J Korean Community Nurs.  1989 Feb;1(1):25-44.

A Study on the Distribution of Health Clinic Nursing Personnel and the Conditions of Health Service Delivery

• Kim MS

Abstract

This study by the research team from Local Nursing Branch Association about public health centers has investigated the conditions of health service delivery carried out by public health centers nursing personnel on the quantitative side in order to provide basic data needed for a reasonable plan for providing nursing personnel for public health clinics. The results of this study are as follows. 1. The Distribution of Nursing Personnel over Public Health Centers in Each Region and in Each Service Area 1) 'As of the end of 1986, a total of 3,065 nurses were working for 225 public health centers nationwide. Of them, 481 (15.6%), the greatest number, were assigned to centers in Seoul, and 41 (1.3%), the least number, to centers in Jeju-do. As for service areas, 789 nurses (24%), the greatest number, were assigned to the area of family planning, and 103 (3%), the least number, to the area of leprosy control. The nationwide reinforcement ratio of the nursing personnel was 97% as of the end of 1986. As for the reinforcement ratio in each region, it was a 100% level in Busan, Chungbuk, and Jeonbuk while it was 91%, the lowest ratio, in Gyeongbuk. As for the ratio in each service area, it was over 100% in leprosy control and other service areas, and 93%, the lowest ratio, in the mother-child health 2) As for the distribution ratio of nursing personnel in public health centers based on their statuses, Of 3,065 workers in total, 2,99 were nurses and 866 other personnel (nursing auxiliaries + other officially recruited personnel). Thus, the ratio between nurses and other personnel was about 3:1. As for the distribution ratio between nurses and other personnel in each region, it was 79:1, the highest ratio, in Seoul, while it was 1:1, the lowest one, in Chungbuk. As for the ratio in each service area, it was 8:1, the highest ratio, in the diagnostic area, while it was 0.2:1, the lowest one, in leprosy control. 2. The numbers of populations and households to be cared by public health center nursing personnel As of October 1985, the number of nurses per population consisting of 100,000 people was 5, and that of other personnel per the same sized population was 2. The number of nurses for 10,000 households was 2, and that of other personnel for the same number of households was 1. The region that had the greatest number (7) of nurses per population of 100,000 people was Gangwon-do, while it was Incheon that had the least number (2). On the other hand, the region that had the greatest number (5) of other personnel for 100,000 people was Chungbuk, and Seoul had the least number (0.1). 3. The number of services provided by one public health nurse in each region and in each service area 1) As of the end of 1986, the nationwide average number of services per public health nurse was 235 annually, 20 monthly, and 1 daily in the tuberculosis control area. As for the region-based number of services, public health nurses provided the greatest number of services in Seoul, in that they provided 2,131 services annually in average, 178 monthly, and 7 daily. 2) As of the end of 1986, the nationwide average number of services per public health nurse was 1,129 annually, 94 monthly, and 4 daily in the family planning area. As for the region-based number of services, public health nurses provided the greatest number of services in Incheon, in that they provided 2,423 services annually, 202 monthly, and 8 daily. 3) As of the end of 1986, the nationwide average number of services per public health nurse was 1,660 annually, 138 monthly, and 6 daily in the mother-child health area. As for the region-based number of services, public health nurses provided the greatest number of services in Busan, in that they provided 8,760 services annually, 730 monthly, and 29 daily. 4. Service Delivery Ratios for Service Receivers in Service Areas 1) The number of service receivers in the tuberculosis control area as of the end of 1985 was 804,605 nationwide, and the number of services provided was 106,299. Thus the service delivery ratio was about 132 services per 1000 receivers. 2) The number of service receivers in the family planning area as of the end of 1985 was 6,749,171 nationwide, and the number of services provided was 857,511. Thus the service delivery ratio was about 127 services per 1000 receivers. 3) The number of service receivers in the mother-child health area as of the end of 1985 was 11,272,821 nationwide, and the number of services provided was 1,512,284. Thus the service delivery ratio was about 134 services per 1000 receivers. We make the following proposals based on the results so far. 1) In consideration of the various and complex requirements by receivers health medical services in future, it is necessary to yield a proper number of public nursing personnel. 2) For the sake of efficient management of public health center nursing personnel, a political measure should be provided that clearly defines limitations of jobs for such personnel based on their statuses.

MeSH Terms

Busan
Chungcheongbuk-do
Family Characteristics
Family Planning Services
Gangwon-do
Gyeongsangbuk-do
Hand
Health Services*
Incheon
Jeju-do
Jeollabuk-do
Leprosy
Nurses, Public Health
Nursing*
Public Health
Seoul
Tuberculosis