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KMID : 0379319910160010003
Korean Journal of Rural Medicine
1991 Volume.16 No. 1 p.3 ~ p.9
A Study on Status of Health Care for Community Residents in a Rural Health Subcenter


Abstract
In order to find out status of health care for community residents with special reference to organization and man power in a rural health sub center, a study was carried out, through analyzing the data, operated by health sub center during 1973~1990 in a rural area, Su DongMvun, Nam Yang Ju-Gun, Kyung Gi-Do, Korea.
The following results were obtained
1) The Number of Population in Su Dong-Mvun is decreasing and household is increasing chronologically.
2) In 1989, the characteristics of population composition rate in Su Dong-Myun were shown : the groups of Age, 65 and over was high rate(9.8%) and 0~4 was low rate(5.3%) decreasing chronologically.
3) Since 1972, services of Su Dong-Myun health sub center have been carried in the 3 functions (medical treatment, health care management and clerical work) with supports of Ewha Woman¡¯s University through the participation of community residents organization.
4) The Number of Su Dong-Myun health sub center personnel in 1990 was 5 persons(public health doctor 1, public health dentist 1, health worker 1, dental technician I and assistant nurse 1) and of these, health worker who must have the huge charge of health care management, has been worked at Myun-office as a public official, in condition, decreased from 3 in 1980 to 2 in 1981 and from 2 to I in 1985.
5) Health service Activities of Su Dong Myun health sub center obtained good results it¢¥s achievement during 1975-1985, but since 1986, it has been in condition of lower stepping.
6) Since 1977, annual medical utilization rate showed decreasing tendency such as 900 per 1,000 population in 1977, 846 in 1979, 723 in 1981, 343 in 1973 and 341 in 1987.
7) A proposal
(1) Organization of health sub center must be unified and systematized by government, so that health sub center can carry out primary health care for community residents through responsibilities and authorities.
(2) Teaching programs in educational process must be reorganized, according to periodical request, considering relative importance to primary health care in health care needs of community residents.
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