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The Role and Necessity of Public Health Services in a Remote Area

  • Lee-Seung KWON (Department of Health Care Management, Catholic Kwandong University)
  • Received : 2023.12.13
  • Accepted : 2023.12.18
  • Published : 2023.12.30

Abstract

Purpose: This study aims to investigate the national obligation of public health support for residents in medically vulnerable areas in Korea, and to propose a suitable model for public health institutions in this region. Research design, data, and methodology: A survey targeting residents was conducted from August 10 to August 17, 2021, with a sample size of 177 general citizens. The survey utilized a structured questionnaire administered online through Google, employing convenience random sampling. After an editing process to ensure data accuracy, the final dataset of 174 valid samples underwent encoding, coding, and cleaning using the IBM SPSS Statistics 22.0 program for analysis. Results: Health status revealed a moderate level, and 63.8% reported having chronic diseases, particularly prevalent among the elderly. External healthcare institutions were commonly utilized, with proximity and competence of doctors being primary reasons. Respondents expressed a need for improving the public health and medical system, emphasizing the establishment of a County Health Centre and expanding medical departments. Conclusions: In this region, the region's unique challenges, including education, employment, population decline, aging, and transportation, require multidimensional efforts and urgent intervention by public entities. Long-term strategies involve considering the establishment of a health and medical institute, adjusting health centre resources to local realities, and fostering a cooperative system for collaboration among residents and institutions.

Keywords

References

  1. Jeon, J. H., & Kim, J. K. (2010). Analyzing Regional Public Hospitals' Efficiency and Productivity Change. The Korea Contents Association, 10(5), 303-313. doi: 10.5392/JKCA.2010.10.5.303
  2. Kasl, S. V., & Cob B, S. (1966). Health behavior, illness behavior and sick role behavior: I. Health and illness behavior. Archives of Environmental Health: An International Journal, 12(2), 246-266. doi: doi.org/10.1080/00039896.1966.10664365
  3. Kim, D. J., Yoon, H. M., Lee, J. A., & Che, H. R. (2014). Measurement of Inequalities in Health Care Utilization in Korea Using Korea Health Panel. Health and Social Welfare Review, 34(3), 33-58. doi: doi.org/10.15709/hswr.2014.34.3.33
  4. Kim, M. J. (2021). A new Direction for the Preliminary Feasibility Study of Public Healthcare Facilities. Journal of the Korean Regional Science Association, 37(1), 3-14. doi: 10.22669/krsa.2021.37.1.003
  5. Lee, C. E. (2009). Analysis on the Relating Factors of Managerial Performance of Local Government Hospitals. The Korean Journal of Health Service Management, 3(2), 1-15.
  6. Lee, G. C., Kwon, S. M., & You, M. S. (2011). Local Residents' Perceived Service Quality Between Their Residential Area and Seoul-Area Large Hospitals. The Korean Journal of Health Economics and Policy, 17(1), 1-23.
  7. Lee, H. H. (2021). Significance and limitations of the 2nd Basic Public Health Care Plan from the Perspective of Expanding Public Health Care. Public Health Affairs.5(1). doi: https://doi.org/10.29339/pha.21.4
  8. Lee, J. W. (2017). Financial performance analysis based on efficiency evaluation of Regional Public Hospital. Journal of the Korea Academia-Industrial Cooperation Society, 18(4), 614-623. doi: 10.5762/KAIS.2017.18.4.614
  9. Lee, S. S., Park, S. M., & Sim, M. B. (2012). Empirical Research for Activating the Public Health on Regional Medical Center of Local Government. The Korea Contents Association, 12(10), 178-194. doi: 10.5392/JKCA.2012.12.10.178
  10. Lim, H. Y., Hwang, I. K., & Suh, W. S. (2010). Structural Relationship among Service Value, Brand Image, and Patients Revisits in Regional Public Hospitals in Korea. The Korea Contents Association, 10(11), 304-317. doi: 5392/JKCA.2010.10.11.304 5392/JKCA.2010.10.11.304
  11. Moon, Y. (2020). Convergence Study on the Reliability of Public and Private Medical Institutions in Rural Areas. Journal of Convergence for Information Technology, 10(2), 154-159, doi: 10.22156/CS4SMB.2020.10.02.154
  12. Park, K. D, (2012), The Effects of Local Environmental Factors on the Regional Public Hospital. The Korea Institute of Public Administration, 21(1), 189-217. doi: 10.22897/kipajn.2012.21.1.007
  13. Sohn, J. I. (2022). Current Status and Challenges for Public Health Care Governance in South Korea. Health and Welfare Policy Forum. 311, 50-75.
  14. Sohn, M. S., Kim, M. S., Kim, J. S., Moon, S. S., & Choi, M. K. (2015). Patients' Perception of Quality of Health Service and Utilization considering convergence factors: A Survey of Elderly Patients of Public Health Centers, Seoul, Republic of Korea. The Society of Digital Policy & Management, 13(8), 345-356. doi: 10.14400/JDC.2015.13.8.345
  15. Sun, J. W. (2016). Legal study about local public hospitals. Legal study about local public hospitals. Korean Local Government Law Association, 16(3), 283-312. doi: 10.21333/lglj.2016.16.3.010
  16. Yang, D. H. (2012). Analysis on the Difference in Efficiencies between Environmental Factors of Regional Public Hospitals in Korea using Super-Efficiency Model. The Korea Contents Association, 12(7), 284-294. doi: 10.5392/JKCA.2012.12.07.284
  17. Yang, J. H., & Lee, J. W. (2017). Factors Affecting the Performance of Local Public Hospitals. The Korean Journal of Health Service Management, 11(3), 1-11. doi: https://doi.org/10.12811/kshsm.2017.11.3.001
  18. Yim, J. (2022). Measures for Strengthening Public Health Care. Health and Welfare Policy Forum. 311. 6-22