• Title/Summary/Keyword: 보건 의료

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Utilization Rate and Related Factors of Unified Health Sub-center Among Rural Residents (통합보건지소 설치 전후 주민들의 보건지소 이용율 변화 및 관련요인)

  • Hwang, Tae-Yoon;Kang, Pock-Soo;Kim, Seok-Beom;Lee, Kyeong-Soo;Kang, Young-Ah
    • Journal of agricultural medicine and community health
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    • v.27 no.2
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    • pp.107-126
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    • 2002
  • Health sub-centers(HSCs) have played an important role in primary health care in rural area in Korea. The unification of neighboring HSCs was a strategy to improve the role of HSCs. This study was conducted to reveal the efficacy of the unified HSC established in Yangbuk-myeon, Gyeongju-si in1997. The utilization patterns of HSC and its related factors, and satisfaction of consumer on HSC were compared before and after unification of two HSCs in Gampo-eup, Yangnam-myeon using questionnaire survey, and also the statistics of medical care services and public health services were compared. Four hundred forty nine subjects were questioned in survey, 156 from Gampo-eup, 147 from Yangbuk-myeon, and 146 from Yangnam-myeon. Following unification, the utilization rates and the frequency of visits in Gampo-eup declined. In all three areas, chronic illness was the common factor influencing the utilization and change in frequency of visits to the unified HSC. Following unification, aspects of consumer satisfaction, for example; accessibility and affordability decreased in Gampo-eup, but increased in both Yangbuk-myeon and Yangnam-myeon. The statistics relating to medical care, X-ray examination, home visiting service, vaccination, and health education showed an increase for the unified HSC when compared to the sum of the statistics for the previous two. The execution rates for other public health services were the same, or a little decreased. Clinical laboratory examinations and the issuing of civil affair documents were new services offered by the unified HSC. It is concluded, the overall consumer satisfaction with the unified HSC was improved. In Gampo-eup, where after unification there was no HSC, it seemed to be a barrier to accessing the unified HSC. The effect of the unified HSC, in the respect of medical care and public health services, was not as significant as expected at the time of being established. Therefore, the strategies to reenforce the unified HSC should be developed to provide all residents with comprehensive primary health care services.

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Medical Geography: Its Conceptual History and Historical Vision (의료지리학: 개념적 역사와 역사적 전망)

  • Lee, Jong-Chan
    • Journal of the Korean Geographical Society
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    • v.48 no.2
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    • pp.218-238
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    • 2013
  • The objective of my paper is to investigate historical change in concepts of medical geography and to present its historical vision. Modern medical geography was established in the name of medical topography in Europe where it had to control tropical diseases in the course of exploration and voyages for colonial interests. England developed medical geography in the name of sanitary reform, France did so for civilizing mission, and geomedicine prevailed in Germany. The twentieth century witnessed two traditions of medical geography, with focus on disease ecology and medical care system, respectively. In addition, the paper emphasizes the significance of cartography of disease as knowledge as power. As the identity of place becomes increasingly important in relation to health at the around of the twenty-first century, geography of health has emerged as a new promising discipline independently of medical and public health geography.

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The Study on Medical Utilization in Seoul Metropolitan regios by Patients with Congenital Malformations Residing in Jeollabuk-do (전북지역 거주 선천성기형 환자의 서울·수도권 의료이용에 관한 연구 )

  • Yeon-Ja Jeong
    • Journal of the Health Care and Life Science
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    • v.10 no.2
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    • pp.275-283
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    • 2022
  • This study aims to identify the factors affecting medical use in Seoul metropolitan region (SMR) by patients with a congenital malformation in the Jeollabuk-do region and suggest methods to improve equity in regional healthcare utilization. The study conducted the chi-square test and logistic regression analysis using Korean National Hospital's in-depth injury survey data from 2016 to 2020. The results are as follows. First, medical utilization in SMR was high in the age group of 19-44. Second, the bigger the bed size, the higher the medical utilization in SMR. Third, in the case of the principal diagnosis, the medical utilization in SMR was high in the patients with congenital Anomaly of the Tracheobronchial System. Fourth, the medical utilization in SMR was high in the group of inpatients with higher severity after surgery. Based on these results, government-run healthcare policies and planning should be established to achieve regional equity of medical utilization.

Policy Measures for Improving Health Care Services in Rural Areas (농촌보건의료서비스 향상을 위한 제도 개선방안)

  • Moon, O.R.;Lee, L.S.;Park, J.Y.;Ko, D.H.;Lee, K.H.
    • Journal of agricultural medicine and community health
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    • v.16 no.2
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    • pp.97-119
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    • 1991
  • Korea has made a rapid economic development since the last three decades. This has helped Korea narrow the gap in health service differences in resource availability and in quality of care. However urban and rural differentials are still remarkable. This study has maintained that health status of rural residents is inferior to that of urban dwellers. Therefore, this study was carried out to develop policy measures for improving health services in rural areas. In order to achieve the objective of this study the authors collaborated closely and made field visits, interviews and conducted an extensive literature review regarding rural health services. The following policy options are recommended as a summary ; First, the quality of rural health personnel is a single most important factor influencing the level of rural health services. An innovative program for public health doctors to the internship and/or residency training program such as specialty board program of family medicine. Second, dissatisfaction regarding employment of public health doctors is problematic. More rational employment and deployment programs are needed to meet their personal desire. One way to do this is to make it wide open and competitive. Third this study shows how to increase physician productivity in the rural public health sector. Incentive system needs to be elaborated for the career development of rural health workers. University linked job opportunity as clinical professor is an example. Fourth, without straightening the function of health centers and subcenters, the future of rural health services is doomed to failure. Straightening primary health care is one way to enrich the program of public health facilities and reactivating the operation of health center/hospital is another. A close linkage of public facilities with private hospitals is a minimum requirement for the operation of health delivery system within a health district. Fifth, some measures are urgently required to enhance hospital services in medically underserved areas. Financial subsidy, tax exemption, long-term public loans and higher priority of health manpower deployment are some of them. Sixth, new health programs should be in tiated to meet changing needs of peoples in rural areas. Home health care program, hospice program, nursing home, residential program for the elderly are recommended.

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Foreign Students' Use of Dental Treatment and Dental Institutions Study on Selection Criteria (외국인 유학생의 치과진료 이용실태와 치과의료기관 선택기준에 관한 연구)

  • Shim, Youn-Soo;An, So-Youn;Park, So-Young
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.172-180
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    • 2021
  • This study was carried out to provide basic data for improving oral health management plans by identifying the actual conditions of dental treatment use and criteria for selecting dental medical institutions for foreign students. The survey method was a survey of 145 foreign students at S University, and the collected data was conducted with the SPSS 24.0 program. As a result of the analysis, dental caries treatment was the most common among all nationalities in the dental experience. When the oral health education program was important, the will to use dental treatment in the future was positive. Therefore, in the future, it is required to revitalize oral health education programs and provide health care information for foreign students.