Browse > Article
http://dx.doi.org/10.5393/JAMCH.2022.47.1.001

Development of a public health care linkage model within the community care system in Daejeon City  

Lim, Ji-Yeon (Department of Preventive Medicine, College of Medicine, Chungnam University)
Ahn, Na-Na (Department of Public Health, Graduate School, Chungnam University)
Lee, Seok-Goo (Department of Preventive Medicine, College of Medicine, Chungnam University)
Ahn, Soon-Ki (Department of Preventive Medicine, Chungnam National University Hospital)
Publication Information
Journal of agricultural medicine and community health / v.47, no.1, 2022 , pp. 1-13 More about this Journal
Abstract
Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson' model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users' commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions: Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.
Keywords
Community health care; Public health; Needs; Resource; Care pathway;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 KOSTAT: 2021 the aged statistics [Internet]. Korea: Statistics Korea; [cited 2021 Nov 12]. Available from: https://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=403253
2 Oh HJ, Kim HS, Ko Y. Shin EY, Son MS. Comparison among Wide-area Local Governments of Needs for Integrated Care for Older Adults. Journal of Convergence for Information Technology 2020;10(8):194-202 (Korean)   DOI
3 MOHW: be made public of 「Community care leading project promotion plan」 [Internet]. Korea: Ministry Of Health&Welfare [cited 2021 Nov 12]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=347345&page=1
4 MOHW, KIHASA: elderly survey results report [Internet]. Korea: Ministry Of Health &Welfare, Korea institute for health and social affairs; [cited 2021 Nov 13]. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=366496&page=1
5 MOHW: be made public of 「basic plan for community care(phase1: community care for the elderly」 [Internet]. Krorea: Ministry Of Health&Welfare [cited 2021 Nov 13]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=346683&page=1
6 Han YG. Yun CK. Effect of Home-Based Rehabilitation Service for Integrated Care in Community. Health & Welfare 2021;23(3):65-86 (Korean)   DOI
7 KOSIS: City, county, and cause of death (50 items)/sex/number of deaths, mortality, age-standardized mortality rate [Internet]. Korean; Korean Statistical Information Service; 2020. [cited 2021 Oct 27]. Available from: https://kosis.kr/index/index.do.
8 MOHW: 「Providing guidance to local governments that promote community care in communities」 [Internet]. Korea: Ministry Of Health&Welfare [cited 2021 Nov 12]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=357215
9 CRCS: stroke medical guidelines revision [Internet]. Chpater 1-2; [cited 2021 Nov 15]; p. 13-14, 60-61. Available from : https://www.stroke.or.kr:4454/guidelines/file/%B3%FA%C1%B9%C1%DF%C1%F8%B7%E1%C1%F6%C4%A7%BF%E4%BE%E0%20%BC%D2%C3%A5%C0%DA_%C3%D6%C1%BE_20190226.pdf
10 Kim JY, Kim SH, Ryu JS, Yun KA, Jeong JY, Choi KH, Song EJ, Son MY. DWF: Daejeon-type care service model development research(Korea); 2019 Dec. 42-45p. Report No. 2019-2; ISBN 978-89-98568-61-0
11 Kim YT, Park KS, Bae SG. Predictors of Persistence and Adherence with Secondary Preventive Medication in Stroke Patients. Journal of Agricultural Medicine& Community Health 2015;40(1):9-20 (Korean)   DOI
12 IM J. Development of an expansion model for the Healthy Living Support Center and a study on ways to increase operational efficiency. Ministry Of Health&Welfare (Korea); 2018 Oct. 13 p. Report No.: 18-06
13 Shin JE. Determinants of Unmet Healthcare Needs among the Community-dwelling Korean Adults with Disabilities: A Case of the National Health Insurance Beneficiaries. Health and Social Welfare Review 2013;33(2):549-577 (Korean)   DOI
14 Lee HK. A Qualitative Case Study on the Practical Experience of Case Managers in the Public Sector. Korea Academy of Care Management 2021;39:55-90 (Korean)   DOI
15 Aday L A, Andersen R A. framework for the study of access to medical care. Health services research 1974;9(3):208-220
16 Jeon YH. A Study on the Marketisation of Long-term Care for the Elderly in UK and Germany: Focusing on the Evaluation of Service Users' Perspective. Health and Social Welfare Review 2012;32(2):143-169 (Korean)   DOI
17 Kim YD. Deinstitutionalization and Building Community-Based Personal Social Services: Community Care that Connects Independence and Interdependence. Health and Social Welfare Review 2018;38(3):492-520 (Korean)   DOI