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        도문옥 충남대학교 보건·바이오산업기술대학원 2008 국내석사

        RANK : 247631

        To analyze regional characteristics of health clinic location and status of health clinic function, the study made a questionnaire from March 20, 2007 to April 20, 2007 with 17 health clinics in Gyeonggi-do Yeoncheon-gun, Gangwon-do Hwacheon-gun, Pyeongchang-gun, Chungnam Taean-gun, Cheongwang-gun, Jeonbuk Muju-gun, Jangsu-gun, Imsil-gun, Sunchang-gun, Jeonnam Jangseong-gun, Gokseong-gun, Wando-gun, Gurye-gun, Gyeongbuk Cheongsong-gun, Uljin-gun, Ulleung-gun and Gyeongnam Sancheong-gun. The result was as follows. 1. Regional characteristics of health clinic location Comparing population at that time of establishing health clinics with the present, it reduced in all of 17 regions and Cheongsong-gun had the largest reduction rate (89.2%) Regions with hospital-grade medical agencies appointed as a regional emergency medical center excepting the regional health clinics were 7 districts (41.2%). 16 districts excepting Taean-gun didn’t have any lying-in hospital and children’s hospital. Specially, only a dental clinic was established in Ulleung-gun. Districts which Eup rates in distance of more than one hour from an emergency medical center in the region with a health clinic were more than 90% were five (29.4%) 2. Status of Health Clinic Function Currently health clinics with double internal structure (Health care business and medical treatment department) were ten (58.8%) and a district with the most jurisdictional number of resident per one employee of a health care was Wando-gun (1064.1 persons). On the other hand, Ulleung-gun had the least jurisdictional number of resident per one employee (153.8). In the standard of the least arrangement by each kind of license, health clinics with not enough physicians were two (11.8%) and districts with not enough nurses were twelve (70.6%). All of 17 districts didn’t have enough pharmacists. Also, most regions didn’t have enough clinic pathology technicians, radiological technicians, physical therapy technicians, nutrition technicians, medical record technicians and emergency rescue specialists. Yeoncheon-gun was the most manpower input into medical treatment of health clinics (56.0%) and Uljin-gun not operating a ward had the least percentage (14.0%). Districts with all of five basic medical departments in the health clinic were eight (47.1%) and districts operating wards were thirteen (76.5%). Twelve districts (70.6%) had health clinics conducting night and holiday medical treatment with ambulances for night to evacuate emergency patients and only Gokseong-gun had a health clinic with radio communication set. Five districts (29.4%) had health clinics performing a surgical operation and only Ulleung-gun had a health clinic giving birth to a child. Only Yeoncheon-gun a health clinic giving a medical treatment for five cancers and two districts didn’t give a medical treatment for five cancers. Cervix cancer out of five cancers was operated most and only Yeoncheon-gun gave a medical treatment of colon cancer and hepatoma.

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