• 보건행정학회지
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• 제26권4호
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• pp.315-324
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• 2016

Underserved area is a region that has a lack of healthcare resources. In the context of Korea, however, there are not enough detailed criteria for underserved areas. In this study, we aimed to develop indicators for underserved area through Delphi technique. We systematically reviewed the existing measure of underserved area. Sixty indicators were extracted as candidates across four domains in secondary medical care. Four domains are demand, medical resource, quality of care, and health outcome. To develop indicator, two round Delphi survey was conducted among 15 professional experts such as professionals and public administrators. In conclusion, 2 final indicators (accessibility, medical utilization) was determined as an appropriate measure in order to designate underserved area for secondary medical services. Using our criteria from Delphi technique, 36 areas were found as underserved areas for the secondary medical care.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권2호
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• pp.39-48
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• 2021

Purpose: The study aims to demonstrate regional diagnosis methods and results combined with geographical information to expand the physical infrastructure related to community care services. To this end, the physical infrastructure for the core elements of community care was analyzed in terms of the fulfilment and access of facilities to derive the underserved elements and regions. Methods: Utilizes GIS network analysis techniques that can derive physical infrastructure service areas. Underserved elements are derived by comparing and analyzing the service area for each core element. Next, the underserved regions for each core element are derived through the overlapping of the set service area and the diagnosis population. Results: Among the physical infrastructure by core elements for community care, the housing support element was considerably weak, and the nursing care facility compared to health care was also analyzed to be weak. In addition, underserved regions by dong in Mapo-gu were deduced and presented for each diagnosed population. Implications: The discovery of underserved elements and underserved regions is meaningful as a diagnostic process that can derive the physical infrastructure that needs to be expanded urgently for the realization of community care and determine the priority projects and targets of the projects.

• 의학교육논단
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• 제21권3호
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• pp.127-136
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• 2019

Medical schools have been working to produce competent doctors and improve the quality of care by introducing and implementing new curricula and innovative teaching and learning methods. Despite these efforts, health disparities within and between countries still exist. To close these gaps, medical schools must identify the priorities of the community, region, and/or nation and conduct education, research, and service that reflect them-the core foundation of the social accountability of medical schools. Many medical schools and networks around the world have tried to achieve social accountability, but this needs more attention in Korea. This study will review the literature in aims to improve understanding and promote the implementation of the social accountability of medical schools. Most medical schools that practice the principles of social accountability focus primarily on the medically underserved in their communities or those who have limited access to health services, and have built collaborative partnerships with stakeholders to meet the needs of society. In addition, in order to implement social accountability effectively and efficiently, medical schools have developed strategies and various evaluation frameworks appropriate to the context of each school. To have more socially accountable medical schools, it is necessary to clarify the concept of social accountability and to establish a system that can evaluate the impacts. Medical schools exist to alleviate suffering and promote health, and this can be accomplished through social accountability.

• 한국융합학회논문지
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• 제11권11호
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• pp.345-352
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• 2020

일본은 2007년 「긴급의사확보대책」을 통해 의료취약지의 의사재배치와 특정 진료과 편재해소를 위한 인력수급을 위해 힘을 기울이고 있다. 특히 지역 의사인력 확보방안에서 단기적 대안으로는 기존의 의사인력을 지역으로 유인하는 방안과 지역임상연수를 활성화 하여 임상연수를 받기위해 대도시로 의사가 유입되는 것을 방지하기 위한 방안이 있으며, 장기적 대안으로는 지역정원제도와 자치의과대학을 통해 의료취약지에서 근무할 인력을 양성하는 등 다각도에서 해소 방안을 찾아 가고 있다. 우리나라에서 최근 지속되고 있는 의사증원 및 공공인력정책에 대한 정부와 의협 간의 갈등을 심각하게 인식하고, 지역에서 근무할 의사인력을 안정적으로 확보할 수 있는 대안을 모색하기 위해 유사한 진통을 겪었던 일본의 사례를 벤치마킹하여, 정책적인 시사점을 제시하고자 한다.