Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지
DOI QR코드

DOI QR Code

Utilization and Factors Associated in Public Health Centers in Incheon Metropolitan City

인천광역시 보건소 이용실태 및 관련요인 분석

  • Han, Gyeong-Soon (Department of Dental Hygiene, College of Health Science, Gachon University)
  • 한경순 (가천대학교 보건과학대학 치위생학과)
  • Received : 2015.10.14
  • Accepted : 2015.11.02
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This research was based on using status and factors associated in public health centers survey in 703 local residents from September 1 to 25, 2015. Data were analyzed with chi-square test, t-test, one way ANOVA, and Stepwise Multiple Regression analysis using SPSS WIN 21.0 program and significance level was set at p<0.05. It was investigated that Incheon city health centers' utilization of residents were 38.8%, the annual average of utilization was 3.92 times. Health centers were mainly used by themselves (25.3%) or recommendation of the people around them (17.8%). The reason why they don't use was no need (27.0%) and don't know well (9.4%) or long distance (7.8%). The average of awareness about the total health programs was 41.2%, the average of utilization rate was 8.1%, both higher rate of awareness and utilization about health programs were vaccination (86.6%, 36.9%), and health examinations (67.2%, 18.7%). The average of satisfaction about health programs was 3.88 out of 5, sealant (4.26 points) and rationing fluoride solution (4.07 points) indicated a high level of satisfaction. The most common factor which represents the impact on public health use and use frequency were the time it takes to move, also gender, age and form of home ownership were major factor in common. Based on this, we have to seek concrete measures of national health programs which conducted to improve the health of local residents can be implemented successfully.

본 연구는 효율적인 보건사업 기획과 이용방안을 모색하고자 인천광역시 지역주민들을 대상으로 보건소에서 시행하고 있는 각 사업에 대한 인식과 이용 및 만족도를 분석하여 다음과 같은 결과를 얻었다. 인천광역시 지역주민들의 보건소 이용률은 38.8%였고, 이들의 연평균 이용횟수는 3.92회로 조사되었다. 보건소는 스스로(25.3%) 또는 주위사람의 권유(17.8%)에 의해 주로 이용하고 있었다. 이용하지 않는 이유는 필요성이 없어서(27.0%)와 잘 몰라서(9.4%) 또는 거리가 멀기 때문(7.8%)이었다. 보건사업 전체에 대한 평균 인지율은 41.2%, 평균 이용률은 8.1%로 인지율과 이용률 모두 높은 보건사업은 예방접종(86.6%, 36.9%)과 건강검진(67.2%, 18.7%)이었다. 보건사업 평균 만족도는 5점 만점에 3.88점이었고, 치면열구전색(4.26점)과 불소용액배급(4.07점)이 높은 만족도를 나타냈다. 보건소 이용과 이용횟수에 공통적으로 가장 영향력을 나타내는 요인은 이동시간이었고, 성별, 연령, 주택소유형태도 공통적 주요요인으로 확인되었다. 이를 바탕으로 지역주민의 건강증진을 위해 국가적으로 실시하는 보건사업이 성공적으로 실시될 수 있도록 구체적인 방안을 모색해야 할 것이다.

Keywords

References

  1. Kim GS, Hwang YS, Kim YK, et al.: Community oral health. 1st ed. Komoonsa, Seoul, pp.4, 2010.
  2. Ministry of Health & Welfare: 2014 Regional health authority contacts the national status. Ministry of Health & Welfare, Seoul, p.7, 2014. Retrieved September 25, 2015, from http://www.mw.go.kr/front_new/al/sal0101vw.jsp? PAR_ MENU_ID=04&MENU_ID=040101&CONT_SEQ=322328&page=1
  3. Lee GE: User's satisfaction of health care service in public health centers -in a metropolitan area-. Health Policy Manag 13: 28-47, 2003. https://doi.org/10.4332/KJHPA.2003.13.4.028
  4. Lee SH, Jo HS, Park YS, et al.: Determination of strategic business units in the health promotion service areas of health center. Health Policy Manag 8: 110-124, 1998.
  5. Ahn SH, Lee BW: Evaluation on utilization of the health care service in one urban area in Korea. J Korean Acad Nurs Adm 11: 1-14, 2005.
  6. Yoon HS: Analysis of the utilization of health promotion program in health care centers based on a socio ecological model. Korean J Health Educ Promot 25: 1-19, 2008.
  7. Choi YJ, Shin DS, Kang MA, Bae SS, Kim JY: Evaluating chronic care of public health centers in a metropolitan city. Health Policy Manag 24: 312-321, 2014. https://doi.org/10.4332/KJHPA.2014.24.4.312
  8. Lee BG, Oh HW, Lee HS: Public health dentistry : Visitor's satisfaction of oral health care service in public health centers. J Korean Acad Oral Health 32: 582-539, 2008.
  9. Park JS: The factors affecting on the health service satisfaction of health center visitors. Korean J Health Educ Promot 22: 147-160, 2005.
  10. Kang PS, Lee KS, Kim CT: Determinants of health service utilization of urban health center. Health Policy Manag 5: 104-126, 1995.
  11. Choi JS, Namkung P: Practical survey on public health center. Stat Stud 9: 1-14, 2001.
  12. Ryu HS, Im MY, Lee JY: A study on health and public health center utilization behavior for lower income family in Korea. J Korean Acad Community Health Nurs 12: 60-70, 2001.
  13. Park SK, Kim CB, Chung WG, Ahn YH, Kim NH: The utilization of oral health services in community health centers in Korea: a study using data from the 2011-2012 community health survey. J Korean Acad Oral Health 38: 154-164, 2014. https://doi.org/10.11149/jkaoh.2014.38.3.154
  14. Kim MH, Nam CH: An analysis on health behavior and related factors of the elderly in Korea. J Korean Gerontol Soc 17: 253-270, 1997.
  15. No J, Shin SC: The study on the effects of oral health education at primary school children in Seoul. J Korean Acad Oral Health 16: 201-228, 1992.
  16. Oh JS, Han DW, Im MH, Hong YS, Lee YH, Noh HI: The use of traditional Korean medicine and its affecting factors among patients with chronic disease in Jeju province, Korea. Korea J Orient Prev Med Soc 13: 55-71, 2009.
  17. Lee TW, Lee CL, Kim HS, Ham OK: Health behaviors between a health promotion demonstration health center and a general health center. J Korean Acad Nurs 35: 461-468, 2005. https://doi.org/10.4040/jkan.2005.35.3.461
  18. Lee HS: Determinants of the customers' satisfaction in public health services. Unpublished doctoral dissertation, Kyungsung University, Busan, 2002.
  19. Korea Institute for Population and Health Affairs: Study for improved organizational and functional in city health center towards the 2000s. Korea Institute for Population and Health Affairs, Seoul, pp.139-141,105, 1988.
  20. Kang PS, Lee KS, Kim CT: Determinants of health service utilization of urban health center. Health Policy Manag 5: 104-126, 1995.
  21. Jeong SH, Song KB, Jang HJ, Song KH: Structure relationships for assessment of patients' satisfaction in university dental hospital. J Korean Acad Oral Health 24: 49-57, 2000.

Cited by

  1. Organizational Capacity and Performance of Local Public Health in Korea vol.41, pp.4, 2016, https://doi.org/10.5393/JAMCH.2016.41.4.183
  2. The Influence of Local Residents’ Perception about National Healthcare Projects on the Level of Satisfaction vol.44, pp.4, 2015, https://doi.org/10.21032/jhis.2019.44.4.375
  3. 도심지역과 농촌지역의 보건소 이용 만족도에 관한 융합연구 vol.10, pp.12, 2015, https://doi.org/10.15207/jkcs.2019.10.12.123