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방문보건사업 평가지표 개발

Development of Performance Indicators in Public Health Center Based Home Healthcare

  • 장현숙 (한국보건산업진흥원 의료사업단 고령보건산업팀) ;
  • 이태범 (한국보건산업진흥원 의료사업단 고령보건산업팀) ;
  • 남소영 (한국보건산업진흥원 의료사업단 고령보건산업팀) ;
  • 진영란 (한국보건산업진흥원 의료사업단 고령보건산업팀)
  • Chang, Hyun-Sook (Department of medical Industry Korea Health Industry Development Institute) ;
  • Lee, Tae-Bum (Department of medical Industry Korea Health Industry Development Institute) ;
  • Nam, So-Young (Department of medical Industry Korea Health Industry Development Institute) ;
  • Chin, Young-Ran (Department of medical Industry Korea Health Industry Development Institute)
  • 발행 : 2006.12.30

초록

The purpose of this study is to develop performance indicators for quality of public health center based home healthcare through the study the major factors of registrated weaken poorly residents in the community based home healthcare. Various literature review was conducted to study the performance indicators for quality of public health center based home healthcare of advanced countries and Korea. Mail survey was conducted from national wide PHC(public health centers), sub health centers and primary health care posts. of the surveys mailed, 2,293 centers(67%) were returned within the allotted and we included in the analysis these who completed the questionnaire. Data was analysed by SPSS for windows 12.0. The major results of the research were as follows; Firstly, major factors of registrated weaken poorly residents in the community based home healthcare in the multivariate analysis were jurisdictional families per manpower(OR:0.78, 95%CI:0.64-0.94, P=0.011), weaken poorly families per manpower(OR:0.42, 95%CI:0.35-0.50, P<0.001), business vehicles per manpower(OR:1.13, 95%CI:1.04-1.24, P=0.007) type of public health center(OR:4.42, 95%CI:3.32-5.90, P<0.001), region of public health center(OR:0.53, 95%CI:0.32-0.89, P=0.017). Secondly, performance indicators for quality of public health center based home healthcare were developed as basic investigation, registration, intervention and discharge level. Preparing for Activation of public health center based home healthcare in Korea, the result application as follows is possible. Firstly, we can conclude that the major factors of registrated weaken poorly residents in the community based home healthcare are jurisdictional families per manpower, weaken poorly families per manpower, type of public health center, region of public health center, business vehicles per manpower. Secondly, the new developed performance indicators which are divided into basic investigation, registration, intervention, discharge for public health center based home healthcare could be applied it for improving quality of home healthcare services.

키워드

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