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원주기독병원의 진료권 변화에 관한 연구 1974-1981

Other Titles
 Changes in service area of Wonju christian hospital for the past 8 years 
Issue Date
1983
Description
의학과/석사
Abstract
[한글] 최근 경제성장과 더불어 국민 생활수준이 향상되었고 정부의 사회보장정책에 의한 의료보험이 1977년부터 단계적으로 실시되었으며, 제5차 5개년 경제사회발전 계획이 종료되는 1986년에는 국민의료보험 가입율이 증가될 것이 예상된다. 이에따라 각 의료기관은 증가되는 의료수요를 감당하기 위하여 시설확대에 주력하게되며 체계적인 병원계획이 절실히 요망되고 있다. 병원계획의 첫 단계는 병원의 진료권을 설정하는 작업으로서 진료대상 인구와 의료수요를 추정하는 데에 있다. 본 연구는 1974년부터 1981년까지 연세대학교 의과대학 원주기독병원의 의무기록을 분석하여 환자원조사 방법을 사용하여 동 병원의 진료권을 설정하고 그 변화를 관찰하여 향후 원주기독병원의 체계적인 병원계획 수립의 기본자료를 제시하고자 하였다. 진료권은 거주지역별로 외래 및 입원환자구성비 ( commitment index)를 사용하여 설정하였으며 동 병원의 진료권내 주민 1,000명당 병원이용율을 조사하고 그 변화를 관찰하여 다음과 같은 결과를 얻었다. 1. 조사대상 병원의 진료권은 원주를 중심으로 인근지역의 2개 시 6개 군으로서 원주시, 횡성군, 원성군, 제천시, 영월군, 정선군, 평창군, 단양군으로 설정하였다. 2. 1979년 이후 강원도 지역의 외래환자수는 점차 증가하였으나 충청북도 및 경기도 지역의 환자수는 감소하였다. 그러나, 입원환자는 진료권내 전 지역에서 증가하였으므로 의료인력 및 의료시설을 확장시켜서 늘어나는 의료수요에 대비해야 할 것으로 생각한다. 3. 조사대상 병원의 진료권은 시간이 경과함에 따라 축소하는 경향을 보여 앞으로 진료의 질적 향상을 도모하여 1차 진료권 이외의 지역환자에 대한 의료써비스에 주력해야 할 것으로 생각된다. 4. 환자의 병원이용율은 전반적으로 증가하였으며 지역적으로는 외래환자의 경우는 강원도 이외의 지역은 감소하였고, 입원환자의 경우는 경기도 지역이 감소하였으므로 앞으로 경기도 지역은 본 병원의 진료권에서 제외될 가능성이 많다. Changes in Service Area of Wonju Christian Hospital for the past 8 Year Kyung Hoon Choe Department of Medical Science The Graduate School Yonsei University (Directed by Professor ll Soon Kim, M.D.) The study was conducted to provide necessary Information for the future expansion plan of the Wonju Christian Hospital by defining its service area and utilization pattern of past eight years. The study included 1) patient origin study, 2) changes in utilization pattern, and 3) boundary of the primary service area based on the hospital statistics from 1974 through 1981. The commitment index was used for the definition of the service area of the hospital. Population based utilization rates were produced for the analysis of utilization patterns of the service area. The data was retrieved from the hospital`s medical records, analyzed and prioritized by the magnitude of the utilization of each subareas. The summary of the study is; a. The Hospital`s primary service areas were identified as 8 districts: Wonju, Wonsung, Hoengsung, Chechon, Youngwol, Jungsun, Pyungchang and Danyang. b. Since 1979 the outpatient has significantly increased are as in Kangwon-Do, and has decreased in the other surrounding areas. However the inpatient has increased in all areas including Kangwon-Do, Choongchung-Pook-Do and Kyunggi-Do. This pattern might indicate a similar tendency in the future. c. The Hospital`s boudary of primary service area has been gradually decreased. d. Utilization rates per 1,000 population were increased in the entire service areas. It is concluded that the hospital may consider expansion of service capacity to meet the present meet the present need/demand, and further consider providing high quality health care for the dependent population in the secondary service area, that has been the primary service area in the earlier days of the hospital.
[영문] The study was conducted to provide necessary Information for the future expansion plan of the Wonju Christian Hospital by defining its service area and utilization pattern of past eight years. The study included 1) patient origin study, 2) changes in utilization pattern, and 3) boundary of the primary service area based on the hospital statistics from 1974 through 1981. The commitment index was used for the definition of the service area of the hospital. Population based utilization rates were produced for the analysis of utilization patterns of the service area. The data was retrieved from the hospital`s medical records, analyzed and prioritized by the magnitude of the utilization of each subareas. The summary of the study is; a. The Hospital`s primary service areas were identified as 8 districts: Wonju, Wonsung, Hoengsung, Chechon, Youngwol, Jungsun, Pyungchang and Danyang. b. Since 1979 the outpatient has significantly increased are as in Kangwon-Do, and has decreased in the other surrounding areas. However the inpatient has increased in all areas including Kangwon-Do, Choongchung-Pook-Do and Kyunggi-Do. This pattern might indicate a similar tendency in the future. c. The Hospital`s boudary of primary service area has been gradually decreased. d. Utilization rates per 1,000 population were increased in the entire service areas. It is concluded that the hospital may consider expansion of service capacity to meet the present meet the present need/demand, and further consider providing high quality health care for the dependent population in the secondary service area, that has been the primary service area in the earlier days of the hospital.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/117141
Appears in Collections:
2. 학위논문 > 1. College of Medicine (의과대학) > 석사
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