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保健所 利用度에 關한 調査

A Survey on the Health Center Ulilization by the Residents

공중보건잡지 1972년 9권 2호 p.272 ~ 280
송선대,
소속 상세정보
송선대 (  ) - 서울대학교 보건대학원

Abstract


This survey was conducted for the purpose of analyzing the primary characteristics which would influence the utilization of urban and rural health centers from April 17, 1972 to May 16, 1972. Those who have visited voluntarily at four health centers (Taegu Choong Ku, Kunwi Gun, Chungsong Gun and Eesung Gun health centers) were interviewed by 34 nursing students.
Main findings were summarized as follows:
(1) Of 2,597 interviewees, females were slightly predominant with 51.6%, and males were 47.6%. While males visited in the rural area, more frequently than females. (54.6% out of 1,383 interviewees)
(2) Age distribution of total visitors showed that that 26.5% were in the twenties, 21.8 in the thirties. In the rural area it was 24.2% in O-9 years group. Utilization of health conter was increased with age increment.
(3) Educational level of the utilizer: 29.3% in illiteracy at rural area and 2.2% at urban. 71.4% of all utilizers were less than primary School graduate in the rural and 39.2% in the urban.
(4) Of rural utilizers, 65% came from within 4km, dtstance from health center 56% of urban utiliers from outside 2km. The farther the distance from health center, the less visitors from the area with medical facilities. and vice versa.
(6) Of the surveyed, 35.4% were first time visitors to health center and in the rural the average visits to health center per visitor in the past were 3.35 and in the urban 2.87.
(6) The higher in the level of both income and education, the more utilized a health center by themselves. The rate of voluntary utilization was 40.9% in the urban 26.0% in the rural while 41.7% visited a health center by the persuasion of the health workers in the rural, 20.3% in the urban.
(7) By visiting purpose, health certificate was the major with 25.8%, tuberculosis control with, 21.7%, vaccination 18.1%, curative services 10.3%, family planning 6.3%, and medical certificate 6.2%. On the other hand tuberculosis control occnpied 27.2%, vaccination 17.9%, curative service 16.1% in the rural, but queit different pattern of utilization was shown in the urban: health certificate for the serviceworkers occupied 42.1%.
(8) The average time of stay of female in a health center was loger than that of male both in the rural and in the urban.
(9) For the average time required for each activity, medical certificate which required a direct, X-ray took the longest with 29.7 minutes and vacination took the shortest with 10.9 minutes. Health certificate which was revealed to occupy the major importance by visting purpose took 20.6 minutes on the average.
(10) On the whole it took an urban health center less time for each activity than the rural.
(11) It was estimated that the sex specific monthly utilization rate per 1,000 population
was 4.43 for the male, 3.66 for the female in the rural, and 8.95 for the male 7.98 for
the female in the urban. Urban utilization rate was two fold higher than the rural one.

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