Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

A Qualitative Research on the Evaluation of Healthcare and Welfare Network for Vulnerable Populations : Focusing on the Dalgubeol Health Doctor Services

취약계층 대상 보건의료·복지 네트워크 사업 성과에 대한 질적연구 : 달구벌건강주치의사업을 중심으로

  • 이수진 (대구광역시 공공보건의료지원단) ;
  • 김종연 (대구광역시 공공보건의료지원단) ;
  • 강재욱 (대구광역시 공공보건의료지원단) ;
  • 이혜진 (대구광역시 공공보건의료지원단)
  • Received : 2023.11.03
  • Accepted : 2023.12.05
  • Published : 2023.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study examined the evaluation and potential improvements of 'Integrated Healthcare and Social Welfare service model' based on the experiences of practitioners from institutions participating in the 'Dalgubeol Health Doctor Services' and the service recipients. Methods: Qualitative research was conducted from September to November 2022 in this study, focusing on 4 providers from the dedicated Dalgubeol Health Doctor Services Team, 5 contact partners from affiliated organizations, and 6 service beneficiaries. The data gathered underwent thematic analysis. Results: The evaluation indicated that Dalgubeol Health Doctor Services has proven to be effective in addressing the complex needs of vulnerable populations. By providing integrated services through quick and simple beneficiary selection and resource linkage, it has contributed to the resolution of complex demands, recovery of positive attitudes towards life, and improvement in quality of life for users who have fear the use of medical and welfare services. Dalgubeol Health Doctor Services has established an integrated health care system involving not only public but also private organizations, from the referral agency to the service provider. Centered around Daegu Medical Center and involving five tertiary hospitals, it has established a model that supports treatment appropriate to the severity of the patient, from mild to severe. Conclusions: These findings indicate an enhancement in health equity, achieved through the active identification and subsequent health and welfare issue resolution of individuals marginalized from medical benefits.

본 연구는 달구벌건강주치의사업에 참여하고 있는 기관의 실무자와 서비스 이용자들의 경험을 토대로 질적연구를 통하여 보건의료·복지 서비스의 통합적인 지원의 성과와 개선방안을 살펴 보았다. 분석 결과 달구벌건강주치의사업은 의료취약계층의 복합적 수요 해결에 효과적이었다. 의료와 복지 사각지대에서 삶의 희망을 잃어버리고 의료와 복지서비스 이용에 대한 두려움을 가진 이용자들에게 신속 간단한 대상자 선정과 자원연계를 통한 통합적 서비스 제공으로 복합적 수요 해결과 삶에 대한 긍정적인 태도 회복, 삶의 질 개선에 기여하였다. 달구벌건강주치의사업은 대상자 의뢰기관부터 서비스 제공기관까지 공공뿐 아니라 민간기관이 참여하는 포괄적 네트워크를 구축하였으며, 대구의료원을 중심으로 5개 상급종합병원의 참여로 경증부터 최중증까지 대상자의 중증도에 적합한 치료를 지원하는 모형을 구축함으로써 의료혜택에서 소외된 대상자를 적극적으로 발굴하고 실제 이들의 건강 문제를 해결함으로써 건강 형평성을 개선한 것으로 파악된다.

Keywords

Acknowledgement

달구벌건강주치의사업 연구를 위해 참여해 주신 대구의료원 달구벌건강주치의사업 전담팀, 지역사회 의뢰기관, 3차 의료기관, 서비스 이용자, 대구광역시 보건의료정책과 담당자들께 감사드립니다.

References

  1. Kim JG. Study on Determinats of Medical Care Utilization Behavior of the Poor. Korean Association for Social Welfare Studies 2007;34:29-53 (Korean)  https://doi.org/10.16999/kasws.2007..34.29
  2. Choi KH. Reframing Health Social Work: Beyond Hospital. Journal of Critical Social Welfare 2015;(49):368-403 (Korean) 
  3. Lee TW, Kang SJ. Health Literacy in the Korean Elderly and Influencing Factors. The Korean Gerontological Society 2008;4(28):847-863 (Korean) 
  4. Kwon YJ, Joo JM. An Evaluation Study of the 301 Network in Health, Medical, and Welfare. Seoul, Seoul Nationl University Public Health Institute 2018 (Korean) 
  5. Ha JS, Kim JH, Lim JH, Kim JY. Qualitative Research on Integrated Support Through Health, Medical and Welfare Network - Based on the Experience of 301 Network Service Users in Seoul Northern Municipal Hospital -. Korean Journal of Social Welfare 2017;69(2):143-169 (Korean)  https://doi.org/10.20970/KASW.2017.69.2.005
  6. Han HR (2017). A Study on Linkage between Health, Medical, Welfare Institution in Local Community - Focusing on 301 Network - [dissertation]. Gimhae, Graduate School of Social Welfare, Inje University, 2017 (Korean) 
  7. Choi KH, Kim MA, Lee SW. Experiences of Integrated Health, Medical, and Welfare Services for Vulnerable Populations: Focusing on the 301 Network. Korean Association for Social Welfare Studies 2022;53(3):5-35 (Korean) 
  8. Daegu Medical Center. Daulgubeol Health Doctor Project's Business Performance Report, Daegu, Daegu Medical Center, 2022. (Korean) 
  9. Daegu Medical Center. Guidelines for the Operation of a Daulgubeol Health Doctor Project, Daegu, Daegu Medical Center, 2022. (Korean) 
  10. Ryu KU. Understanding qualitative research methods. Seoul, PYbook, 2012, (Korean) 
  11. Redmond A., Curtis E.. Focus groups: principles and process. Nurse researcher. 2009;16(3) 179-181  https://doi.org/10.7748/nr2009.04.16.3.57.c6946
  12. Braun V, Clarke V. sing thematic analysis in psychology. Qualitative research in psychology. 2006;3(2): 77-101  https://doi.org/10.1191/1478088706qp063oa
  13. Lincoln Y, Guba E. Naturalistic inquiry. Beverly Hills, Sage, 1985. 
  14. Sandelowski M. The problem of rigor in qualitative research. Advances in nursing science 1986;8(3):27-37  https://doi.org/10.1097/00012272-198604000-00005
  15. Kwon YJ, Lim JG. Study on the Connection of Health and Welfare Services in Public Health Medical Institutions: Focusing on the Case of the 301 Network of Seoul Northern Hospital. Academy of korean Social Welfare Administration 2014;5:289-293 (Korean) 
  16. Chae HT. Analysis of Promotion Content of Eup-Myeon-Dong Welfare Hub. Korea Association of Community Welfare 2016;58:141-171 (Korean)  https://doi.org/10.15300/jcw.2016.58.3.141
  17. So YG. Advancements in 301 Network of Seoul: A Leap Towards the Future. 2019;13(5) (Korean) 
  18. Hyun KJ, Yoo SJ, Kim JH. A Study of the Low-Income Family Using Integrated Health and Social Welfare Services: The Case of the Jeon Jin Sang Welfare & Medical Center. The Korean Child and Family Welfare Association 2006;11(3):5-31 (Korean) 
  19. Choi KH, Lee SW. Development of Performance Indicators for the Health Rights Promotion Project through the Resolution of Medical Blind Spots. Research on Philanthropy 2019;(2):1-62. Korean 
  20. Oh D, Jeong H, Hwang J. Functional Health Status and Medical Service Utilization Pattern of General and Vulnerable Older People in Community. International Journal of Contents 2021;21(6), 404-414 (Korean) 
  21. Lim JY, Ahn NN, Lee SG, Ahn SK. Development of a public health care linkage model within the community care system in Daejeon City. Korean Society for Rural Medicine and Community health 2022;47(1):1-13 (Korean)