J Agric Med Community Health.  2022 Mar;47(1):1-13. 10.5393/JAMCH.2022.47.1.001.

Development of a public health care linkage model within the community care system in Daejeon City

• Lim JY
• Ahn NN
• Lee SG
• Ahn SK

• KMID: 2535047
• DOI: http://doi.org/10.5393/JAMCH.2022.47.1.001

Abstract

Objectives
This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system.
Methods
A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson’ model, a total of 5 catergories, 8 topics, and 22 sub theme were derived.
Results
The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users’ commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role.
Conclusions
Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.

Keyword

Community health care; Public health; Needs; Resource; Care pathway