⅰ. 개요 ·······················································································334

Ⅱ. 가입 대상 ···············································································335

Ⅲ. 연금보험료 부과 ······································································337

Ⅳ. 연금급여 지급 ·········································································338

Ⅴ. 사회보장협정 ···········································································345

제2절 국민연금기금 운용 ·····································································349

Ⅰ. 개요 ·······················································································349

Ⅱ. 국민연금기금 투자 정책 ···························································352

Ⅲ. 국민연금기금 관리ㆍ운용 현황 ·················································356

Ⅳ. 국민연금기금의 주요 정책 과제 ···············································361

제3절 기초연금제도의 정착 ·································································365

Ⅰ. 도입 배경 및 필요성 ·······························································365

Ⅱ. 운영 현황 및 성과 ··································································366

Ⅲ. 기초연금제도의 내실화 ····························································367

제4절 국민연금과 직역연금 간 연계제도 ··············································369

Ⅰ. 개요 ·······················································································369

Ⅱ. 제도 개선 내용 ·······································································373

Ⅲ. 운영 실적 ···············································································376

제5절 국민연금제도의 발전 방향 ·························································378

Ⅰ. 국민연금제도의 내실화 ····························································378

Ⅱ. 제4차 국민연금 재정계산 ·························································380

MINISTRY OF HEALTH AND WELFARE WHITE BOOK │2018 보건복지백서

제6장 보건의료정책

제1절 보건의료정책 ·············································································384

Ⅰ. 개요 ·······················································································384

Ⅱ. 의료의 질 관리 ·······································································385

Ⅲ. 의료소비자 권익 강화 ······························································400

Ⅳ. 의료-ICT 융합서비스 도입 ······················································419

제2절 의료자원정책 ·············································································429

Ⅰ. 의료자원의 합리적 육성 ···························································429

Ⅱ. 보건의료인 국가시험ㆍ면허제도 적정 관리 ································437

Ⅲ. 보건의료자원 신고 일원화 ·······················································440

제3절 의약품 정책 ··············································································442

Ⅰ. 의약품 정책의 기본 방향 ·························································442

Ⅱ. 적정하고 합리적인 의약품 사용 ···············································443

Ⅲ. 의약품 등의 공급ㆍ유통 체계 개선 ··········································447

제4절 공공보건의료정책 ······································································454

Ⅰ. 수요자 중심 공공의료체계 구축 ···············································454

Ⅱ. 지역보건의료계획 수립 및 시행 ···············································468

Ⅲ. 지역보건의료기관 현대화 추진 ·················································476

Ⅳ. 보건기관 정보화 추진 ······························································479

Ⅴ. 공중보건의사 제도 운영 ···························································481

제5절 감염성질환 등 관리 ···································································485

Ⅰ. 개요 ·······················································································485

Ⅱ. 감염병 감시 ············································································487

Ⅲ. 예방접종 관리 ·········································································503

Ⅳ. 결핵 관리 ···············································································524

Ⅴ. 후천성면역결핍증 및 성매개감염병 관리 ···································529

Ⅵ. 검역 관리 ···············································································536

목차 │ CONTENTS

제6절 비감염성질환 관리 ·····································································546

Ⅰ. 개요 ·······················································································546

Ⅱ. 비감염성질환의 특성 ································································546

Ⅲ. 심ㆍ뇌혈관질환 관리 ·······························································547

Ⅳ. 아토피ㆍ천식 예방 관리 ··························································553

Ⅴ. 희귀질환 관리 ·········································································556

제7절 암질환 관리 ··············································································563

Ⅰ. 개요 ·······················································································563

Ⅱ. 국가 암 관리사업 현황 ····························································564

Ⅲ. 국립암센터 운영 지원 ······························································579

제8절 응급의료정책 ·············································································583

Ⅰ. 개요 ·······················································································583

Ⅱ. 응급의료계획 수립 및 추진 ······················································586

Ⅲ. 대국민 응급의료 현장 서비스 강화 ··········································589

Ⅳ. 응급의료 이송체계 구축 ···························································590

Ⅴ. 응급의료기관 평가 및 육성 ······················································591

Ⅵ. 중증외상전문진료체계 구축 ······················································598

Ⅶ. 국가재난의료체계 육성 ····························································600

제9절 생명윤리정책 ·············································································602

Ⅰ. 개요 ·······················································································602

Ⅱ. 연명의료 ·················································································603

Ⅲ. 장기 및 인체조직 ····································································608

Ⅳ. 혈액안전관리 ···········································································613

제7장 건강보험

제1절 건강보험제도 운영 ·····································································618

Ⅰ. 개요 ·······················································································618

Ⅱ. 건강보험료 부과체계 개편 ·······················································624

MINISTRY OF HEALTH AND WELFARE WHITE BOOK │2018 보건복지백서

Ⅲ. 건강보험료 부과ㆍ징수제도 운영 ··············································631

Ⅳ. 건강보험의 재정 안정 ······························································640

Ⅴ. 건강보험 관리조직 운영 ···························································644

제2절 건강보험 급여 체계 ···································································647

Ⅰ. 건강보험 보장성 확대 추진 ······················································647

Ⅱ. 건강보험 수가 관리 ·································································662

Ⅲ. 건강보험 정보화사업 ································································669

제3절 건강보험 약제 관리 체계 ···························································671

Ⅰ. 건강보험 약가제도 운영 ···························································671

Ⅱ. 건강보험 약제 사용량 관리 ······················································678

Ⅲ. 보험약제 사후 관리 ·································································680

제4절 건강보험급여 사후 관리 ····························································683

Ⅰ. 건강보험 부당청구 관리 ···························································683

Ⅱ. 건강보험급여 적정성 평가 ·······················································687

Ⅲ. 치료재료 가격 사후 관리 ·························································690

Ⅳ. 건강보험 심판청구 ···································································693

제8장 국민건강 증진정책

제1절 건강 생활 실천 ·········································································698

Ⅰ. 지역사회 통합건강증진사업 ······················································698

Ⅱ. 국가 금연지원서비스 확대 및 담배규제정책 강화 ······················703

Ⅲ. 국민영양관리 ···········································································714

Ⅳ. 국민건강영양조사 등 기초 연구 ···············································730

Ⅴ. 질병의 조기 예방을 위한 건강검진 강화 ··································737

Ⅵ. 일차의료 중심 만성질환관리 사업 통합 ····································744

제2절 구강보건ㆍ생활위생 관리 ···························································748

Ⅰ. 구강보건 ·················································································748

Ⅱ. 공중위생관리 ···········································································754

목차 │ CONTENTS

제3절 정신건강 ···················································································759

Ⅰ. 개요 ·······················································································759

Ⅱ. 국민 정신건강복지를 위한 법ㆍ시스템 개선 ······························760

Ⅲ. 지역사회 정신건강서비스 인프라 확충 ······································761

Ⅳ. 정신질환자 치료ㆍ요양 등 서비스 개선 ····································765

Ⅴ. 정신질환 인식 개선 및 권익 증진 ············································767

Ⅵ. 국민정신건강 문제 개입 강화 ··················································768

Ⅶ. 자살 예방 및 생명존중문화 조성 ··············································770

제9장 보건산업정책

제1절 보건산업 육성 ···········································································776

Ⅰ. 개요 ·······················································································776

Ⅱ. 제약산업 육성 ·········································································781

Ⅲ. 의료기기산업 육성 ···································································785

Ⅳ. 화장품산업 육성 ······································································789

제2절 미래의료기반 강화 ·····································································793

Ⅰ. 보건의료기술 연구개발(R&D) ···················································793

Ⅱ. 정밀의료 기술개발 ···································································799

Ⅲ. 재생의료산업 육성 ···································································803

제3절 바이오헬스 생태계 조성 ····························································807

Ⅰ. 연구중심병원 육성 ···································································807

Ⅱ. 첨단의료복합단지 조성 ····························································810

Ⅲ. 바이오헬스 분야 기술사업화 지원 ············································814

제4절 의료 해외 진출 및 외국인환자 유치 ···········································818

Ⅰ. 개요 ·······················································································818

Ⅱ. 의료 해외 진출 ·······································································820

Ⅲ. 외국인환자 유치 ······································································828

MINISTRY OF HEALTH AND WELFARE WHITE BOOK │2018 보건복지백서

제10장 한의약정책

제1절 한의약정책의 비전 ·····································································838

제2절 한의약정책 ················································································839

Ⅰ. 개요 ·······················································································839

Ⅱ. 한의약 육성 추진 ····································································840

Ⅲ. 한의약 자원 및 제도 ·······························································842

Ⅳ. 한의약 보장성 강화 및 공공보건 확산 ·····································845

Ⅴ. 한의약의 세계화 추진 ······························································849

제3절 한의약산업정책 ·········································································853

Ⅰ. 개요 ·······················································································853

Ⅱ. 한의약 연구개발사업(R&D) 지원 ··············································854

Ⅲ. 한의약 해외환자 유치 ······························································859

Ⅳ. 한의약산업 육성을 위한 기반구축사업 ······································862

Ⅴ. 한약재수급조절제도 운영 ·························································865

제11장 정책지원

제1절 주요 업무 평가 ·········································································868

Ⅰ. 평가 개요 ···············································································868

Ⅱ. 평가 결과 ···············································································869

Ⅲ. 환류 ·······················································································869

제2절 규제 개혁 ·················································································870

Ⅰ. 추진 방향 ···············································································870

Ⅱ. 규제 개혁 추진 현황 ·······························································871

제3절 주요 정책 홍보 관리 ·································································875

Ⅰ. 정책 홍보 방향 ·······································································875

Ⅱ. 주요 정책 홍보 추진 현황 및 분석 ··········································876

목차 │ CONTENTS

제4절 보건복지통계 생산ㆍ관리 ···························································883

Ⅰ. 국가승인통계 생산ㆍ관리 ·························································883

Ⅱ. 국제기구통계 생산ㆍ관리 ·························································886

제5절 정보화 추진 ··············································································887

Ⅰ. 사회복지 분야 정보화 ······························································887

Ⅱ. 사회보험분야 정보화 ································································900

Ⅲ. 보건의료분야 정보화 ································································908

Ⅳ. 보건복지행정 분야 정보화 ·······················································915

Ⅴ. 보건복지 공공데이터 및 빅데이터 분야 ····································920

제6절 보건복지상담센터의 운영 ···························································924

Ⅰ. 설치ㆍ운영 배경 ······································································924

Ⅱ. 운영 체계 ···············································································925

Ⅲ. 추진 실적 및 계획 ··································································928

제7절 국제 협력의 증진 ······································································932

Ⅰ. 국제협력사업 ···········································································932

제8절 통상 협력의 증진 ······································································941

Ⅰ. 국제 통상 개요 ·······································································941

Ⅱ. 다자 협상 현황 ·······································································943

Ⅲ. 자유무역협정(FTA) 현황 ··························································945

제9절 보건복지 분야 인재 양성 ···························································949

Ⅰ. 현황 ·······················································································949

Ⅱ. 보건복지 분야 교육 방향 ·························································950

Ⅲ. 보건복지 인재 양성 실적 ·························································951

Ⅳ. 주요 분야별 교육 현황 ····························································952

Ⅴ. 연구 및 교재 개발 ··································································960

Ⅵ. 주요 성과 ···············································································961

MINISTRY OF HEALTH AND WELFARE WHITE BOOK │2018 보건복지백서

제3부 부 록

제1장 조직ㆍ기능 및 정원 현황

Ⅰ. 2018년도 조직의 변천 ····························································964

Ⅱ. 역대 장ㆍ차관 명단 ·································································965

Ⅲ. 보건복지부 기구 도표(’18. 12.) ··············································970

Ⅳ. 부서별 기능 ············································································972

Ⅴ. 정원 현황 ···············································································973

제2장 2018년도 예산 현황

Ⅰ. 2018년도 예산 개요 ·······························································974

Ⅱ. 분야별 예산 내역 ····································································975

제3장 소관법령 현황

Ⅰ. 법률(97개) ··············································································976

Ⅱ. 대통령령(102개) ······································································980

Ⅲ. 부령(113개) ············································································984

제4장 산하 공공기관 현황

Ⅰ. 준정부기관(7개소) ···································································988

Ⅱ. 기타 공공기관(16개소) ····························································989