디지털융복합연구 (Journal of Digital Convergence)

  • 제13권8호
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  • Pages.345-356
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  • 2015
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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융합적 요소를 고려한 의료서비스 질 인식도와 의료이용의 관련성: 서울시 보건소를 이용하는 노인을 대상으로

Patients' Perception of Quality of Health Service and Utilization considering convergence factors: A Survey of Elderly Patients of Public Health Centers, Seoul, Republic of Korea

  • 손민성 (고려대학교 대학원 보건과학과.BK21PLUS 인간생명-사회환경 상호작용 융합사업단) ;
  • 김미선 (고려대학교 대학원 보건과학과.BK21PLUS 인간생명-사회환경 상호작용 융합사업단) ;
  • 김준식 (고려대학교 대학원 보건과학과.BK21PLUS 인간생명-사회환경 상호작용 융합사업단) ;
  • 문상식 (한양여자대학교 보건행정과) ;
  • 최만규 (고려대학교 보건정책관리학부)
  • Sohn, Minsung (Dept. of Public Health Science, Graduate School.BK21Plus Program in Public Health Science, Korea Univ.) ;
  • Kim, Mi Sun (Dept. of Public Health Science, Graduate School.BK21Plus Program in Public Health Science, Korea Univ.) ;
  • Kim, Joonsik (Dept. of Public Health Science, Graduate School.BK21Plus Program in Public Health Science, Korea Univ.) ;
  • Moon, Sangsik (Dept. of Health Administration, Hanyang women's Univ.) ;
  • Choi, Mankyu (School of Health Policy and Management Korea Univ.)
  • 투고 : 2015.06.09
  • 심사 : 2015.08.20
  • 발행 : 2015.08.28
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초록

오늘날 의료가 단지 치료라는 개념을 넘어 서비스라는 인식이 확대되면서 의료서비스 소비 주체인 이용자들이 인식하는 의료서비스 질의 중요성은 날로 강조되고 있으며, 일차의료라고 해서 예외는 아니다. 이 연구는 65세이상 노인들이 보건소에서 제공하는 의료서비스의 질을 어떻게 인식하고 있는지 파악하고, 어떠한 요인들이 의료서비스 이용량과 관련성이 있는지를 탐색하고자 하였다. 이 연구는 서울시 보건소를 이용하는 노인들을 대상으로 연구원이 면접조사를 통하여 자료를 수집하였고, 총 307명의 설문자료를 분석하였다. 의료서비스 질은 융합적 요소를 고려하여 접근하였으며, 분석 결과, 이들의 구성항목 중에서 이용시설 및 환경, 환자중심진료, 의사의 전문적 지식 및 기술수준, 그리고 직원 및 간호사의 정서적 지지에 대하여 노인들이 긍정적으로 인식할수록 보건소의 의료이용이 증가하였다. 따라서 보건소가 쾌적하고 편리한 시설환경을 갖추고, 직원 및 간호사들은 이용자들과 원활한 의사소통을 위해 노력하며, 동시에 의사가 환자중심의 전문적인 의료서비스를 제공한다면 보건소의 의료서비스 질과 가치 향상에 도움이 될 것이다.

Health service quality is increasingly emphasized, and primary care service is no exception in this. This study identified patients' perception of quality considering convergence factors associated with increased utilization among patients over the age of 65 using community health centers. A total of 307 respondents were included in the analysis. The results showed that positive perceptions on facility and environment, patient-centered care, technical knowledge and skills of physicians, and emotional support with nurses and non-medical workers were statistically and significantly associated with higher utilization. In order to increase utilization of primary care service at community health centers, they need to manage and improve these factors.

키워드

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