一部 都市 醫療保護 事業 利用에 對한 實態 調査 = A Survey on Utilization of Medical Aid Program in a Partial area

다국어 초록 (Multilingual Abstract)

This study was conducted to obtain basic data for the utilization and the actual condition of visitors to primary care center of target population under Medical Aid Program in a partial area.
In July, 1980 this study was designed with the visitors to primary care center during the period from July 1979 to Jun 1980 in Soon Chun City in Chun Ra Nam Do.
The Sample of this study was unconditionally selected 583 persons(one person per one household) out of 2302 persons.
This study was analyzed by using a medical record of visitors and basic information of Medical Aid Program.
The main objectives of this study were as follows;
1) To find out characteristics of patients and their environment.
2) To understand to the distribution of diseases.
3) To obtain the number of visit to primary care center.
4) To understand the status on the utilization during one year.
The results of the analysis were as follows;
1. Characteristics of visitors.
The subjects under Medicaid program included female(58.1%), and male(41.9%).
The distribution ratio of age was the highest at adolescnece(25.9%)m and second, over sixty years of age(20.8%). In the case of low-income group, they have a lots of members of family(over average six persons). Out of patients under Living protection Law, more than 27% were found to be old aged singles. It was also found that 46.8% of the household under the Living Protection Law did not have to male to make their living. Among the heads of the households under the Living Protection Law, 51.3% were old aged females with a lower educational background. About 16.5% of the heads of the low-income households, and 40.5% of the heads of the household under the Living Protection Law were illiterate. and about 80.4% of the heads of the households under the Living Protection Law did not have a job. As mentioned above, since patients under the Medicaid program were old or young, and have a low educational background, we have to not only solve the problems of the old aged, but provide their general living protection plan.
2. The distribution of diseases.
1) The classification of diseases of patients by A List of International Classification Disease and Doctor's medical record showed that Infectious & Parasitic diseases occupied the highest ratio(42.4%) abd second, diseases of the Respiratory system(11.5%) and third, diseases of the musculoskeletal system & connective tissue(10.6%).
2) The results of the classification by the duration of diseases were as follows;
◁표 삽입▷ (원문을 참조하세요)
3) Shortly speaking, Acute diseases which are possible to cure were more than chronic diseases, and old aged groups have chronic diseases more than acute ones.
3. The number of visits to primary care center and area of medical treatment.
1) A average number of patients' visit to primary care center 2.9 times during one year. Particulary over 70 years of age groups were 6 times.
2) 90.4% of patients takes from their home to primary care center within 30 minute on foot and within 30 minute by bus.
3) As mentioned, we have to re-consider administrative division for effective medical treatment of primary care center under Medicaid Program.
4. The status on the utilization of Medicaid Program during one year.
1) Only 25.2% of the total households under Medicaid program visited to the primary care centers.
2) 23.5% of the total persons under Medicaid Program utilized it, and the average days of utilization under Living protection Law was 7.5 days, and Low-Income group was 5.4 days.
3) The patient's utilization of primary care center of the total persons under the Living Protection Law was 44.5%, while 17.9% of total low-income group utilized it.
On the basis of the above findings, the following conclusion could be drawn.
1) Comprehensive preventive program, and medical treatment program considering geographical characteristics of the old aged patients with chronic diseases should be emphasis rather than any others.
2) In case of the establishment of disignated medical facilities and primary care center it should be taken consideration in view of the actual distance from their home.
3) Information activities for the utilization of patients under the Medicaid Program and strengthening of health education for inhabitants should be called for.

목차 (Table of Contents)

• Ⅰ. 序 論
• 1. 硏究의 必要性
• 2. 調査目的
• Ⅱ. 調査方法
• 1. 調査對象및 期間
• 2. 資料蒐集 方法
• Ⅲ. 調査成積및 論議
• 1. 調査對象의 一般的 特性
• 1) 對象人口의 性別및 年齡別 構成
• 2) 家口員 規模및 構成
• 3) 家口主의 諸屬性
• 2. 調査 對象者의 疾病 樣相
• 1) 國際 疾病分類 A表에 따른 疾病 樣相
• 2) 急性 慢性 疾患別 疾病 樣相
• 3. 調査 對象者의 一次 診療機間 利用回數및 診療券
• 4. 一次 診療機關의 醫療保護 利用 狀況
• 1) 人口單位 醫療保護 利用率
• 2) 家口單位 醫療保護 利用率
• 3) 季節別 醫療保護 利用狀況
• Ⅳ. 要約및 結論
• 參考文獻
• Abstract