J Agric Med Community Health.  2010 Dec;35(4):350-360.

Factors Related to the Medical Service Performance of Rural Health Sub-centers

Affiliations
  • 1Department of Nursing, Shingyeong University, Korea. haneek95@hanmail.net
  • 2Department of Preventive Medicine, Konyang University Medical School, Korea.

Abstract


OBJECTIVES
This study was conducted to identify factors that affect medical service performance in rural health sub-centers and to develop a method to improve health sub-center performance that takes advantage of these insights.
METHODS
This study included 1,242 South Korean health sub-centers that had been in operation at least since December 31, 2009 as units of analysis. After adjusting for population differences between areas, the performance of medical service among health sub-centers was analyzed according to medical services performed per person. We performed t-tests, ANOVA, Scheffe's tests and multiple regression analyses.
RESULTS
The following were significant variables affecting the medical service performance of rural health sub-centers: number of hospitals and clinics, presence of community health practitioner posts, distance from health sub-centers to main public health centers, distance from health sub-centers to the nearest emergency medical facilities, and proportion of the local population aged 65 and over. In contrast, the proportion of the local population between ages 0-4 and the placement of public health doctors that had already completed their internship were not significant variables.
CONCLUSIONS
The medical service performance of health sub-centers located in rural areas is significantly affected by local population and health care environment characteristics, and therefore, it is imperative to develop strategies to provide differentiated service based on these factors.

Keyword

Medical service performance; Health sub-center

MeSH Terms

Aged
Delivery of Health Care
Emergencies
Humans
Imidazoles
Internship and Residency
Nitro Compounds
Public Health
Rural Health
Imidazoles
Nitro Compounds
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