Journal of The Korea Institute of Healthcare Architecture (의료ㆍ복지 건축 : 한국의료복지건축학회 논문집)

Korea Institute of Healthcare Architecture (한국의료복지건축학회)
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A study on the accessibility and utilization satisfaction of health centers in rural area, Paraguay

파라과이 농촌지역의 보건소 건립 후 접근성과 이용만족도에 관한 연구

  • 김지언 (연세대학교 보건행정학부) ;
  • 정민아 (연세글로벌헬스센터) ;
  • 남은우 (연세대학교 보건행정학부)
  • Received : 2023.04.16
  • Accepted : 2023.06.02
  • Published : 2023.06.15
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Abstract

Purpose: The purpose of this study is to identify policy implications for the construction of public health facilities in the field of international cooperation, by examining the case of establishing a health care delivery system using a public health center in a rural area of Paraguay. Methods: Firstly, to map the capacity of the 20 public health centers that were studied, we used the WHO Capacity Mapping tool to select and analyze relevant items. Secondly, to assess the utilization of public health centers, we conducted a direct visit survey and analyzed the results using the M-survey tool. Results: The floor plan of each public health center, the structure of the health center, the size of the population served by each health center, the number of monthly visitors, medical human resources, and the budget were classified by health center for comparative analysis. In addition, by utilizing the M-survey tool, we analyzed the general characteristics of the respondents, their perceptions of the purpose and accessibility of public health centers, their satisfaction with using public health centers, and the level of demand for public health centers to play a role in promoting community health. Implications: The results of this study suggest that access to public health facilities for residents in the research area was improved. By classifying public health centers into two types, these centers can perform the functions and roles of primary health facilities. A patient request and evacuation system was established in the research area. Finally, a network, such as a social prescribing program, is needed so that public health centers can function as a "setting" for community members to live together.

Keywords

Acknowledgement

이 논문은 2016-2023년 한국국제협력단(KOICA)의 "파라과이 센트럴주 림삐오시 보건의료체계 형성 및 일차의료 강화사업 사업기획관리(PM기관) 용역"의 일부로 수행된 연구(No. P2016-00135-4)이며, 이 논문은 2022년도 정부(교육부)의 재원으로 한국연구재단의 지원을 받아 수행된 기초연구사업(2022R1A6A3A01087288)임.

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