정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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재난 지원에 있어 지역사회 기관 연계에 관한 연구

A Study for Link of Institution in Disaster Management : Ansan District Study

  • 윤서영 (고려대학교 의과대학 안산병원 정신건강의학과) ;
  • 윤호경 (고려대학교 의과대학 안산병원 정신건강의학과) ;
  • 김소연 (고려대학교 의과대학 안산병원 건강증진센터) ;
  • 고영훈 (고려대학교 의과대학 안산병원 정신건강의학과)
  • Yoon, Seoyoung (Department of Psychiatry, Korea University Ansan Hospital) ;
  • Yoon, Ho-kyoung (Department of Psychiatry, Korea University Ansan Hospital) ;
  • Kim, So-yeon (Center for Mental Health Promotion, Korea University Ansan Hospital) ;
  • Ko, Young-Hoon (Department of Psychiatry, Korea University Ansan Hospital)
  • 투고 : 2016.06.20
  • 심사 : 2016.11.03
  • 발행 : 2016.12.31
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초록

연구목적 재난의 심리지원 및 관리에 기존 기관의 연계가 중요하다. 안산에서 세월호 참사 당시 민관기관의 연계에 대해 연구하고자 한다. 방 법 25개 기관 121명 종사자를 대상으로 평상시와 세월호 당시 연계 활동 대상기관, 모임 빈도, 연계 활동의 내용, 만족도, 낮은 만족도의 원인에 대해 설문하여, paired t-test, Chi-square test 및 McNemar test를 이용하여 평상시와 세월호 당시를 비교하였다. 결 과 연계 사업 필요성에 대한 이해, 조직적 차원의 지지는 재난 당시 더 낮은 문제 요인이었으나, 연계의 정도(n=397에서 n=251로 감소) 및 만족도는 재난 시 더욱 저하되었다. 낮은 연계만족도의 원인으로는 실적위주의 평가제도가 재난 시 유의하게 더 문제가 되는 것으로 나타났다(p=0.045). 결 론 재난 시 효과적인 연계를 위해서는 재난 이전부터 지역사회 기관에 대한 역량 분석, 연계 프로토콜 개발 등의 대비가 이루어져야 하며, 불필요한 형식적 평가제도로 인한 소진은 지양되어야 한다.

Objectives : The management of disaster should be immediate and sustainable. Further, it is hard to predict where the disaster will occur, using pre-exists governmental and non-governmental organizations are important. In this study, we tried to investigate the associated activities of organizations performed in Ansan city, in Sewol ferry accident. Methods : A total 121 workers in 25 organizations were surveyd about organizations which they worked with, kind of works performed, frequency of meetings, satisfaction in activities and factors associated with dissatisfaction in usual state and in Sewol ferry accident state, respectively. The differences between those two situations were analyzed using paired t-test for continuous variables and Chi-square test or McNemar test for categorical variables. Results : The total number of linkage of institutions were decreased(from n=397 to n=251) and the mean scores of rating satisfaction were significantly lower in most of organizations in disaster state. The rigid policy in performance evaluation was more likely associated with dissatisfaction in disaster state than usual state(p=0.045). Conclusions : For effective linkage of institutions, preparedness, such as understanding the capability of organizations in the communities and developing the protocol for associated activities, is important. The unnecessary and effortful performance evaluation should be sublated.

키워드

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