코로나바이러스감염증-19 전후 강원도민의 공공의료 인식 비교 : 2019-2020 강원도민 보건의료패널조사 결과를 중심으로
Changes in Public Health Perceptios after the Outbreak of Coronavirus Disease-19 among the Gangwon Province Residents. : Focusing on the Results of the Gangwon Province Residents’ Panel Survey 2019-2020
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Objectives: The purpose of this study is to investigate changes in public health-related perceptions of residents of Gangwon province after the outbreak of Coronavirus disease-19(COVID-19) of the public. Methods: We performed paired T-test analysis to measure the change in public health-related perceptions before and after COVID-19. We also utilized generalized estimating equations to identify demographic factors correlated with public health-related perceptions. Results: The public perceived public health as ‘All citizens can use medical care and protect/promote health.’ The concept was the most popular, from 94.3% in 2019 to 95.5% in 2020. In addition, after COVID-19, residents of Gangwon province's satisfaction with medical services increased, but the overall level was not high. Among the eight essential healthcare needs after COVID-19, cardiovascular disease and injury services have emerged as preferred services. However, by sociodemographic factors, distinctive responses were detected. Conclusions: Through COVID-19, Gangwon residents' awareness of the public's health rights has increased. Those living in vulnerable areas or with unmet medical care, supported strengthening public health care. In addition, although medical satisfaction has increased, it is not satisfied, so listening to the voices of the population group with low satisfaction is essential. Lastly, since the necessity of essential health care may change due to specific events, the local government needs to plan health projects reflecting the needs of residents. Therefore, when designing the public health care strategy in Gangwon province, the local government should consider not only political factors but also environmental factors, demographic and conceptual factors.
Abstract
Objectives: The purpose of this study is to investigate changes in public health-related perceptions of residents of Gangwon province after the outbreak of Coronavirus disease-19(COVID-19) of the public. Methods: We performed paired T-test analysis to measure the change in public health-related perceptions before and after COVID-19. We also utilized generalized estimating equations to identify demographic factors correlated with public health-related perceptions. Results: The public perceived public health as ‘All citizens can use medical care and protect/promote health.’ The concept was the most popular, from 94.3% in 2019 to 95.5% in 2020. In addition, after COVID-19, residents of Gangwon province's satisfaction with medical services increased, but the overall level was not high. Among the eight essential healthcare needs after COVID-19, cardiovascular disease and injury services have emerged as preferred services. However, by sociodemographic factors, distinctive responses were detected. Conclusions: Through COVID-19, Gangwon residents' awareness of the public's health rights has increased. Those living in vulnerable areas or with unmet medical care, supported strengthening public health care. In addition, although medical satisfaction has increased, it is not satisfied, so listening to the voices of the population group with low satisfaction is essential. Lastly, since the necessity of essential health care may change due to specific events, the local government needs to plan health projects reflecting the needs of residents. Therefore, when designing the public health care strategy in Gangwon province, the local government should consider not only political factors but also environmental factors, demographic and conceptual factors.
참고문헌 (26)
- [URL]
- Lee KS, "Definition of Public Health Care and It's Policy Directions", Public Health Aff, 1(1), pp.79~97 (2017)[DOI]
- Ettelt S, "Investing in hospitals of the future", pp.47~66 (2009), European Observatory on Health Systems and Policies
- Harding, A., "Private Participation in Health Services", World Bank, 77~78 (2003)
- Jho HJ, "Perception toward the concept, problems and solutions of public medical service among physicians and a public hospital staffs: Analysis of consensus workshop results", Public Health Aff, 2(1), pp.73~81 (2018)[DOI]
- Kim C, "Further conceptualizing of “publicness”in health and health care in South Korea", Public Health Aff, 1(1), pp.65~77 (2017)[DOI]
- Kim CY, "Publicness in health and public health and medical services" (2019), Hanul Acamemy
- "The sad reality of being the lowest in K-medical service despite K-successful quarantine" (2021)[URL]
- "Public opinion in public opinion:17th Awareness Survey in COVID-19"[URL]
- "The results of the COVID-19 Public Perception Survey" (2020)[URL]
- "Population and population density by region"[URL]
- "The Korea Spatial Planning Review 2021" (2021)[URL]
- Korea Community health at a Glance 2020, "KDCA", Korea Community Health Survey(KCHS), ~ (2021)
- Nho HJ, "General Linear Model (GLM) and General Linear Mixed Model (GLMM) using SPSS", pp.35~67, Hakhyunsa
- "Major results of public opinion polls on policy issues in the field of public health care in Seoul" (2021)[URL]
- "National Medical Center's Corona 19 Experience and Awareness Survey Results" (2020)[URL]
- "The result of Korean Social Survey"[URL]
- 김정주, "COVID-19 발생 전·후의 응급의료이용 변화: 종합병원급 이상 의료기관을 중심으로", 보건사회연구, 42(3), pp.369~387 (2022), 한국보건사회연구원[DOI]
- "Identify the causes of stroke, diabetes patients, and smokers' vulnerability to COVID-19" (2020)[URL]
- "Gangwon-do Health/Medical/Welfare/Information guide"[URL]
- Leichter HM, "A comparative approach to policy analysis: health care policy in four nations", CUP Archive, 38~55 (1979)
- 조창익, "공공보건의료제도의 강화 인식에 대한 연구: 의료취약지역 지원의 조절효과", 보건과 복지, 22(4), pp.197~225 (2020), 한국보건복지학회[DOI]
- Kim KI, "To Prepare for Infectious Disease Epidemic: Local Public Health Needs to be Strengthened", Busan Development Forum, 182, pp.38~47 (2020)
- "National Medical Center's Corona 19 Experience and Awareness Survey Results" (2020)[URL]
- "Major results of public opinion polls on policy issues in the field of public health care in Seoul" (2021)[URL]
- Walt G, "Health Policy: An Introduction to process and power" (1994), Zed books
