농어촌지역의 노인의료시설 복합화 제안 - 남해군을 중심으로 -

Abstract

(Background and Purpose) Recently, regional imbalance due to low birth rates and population movement has become increasingly noticeable. A total of 69 out of 89 rural areas are on the verge of extinction. Although these rural areas are continuously implementing policies promoting the increase in population, this is not a fundamental solution; meanwhile, the aging index continues to rise. In order to respond to the crisis of rural extinction and aging issue, it is of utmost importance to create a good environment for older adults to live in. The expansion of medical welfare facilities and services is the top priority for creating a friendly environment for older adults. Therefore, this study aims to review the operating conditions of public medical facilities and major leisure and welfare facilities for older adults in Namche, a representative rural area in Korea that has entered the super-aged society phase and propose a complex medical facility to attend to the needs of the residents. The purpose of this study is to derive a strategy and propose architecturally to respond to the needs of the local community in rural areas along with the original role of public medical facilities. (Method) The literature review and the survey were conducted. Through the literature review, the number of medical facilities, cultural facilities, and older adult population ratio in Namche were identified. From the survey, the current status of the usage of facilities and users’ demand in Dongsheng Village were identified. Based on the analysis, major programs and planning directions were derived. (Results) Based on the analysis of data, programs with high preference can be largely divided into medical facilities, leisure for older adults, and cultural-related facilities. Specifically, in the case of rural areas, it was found that the residents preferred to strengthen the medical function of public medical facilities, to have a well-designed activity space rather than a natural green area, and still lack social infrastructure. The Dongsheng Health Clinic, an existing medical facility, was expanded to propose complexity; a spatial strategy was planned based on the physical conditions and characteristics of the older adults and the rational functional composition suitable for program diversification. (Conclusions) Spatial strategies to consider when planning complex medical facilities in rural areas can be summarized as follows: ① strengthen the accessibility, ② enhancement of various programs and medical functions, ③ enhancement of facility utilization through complexation. Regarding responding to the crisis of local extinction, the space design should respond to the needs of the local community along with the original role of public older adult medical facilities and consider the needs of various age groups.