국가별 가정정맥영양 제도의 비교 연구- 한국, 미국, 프랑스, 영국, 독일을 중심으로

Abstract

This study aims to compare and analyze the home parenteral nutrition (HPN) systems in South Korea, the United States, France, the United Kingdom, and Germany to derive policy implications for improving Korea’s HPN framework. The research examines legal and regulatory frameworks, service delivery processes, and the roles of key healthcare professionals in each country. The findings indicate that France and the United Kingdom primarily operate HPN services through government-supported healthcare institutions or homecare companies, ensuring comprehensive and standardized patient care. In contrast, the United States and Germany adopt a multi-stakeholder collaboration model involving outpatient clinics and pharmacies, to enhance accessibility and efficiency. However, South Korea relies on a hospital-centered model with inadequate legal and insurance support, placing considerable financial and logistical burdens on patients. The study emphasizes the necessity for Korea to establish a legal framework, strengthen multi-sectoral collaboration, and expand insurance coverage to enhance the accessibility and sustainability of HPN services. By addressing these gaps, Korea can develop a more stable and patient-centered HPN system, which will ultimately lead to improved patient outcomes and reduced healthcare disparities.