• Title/Summary/Keyword: 농촌의료

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An Analysis on the Korean Rural Health Care Delivery System (농촌의료(農村醫療)의 문제점(問題點)과 대책(對策) - 의료제도(醫療制度)를 중심(中心)으로-)

  • Song, Oh-Dal
    • Journal of agricultural medicine and community health
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    • v.2 no.1
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    • pp.30-35
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    • 1977
  • Health care conditions in Korea are gradually improving along with the economic and social development. However, the volume of disease is still great, especially in rural areas. This study attempts, therefore, to initiate a comprehensive proposal of rural health care delivery system. The proposal is constructed three parts, problem of health care system, medical cost, medical education system. The proposal consist of the following components: I. The health care system 1. health sub-center is required to be locate in "Myun" the basis administrative unit of local government for delivering primary health care. But, in the viewpoint of medical economics, the primary health care is operated cautiously. 2. Health center is desirable to provide health services in coordinating the health sub-center and other private health institution. 3. The secondary health care is performed in regional combination hospitals, and the attitude that doctors accomodate this system is required. II. The medical cost, Insurance In the expenditure of medical care, the method of a third person's payment is required absolutely. III. The medical education system. 1. The medical education system (process) is changed from the medical education to regional doctor education. 2 In the nurse education system. nursing technical high school is resurrected.

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A Study on the Service Network of Intensive arrangement of the Health, Medical and Welfare facilities for Elderly in Japan - Focused on Miyagi Nango and Yamagata Nishigawa in Tohoku area of Japan - (농촌지역 고령자 보건·의료·복지시설의 집약에 따른 서비스 연계 - 일본 동북지방의 Miyagi현 Nango와 Yamagata현 Nishigawa의 비교분석 -)

  • Nam, Yun-Cheol
    • Journal of the Korean Institute of Rural Architecture
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    • v.9 no.3
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    • pp.111-120
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    • 2007
  • Recently, the small-scale local governments of japan are enlarging and enriching the service of health, medical and welfare facilities for the elderly . Intensive arrangement of the three types of facilities is one of the effective ways especially for the small-scale local governments. The service network between facilities benefits by the intensive arrangement. Benefits include the network of the medical service, the share of care information, the share of space and equipment. It can be a notable feature in the intensive arrangement that the elderly were taken from welfare facilities (especially dayscare center) to hospital of high movement frequency quickly. Instead of EV path as possible, It is desirable to stand close between facilities of high movement frequency. For large area, the heavy snow made low daycare ratio. Therefore, it is desirable to construct a branch office at a long distance.

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A Survey of Employees' Perception on the Service Network of Concentrated Arrangement of the Health, Medical and Welfare Facilities for Elderly in Japan - Focused on Miyagi-ken Nango-cho and Yamagata-ken Nishigawa-cho in Tohoku area of Japan - (농촌지역 고령자 보건∙의료∙복지 집약시설내 서비스연계에 대한 직원의 의식조사 - 일본 동북지방의 궁성현(宮城県) 남향정(南鄕町)과 산형현(山形県) 서천정(西川町)을 대상으로 -)

  • Nam, Yun-Cheol
    • Journal of the Korean Institute of Rural Architecture
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    • v.10 no.4
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    • pp.41-48
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    • 2008
  • Recently, Rural village of japan are enlarging and enriching the service of health, medical and welfare facilities for the elderly. Concentrated arrangement of the three types of facilities is one of the effective ways especially for the small-scale local governments. This paper focus on a questionnaire survey of employees who work in the facilities to evaluate service network. Using this survey data, it is used to make a plan of intensive arrangement. As a result, their satisfaction with concentrated arrangement was considerable high. In particular, they expressed satisfaction with service network between Medical and Welfare. Due to increasing outpatients, the concentrated arrangement has contributed to hospital funds and given emotional security to the aged in welfare facilities. In order to promote service network effect, there are many opinions that management of health facilities(local governments) is needed.

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A Location Model and Algorithm for Visiting Health-care Districting for the Rural Elderly (농촌지역 노년인구를 위한 방문 의료서비스 구역 설정 모델 및 알고리즘)

  • Kim, Kam-Young;Shin, Jung-Yeop;Lee, Gun-Hak;Cho, Dae-Heon
    • Journal of the Korean Geographical Society
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    • v.44 no.6
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    • pp.813-832
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    • 2009
  • As accessibility to health-care service in less populated rural areas is geographically limited and demand for public health-care by the aging is increasing, a new approach for health-care service such as a home care service is becoming more popular. For a home care service, health-care personnels directly visit to location of health-care clients. Such changes in provision of health services require developing innovative and scientific approaches for efficient allocation of health resources and managing services by public health-care organizations. The purpose of this study is to formulate a location model for visiting health-care districting for the rural elderly and to develop an Automated Zoning Procedure (AZP) to solve this model. Mobility, workload balance and contiguity criteria are considered in the model. Three different objective functions are evaluated; 1) minimizing the sum of network distance between the unit areas in a district, 2) maximizing spatial interaction between the unit areas in a district, and 3) minimizing tour distance that visits each unit area exactly once in a district. The AZP for solving the model is developed and applied to a rural area. The application results demonstrate that the AZP can generate different districting systems for each objective functions.

Health services Information Need Difference between Urban and Rural Area in Sooncheon City (순천시 지역적 특성에 따른 보건의료정보 요구도 비교)

  • in, Hye-Young;Oh, Hyohn-Joo
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.413-425
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    • 2000
  • The purpose of this study was to compare the health services information need between urban area and rural area in Sooncheon City. For accomplishing this purpose, we selected 1,060 adults randomly, 744 urban residents and 314 rural residents were surveyed from 1st, December to 31st, December in 1999. Compared the difference between two areas by cross tabulation, and chi-square test were used. The results of this study are as follows: 1. There were statistically difference in sociodemographic characteristics between urban residents and rural residents, such as age, education, job, income, and insurance payment(p<0.001). 2. According to the health utilization behavior, types of health facility, satisfaction of medical cost, and satisfaction of medical results were statistically different between the two areas(p<0.001). Also utilization of the health service center, and accessibility were statistically different between urban and rural areas(p<0.001). 3. Experiencing the health service information, type of health service information, methods of information, effectiveness, and satisfaction were statistically different between the two areas(p<0.001). 4. And experience of using computer, and internet and preference of method of health service information were statistically different between urban and rural areas. Therefore, the construction of health information system should be carefully reviewed by community health service centers and they should consider the different residents information needs, and accessibility and convenience of community residents.

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