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KMID : 0371019980310040857
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Journal of Preventive Medicine and Public Health
1998 Volume.31 No. 4 p.857 ~ p.874
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A Comparative Study on Enhancing the Function of the Heath Center in a urban area
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Lee Weon-Young
Shin Young-Jeon
Kwon Young-Jun
Choi Bo-Youl
Moon Ok-Ryun
Jeon Hye-Jeong
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Abstract
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The objective of this study is to collect the opinions on the present condition and the improvement directions of urban health centers from and to make a comparison. Samples were drawn from the various sources of a district in seoul. 53 persons involved in district health´s administration(the Members of a District Parliament, the senior officials of a District office, village chief) and 84 health center workers were surveyed with anonymous postal questionnaires and 427 district private medical personnels with postal questionnaires and 625 users of a health center with direct questionnaires, from November 18 to 25, 1996. Additionally, 12,151 households were surveyed with self-reported questionnaires including priorities on special district health services of health center, from September 1 to 7, 1996.
The major findings were as follows
1) Although the persons involved in district health administration tend to put lower priority on health service over other community activities, they well acknowledged the importance of health center. But health center workers strongly acknowledged the importance of both health service and heath center. 2)As to the level of human resources, equipments and amenities of Health Center compared with private medical institute, the persons involved in district health´s administration and health center workers responded that health center was higher in following order: 54.9%, 41.6%, 36.5% and 88.0%, 80.7%, 44.1%
3) Concerning the priorities of health center´s improvement, the persons involved in district health´s administration replied in the order of reinforcement of professional health workers (43.3%), improvement of equipments and amenities(28.3%), and the health center workers replied in the order of reconstruction of organization(24.1%), public health education and promotion(22.8%), reinforcement of professional health workers(21.0%)
4) Both the persons involved in district health´s administration and health center workers replied that Ministry Health and Welfare, District office, health center were essential as the most critical organizations in the activation of Health Center´s Function,
5)Persons involved in district health´s administration and health center workers chose, as the most important health center´s Function, medical treatment and prevention of infectious disease, and prevention of acute and chrone disease control and special district health service, respectively. Both Groups replied that family planning and parasite control are no longer in need.
6) As the future health service requiring reinforcement, every human resources parties considered health counselling, health line, sex education as the most important elements in public health education. Concerning the reinforcement of other health services such as medical checkup and visiting nurses, every human resources parties showed more than 80% approval rate, but for oriental medical care service, the private medical personnels showed relatively low approval rate(52.9%).
Therefore the planning for reinforcement of health center´s function requires the reflection of human resources party´s opinion and the implication of system which can control and combine the differences in party´s opinions.
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KEYWORD
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reinforcement, urban health center, opinion polls, priorities, human resource
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