2016 보건복지백서

제1부 2016년 보건복지부 정책개요

제1장 보건복지정책 환경 및 과제
제1절 정책 환경 ····················································································2
제2절 보건복지정책의 비전 및 과제 ·······················································8

제2장 2016년 보건복지정책 성과
제1절 수요자 중심의 복지제도 ·····························································10
Ⅰ. 보다 촘촘한 사회안전망 강화 및 맞춤형 복지 실현 ···················10
Ⅱ. 보건복지일자리 확충을 통한 서민생활 안정 ·······························16
Ⅲ. 기부와 나눔문화 정착 ·······························································20
제2절 저출산･고령사회 대비 사회적 기반 확충 ·····································23
Ⅰ. 저출산･고령사회 기본계획 추진 및 여건 조성 ···························23
Ⅱ. 미래 인적자원 육성을 위한 투자 확대 ······································32
Ⅲ. 미래 노인빈곤 방지를 위한 연금제도 개선 ································34
제3절 건강한 삶을 위한 보건의료 체계 개혁 ········································36
Ⅰ. 의료서비스 공급 체계 및 의료 환경 개선 ·································36
Ⅱ. 건강보험의 보장성 강화 및 지속가능성 제고를 위한 제도 개선 ·· 39
Ⅲ. 사전예방적 건강관리 체계 확충 ················································45
Ⅳ. 질병관리체계 강화 ····································································51
Ⅴ. 의약품 안전체계 선진화 ····························································57
제4절 미래를 준비하는 보건산업 육성 ··················································60
Ⅰ. 보건산업 육성 및 기반 강화 ·····················································60
Ⅱ. 보건산업의 글로벌 위상 강화 ···················································61
Ⅲ. 글로벌 경쟁력 제고를 위한 보건의료 R&D 역량 확보 ···············65

제2부 부문별 보건복지 정책

제1장 국민기초생활보장
제1절 국민기초생활보장제도 ·································································70
Ⅰ. 개요 ························································································70
Ⅱ. 기초생활보장제도 내실화 ··························································72
Ⅲ. 정부양곡할인지원사업 ·······························································77
제2절 기초의료보장제도 ·······································································79
Ⅰ. 개요 ························································································79
Ⅱ. 의료급여제도의 개선 ································································89
제3절 자활지원사업 ··············································································95
Ⅰ. 개요 ························································································95
Ⅱ. 자활지원사업의 개선 ································································96
제4절 긴급복지지원제도 ·····································································108
Ⅰ. 개요 ······················································································108
Ⅱ. 긴급복지지원제도의 강화 ························································112
제5절 노숙인 등 복지지원사업 ···························································114
Ⅰ. 개요 ······················································································114
Ⅱ. 노숙인 등 보호 및 지원 ·························································114
제6절 농어촌 주민의 보건복지 증진 ···················································119
Ⅰ. 개요 ······················································································119
Ⅱ. 농어촌 주민의 보건복지 증진을 위한 대책 추진 ······················120
제7절 사회보장정보시스템 ··································································123
Ⅰ. 사회보장정보시스템(행복e음) 개요 ··········································123
Ⅱ. 사회보장정보시스템(행복e음) 구축 내용 ··································125
Ⅲ. 사회보장정보시스템(행복e음) 운영 현황 및 성과 ·····················128
Ⅳ. 사회보장정보시스템(범정부) 구축 ·············································133
Ⅴ. 향후 계획 ··············································································140
제8절 지역사회복지의 활성화 ·····························································141
Ⅰ. 지역사회보장계획 수립 및 지역사회보장협의체 구성 ················141
Ⅱ. 사회복지전달체계 개편 ···························································146
Ⅲ. 지방자치단체 복지평가 ···························································155

제2장 사회정책 총괄･조정 기능 강화
제1절 사회보장체계 구축 및 지원 ·······················································158
Ⅰ. 사회보장위원회 운영 ······························································158
Ⅱ. 사회보장기본계획 ···································································162
Ⅲ. 사회보장제도 연도별시행계획 추진 실적 평가 ··························166
Ⅳ. 중장기 사회보장 재정추계 ······················································168
Ⅴ. 사회보장지표의 조사･분석 및 관리 ·········································172
제2절 사회보장제도의 협의･조정 ························································176
Ⅰ. 신설･변경되는 사회보장제도 협의･조정 ···································176
Ⅱ. 유사･중복 사회보장제도 정비 ·················································180
제3절 사회보장제도 평가 ····································································183
Ⅰ. 사회보장제도 평가 ··································································183
Ⅱ. 사회보장제도 모니터링 등 ······················································185

제3장 사회서비스
제1절 사회서비스정책 ········································································186
Ⅰ. 개요 ······················································································186
Ⅱ. 사회서비스 활성화 대책 추진 ·················································188
Ⅲ. 사회서비스 일자리정책 ···························································193
Ⅳ. 지역자율형 사회서비스 투자 사업 ···········································195
제2절 민간복지자원 육성 및 나눔문화 활성화 ·····································199
Ⅰ. 사회복지공동모금회 지원 ························································199
Ⅱ. 사회복지분야 자원봉사 활성화 ················································201
Ⅲ. 기부식품제공사업 활성화 ························································205
Ⅳ. 사회복무요원 직무교육 ···························································208
Ⅴ. 나눔문화 확산 ········································································213
Ⅵ. 의사상자 예우 ········································································219
제3절 장애인복지정책 ········································································221
Ⅰ. 개요 ······················································································221
Ⅱ. 장애인 차별 해소 및 사회 참여 ··············································231
Ⅲ. 장애인 소득보장 ·····································································240
Ⅳ. 장애인 경제활동 지원 ·····························································242
Ⅴ. 장애인복지 인프라 확충 ··························································246

제4장 저출산･고령사회 대응정책
제1절 저출산･고령사회 대책 ·······························································254
Ⅰ. 저출산･고령사회기본계획 ························································254
Ⅱ. 저출산 대응 인구정책 ·····························································266
Ⅲ. 고령친화산업 육성 ··································································269
제2절 모성과 어린이 건강증진정책 ·····················································274
Ⅰ. 개요 ······················································································274
Ⅱ. 영유아 사전･예방적 건강관리 ·················································275
Ⅲ. 모성 건강관리 강화 ································································277
Ⅳ. 출산･양육부담 경감 ································································282
제3절 아동복지정책 ············································································283
Ⅰ. 개요 ······················································································283
Ⅱ. 아동의 권리와 참여 증진 ························································286
Ⅲ. 아동복지체계 확충 ··································································293
Ⅳ. 아동안전 강화 ········································································307
제4절 노인복지정책 ············································································310
Ⅰ. 개요 ······················································································310
Ⅱ. 노인 사회 활동 참여 ······························································313
Ⅲ. 안전한 노후 생활 ···································································318
Ⅳ. 편안한 노후 생활 ···································································323
Ⅴ. 노인장기요양보험제도 ·····························································329
Ⅵ. 건강한 노후 생활 ···································································335
Ⅶ. 장사제도 및 경로우대제도 ······················································336
제5절 보육정책 ··················································································342
Ⅰ. 개요 ······················································································342
Ⅱ. 보육비용 지원 확대를 통한 부모 육아부담 경감 ······················346
Ⅲ. 보육서비스 인프라 확충 ··························································350
Ⅳ. 부모와 영유아의 특성에 따른 맞춤형 보육서비스 강화 ·············353
Ⅴ. 보육서비스의 질 제고 ·····························································357
Ⅵ. 효율적인 보육지원체계 구축 ···················································365

제5장 연금제도
제1절 국민연금 운영 ··········································································368
Ⅰ. 개요 ······················································································368
Ⅱ. 가입 대상 ··············································································369
Ⅲ. 연금보험료 부과 ·····································································371
Ⅳ. 연금보험료 지원 ·····································································372
Ⅵ. 사회보장협정 ··········································································380
제2절 국민연금기금 운용 ····································································384
Ⅰ. 개요 ······················································································384
Ⅱ. 국민연금기금 투자 정책 ··························································387
Ⅲ. 국민연금기금 관리･운용 현황 ·················································391
Ⅳ. 국민연금기금의 주요 정책 과제 ··············································396
제3절 기초연금제도의 정착 ································································400
Ⅰ. 도입 배경 및 필요성 ······························································400
Ⅱ. 운영 현황 및 성과 ·································································401
Ⅲ. 기초연금제도의 내실화 ···························································402
제4절 국민연금과 직역연금 간 연계제도 ·············································403
Ⅰ. 개요 ······················································································403
Ⅱ. 제도 개선 내용 ······································································408
Ⅲ. 운영 실적 ··············································································411
제5절 국민연금제도의 발전 방향 ························································412
Ⅰ. 국민연금제도의 내실화 ···························································412
Ⅱ. 연금 재정의 장기적 안정성 확보 ············································415
Ⅲ. 다층노후소득보장체계 구축 ·····················································416

제6장 보건의료정책
제1절 보건의료정책 ············································································418
Ⅰ. 개요 ······················································································418
Ⅱ. 의료의 질 관리 ······································································419
Ⅲ. 의료소비자 권익 강화 ·····························································432
Ⅳ. 의료-ICT 융합서비스 도입 ·····················································448
제2절 의료자원정책 ············································································456
Ⅰ. 의료자원의 합리적 육성 ··························································456
Ⅱ. 보건의료인 국가시험･면허제도 적정 관리 ································464
Ⅲ. 민간의료기관의 육성･지원 ······················································468
Ⅳ. 보건의료자원 신고 일원화 ······················································469
제3절 의약품 정책 ·············································································471
Ⅰ. 의약품 정책의 기본 방향 ························································471
Ⅱ. 적정하고 합리적인 의약품 사용 ··············································472
Ⅲ. 의약품 등의 공급･유통 체계 개선 ···········································477
제4절 공공보건의료정책 ·····································································483
Ⅰ. 수요자 중심 공공의료체계 구축 ··············································483
Ⅱ. 지역보건의료계획 수립 및 시행 ··············································498
Ⅲ. 지역보건의료기관 현대화 추진 ················································505
Ⅳ. 보건기관 정보화 추진 ·····························································508
Ⅴ. 공중보건의사 제도 운영 ··························································512
제5절 감염성질환 등 관리 ··································································515
Ⅰ. 개요 ······················································································515
Ⅱ. 감염병 감시 ···········································································518
Ⅲ. 예방접종 관리 ········································································531
Ⅳ. 결핵 관리 ··············································································549
Ⅴ. 후천성면역결핍증 및 성매개감염병 관리 ··································556
Ⅵ. 검역 관리 ··············································································564
제6절 비감염성질환 관리 ····································································574
Ⅰ. 개요 ······················································································574
Ⅱ. 비감염성질환의 특성 ······························································574
Ⅲ. 심･뇌혈관질환 관리 ································································575
Ⅳ. 아토피･천식 예방 관리 ···························································583
Ⅴ. 희귀질환 관리 ········································································586
제7절 암질환 관리 ·············································································593
Ⅰ. 개요 ····················································································593
Ⅱ. 국가암관리사업 현황 ······························································594
Ⅲ. 국립암센터 운영 지원 ·····························································606
제8절 응급의료정책 ············································································610
Ⅰ. 개요 ······················································································610
Ⅱ. 응급의료계획 수립 및 추진 ·····················································613
Ⅲ. 응급의료 이송체계 구축 ··························································616
Ⅳ. 응급의료기관 평가 및 육성 ·····················································618
Ⅴ. 취약지역 응급의료기관 육성 ···················································623
Ⅵ. 중증외상전문진료체계 구축 ·····················································624

제7장 건강보험
제1절 건강보험제도 운영 ····································································626
Ⅰ. 개요 ······················································································626
Ⅱ. 건강보험료 부과･징수제도 운영 ··············································632
Ⅲ. 건강보험의 재정 안정 ·····························································640
Ⅳ. 건강보험 관리조직 운영 ··························································644
제2절 건강보험 급여 체계 ··································································647
Ⅰ. 건강보험 보장성 확대 추진 ·····················································647
Ⅱ. 건강보험 수가 관리 ································································660
Ⅲ. 건강보험 정보화사업 ······························································667
제3절 건강보험 약제 관리 체계 ··························································669
Ⅰ. 건강보험 약가제도 운영 ··························································669
Ⅱ. 건강보험 약제 사용량 관리 ·····················································676
Ⅲ. 보험약제 사후 관리 ································································678
제4절 건강보험급여 사후 관리 ···························································681
Ⅰ. 건강보험 부당청구 관리 ··························································681
Ⅱ. 건강보험급여 적정성 평가 ······················································685
Ⅲ. 치료재료 실거래가 사후 관리 ·················································688
Ⅳ. 건강보험 심판청구 ··································································690

제8장 국민건강 증진정책
제1절 건강 생활 실천 ········································································694
Ⅰ. 지역사회 통합건강증진사업 ·····················································694
Ⅱ. 국가 금연지원서비스 확대 및 담배규제정책 강화 ·····················699
Ⅲ. 국민영양관리 ··········································································710
Ⅳ. 국민건강영양조사 등 기초 연구 ··············································719
Ⅴ. 질병의 조기 예방을 위한 건강검진 강화 ·································727
제2절 구강보건･생활위생 관리 ···························································734
Ⅰ. 구강보건 ················································································734
Ⅱ. 공중위생관리 ··········································································742
제3절 정신건강 ··················································································747
Ⅰ. 개요 ······················································································747
Ⅱ. 지역사회 정신건강증진사업 강화 ·············································748
Ⅲ. 자살 예방 및 생명존중문화 조성 ············································750
Ⅳ. 정신질환자 치료･요양 등 서비스 개선 ····································754
Ⅴ. 음주 폐해 예방 및 치료 재활 지원 ·········································757
Ⅵ. 정신질환 인식 개선 및 권익 증진 ···········································758

제9장 보건산업정책
제1절 보건산업 육성 ··········································································762
Ⅰ. 개요 ······················································································762
Ⅱ. 제약산업 육성 ········································································767
Ⅲ. 의료기기산업 육성 ··································································771
Ⅳ. 화장품산업 육성 ·····································································775
제2절 미래의료기반 강화 ····································································779
Ⅰ. 보건의료기술 연구개발(R&D) ··················································779
Ⅱ. 정밀의료 기술개발 ··································································785
Ⅲ. 재생의료산업 육성 ··································································789
제3절 바이오헬스 생태계 조성 ···························································794
Ⅰ. 연구중심병원 육성 ··································································794
Ⅱ. 첨단의료복합단지 조성 ···························································798
Ⅲ. 바이오헬스 분야 기술사업화 지원 ···········································801
제4절 의료 해외 진출 및 외국인환자 유치 ··········································804
Ⅰ. 개요 ······················································································804
Ⅱ. 의료 해외 진출 ······································································808
Ⅲ. 외국인환자 유치 ·····································································818

제10장 한의약정책
제1절 한의약정책의 비전 ····································································830
제2절 한의약정책 ···············································································831
Ⅰ. 개요 ······················································································831
Ⅱ. 한의약 육성 추진 ···································································832
Ⅲ. 한의약 자원 및 제도 ······························································834
Ⅳ. 한의약 보장성 강화 및 공공보건 확산 ····································837
Ⅴ. 한의약의 세계화 추진 ·····························································841
제3절 한의약산업정책 ········································································845
Ⅰ. 개요 ······················································································845
Ⅱ. 한의약 연구개발사업(R&D) 지원 ·············································846
Ⅲ. 한의약 해외환자 유치 ·····························································851
Ⅳ. 한의약산업 육성을 위한 기반구축사업 ·····································853
Ⅴ. 한약재수급조절제도 운영 ························································858

제11장 정책지원
제1절 주요 업무 평가 ········································································860
Ⅰ. 평가 개요 ··············································································860
Ⅱ. 평가 결과 ··············································································861
Ⅲ. 환류 ······················································································862
제2절 규제 개혁 ················································································863
Ⅰ. 추진 방향 ··············································································863
Ⅱ. 규제 개혁 추진 현황 ······························································864
제3절 주요 정책 홍보 관리 ································································870
Ⅰ. 정책 홍보 방향 ······································································870
Ⅱ. 주요 정책 홍보 추진 현황 및 분석 ·········································871
제4절 보건복지통계 생산･관리 ···························································875
Ⅰ. 국가승인통계 생산･관리 ··························································875
Ⅱ. 국제기구통계 생산･관리 ··························································877
제5절 정보화 추진 ·············································································879
Ⅰ. 사회복지 분야 정보화 ·····························································879
Ⅱ. 사회보험분야 정보화 ······························································892
Ⅲ. 보건의료분야 정보화 ······························································902
Ⅳ. 보건복지행정 분야 정보화 ······················································909
Ⅴ. 정부 3.0 정보화 분야 ····························································913
제6절 보건복지콜센터의 운영 ·····························································916
Ⅰ. 설치･운영 배경 ······································································916
Ⅱ. 운영 체계 ··············································································917
Ⅲ. 추진 실적 및 계획 ·································································919
제7절 국제 협력의 증진 ·····································································923
Ⅰ. 국제협력사업 ··········································································923
제8절 통상 협력의 증진 ·····································································930
Ⅰ. 국제 통상 개요 ······································································930
Ⅱ. 다자 협상 현황 ······································································932
Ⅲ. 자유무역협정(FTA) 현황 ·························································936
제9절 보건복지 분야 인재 양성 ··························································942
Ⅰ. 현황 ····················································································942
Ⅱ. 보건복지 분야 교육 방향 ························································943
Ⅲ. 보건복지 인재 양성 실적 ························································944
Ⅳ. 주요 분야별 교육 현황 ···························································945
Ⅴ. 연구 및 교재 개발 ·································································954
Ⅵ. 주요 성과 ··············································································955

제3부 부 록

제1장 조직･기능 및 정원 현황
Ⅰ. 2016년도 조직의 변천 ···························································960
Ⅱ. 역대 장･차관 명단 ·································································962
Ⅲ. 보건복지부 기구 도표(’16.12월) ·············································968
Ⅳ. 부서별 기능 ···········································································970
Ⅴ. 정원 현황 ··············································································971

제2장 2016년도 예산 현황
Ⅰ. 2016년도 예산 개요 ······························································972
Ⅱ. 분야별 예산 내역 ···································································973

제3장 소관법령 현황
Ⅰ. 법률(95개) ·············································································976
Ⅱ. 대통령령(94개) ·······································································980
Ⅲ. 부령(108개) ···········································································984

제4장 산하 공공기관 현황