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황금복 ( Hwang Gum-Bok ) - 국립보건원 모자보건학 담당관실
전미순 ( Jeon Mi-Soon ) - 국립보건원 모자보건학 담당관실
김진순 ( Kim Jin-Soon ) - 유한전문대학 의무행정과
박정한 ( Park Jung-Han ) - 대구효성가톨릭대학교 의과대학
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Abstract
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-서론-
1, 연구의 필요성
1961년 보건소법 개정 이후 모자보건요원이 보건소에 배치된 이래 지난 30년간 모자보건사업은 영유아의 예방접종 및 육아상담, 임산부 산전 및 산후관리, 분만지도, 영유아 및 모성대상의 건강관리 등 기본적인 모자보건서비스 요구 충족에 기여하여 왔다. 그러나 1989년 전국민 의료보험 실시로 주민의 의료요구가 증가하여 병·의원 이용률이 급격히 증가하였고, 모자보건사업 대상자의 병·의원 이용률도 높아져 1994년도의 시설 분만율이 98.8%로 선진국 수준에 이르렀다. 병·의원에서 분만하는 경우 모성과 영유아의 건강관리도 같은 의료기관에서 계속 받게 됨으로써 보건소의 이용은 더욱 감소되고 있는 실정이다.
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To develop a district maternal and child health service model that can ensure improved quality of care, authors conducted a survey for the contents of maternal and child health services provided by both public and private sectors. A questionnaire was mailed to 238 health centers, 261 primary care clinics, and 68 secondary and tertiary care hospitals throughout the country. The response rate was 76.5% for the health centers and 52.3% for the private clinics and hospitals. Based on the survey results and under the principle that the public sector focuses on the preventive services and the private sector focuses on the curative services, we defined major tasks of the health centers, primary care clinics, and secondary/tertiary care hospitals.
(1) Maternal health care
Common tasks for all the health facilities are registration, initial health screening, and
prenatal care of the pregnant women and postnatal health check-up within one week
after delivery. Specific tasks for the health centers are health education for preparation
of delivery, nutritional supervision of pregnant women, support of breast-feeding, and
education for family planning. High risk pregnant women identified at the health centers
and primary care clinics and those who need further evaluation shall be transferred to
the secondary/tertiary care hospitals.
(2) Infant and child health care
Common tasks for all health facilities are growth and development monitoring, health
screening, dental care, vision and hearing screening, immunization, and blood sampling
for congenital metabolic disorder test. Specific tasks for the health centers are education
for child rearing, and health consultation and supervision for children. The children who
need further evaluation shall be transferred from the health centers and primary care
clinics to the secondary/tertiary care hospitals.
(3) School child health care
Common task for all the health facilities is immunization. Specific tasks for the health
centers are education for prevention of childhood obesity and chronic diseases, nutrition
education, support of school health education, and training of school physicians. Children
with chronic diseases identified at the health centers and primary care clinics shall be
transferred to the secondary/tertiary care hospitals.
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KeyWords
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maternal and child health services, model, task, health center, primary care clinic, secondary/tertiary care hospital
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원문 및 링크아웃 정보
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등재저널 정보
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