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http://dx.doi.org/10.5393/JAMCH.2010.35.4.350

Factors Related to the Medical Service Performance of Rural Health Sub-centers  

Lee, Su-Jin (Department of Nursing, Shingyeong University)
Na, Baeg-Ju (Department of Preventive Medicine, Konyang University Medical School)
Publication Information
Journal of agricultural medicine and community health / v.35, no.4, 2010 , pp. 350-360 More about this Journal
Abstract
Objectives: This study was conducted to identify factors that affect medical service performance in rural health sub-centers and to develop a method to improve health sub-center performance that takes advantage of these insights. Methods: This study included 1,242 South Korean health sub-centers that had been in operation at least since December 31, 2009 as units of analysis. After adjusting for population differences between areas, the performance of medical service among health sub-centers was analyzed according to medical services performed per person. We performed t-tests, ANOVA, Scheffe's tests and multiple regression analyses. Results: The following were significant variables affecting the medical service performance of rural health sub-centers: number of hospitals and clinics, presence of community health practitioner posts, distance from health sub-centers to main public health centers, distance from health sub-centers to the nearest emergency medical facilities, and proportion of the local population aged 65 and over. In contrast, the proportion of the local population between ages 0-4 and the placement of public health doctors that had already completed their internship were not significant variables. Conclusions: The medical service performance of health sub-centers located in rural areas is significantly affected by local population and health care environment characteristics, and therefore, it is imperative to develop strategies to provide differentiated service based on these factors.
Keywords
Medical service performance; Health sub-center;
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Times Cited By KSCI : 6  (Citation Analysis)
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