Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)
- Volume 25 Issue 2
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- Pages.427-440
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- 2000
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- 1738-9577(pISSN)
The Change of Health Service before and after the Unification of two Health Subcenters in a Rural Area
한 농촌지역 2개면 보건지소 통합전후 보건의료사업 변화 연구
- Sul, Sue-Jeong (Jangheung County Health Center) ;
- Park, Hyang (Kwangju City Seo-Gu Health Center) ;
- Sohn, Seok-Joon (Department of Preventive Medicine, Chonnam University Medical College) ;
- Park, Jong (Department of Preventive Medicine, Chosun University Medical College) ;
- Kim, Ki-Soon (Department of Preventive Medicine, Chosun University Medical College)
- Published : 2000.12.30
Abstract
A comparative study was made about health resources, medical care service statistics and public health service statistics by health subcenters at Jangdong and Jangpyung townships, Jangheung County, Chollanamdo before and after the unification of two health subcenter to improve their function. 1. While two general physicians, one dentist, 4 nurse aids arid one oral hygienist were working at two health subcenters with simple facility with examination room and public health office in 1997 prior to the unification, in 1999 after the unification of two health subcenters 14 staff including a specialist physician, a general physician, a dentist, a herb hygienist, a radiology technician and a physical therapist were working in the new health subcenters equipped with appropriate facilities in two storey building. 2. In 1997 before the unification the yearly total income of two health subcenters was 78,815 thousand won(about 14,000 won per capita) and the amount was 140,376 thousand won(about 25,000 won per capita) in 1999 after the unification. And the income was used for operation of health subcenters excluding personnel expense. 3. While 90.5% of visitors to the health subcenters came for general medical care, and 91.6% came for the revisit before the unification, after the unification 71.2% came for general medical care, 10.8% for dental care, 16.5% for oriental physician's care, 29.7% for the first visit and 70.3% for revisit. Most common problem cared for was musculoskeletal disorder like arthralgia. Average treatment cost per person per month was 9,363 won before the unification and 8,309 won after the unification. 4. Through the comparison of execution rate of public health services before and after the unification. the practice rate of most health service among target population including visiting service for chronic illness, maternal and child health service and immunization service increased after the unification. The practice rate of tuberculosis control service, hypertension control and diabetes management was a little decreased. In conclusion, continuous effort to satisfy all persons in two townships and evaluation are necessary to coincide with the spirit of unification of two health subcenters.
농어촌 의료서비스 개선사업의 일환으로 추진된 전라남도 장흥군 장동면과 장편면 2개면 보건지소를 통합하여 보다 수준 높은 통합보건지소를 설치하기 전인 1997년과 통합후인 1999년의 보건의료자원의 변화, 환자진료통계, 보건사업통계를 비교한 결과 다음과 같은 결과를 얻었다. 1. 통합전 보건지소의 시설은 진료실과 보건사업 사무실 등 극히 제한된 시설에 2개 보건지소를 합하여 일반의사 2인, 치과의사 1인, 간호조무사 4인, 치과위생사 1인 이상 8명의 직원이 근무하였으나 통합보건지소는 일반 진료실, 치과진료실 외에도 한방진료실, 소독실, X-선실, 임상병리실, 약국, 물리치료실, 보건사업 사무실이 갖추어진 지하 1층, 지상2층 총 건축면적이