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KMID : 1124020220380040101
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Korean Social Security Studies
2022 Volume.38 No. 4 p.101 ~ p.138
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A Comparative Study of Maternal and Child Healthcare Services
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Jung Yu-Jin
Lee Jae-Kyung
Moon Da-Seul
Park In-Hee
Oh In-Seong
Chung Hae-Joo
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Abstract
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Environmental and health inequality experienced by mothers and infants during early child development has a continuous effect on health and development after childhood, and is further exacerbated if there is no appropriate early intervention. Therefore, most countries primarily use the (national) healthcare system and healthcare services to implement early intervention for mothers and infants during the early stages of child development. However, domestic healthcare services have gaps in terms of time, place, and connection between services, and studies comparing and analyzing foreign systems in terms of time, place, and connection are also insufficient. Therefore, this study aimed to suggest ways to improve maternal and child health care services in South Korea by subdividing healthcare services provided in the United States, Japan, Germany, Sweden, and the United Kingdom according to life cycle and type, and comparing and analyzing each dimension. The results of the comparative analysis between countries are as follows: First, all countries (used for comparative study) manage their health through the “in-service” type. Second, the United States, Japan, and Germany mainly managed maternal and child health through clinic and hospital clinic services, while Sweden and the United Kingdom managed maternal and child health through home visiting services. Third, the United States, Japan, and Germany all had gaps in at least one of the temporal (time), spatial (place), and linkage (connection) dimensions, but Sweden and the United Kingdom were excellent in all dimensions. Fourth, all countries demanded a bachelor's degree or higher from home visiting service personnel (providers), and Sweden and the UK demanded high expertise, such as master's degrees, as home visiting personnel played a large role. Therefore, as in the case of advanced countries, Korea needs to reduce various dimensions of inequality through early intervention for early childhood development in order to promote the healthy start and growth of pregnant women and infants.
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KEYWORD
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Early Childhood Development, Early Intervention, Maternal, Prenatal, Delivery, Postnatal, Newborn, Infants, Child, Maternal and Child Health, Community Health Care, Continuity, Continuum of care
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