소생활권 중심 공중보건사업의 현황 분석 및 접근성 향상을 위한 모형 개발

초록

Purpose: The study aimed to develop a small living zone public health program model to improve access to health care services based on the analysis of several public health programs. Methods: A literature review, focus group interviews, and advisory committee meeting were conducted. Visiting health care (Public health center), Healthy Lifestyle Support Centers, public service through citizen autonomy (Eup, myeon, & dong), village health centers (Busan), and reach out community centers (Seoul) were included in the analysis. The literature review included program guidelines and instructions published by the government. The focus groups discussed strengths, weaknesses, and measures to improve accessibility. Results: The study proposed two types of ‘Health Care Support Centers’ located in the town offices. Type 1 is an expanded area model and Type 2 is a village model. Service component included health promotion for all residents, chronic disease prevention and management for high-risk groups, and visiting health care. Depending on local needs, visiting nursing (Long-term care insurance) or home care nursing services (Health insurance) may be integrated into the ‘Health Care Support Center’. Conclusion: The proposed model will help to improve health for all residents and reduce health disparities between regions by improving self-care and promoting healthy lifestyles among all residents.

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