본 연구는 보건 의료서비스를 균등하게 제공받지 못한 농어촌 주민들에 게 최 일선에서 건강문제를 관리해 온 보건진료원들의 일차진료 내역을 근거로 하여, 제주도 보건진료소의 업 무전산화가 완료된 1997년부터 2003년까지 7개년 간 남제주군 보건진료소를 이용한 전체 주민의 상병양상의 변화를 살펴봄으로써, 지역사회 주민의 주요 건강문제의 변화를 파악하여 생애주기별 건강관리 방안과 지역사회 주민건강증진프로그램을 기획하는데 기초자료로 제공하 고자 하였으며, 보건의료 환경의 변화에 적합한 일차보 건의료 서비스를 제공하고자 연구를 시작하게 되었다. 연구의 구체적인 목적은 첫째 보건진료소를 이용한 주민 의 상병(건강문제) 변화양상과 추이를 고찰하고, 둘째 시대에 따라 주민의 보건진료소 이용현황은 어떠한지를 고찰하였다.
examine the trends of disease of residents who had treatment in primary health care posts in N-county over the past seven years (1997- 2003). The data will assist in planning responses to changes in the health care environment and in planning health promotion programs. Method: A retrospective descriptive survey was conducted of the computerized records of primary health care done by community health practitioners over the last seven years. Cross analysis was conducted among the data using SAS, and the results were displayed in frequencies and percentages. The data were collected from May to September 2004. Results: The results of the study are as follows: 1. The six most frequent diseases were ranked as follows: diseases of the 1) respiratory system, 2) musculoskeletal system and connective tissue, 3) digestive system, 4) skin and subcutaneous tissue, 5) circulatory system, and 6) symptoms, signs and abnormal clinical and laboratory findings. Especially in 2002, circulatory system related disease rose two steps in the ranking and digestive system related disease went a step down. 2. The patients\' use of primary health care posts over the past seven years continued to increase on the whole. Conclusions: According to these results, each primary health care post should carry out special health promotion programs that fit the local society of N- county and are in accordance with changes in health care needs.
Ⅰ. 서 론 Ⅱ. 연구 방법 Ⅲ. 연구 결과 Ⅳ. 논 의 Ⅵ. 결론 및 제언 참고문헌 - Abstract -
