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KMID : 0387320140240010100
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Korean Journal of Health Policy and Administration
2014 Volume.24 No. 1 p.100 ~ p.106
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Defining the Concept of Primary Care in South Korea Using a Delphi Method : Secondary Publication
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Lee Jae-Ho
Choi Yong-Jun
Volk Robert J.
Kim Soo-Young
Kim Yong-Sik
Park Hoon-Ki
Jeon Tae-Hee
Hong Seung-Kwon
Spann Stephen J.
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Abstract
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Background: There is no consensus on the definition of primary care in South Korea. This study’s objective was to define the concept of primary care using a Delphi method.
Methods: Three expert panels were formed, consisting of 16 primary care policy researchers, 45 stakeholders, and 16 primary care physicians. Three rounds of voting, using 9-point appropriateness scales, were conducted. The first round involved rating the appropriateness of 20 previously established attributes of primary care. In the second round, panelists received a summary of the first-round results and were asked to once again vote on the 10 undetermined attributes and the provisional definition. The final round involved voting on the appropriateness of the revised definition. The Korean Language Society reviewed the revised definition.
Results: Four core (first-contact care, comprehensiveness, coordination, and longitudinality) and three ancillary (personalized care, family and community context, and community base) attributes were selected. The Korean definition of primary care was accomplished with all three panel groups arriving at a ‘very good’ level of consensus.
Conclusion: The Korean definition of primary care will provide a framework for evaluating performance of primary care in South Korea. It will also contribute to resolving confusion about the concept of primary care.
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KEYWORD
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Concept formation, Primary health care, Delphi technique
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