Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Changes in Public Health Perceptios after the Outbreak of Coronavirus Disease-19 among the Gangwon Province Residents Focusing on the Results of the Gangwon Province Residents' Panel Survey 2019-2020

코로나바이러스감염증-19 전후 강원도민의 공공의료 인식 비교 : 2019-2020 강원도민 보건의료패널조사 결과를 중심으로

  • Yu Seong Hwang (Department of Health Policy and Management, Kangwon National University College of Medicine) ;
  • Heui Sug Jo (Department of Health Policy and Management, Kangwon National University College of Medicine) ;
  • Su Mi Jung (Gangwon Public Health Policy Institute)
  • 황유성 (강원대학교 의학전문대학원 의료관리학교실) ;
  • 조희숙 (강원대학교 의학전문대학원 의료관리학교실) ;
  • 정수미 (강원도공공보건의료지원단)
  • Received : 2022.10.21
  • Accepted : 2023.02.24
  • Published : 2023.03.31
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Abstract

Objectives: The purpose of this study is to investigate changes in public health-related perceptions of residents of Gangwon province after the outbreak of Coronavirus disease-19(COVID-19) of the public. Methods: We performed paired T-test analysis to measure the change in public health-related perceptions before and after COVID-19. We also utilized generalized estimating equations to identify demographic factors correlated with public health-related perceptions. Results: The public perceived public health as 'All citizens can use medical care and protect/promote health.' The concept was the most popular, from 94.3% in 2019 to 95.5% in 2020. In addition, after COVID-19, residents of Gangwon province's satisfaction with medical services increased, but the overall level was not high. Among the eight essential healthcare needs after COVID-19, cardiovascular disease and injury services have emerged as preferred services. However, by sociodemographic factors, distinctive responses were detected. Conclusions: Through COVID-19, Gangwon residents' awareness of the public's health rights has increased. Those living in vulnerable areas or with unmet medical care, supported strengthening public health care. In addition, although medical satisfaction has increased, it is not satisfied, so listening to the voices of the population group with low satisfaction is essential. Lastly, since the necessity of essential health care may change due to specific events, the local government needs to plan health projects reflecting the needs of residents. Therefore, when designing the public health care strategy in Gangwon province, the local government should consider not only political factors but also environmental factors, demographic and conceptual factors.

Keywords

References

  1. Korean law information center. PUBLIC HEALTH AND MEDICAL SERVICES ACT. [Act No.16727. 2019. 12. 3. Partly revised] [cited 2022 Sep 14]. Available from : https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EA%B3%B5%EA%B3%B5%EB%B3%B4%EA%B1%B4%EC%9D%98%EB%A3%8C%EC%97%90%EA%B4%80%ED%95%9C%EB%B2%95%EB%A5%A0/
  2. Lee KS. Definition of Public Health Care and It's Policy Directions. Public Health Aff 2017;1(1):79-97 (Korean) DOI:https://doi.org/10.29339/pha.1.1.79 
  3. Ettelt S, McKee M, Nolte E, Mays N, Thomson S. Planning health care capacity: whose responsibility? In: Rechel B, Wright S, Edwards N, Dowdeswell B, McKee M, editors. Investing in hospitals of the future. Copenhagen: European Observatory on Health Systems and Policies; 2009, p.47-66 
  4. Harding, A., and A. Preker, eds. Private Participation in Health Services. Washington DC, World Bank. 2003. p.77-78 
  5. Jho HJ, Lee S. Perception toward the concept, problems and solutions of public medical service among physicians and a public hospital staffs: Analysis of consensus workshop results. Public Health Aff 2018;2(1):73-81. DOI: https://doi.org/10.29339/pha.2.1.73 
  6. Kim C. Further conceptualizing of "publicness" in health and health care in South Korea. Public Health Aff 2017;1(1):65-77. DOI: https://doi.org/10.29339/pha.1.1.65 
  7. Kim CY. Publicness in health and public health and medical services. Paju, Hanul Acamemy. 2019 
  8. Daily medi. The sad reality of being the lowest in K-medical service despite K-successful quarantine. 2021 [cited 2021 June 10]. Available from: https://www.dailymedi.com/detail.php?number=863050&thread=11r01. (Korean) 
  9. Hankook Research. Public opinion in public opinion:17th Awareness Survey in COVID-19. [cited 2021 May 12]. Available from: https://hrcopinion.co.kr/archives/16588 
  10. National Medical Center. The results of the COVID-19 Public Perception Survey. Press release. 2020.6.18. (Korean) [cited 2021. 12.16] Available from: https://www.nmc.or.kr/nmc/bbs/B0000008/view.do?nttId=12271&menuNo=200394&pageIndex=1 
  11. Statistic Korea: Population and population density by region [Internet] [cited 2022 Dec 11]. Available from: https://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1007 (Korean) 
  12. KRIHS: The Korea Spatial Planning Review 2021 [Internet]. 2021; 96-113 [cited 2022 Dec 10] Available from : http://map.ngii.go.kr/ntmr_2/index.html#page=107
  13. KDCA, Korea Community health at a Glance 2020: Korea Community Health Survey(KCHS), 2021 
  14. Nho HJ, Byun JY, Lee JH. General Linear Model (GLM) and General Linear Mixed Model (GLMM) using SPSS, Paju, Hakhyunsa. p.35-67
  15. new Seoul Health Foundation. Major results of public opinion polls on policy issues in the field of public health care in Seoul.. 2021 [cited 2021 May 17]. Available from: http://www.seoulhealth.kr/board//notice/foundation/pres/read?menuId=79&searchBbsCd=6&searchSeq=2537 
  16. National medical center. National Medical Center's Corona 19 Experience and Awareness Survey Results. 2020 [cited 2021 May 10]. Available from: https://www.nmc.or.kr/nmc/bbs/B0000008/view.do?nttId=7458&menuNo=200394&pageIndex=3 
  17. KOSTAT(Statistics Korea). The result of Korean Social Survey. (Korean) [cited 2022.10.03.] Available from: https://kostat.go.kr/portal/korea/kor_nw/1/6/3/index.board?bmode=read&bSeq=&aSeq=378876&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=
  18. Kim JJ, Kim SM, Shin DG. Changes in Emergency Medical Services Utilization Before and After COVID-19: Focused on General Hospitals and Higher-Tier Medical Institutions. (Korean). Health and Social Wealfae Review 2022;42(3):369-387 
  19. MOHW(Ministry of health and walfare). Identify the causes of stroke, diabetes patients, and smokers' vulnerability to COVID-19. Press release. 2020.06.20. (Korean). [cited 2022.10.10.]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=355077 
  20. Gangwon regional health & medical center for persons with disabilities. Gangwon-do Health/Medical/Welfare/Information guide. (Korean). [cited 2022.12.11.] Available from: https://grhm.or.kr/bbs/board.php?bo_table=welfare#sub_menu_top 
  21. Leichter HM. A comparative approach to policy analysis: health care policy in four nations. CUP Archive. 1979. p.38-55 
  22. Jo CI, Lee JS, Jung D. A Study on Awareness of Enhancing Public Health care with Moderating Effect of Supports for Medically Vulnerable Areas. Health & Welfare 2020;22(4):197-225. DOI: https://doi.org/10.23948/kshw.2020.12.22.4.197.
  23. Kim KI. To Prepare for Infectious Disease Epidemic: Local Public Health Needs to be Strengthened. Busan Development Forum 2020;182:38-47. (Korean) Available from: https://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE09350747 
  24. NMC(National Medical Center). National Medical Center's Corona 19 Experience and Awareness Survey Results. 2020. (Korean) [cited 2021 May 10]. Available from: https://www.nmc.or.kr/nmc/bbs/B0000008/view.do?nttId=7458&menuNo=200394&pageIndex=3 
  25. Seoul Health Foundation. Major results of public opinion polls on policy issues in the field of public health care in Seoul.. 2021 (Korean) [cited 2021 May 17]. Available from: http://www.seoulhealth.kr/board//notice/foundation/pres/read?menuId=79&searchBbsCd=6&searchSeq=2537 
  26. Walt G. Health Policy: An Introduction to process and power, Zed books, London. 1994