|
KMID : 0904520210580010081
|
|
Health and Medical Sociology
2021 Volume.58 No. 1 p.81 ~ p.108
|
|
|
A Study on the Claiming in the Local community for Integrated Care between a Local Public Hospital and a National University Hospital: focused in-depth interview for Local Opinion Leaders
|
|
Park Joo-Young
Kang Yeon-Hak
Park Hyung-Geun
|
|
|
Abstract
|
|
|
The present study explored the perceptions and call for quality improvement of medical service in a local public hospital, while claiming contracting-out a local public hospital to a national university hospital close to it. We interviewed research participants from 23 community-based organizations using a semi-structured interview guide from May to June, 2019. All qualitative data were analyzed using the grounded theory methodology which is largely applied diverse socical science research. We made an iterative process from open coding, axial coding, and selective coding for conceptualization, categorization, and finally theorization on the collected data.
Four major themes emerged from the data. Firstly, they complained that in emergency state patients were often asked to need to be referred to larger general hospitals because of shortage of specialist. Second, it was founded that they perceived that quality of the hospital could be improved to increase the workforce of competent specialists and nurses. Third, community leaders took the loss of fiscal bottom line for granted, resulted from strengthening of the hospital’s workforce. Finally, participants mostly supported contracting-out the local public hospital to a national university hospital closed to it, but did not look forward to be greatly changed in terms of quality of care.
This study showed the demands of integrated care between a local public hospital and a national university hospital, with vivid expressions of the community leaders based on their experiences and shared words of mouth. The outcome is likely to be used to develop further recommendations and policies for quality improvement in local public hospitals to meet but community needs in terms of quality of care.
|
|
|
KEYWORD
|
|
|
local public hospital, national university hospital, contracting-out for public hospital, integrated care
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|