The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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A Strategy for the Improvement of Health Care Inequality in the Southwestern region of Korea - Around the island area

서남권 의료불평등 개선을 위한 방안 -도서 지역을 중심으로-

  • 문지현 (국립목포대학교 간호학과)
  • Received : 2022.04.30
  • Accepted : 2022.05.09
  • Published : 2022.05.31
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Abstract

The purpose of this study was to identify the degree of medical inequality in medical vulnerable areas, especially in the southwestern islands, and to prepare improvements. As a research method, 14 pieces were analyzed by systematic literature review with keywords such as 'medical vulnerability', 'medical inequality', and 'island area', and a focus group or in-depth interview (FGI) was conducted on 9 medical personnel in the public medical delivery system to identify the current status and demand. As a result of the study, medical inequality in the southwest region, especially in island areas, was confirmed, and the lack of professional manpower and administrative support system were confirmed through FGI. As a result of the study, it was confirmed that realistic measures should be prepared to increase the efficiency of public health care as well as active administrative support to improve the vulnerability of island areas.

본 연구의 목적은 의료취약지 특히 서남권 도서지역의 의료불평등 정도를 파악하고 개선점을 마련해 보고자 시도되었다. 연구방법으로는 '의료취약', '의료불평등', '도서지역' 등을 키워드로 하여 체계적 문헌고찰을 하여 14편을 분석하였으며, 또한 공공의료전달체계에 있는 의료인 9명에게 포커스그룹 혹은 심층 인터뷰(FGI)를 시행하여 현황 및 요구도를 파악하였다. 연구결과로는 서남권 특히 도서지역의 의료불평등을 확인할 수 있었으며, FGI통해 전문인력의 부족, 행정지원체계의 부족 등을 확인할 수 있었다. 연구의 결론으로 도서지역의 취약성을 개선하기 위한 적극적 행정적 지원은 물론 공공의료의 효율성이 높아 질 수 있는 현실적인 방안이 마련되어져야 함을 확인할 수 있었다.

Keywords

Acknowledgement

본 논문(저서)은 2019학년도 목포대학교 교내연구비지원에 의하여 연구되었음.

References

  1. K.J. Ok, E.N. Lee, and B.S. Hyoung. "Concept Analysis of Health Inequalities," J Korean Acad Nurs Adm. Vol. 21 No. 1, pp. 20-31, January 2015. http://dx.doi.org/10.11111/jkana.2015.21.1.20
  2. Y.J. Lee, and S.Y. Kim. "A equity in the co-payment and utilization of national health insurance by income class". Soc Welf Policy, Vol. 24, pp. 173-199, 2006.
  3. P. Braveman, and S. Gruskin. "Defining equity in health". J Epidemiol Community Health. Vol. 57, No. 4, pp. 254-258, 2003. [doi: 10.1136/jech.57.4.254]
  4. Lee CG. In: Tracking, health inequalities in Korea. Seoul: Mim; 2007.
  5. Adelson N. "The embodiment of inequity: health disparities in aboriginal Canada". Can J Public Health, Vol. 96, pp. S45-S61. 2005. https://doi.org/10.1007/BF03403702
  6. H.J. Cho. "Equity in health care: current situation in South Korea". Journal of the Korean Medical Association. Vol. 56. No.3, pp. 184-194. 2013. https://doi.org/10.5124/jkma.2013.56.3.184
  7. S. Oh, G. Ryu. "A Study on Self-medication for Health Promotion of the Silver Generation". International Journal of Advanced Culture Technology(IJACT). Vol. 8, No. 4, pp. 82-88. 2020. https://doi.org/10.17703/IJACT.2020.8.4.82
  8. M.Y. Kwak, T.H. Lee, HS Hing, B,J. Na, and Y. Kim. "Development and Adjustment of Indicators for Underserved Area". Health Policy and Management. Vol. 26, No. 4. pp. 315-324, December 2016. https://doi.org/10.4332/KJHPA.2016.26.4.315
  9. J.O. Yoo. "A Study on the Improvements of Social Welfare: Focused on Sinan-gun." Mokpo National University. doctoral dissertation, Jeollanam-do 2007.
  10. Y.H. Cho, and Y.H. Chung, "Approach toward Health and Medical Issues in Islands - Focused on Shinangun-." The Journal of Korean Island. Vol. 23, No. 4, pp. 101-111. 2011.
  11. J.S, Lim, and C.Y. Kim. "Health Problems and Solutions of Island Residents." Journal of agricultural medicine and community health. Vol. 27, No. 1, pp. 185-196, 2002.
  12. H.S. Lim, and S.H. Kim. "A Study on The Promoting Strategies for Health Care of The Elderly in Islands Regions-Centered in Sinan Gun-." The Journal of Korean Island, Vol. 21, No. 1, pp. 55-77, 2009.
  13. M.A. Kim, S.E. Choi, and J.H. Moon, "A Systematic Review of the Studies on Specific Efficacy of Nurses and Nursing Students in Korea", The Journal of the Convergence on Culture Technology. Vol. 5, No.4, pp. 259-270, 2019. https://doi.org/10.17703/JCCT.2019.5.4.259
  14. H.S. Lee, and T.Y. Lee. "A Study on the Pattern of Medical Utilization and Factors Affecting Medical Utilization of Island Residents in Chungnam Province." Korea J of Rural Med, Vol. 29, No. 1, pp. 195-206, 2004.
  15. W.S. Lee, and L.S. Pyun. "Study on Emergency Medical Care Teleconsultation Network in Vulnerable Areas" The Korean Journal of Health Economics and Polic. Vol. 25, No. 2, pp. 59-81. 2019.
  16. K.H. Kang, and J.S. Im. "Factors Influencing the Willingness to Receive a Cardiopulmonary Resuscitation Education in Korean Remote Places." J Agri Med & Community Health, Vol.33, No. 3, pp. 346-355, 2008. https://doi.org/10.5393/JAMCH.2008.33.3.346
  17. K.J. Hyuk, and J.K. Nam, "A Study on the Acceptance of Telehealth Services in 50-60s." Health and social studies. Vol 41. No. 1, pp. 265-282. 2021.