- 러시아 의료 서비스 시장은 현재 416억 달러 규모로 2020년까지 지속 상승 예상 –
- 진찰을 위해 러시아 의료 면허가 필수로 우회 전략 수립 필수 –
자료원 : Yandex
□ 러시아 의료 서비스 시장
ㅇ 러시아의 의료시장은 의료 서비스,의약품, 의료기기 분야를 포함하여 2017년 기준 1,084억 달러 규모인 것으로 평가되며 2022년까지 30.9%성장 예상
ㅇ 2017년 러시아 의료 서비스 시장 매출액은 416억 달러(2조 3,104억 루블)로 전년 대비 4.9% 증가
- 2014-2017 기간에 러시아 의료 서비스 시장은 2014년 14.8%, 2015년 7.8%, 2016년 4.7%로 지속 성장
러시아 의료 산업 시장 규모(2014-2018년)
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)
자료원 : 러시아 국제제약회사 연합(AIPM), 세계보건기구(WHO), KPMG, BMI
주 : 2018년은 전망치
ㅇ 러시아 의료 서비스 시장 확대의 주요인은 환자 진료 건수의 증가가 아닌 서비스 가격의 상승
- 의사 평균 진료비용은 2013년 1,098.6 루블에서 2017년 1,511.1 루블로 증가
2015-2017 러시아 의료 서비스 시장 규모
| 2015 | 2016 | 2017 |
규모 | 증감률(%) | 규모 | 증감률(%) | 규모 | 증감률(%) |
시장 규모 | 2,102.70 | 7.8 | 2,201.80 | 4.7 | 2,310.40 | 4.9 |
(십억 루블) |
진료 건수 | 1,560.90 | -1.5 | 1,523.00 | -2.4 | 1,528.90 | 0.4 |
(백만 건) |
평균 진료비용 | 1,347.10 | 9.5 | 1,445.70 | 7.3 | 1,511.10 | 4.5 |
(루블) |
자료원 : BusinessStat
ㅇ 2017년 기준, 러시아 전역에 약 45,300개의 의료 기관이 존재
- 2017년 기준 모스크바,모스크바 주에 가장 많은 의료기관이 위치하여 있으며, 각각 3,550개와 2,394개 기록
ㅇ 2017년, 러시아 의료분야 종사자는 346만 4,200명으로 집계되며 2015년부터 지속 감소
- 의료 종사자 수의 감소는 노동 조건의 악화, 낮은 임금, 진료소 및 병원 수의 부족 등에 기인
- 러시아의 무상 의료 정책으로 인해 의료진의 초봉은 평균 500달러 전후로 전문성과 노동 시간보다 너무 적어 점차 의료진의 수가 줄어드는 추세
ㅇ 러시아의 의료 종사자의 수는 모스크바, 모스크바주, 상트페테르부르크 및 크라스토다르 지역에 집중
- 2017년 기준 이들 지역에 종사하는 의료종사자 비중은 19.7%로 68만 3,400명 기록
ㅇ 러시아 내 의사 양성 교육기관은 89개, 간호사 양성 기관은 371개가 있는 것으로 파악되며, 의료 분야 종사자는 원활히 시장에 진출하며 공급이 부족하지는 않은 상황
- 2017년 러시아 의과대 졸업생은 3만 6천 명이며 4년간 입학생 및 졸업생 수의 큰 변화가 없었음. 간호대 졸업생은 5만 4천 명이며 최근 지속 증가
□ 러시아 의료 서비스 시장 특징
ㅇ 러시아 병원은 공공병원과 민간병원 두 가지로 분류되는데, 공공병원은 전체병원의 약80%를 차지
ㅇ 최근에는 민간병원의 수가 많이 증가하고, 개인건강보험과 연계하여 대기업화되거나 체인화되고 있는 것이 주요 트렌드
- Medsi(러시아), Nearmedic(러시아) 사 등의 주요 민간병원 체인들이 주요 도시 내 교통 요충지에 병원을 설립하고, 저렴한 치료비 홍보를 통해 환자들을 유치
ㅇ 러시아 민간병원은 크게 대형 외국계 종합병원과 다수의 중소 병원으로 구성된 러시아계 체인 병원으로 구분
- 외국계 종합병원의 경우 진료비가 매우 비싸, 회사로부터 보험비를 지원받지 않는 일반인은 이용하기가 거의 불가능
- 매출 규모 상, 러시아 최대 외국계 종합병원인 ‘European Medical Center(미국)’의 경우 평균 진료비가 약 652 달러(3만8천 루블)에 이름
□ 러시아 의료 서비스 진출 애로사항 및 극복 방안
ㅇ 러시아 연방 국민 건강 보호를 기초로 한 헌법 제 100조에 의거, 외국에서 교육을 받은 사람은 러시아 교육 연합에서 인정받은 후,의료 활동이 가능
- 러시아 교육법에 따라 제정된 이 절차는 전문의의 자격증 취득을 목적으로 한 시험에 합격하는 것.
ㅇ 해외 의료진의 의료면허 취득은 러시아 의료 시장 진입의 장벽 중 하나로 간주함.
- 의료 면허 신청자는 면허 획득을 위해 필요한 많은 양의 서류들을 제공해야 하며, 서류가 모두 준비됐더라도 허가가 나지 않을 수 있음을 염두에 두어야 함.
- 준비된 시설, 필요한 장비 및 경력 있는 인력 구성 등이 면허취득을 보장해주지 않음. 종종 사소한 서류의 오차 때문에 면허 발급기관은 민간 진료소에 대한 면허를 거부
- 러시아 정부가 타국의 의료 면허를 인정한 사례는 없으며, 의료 클러스터 혹은, 러시아 의료 기관이 초청한 해외 의료진의 합동 진료만 합법적으로 인정
ㅇ 스콜코보와 소치의 의료 클러스터를 제외하고, 외국 의료 자격증을 보유한 의사가 러시아 내에서 의료 활동을 실행하는 사례는 없음.
- 클러스터 참여자들은 연방법N115-F3 “러시아 연방 외국 시민의 법적 지위에 관한 법률”에 따라 외국인 의사를 고용할 수 있음.
- 고용주인 클러스터 프로젝트 참여자가 의학, 소아과 등의 의료 전문가 유치 시, 이에 대한 별도의 허가 필요 없음.
- 클러스터에 유치되는 의사의 경우 러시아 입국에 필요한 초청장 및 외국인 전문가 노동 허가서는 별도의 조사 없이 쿼터를 고려하지 않고 관리회사를 통해 발행됨.
ㅇ 2017년 의료 관광을 떠난 러시아인은 12만 명으로 의료관광객 유치를 통한 의료 서비스 제공
- 2017년 한국을 찾은 러시아 환자는 24,859 명으로 집계되며, 이는 전년 대비 2.6% 감소
- 러시아 루블화 가치 하락으로 국내 의료 및 가격이 저렴한 터키 등을 선호하였으며, CIS 국가에서 유입되는 러시아 의료관광객이60%증가
ㅇ 러시아의 한국 의료관광은 암, 심장, 뇌혈관질환 및 중증 화상 등 중증 환자의 방한 비율이 높음.
- 종양 및 심장질환, 불임 등 러시아 내에서 해결이 어려운 난치병 또는 희귀병, 현지 환자 사이에서 수요가 높은 정형외과 분야가 진출 유망
러시아 환자들의 국가별 주요 치료 질병
국 가 | 질 병 |
이스라엘 | 암, 근골격계질환(관절염, 척추질환 등), 당뇨병 등 |
독일 | 관절염, 척추질환, 암, 부인병, 심혈관계 질병 등 |
터키 | 치과 질환, 안과질환, 종양, 성형수술 등 |
핀란드 | 질병 초기진단, 불임 등 |
체코 | 위장병, 신장질환, 호흡계질환 등 |
한국 | 종합 건강검진, 산부인과 질환, 근골격계질환 등 |
중국 | 전통의학, 치과 등 |
자료원 : 러시아 언론 '루스까야 가제타'
□ KOTRA 모스크바 무역관 현지 전문가 인터뷰
ㅇ 원광보건 대학교 담당자와 러시아 의료 서비스 시장 진출 방안 인터뷰
Q : 현재 원광 보건대가 러시아 의료 서비스 시장에 진출하고 있는가?
A : 현재 카프카스 지역 미네랄니에 바디라는 휴양지에 한의 의료 센터를 설립하고 있음.
Q : 의료 면허 미 보유 시, 진찰하는 것이 불가능한데 원광보건대에서는 이를 어떻게 해결할 계획인가?
A : 러시아에서 획득한 의료 면허가 없으면 진료하는 것이 불가능함. 이런 사유로 원광보건대는 러시아 민족 우호 대학교와 협약을 맺고, 민족 우호 대학교 의학생들에게 한의학 연수를 제공함. 미네랄니에 바디에 설립하고 있는 한의 의료 센터에서는 해당 러시아 의사들이 서비스를 제공할 계획
Q : 한국 의료진이 해당 의료센터에서 하는 역할은 무엇인가? 의료 서비스 분야에서 다른 진출 방안은 없는가?
A : 해당 의료 센터에 한국 의료진을 파견할 계획이나, 이들이 직접 진료를 보는 것은 아니며,러시아 의료진을 진두지휘하는 역할을 할 예정임.
외국 의사가 러시아 내에서 직접 의료 서비스를 제공하기 위해서 스콜코보 의료 클러스터와 같은 특구에 진출하는 것 외에 다른 방안은 없음.
□ 시사점
ㅇ 러시아 의료 서비스 시장은 2017년 기준 416억 달러로 2020년까지 지속 성장할 것으로 예상됨.
ㅇ 러시아 의료 서비스 시장 진출 시, 가장 큰 장벽은 러시아 의료 면허 보유 여부
- 러시아 내에서 의료 서비스를 제공하기 위해서는 러시아 의료 면허를 보유하고 있어야 하며, 해외에서 획득한 의료 면허는 미인정
- 해외 의료진이 러시아 의료 면허 시험을 볼 수 있으나, 러시아어로만 지원되기에 실질적으로 통과하는 것이 불가
ㅇ 현재 의료 서비스 제공 가능한 방법은 의료 클러스터 진출 및 의료 관광으로 제한됨.
- 2018년 서울대 분당병원은 스콜코보 의료 클러스터에 300석 병상 규모의 병원 설립 MOU를 체결하였으며, 향후 한국 의료진이 직접 의료 서비스를 제공할 예정
- 의료 관광의 경우, 러시아 경제 악화로 인해 최근 그 수요가 감소하였으나 장기적으로는 그 수요가 증가할 것으로 예상됨.
- 우리나라 의료 관광은 한국 에이전트, 대행사 등이 아닌 병원이 직접 진행하는 경우가 많아 마케팅 부분에서 비흡한 측면이 있음. 마케팅 전문과 병원 간의 협력 필요
자료원 : 러시아 국제제약회사 연합, BusinessStat, 루스까야 가제타 등 KOTRA 모스크바 무역관 종합