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KMID : 0379319760010020005
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Korean Journal of Rural Medicine
1976 Volume.1 No. 2 p.5 ~ p.8
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PROSPECTS OF AGRICULTURAL MEDICINE
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丁海植/Chung, Hae Sik
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Abstract
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As in Korea, rural economy has a rapid growth and medical health care becomes more necessary for rural inhabitants, we are planning to enlarge the medical care networks and aid childbirth free of charge and perform lower cost medical care in order that more inhabitants are benefited and more available for medical care in rural society.
Further, we will make it a basement of the policy to equalize benefits of medical care and medical insurance system.
1. Enlargement of Medical Health Network
To lessen the limitations of medical facilities, doctors and traffic conditions in rural society, we are planning to form several Medical Circles and streamline patient transferring system.
a) Formation of Medical Circles
Divided in Large Medical Circle and Small Medical Circle.
Large Medical Circle:: Consisting of Cities and Provinces. A Medical Center shall be founded in each Region.
Small Medical Circle: A Local Hospital shall be founded in each Small Medical Circle.
b) Patients Transferring System and its Function
Patients will be transferred according to the grade of illness:
Patients-Health-Health Center-Local Hospital Medical Center Functions of each medical care facilities are:
Health Sub-Center:-First aid medical care
-Care for emergency case
-Transferring serious case
Health Center:
-Clinical Laboratory examination
-Second aid medical care
-Classifying patients and transferring serious case
Local Hospital:
-Care for transferred patients
-Transferring serious case
-Medical support to Health Center and Health Sub Center
Medical Center:
-Medical care for transferred patients in delicate case
-Medical support to Local Hospital
2. Improvement of Rural Health Center and Health Sub-Center
Since, nowadays, all the medical health projects have been carried out by Health Centers in each GUN (county), it has not equalized in benefiting medical health care in rural society due to regional limitations.
So we are programming to carry out projects of all medical health by unit of sub-center or villages and make rural inhabitants more convenient in benefiting medical care through reinforcing the functions of Health Center and Health Sub center as follows.
a) Rural Health Center
Airs of projects and tasks:
1) Planning and management of all projects on rural medical health.
2) Supervising and Supporting Health Sub-center.
3) Being a regional center of rural health.
4) Expanding medical care for outpatients and temporary care for patients to be transferred.
5) Reinforcing function of medical laboratory examination.
6) Taking a role as regional medical insurance facilities.
b) Health Sub-Center
Aims of projects and tasks:
1) Treatment of first-aid patient and transferring of serious and emergency cases.
2) Executing periodical check-up for pregnant women before and after child birth and performing projects for Health of Mother and Child and family planning in rural society.
3) Guidance for preventing of tubercles, acute or chronicle diseases, an endemic diseases and farmers diseases.
4) Strengthen the nursing of health care In each R1yun (township) posted 1 health nurse, 1 maternity nurse, 3 aid-nurses making total 5 persons(at present only 2 aid-nurses)
5) Improving of rural circumstances and guidance in hygiene.
3. Lower Cost Medical Care
To lay the basement of "Every One Benefited Medical Care. System", in which rural inhabitants. of lower income, can benefited convenient medical care at lower cost, we are intending to execute medical care for tubercles, health of mother and child, aid birth, an endemic, family planning and farmers diseases at free of charge.
We are also-planning to perform medical care for general illness at free of charge or-lower cost, and to prevent patients in serious and emergency case, transferred to Local Hospital or Medical Center, from the burden of other expenses, Government shall bears all expenses for Hospital in a sense of Medical Insurance System, which will be operated in the near- future.
4. Formation of Medical Care Circle and Patients Transfering System
Classifying patients according to their conditions and forming the medical care.
circles regionally, we will furnish the patients transferring system without delay and. inconvenience in the sequence of Health Sub-center, Health Center, Local Hospital and Medical Center.
5. Establishment of Local Hospital
We are planning to set up Local Hospitals According to regional unit, and utilize the existing facilities of provincial´ or city hospitals after repairing or extension.
Hospitals are divided into 3 kinds of 80 beds, 50 beds and 20 beds in scale, and those are also settled up according to regional inhabitants in each medical care circle.
We will also establish more Medical Centers in City and Province, repair and extend the existing provincial Hospitals, and additionally establish more Local Hospitals.
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