- 한국 보건진료원 제도의 시작
- Beginnings of the Community Health Practitioner (CHP) System in Republic of Korea
- ㆍ 저자명
- ㆍ 간행물명
- ㆍ 권/호정보
- 2009년|4권 1호(통권6호)|pp.31-40 (10 pages)
- ㆍ 발행정보
- ㆍ 파일정보
- 정기간행물|KOR| PDF텍스트(0.24MB)
- ㆍ 주제분야
본 연구에서는 ‘농어촌 보건의료를 위한 특별조치법’ (이하 본 논문에서 농특법이라고 줄여서 칭함)이 제정 및 시행되면서 보건진료원제도가 시작된 1980년을 전후 로 이 제도가 시작된 배경과 과정을 밝혀내고 분석하고 자 한다. 이러한 연구는 특히 보건진료원제도의 시작에 영향을 미친 요인에 대한 깊이 있는 이해를 가능하게 하 고, 이는 보건진료원 제도의 과거와 현재에 대한 이해를 통하여 앞으로 보건진료원과 보건진료소가 어떠한 변화 를 겪을 것이며, 보건진료원제도가 시작된 지 30년이 지 나면서 이를 둘러싼 내외적 환경이 급격히 변화한 21세 기에 바람직한 변화를 위하여 어떤 준비를 해야 할지에 대한 혜안을 넓혀줄 것이다.
Purpose: This research was done do identify and analyze the beginnings of the community health practitioner system in the Republic of Korea (ROK) around 1980. Method: Primary sources were collected and analyzed, mainly newspapers around 1980, the act for health service for rural areas, and other relative publications. Results: The government of the ROK was trying to solve the problem of doctorless villages and regarded the introduction of primary health care (PHC) services using registered nurses (RNs) to be an economic solution to this problem. The Korean Nurses’ Association presented ‘a plan for community health service’ to the government party and medical association in 1976. In this plan, RNs would provide primary care at the sub-county (myun) level, and hospital would provide secondary care. The Korean Public Health Development Research Center was awarded the project ‘RNs and nurse aids as CHP for primary care service and their training’. In 1977, 25 RNs began to work as PHC in 3 areas, and interim findings showed that RNs were very capable of doing PHC. The Ministry of Health and Welfare announced long term plans for health and welfare administration including a tertiary health care delivery system. RNs after training were posted to rural areas with no medical services to do medical treatment for mild cases. The Act for health services for rural areas was enacted on December 31, 1980. Enforcement Ordinance and Enforcement Regulations were enacted in 1981. In 1981, 257 CHP were selected, trained, and deployed. In 1983, the president of the ROK announced continuation of the CHP system for residents of medically vulnerable areas. The number of CHP increased from 257 in 1981 to 2038 in 1989.
Ⅰ. 서 론 Ⅱ. 연구 방법 Ⅲ. 연구 결과 Ⅳ. 결론 및 제언 참고문헌 - Abstract -