Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Citizen Participation in the Process of Establishing the Community Health Plan: Based on the results of roundtable discussions to Resolve the Health Disparity

지역보건의료계획 수립과정에서의 시민참여: 건강 격차 해소방안을 위한 시민원탁회의 결과를 중심으로

  • Lee, Su-Jin (Cooperation Support Team, Daegu Public Health Policy Institute) ;
  • Hong, Nam-Soo (Department of Preventive Medicine, Kyungpook National University) ;
  • Kim, Keon-Yeop (Department of Preventive Medicine, Kyungpook National University) ;
  • Ryu, Dong Hee (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Bae, Sang Geun (Public Health and Medicine Office, Chilgok Kyungpook National University Medical Center) ;
  • Kim, Ji-Min (Cooperation Support Team, Daegu Public Health Policy Institute)
  • 이수진 (대구광역시 공공보건의료지원단 협력지원팀) ;
  • 홍남수 (경북대학교 예방의학교실) ;
  • 김건엽 (경북대학교 예방의학교실) ;
  • 류동희 (대구가톨릭대학교 예방의학교실) ;
  • 배상근 (칠곡경북대학교병원 공공보건의료사업실) ;
  • 김지민 (대구광역시 공공보건의료지원단 협력지원팀)
  • Received : 2021.01.28
  • Accepted : 2021.05.07
  • Published : 2021.05.31
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Abstract

The purpose of this study was to identify citizens' needs and what they perceive the health-related problems are so public opinion can be reflected in the Daegu Community Health Plan. A citizen participation group was organized, and two roundtable discussions were held in June and July 2018. The number of participants in the first and second round was 40 and 44, respectively. Customer itinerary guidance, DVDM (Definition, Value, Difficulty, and Method) Map, and Persona-based scenario method were used for the roundtable discussions. The measures to improve the health status proposed by the citizens included expanding access to health services, establishing health services centered on small-living areas, expanding mental health services, creating health-friendly environments, resolving environmental problems, and improving social health. In addition, enhancing communication and creating harmonized environments, improving access to healthcare, generating pleasant physical environments, and assigning socials roles for vulnerable individuals were brought up as the means to resolve health disparities. The strength of the present study lies in the fact that, unlike survey methods, the citizens' exact needs were identified by sharing their thoughts. Moreover, it was proven that practical measures would be needed to implement citizen participation in planning health-related projects.

본 연구는 지역보건의료계획 수립과정에서 시민들이 생각하는 건강문제와 보건 서비스 요구도를 정확히 파악하고 이를 대구광역시의 중장기 보건의료 종합계획 수립에 반영하고자 함을 목적으로 하였다. 시민참여단을 구성하여 2차례의 시민원탁회의를 실시하였으며, 시민원탁회의는 고객여정지도, DVDM (Definition, Value, Difficulty, Method) Map, 페르소나 기반 시나리오법을 통해 진행하였다. 시민들은 건강수준 향상을 위한 방안으로 보건 서비스 접근성 확대, 소생활권 중심 보건 서비스, 정신건강 서비스 확대, 건강 친화적 환경조성, 환경오염 개선, 사회적 건강개선을 제안하였으며, 건강 격차를 줄이는 방안으로는 건강 취약계층의 소통 향상 및 사회적 환경조성, 보건의료에 대한 접근성 향상, 쾌적한 물리적 공간, 사회적 역할 수행이 필요하다고 하였다. 본 연구 결과는 기존의 설문조사를 통한 주민요구도 조사와 달리 실제 주민들의 생각과 요구를 상세히 파악할 수 있었다는 점에서 의의가 있으며, 향후 지역보건사업의 기획과 수행과정에서 주민참여 수준의 단계를 평가하고, 보다 다양한 시민들의 의견을 적용할 수 있도록 주민참여 제도화 기반 수립을 위한 추가적인 연구가 필요할 것이다.

Keywords

Acknowledgement

본 논문은 대구광역시 연구과제로 수행되었음.

References

  1. World Health Organization. Declaration of Alma-Ata, International Conference on Primary Health Care [Internet]. World Health Organization, [cited 1978 September 6], Available From: https://www.who.int/publications/i/item/9241800011 (accessed Aug. 20. 2020)
  2. World Health Organization. Total Population and Housing Survey Results [Internet]. World Health Organization, [cited 1986 November 21], Available From: https://www.who.int/healthpromotion/conferences/previous/ottawa/en/ (accessed Aug. 20. 2020)
  3. S. S. Bae, Bae, Health service planning(3rd edition), pp.438, Gyechuk, pp.44-48, 2016
  4. Freire P, paulo, Pedagogy of the Oppressed(30th edition), p.232, Bloomsbury Academic, 2000, p.140-146.
  5. Myers. S, Stoto. M, (2006). Criteria for assessing the usefulness of community health assessments; a literature review. Santa Monica: RAND Corporation.
  6. Korea Health Promotion Institute, "Our local health guide, Regional Health Planning Process", Health Promotion General, Vol.3, No.12, pp.8-10, 2013.
  7. Y. I. Kim, "UR settlement and Rural Health Care Measures", Journal of agricultural medicinie & community health, Vol.19, No.1, pp.59-66, 1994.
  8. Rural Medical Service Technical Support Group, Guidelines for Improvement of Medical Services in Rural Areas, p.123, Ministry of Health and Welfare, 1995, pp.44-60
  9. S. H. Lee, H. G. Lee, Y. W. Kang, D. H. Kim, S. W. Kim, J. J. Moon, Regional Health and Medical Planning Implementation Report in 2010, Research report, Korea Health Industry Promotion Agency, Korea, pp.62-82, 2011.
  10. S. O. Kim, K. Y. Song, "The Impacts of Community Participation on Regional Health Planning Process", Health Policy and Mangemnet, Vol.8, No.1, pp.112-134, 1998. https://scienceon.kisti.re.kr/srch/selectPORSrchArticle.do?cn=JAKO199811919933160
  11. H. W. Yoo, C. J. Suh, "A Study on Establishing Official Development Assistance Strategy in the Mongolia Healthcare System by Applying the Service Design Methodology", Journal of Integrated Design Research, Vol.15, No.3, pp.73-84, 2016. DOI : http://dx.doi.org/10.21195/jidr.2016.15.3.007
  12. Y. S. Kim, J. H. Lee, "Study on the Customer's Experience in Insa-Dong through Customer Journey Map from the Perspective of User Experience(UX)". Journal of Communication Design, Vol.61, No.0, pp.320-329, 2017. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiOrteView.kci?sereArticleSearchBean.artiId=ART002277848
  13. Kaner. S, Lind. L, Toldi. C, Fisk. S, Berger. D, Facilitator's Guide to Participatory Decision-Making, p.408, Koofa Books, 2017, p.100-110.
  14. K. M. Song, "Wayfinding Planning in Public Space Using Persona-based Scenario Method", Journal of the Urban Design Institute of Korea Urban Design, Vol.10, No.1, pp.21-34, 2009. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE02171970
  15. World Health Organization, Human rights and gender equality in health sector strategies: how to assess policy coherence, pp.149, World Health Organization, 2011, pp.80-95
  16. M. W. Jang, Effects of Local Health Planning, Ph.D dissertation, Seoul National University, Korea, pp.10-11, 2014.
  17. Statistics Korea. Social Survey Results Press Release in 2017 [Internet]. Statistics Korea, [cited 2017 November 7], Available From: http://kostat.go.kr (accessed Aug. 31. 2020)
  18. N. S. Hong, J. H. Lee, C, J. Y. Hong, K. S. Kwon, "Standard work classification system of public health center", Korean Society for Health Education and Promotion, Vol.36, No.4, pp.23-29, 2019 DOI : http://doi.org/10.14367/kjhep.2019.36.4.23
  19. Korea Centers for Disease Control and Prevention, 2008-2019 Community Health Survey Brief Summary, p.65, Korea Centers for Disease Control and Prevention, 2020, pp.
  20. K. S. Kwon, J. Jekarl, C. H. Kim, C. W. Kim, Y.M. Kim, A Study on the Basic Model of Health Promotion Pilot Project for Small Life Area, p.409, Korea Health Promotion Institute, 2019, pp.88-91
  21. K. S. Kwon, J. H. Lee, C. H. Kim, N. S. Hong, J. Y. Hong, A Study on the Standard Business Classification System of Regional Health and Medical Institutions, Research report, Korea, pp.163-183.
  22. J. Yim, "Conceptual Reconstruction and Challenges of Public Health Care", Public Health Affairs, Vol.1, No.1, pp.109-127, 2017. DOI : https://doi.org/10.29339/pha.1.1.109
  23. S. J. Lee, S. K, K. S. Park, B. G. Jeong, J. Yim, Study on Reestablishment of the Role of Public Healthcare Institutions and Ways to Reorganize the Delivery System of Healthcare Service to Vitalize Healthcare Investment, Research report, Korea Health Industry Development Institute, Korea, pp.168-175. https://scienceon.kisti.re.kr/commons/util/originalView.do?cn=TRKO200900000202&dbt=TRKO&rn
  24. C. Lee, National Mental Health Statistics_4th Pilot Study, Research report, National Center for Mental Health, Korea, pp.35-40
  25. Ministry of Health and Welfare, Research report, Mental Health Project Guide in 2020, Ministry of Health and Welfare, Korea, pp.40-60
  26. J. A. Jeon, "The Current State of Korean Mental Health Service Delivery System", Health and welfare policy forum, Vol.282, pp.30-42, 2020. http://www.riss.kr/link?id=A106871646
  27. Statistics Korea. Total Population and Housing Survey Results [Internet]. Statistics Korea, [cited 2016 September 7], Available From: http://kostat.go.kr (accessed Aug. 31. 2020)
  28. H. E. Park, E. H. Jang, S. K. Hong, "The influence of satisfaction with interpersonal relationships and social support on subjective health status among the elderly people living alone", Social Science Research Review, Vol.36, No.2, pp.1-21, 2020. https://www.dbpia.co.kr/Journal/articleDetail?nodeId=NODE09350058 https://doi.org/10.18859/ssrr.2020.5.36.2.1
  29. Y. J. Lee, "Influence of Self-Rated Health Status, Self-Efficacy and Social Support on Health Behavior in Urban Elderly People Living Alone". The Journal of the Convergence on Culture Technology, Vol.4, No.2, pp.81-87, 2018. DOI: https://doi.org/10.17703/JCCT.2018.4.2.81