In this article, I first explored the process and its characteristics of the reorganization of the medical institution in the early Chosun Dynasty. In the early Chosun Dynasty, medical institutions of Naeuiwon, Jeonuigam, Hyeminseo, Hwalinseo, Jesaengwon were operated. From the examining the history, members, and roles of these institutions, it can be said that Chosun was aimed at Minbon Thought(For the people) of Neo-Confucianism and a one-sided centralized system. To understand the meaning of the change process of these medical institutions, we should pay attention to the social structure and ruling ideology of the late Koryo period. In other words, the autonomy and publicness of the people expanded in the land system of Koryo, while on the other hand, it became important to overcome the inefficiency of Buddhism, which was a dominant ideology. The movement to reflect the strengthened status of the people into the public national system by taking the Neo-Confucianism as the dominant ideology has been strengthened, and the medical rights of all the people have been guaranteed. But it did not mean that the Minbon Thought(For the people) of NeoConfucianism put the people first. The reason why the medical institution was organized in the order of Naeuiwon → Jeonuigam → Hyeminseo → Hwalinseo was because the theory of essence and end of Neo-Confucianism was projected. At the same time, this hierarchical structure was also coincided with the statusclass structure of Chosun, which peaked at the royal family as the highest ruling class. For this reason, the status of the medical institutions for the people, Hyeminseo and Hwalinseo was low.