취약계층 대상 보건의료·복지 네트워크 사업 성과에 대한 질적연구 : 달구벌건강주치의사업을 중심으로
A Qualitative Research on the Evaluation of Healthcare and Welfare Network for Vulnerable Populations : Focusing on the Dalgubeol Health Doctor Services
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives: This study examined the evaluation and potential improvements of ‘Integrated Healthcare and Social Welfare service model’ based on the experiences of practitioners from institutions participating in the ‘Dalgubeol Health Doctor Services’ and the service recipients. Methods: Qualitative research was conducted from September to November 2022 in this study, focusing on 4 providers from the dedicated Dalgubeol Health Doctor Services Team, 5 contact partners from affiliated organizations, and 6 service beneficiaries. The data gathered underwent thematic analysis. Results: The evaluation indicated that Dalgubeol Health Doctor Services has proven to be effective in addressing the complex needs of vulnerable populations. By providing integrated services through quick and simple beneficiary selection and resource linkage, it has contributed to the resolution of complex demands, recovery of positive attitudes towards life, and improvement in quality of life for users who have fear the use of medical and welfare services. Dalgubeol Health Doctor Services has established an integrated health care system involving not only public but also private organizations, from the referral agency to the service provider. Centered around Daegu Medical Center and involving five tertiary hospitals, it has established a model that supports treatment appropriate to the severity of the patient, from mild to severe. Conclusions: These findings indicate an enhancement in health equity, achieved through the active identification and subsequent health and welfare issue resolution of individuals marginalized from medical benefits.
Abstract
Objectives: This study examined the evaluation and potential improvements of ‘Integrated Healthcare and Social Welfare service model’ based on the experiences of practitioners from institutions participating in the ‘Dalgubeol Health Doctor Services’ and the service recipients. Methods: Qualitative research was conducted from September to November 2022 in this study, focusing on 4 providers from the dedicated Dalgubeol Health Doctor Services Team, 5 contact partners from affiliated organizations, and 6 service beneficiaries. The data gathered underwent thematic analysis. Results: The evaluation indicated that Dalgubeol Health Doctor Services has proven to be effective in addressing the complex needs of vulnerable populations. By providing integrated services through quick and simple beneficiary selection and resource linkage, it has contributed to the resolution of complex demands, recovery of positive attitudes towards life, and improvement in quality of life for users who have fear the use of medical and welfare services. Dalgubeol Health Doctor Services has established an integrated health care system involving not only public but also private organizations, from the referral agency to the service provider. Centered around Daegu Medical Center and involving five tertiary hospitals, it has established a model that supports treatment appropriate to the severity of the patient, from mild to severe. Conclusions: These findings indicate an enhancement in health equity, achieved through the active identification and subsequent health and welfare issue resolution of individuals marginalized from medical benefits.
참고문헌 (21)
- 김진구, "저소득층의 의료 이용와 이용포기에 영향을 미치는 요인 - 경기지역 자활사업참여자를 중심으로 -", 사회복지연구, (34), pp.29~53 (2007), 한국사회복지연구회[DOI]
- 최권호, "보건사회복지 개념과 역할 재구성: 병원을 넘어", 비판사회정책, (49), pp.368~403 (2015), 비판과 대안을 위한 사회복지학회[DOI]
- 이태화, "한국 노인의 건강 문해(Health Literacy)실태와 영향 요인 -인구사회학적 특성을 중심으로-", 한국노년학, 28(4), pp.847~863 (2008), 한국노년학회
- An Evaluation Study of the 301 Network in Health, Medical, and Welfare, "Kwon YJ", Seoul Nationl University Public Health Institute, ~ (2018)
- 하지선, "보건의료복지 네트워크를 통한 통합적 지원에 관한 질적 연구 - 서울특별시 북부병원 301네트워크 사업 이용자 경험을 중심으로 -", 한국사회복지학, 69(2), pp.143~169 (2017), 한국사회복지학회[DOI]
- Han HR, "A Study on Linkage between Health, Medical, Welfare Institution in Local Community – Focusing on 301 Network -", pp.2017
- 최권호, "취약계층의 보건⋅의료⋅복지 통합서비스 이용 경험: 301네트워크 사업을 중심으로", 사회복지연구, 53(3), pp.5~35 (2022), 한국사회복지연구회[DOI]
- Daulgubeol Health Doctor Project’s Business Performance Report, "Daegu Medical Center", Daegu Medical Center, ~ (2022)
- Guidelines for the Operation of a Daulgubeol Health Doctor Project, "Daegu Medical Center", Daegu Medical Center, ~ (2022)
- Ryu KU, "Understanding qualitative research methods" (2012), PYbook
- Redmond A, "Focus groups:principles and process", Nurse researcher, 16(3), pp.179~181 (2009)
- Braun V, "sing thematic analysis in psychology", Qualitative research in psychology, 3(2), pp.77~101 (2006)
- Lincoln Y, "Naturalistic inquiry" (1985), Sage
- Sandelowski M, "The problem of rigor in qualitative research", Advances in nursing science, 8(3), pp.27~37 (1986)
- Kwon YJ, "Study on the Connection of Health and Welfare Services in Public Health Medical Institutions: Focusing on the Case of the 301 Network of Seoul Northern Hospital", Academy of korean Social Welfare Administration, 5, pp.289~293 (2014)
- 채현탁, "읍면동 복지허브화 추진내용 분석에 관한 연구", 한국지역사회복지학, (58), pp.141~171 (2016), 한국지역사회복지학회
- So YG, "Advancements in 301 Network of Seoul: A Leap Towards the Future", 13(5) (2019)
- Hyun KJ, "A Study of the Low-Income Family Using Integrated Health and Social Welfare Services: The Case of the Jeon Jin Sang Welfare &Medical Center", The Korean Child and Family Welfare Association, 11(3), pp.5~31 (2006)
- Choi KH, "Development of Performance Indicators for the Health Rights Promotion Project through the Resolution of Medical Blind Spots", Research on Philanthropy, (2), pp.1~62 (2019)
- 오두남, "Functional Health Status and Medical Service Utilization Pattern of General and Vulnerable Older People in Community", 한국콘텐츠학회 논문지, 21(6), pp.404~414 (2021), 한국콘텐츠학회[DOI]
- 임지연, "대전광역시 지역사회 통합돌봄 체계내에서 공공보건의료 연계 모델 개발", 농촌의학.지역보건, 47(1), pp.1~13 (2022), 한국농촌의학.지역보건학회
