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Utilization and Factors Associated in Public Health Centers in Incheon Metropolitan City

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ÇÑ°æ¼ø ( Han Gyeong-Soon ) - °¡Ãµ´ëÇб³ º¸°Ç°úÇдëÇÐ Ä¡À§»ýÇаú

Abstract

º» ¿¬±¸´Â È¿À²ÀûÀÎ º¸°Ç»ç¾÷ ±âȹ°ú ÀÌ¿ë¹æ¾ÈÀ» ¸ð»öÇÏ°íÀÚ ÀÎõ±¤¿ª½Ã Áö¿ªÁֹεéÀ» ´ë»óÀ¸·Î º¸°Ç¼Ò¿¡¼­ ½ÃÇàÇÏ°í ÀÖ´Â °¢ »ç¾÷¿¡ ´ëÇÑ Àνİú ÀÌ¿ë ¹× ¸¸Á·µµ¸¦ ºÐ¼®ÇÏ¿© ´ÙÀ½°ú °°Àº °á°ú¸¦ ¾ò¾ú´Ù. ÀÎõ±¤¿ª½Ã Áö¿ªÁֹεéÀÇ º¸°Ç¼Ò ÀÌ¿ë·üÀº 38.8%¿´°í, À̵éÀÇ ¿¬Æò±Õ ÀÌ¿ëȽ¼ö´Â 3.92ȸ·Î Á¶»çµÇ¾ú´Ù. º¸°Ç¼Ò´Â½º½º·Î(25.3%) ¶Ç´Â ÁÖÀ§»ç¶÷ÀÇ ±ÇÀ¯(17.8%)¿¡ ÀÇÇØ ÁÖ·ÎÀÌ¿ëÇÏ°í ÀÖ¾ú´Ù. ÀÌ¿ëÇÏÁö ¾Ê´Â ÀÌÀ¯´Â Çʿ伺ÀÌ ¾ø¾î¼­(27.0%)¿Í Àß ¸ô¶ó¼­(9.4%) ¶Ç´Â °Å¸®°¡ ¸Ö±â ¶§¹®(7.8%) À̾ú´Ù. º¸°Ç»ç¾÷ Àüü¿¡ ´ëÇÑ Æò±Õ ÀÎÁöÀ²Àº 41.2%, Æò±ÕÀÌ¿ë·üÀº 8.1%·Î ÀÎÁöÀ²°ú ÀÌ¿ë·ü ¸ðµÎ ³ôÀº º¸°Ç»ç¾÷Àº¿¹¹æÁ¢Á¾(86.6%, 36.9%)°ú °Ç°­°ËÁø(67.2%, 18.7%)À̾ú´Ù. º¸°Ç»ç¾÷ Æò±Õ ¸¸Á·µµ´Â 5Á¡ ¸¸Á¡¿¡ 3.88Á¡À̾ú°í, Ä¡¸é¿­±¸Àü»ö(4.26Á¡)°ú ºÒ¼Ò¿ë¾×¹è±Þ(4.07Á¡)ÀÌ ³ôÀº ¸¸Á·µµ¸¦ ³ªÅ¸³Â´Ù. º¸°Ç¼Ò ÀÌ¿ë°ú ÀÌ¿ëȽ¼ö¿¡ °øÅëÀûÀ¸·Î °¡À念Çâ·ÂÀ» ³ªÅ¸³»´Â ¿äÀÎÀº À̵¿½Ã°£À̾ú°í, ¼ºº°, ¿¬·É, ÁÖÅüÒÀ¯Çüŵµ °øÅëÀû ÁÖ¿ä¿äÀÎÀ¸·Î È®ÀεǾú´Ù. À̸¦ ¹ÙÅÁÀ¸·Î Áö¿ªÁÖ¹ÎÀÇ °Ç°­ÁõÁøÀ» À§ÇØ ±¹°¡ÀûÀ¸·Î½Ç½ÃÇÏ´Â º¸°Ç»ç¾÷ÀÌ ¼º°øÀûÀ¸·Î ½Ç½ÃµÉ ¼ö ÀÖµµ·Ï ±¸Ã¼ÀûÀÎ ¹æ¾ÈÀ» ¸ð»öÇØ¾ß ÇÒ °ÍÀÌ´Ù.

This research was based on using status and factors associated in public health centers survey in 703 local residents from September 1 to 25, 2015. Data were analyzed with chi-square test, t-test, one way ANOVA, and Stepwise Multiple Regression analysis using SPSS WIN 21.0 program and significance level was set at p£¼0.05. It was investigated that Incheon city health centers¡¯ utilization of residents were 38.8%, the annual average of utilization was 3.92 times. Health centers were mainly used by themselves (25.3%) or recommendation of the people around them (17.8%). The reason why they don¡¯t use was no need (27.0%) and don¡¯t know well (9.4%) or long distance (7.8%). The average of awareness about the total health programs was 41.2%, the average of utilization rate was 8.1%, both higher rate of awareness and utilization about health programs were vaccination (86.6%, 36.9%), and health examinations (67.2%, 18.7%). The average of satisfaction about health programs was 3.88 out of 5, sealant (4.26 points) and rationing fluoride solution (4.07 points) indicated a high level of satisfaction. The most common factor which represents the impact on public health use and use frequency were the time it takes to move, also gender, age and form of home ownership were major factor in common. Based on this, we have to seek concrete measures of national health programs which conducted to improve the health of local residents can be implemented successfully.

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Health program satisfaction; Public health center; Public health program

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