Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Development and Adjustment of Indicators for Underserved Area

분야별 의료 취약지 선정지표 개발 및 적용

  • Kwak, Mi Young (Center for Public Health Policy Development, National Medical Center) ;
  • Lee, Tae Ho (Center for Public Health Policy Development, National Medical Center) ;
  • Hong, Hyeon Seok (Center for Public Health Policy Development, National Medical Center) ;
  • Na, Baeg Ju (Department of Health, Seoul Metropolitan Government) ;
  • Kim, Yoon (Institute of Health Policy and Management, Medical Research Center, Seoul National University)
  • 곽미영 (국립중앙의료원 공공보건의료지원센터) ;
  • 이태호 (국립중앙의료원 공공보건의료지원센터) ;
  • 홍현석 (국립중앙의료원 공공보건의료지원센터) ;
  • 나백주 (서울특별시 시민건강국) ;
  • 김윤 (서울대학교 의학연구원 의료관리학연구소)
  • Received : 2016.07.13
  • Accepted : 2016.11.28
  • Published : 2016.12.31
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Abstract

Underserved area is a region that has a lack of healthcare resources. In the context of Korea, however, there are not enough detailed criteria for underserved areas. In this study, we aimed to develop indicators for underserved area through Delphi technique. We systematically reviewed the existing measure of underserved area. Sixty indicators were extracted as candidates across four domains in secondary medical care. Four domains are demand, medical resource, quality of care, and health outcome. To develop indicator, two round Delphi survey was conducted among 15 professional experts such as professionals and public administrators. In conclusion, 2 final indicators (accessibility, medical utilization) was determined as an appropriate measure in order to designate underserved area for secondary medical services. Using our criteria from Delphi technique, 36 areas were found as underserved areas for the secondary medical care.

Keywords

References

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