지역보건의료계획 수립과정에서의 주민참여실태와 이에 미치는 영향

The Impacts of Community Participation on Regional Health Planning Process

  • 김성옥 (한국보건의료관리연구원) ;
  • 송건용 (한국보건의료관리연구원)
  • 발행 : 1998.06.01

초록

The purpose of this study is to analyze the community participation in regional health planning by using the operational definition of participation channels, and to find out the significant variables of community participation channel which are highly related to the scores of regional health plan. The channels we adopted for the study are recommended in the guidebook for regional health planning. They are performing residents' helath survey, submitting written agreement of publics, holding public hearings, putting publicnotice, conducting community health committee meeting, submitting opinion of chambers and Mayors, and operating task-force for planning. We analyzed the selected data of 8 community participation channels, which were submitted by 141 rural health centers for the pursuit of governmental subsidy in 1997. The major findings of this study are as follows; 1. In the process of regional health planning, 88.7% of rural community health centers have performed the residents' health survey, 14.9% submitted written agreement of publics, 11.3% held public hearings, 39.0% put public notice, 46.8% conducting community health committee meeting, 48.9% submitted opinion of chambers, 61.7% submitted opinion of Mayors and 25.5% operated task-force for planning. The result shows that most of community participation channels have been utilized at very low rates, except the residents' health survey. 2. We have analyzed the impact of these community participation channels on the regional health plan scores. In the multiple regression model, we set the regional health plan score as the dependent variable., and the use of participation channels as the idependent variables(1 if the channels are used, 0 otherwise). Finally, the regression analyses show that two channel variables, opinion of chambers and public notice, were the significant positive channel variables on the score of community health plan.

키워드

참고문헌

  1. 건강사회를 위한 보건의료 건강사회를 위한 보건의료인 연대회의
  2. 서울대학교 보건대학원 보건학 석사학위논문 지역보건개발에서 주민참여의 개념과 전략-비판적 의료인류학의 시각 고성주
  3. 서울대학교 보건대학원 보건학 석사학위 논문 보건에 있어서 주민참여방향 고찰-보건 행태, 의식변화의 새로운 입장을 지향하며- 김대희
  4. 국민보건연구소 연구논집 v.1 no.2 보건의료에 있어서 주민참여 개념의 검토 김대희
  5. 행정논집 주민참여에 대한 주민과 공무원의 행태 김석배
  6. '90년대 보건의료정책의 발전방향 지역보건사업과 주민참여 김용익;김종호;안문영;이종구
  7. 보건행정학회지 v.2 no.2 보건의료 주민참여의 정의와 전략에 대한 연구 김용익
  8. 행정철학 김항규
  9. '96 농어촌의료서비스개선사업지침 보건복지부;농어촌의료서비스기술지원단
  10. 97 지역보건의료계획서 작성지침 보건복지부
  11. 지역보건계획 문옥륜;조유향(편저)
  12. 행정학신론 박연호
  13. 지역보건법 개정안 보건복지부 지역의료과
  14. 보건의료발전을 위한 지역주민참여-새로운 보건의료를 향하여 서울대학교 의과대학 의료관리학교실 (옮김)
  15. 시정지기-광주YMCA 시정지기단 활동보고서/1995 지방자치시대의 지역개발 방안 송인성
  16. 보건사회학 정경균(외)
  17. 지방행정학 정세형
  18. 지방자치시대의 주민참여확충방안 연구 한국지방행정연구원
  19. Bulletin of the World Health Organization v.69 no.1 Community participation and attitudes of decision-makers community involvement in health development in Saudi Arabia Al-Mazroa Y;Al-Shammari S
  20. Soc. Sci. Med. v.36 no.9 Community participation in disease control Bermejo A;Bekui A
  21. World Health Forum v.10 Towards the measurement of community participation Bichmann W;Rifkin SB;Shestha M
  22. World Health Forum v.10 Obstacles to community participation in health care Chaturvedi RM;Kartikenyan S
  23. Health and Society Curtis S;Taket A
  24. An introduction to health planning in developing countries Green A
  25. Soc. Sci. Med v.36 no.11 Community financing of health care in Africa: An evaluation of the bamako initiative McPake B;Hanson K;Mills A
  26. International Journal of Health Services v.22 no.2 Quebec's health system: A strategy to curtail community empowerment? O'Neill M
  27. Community participation in health and development in the Americas PAHO
  28. Health policy and planning v.11 no.1 Primary health care, community participation and community-financing: experiences of two middle hill villages in Nepal Sepehri A;Pettigrew J
  29. Soc. Sci. Med v.35 no.4 Cultural influences in community participation in health Stone L
  30. Health policy-An introduction to process and power Walt G
  31. The Lancet v.346 Community participation in health care Waterston T
  32. Soc. Sci. Med v.35 no.4 Cultural and structural influences in the creation of and participation in community health programmes Woelk GB