한국 보건진료원 제도의 시작

서지정보

ㆍ발행기관 : 한국농촌간호학회 ㆍ수록지정보 : 한국농촌간호학회지 / 4권 / 1호
ㆍ저자명 : 이꽃메

목차

Ⅰ. 서 론
Ⅱ. 연구 방법
Ⅲ. 연구 결과
Ⅳ. 결론 및 제언
참고문헌
- Abstract -

한국어 초록

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.

영어 초록

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.

참고 자료

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