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서울特別市의 行旅病者에 對한 實態調査硏究

A Study on the Status of Traveler Patients in Seoul

공중보건잡지 1970년 7권 2호 p.685 ~ 695
이채언,
소속 상세정보
이채언 (  ) - 서울대학교 보건대학원

Abstract


Through surveys conducted on 231 traveler-patients treated at the Chungbu Metropolitan Hospital and 5,298 treated at the Tongbu Metropolitan Hospital from January 1968 to August 1970, the following conclusion has been reached:
1) The ration of each traveler-patient treated as relative to settled population in respective area of jurisdiction was 1 to 1,152.4 residents in case of the Chungbu Metropolitan Hospital and 1 to 1,530.8 residents in case of the Tongbu Metropolitan Hospital.
2) The number of traveler-patients treated at the Chungbu Metropolitan Hospital in 1969 was smaller than that in 1968. Little difference was noted between their numbers in 1969 and 1970. However, their number showed yeraly increases at the Tongbu Metropolitan Hospital.
3) The number of patients treated at the first-aid room of the Chungbu Metropolitan Hospital was broken down into 21.2 per cent for traveler patients and 70.8 per cent for ordinary patients, and that at the Tongbu Metropolitan Hospital into 60.2 per cent respectively.
4) By age group of traveler-patients, those in their 20´s constituted 47.2 per cent or the greates proportion, while those in their 30´s, 10´s, and 40´s constituted the second, third, and fourth proportions respectively. Those in their 20´s and 30´s together constituted 62.9 per cent.
5) By sex, men constitued 65.2 per cent, and women 44.8 per cent.
6) To review the categories of cases by sex, female patients occupied greater percentages of poison-drinkers and psychiatric patients while male patients constituted greater proportions in other cases.
7) To study the categories of cases by age group, young patients constituted greater proportions of poision-drinkers, alcoholics, psychiatric patients, wounded patients, and accident victims. A greater percentage of CVA and malnutrition cases accounted for those in 50´s or older people, while tuberculosis patients were evenly distributed among those in their 20´s to 50´s.
8) By category of cases, poison-drinkers and alcoholics constituted a total of 56.9 per cent, active tuberculosis patients and other infectious disease cases 2.8 per cent, and malnutrition cases 4.6 per cent.
9) 45.4 per cent of the treated traveler-patients was identified and 54.6 per cent unidentified. The percentage of identified female patients was greater than that of their male conuterparts.
10) As for the proportion of identified patients by year, the greatest percentage was identified in 1969, but their proportion decreased in 1970 to a level comparable with that in 1968.
11) To break down the number of cases into identified patient and unidentified patients, identified patients occupied greater proportions of hynaecologic, internal medicine, neurosurgical, and external wound cases, while nuidentified patients constituted greater proportions of CVA and malnutrition cases.
12) The death rate of traveler-patients was 4.2 per cent among the surueyed group.
13) Hospitalized traveler-patients occupied 4.3 per cent of the total number of traveler-patients.
14) As for the time of traveler-patient´s arrival at hospital,a greater proportion of poison-drinkers arrived at hospitals during the daytime, a greater percentage of alcoholics during evening hours, and that of other patients between 3 and 9 p.m.
15) The average hours of travler-patient´s stay at the first-aid room were 6.5 hours; those of alcoholics 6.2 hours; other traveler-patient 13.7 hours, and dead patients 12.8 hours.
16) The average amount of medical expenses per traveler-patient was 1.6 won. Only 0.5 per cent of travelerpatients underwent clinical and pathologic examinations.
In conclustion, the miserable status of traveler-patients in Seoul was uncomparable with that of ordinary patients. Many problems involved in the processes of their contraction of disease, transportation, therapy, and hospitalization should by solved by means of new ploicies of related agencies. Great attention should also be paid to their solution in the scientific aspect of public health administration.

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