Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Experiences of Public Visiting Nurses on the Linkage Cooperation of public case management: Focus Group Interview

방문건강관리사업 담당자의 공공부문 사례관리 연계협력 경험: 포커스 그룹 인터뷰

  • Received : 2020.05.07
  • Accepted : 2020.08.07
  • Published : 2020.08.31
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Abstract

This study was conducted to identify the linkage and cooperation experiences in public case-management services of visiting health care practitioners. Focus group interviews were conducted with three people in charge of providing visiting healthcare services in public health centers. A semi-structured interview questionnaire was developed in advance through discussions among researchers In response to the interview questions, study participants described in detail the success and failure factors associated with linkage and cooperation that they experienced while providing visiting healthcare services. The interview data were analyzed qualitatively to identify the main themes and sub-themes reflecting visiting nurses' experiences with linkage and cooperation. The three main themes were: 'Guidelines act as positive performance factors for community-based linkage and cooperation', 'Unstable employment and lack of an integrated system act as barriers to linkage and cooperation', and 'Necessary for multidimensional approach to promoting linkage and cooperation'. Based on these results, the authors propose the development of clear linkage and cooperation standards and procedures, thereby ensuring job security for visiting nurses. Moreover, an integrated information system should be developed and implemented.

이 연구는 공공 행정에서 서비스 전달 조직과 절차를 관리하고 재정을 지원하는 공공부문 사례관리 사업 중 방문건강관리 사업 실무자를 대상으로 타 사례관리 사업과의 연계협력 업무에 대한 경험을 파악하기 위해 실시하였다. 광역시와 시군 소재 보건소 방문건강관리사업 담당자 3명을 대상으로 포커스 그룹 인터뷰를 실시하였고, 자료 수집을 위해 사용한 인터뷰 질문들은 사전에 연구진간 논의를 거쳐 도출한 반구조화 질문지를 활용하였다. 연구 참여자들은 방문건강관리 업무를 수행하면서 경험한 연계협력의 성공과 실패 요인들을 심층적으로 기술하였다. 인터뷰 내용은 질적으로 분석되어 3개의 주제, 9개의 하위주제가 도출되었다. 연구결과, 공공부문 사례관리 사업 간 연계협력 업무안내서는 연계협력을 수행하는 데 있어 긍정적 성과요인이었지만, 방문건강관리 전문 인력의 불안정한 고용문제와 통합시스템의 부재는 연계협력의 장애요인이었으며, 성공적인 연계협력을 위해서는 인적 인프라 강화, 기능적 시스템 개선, 조직적 차원의 방안 마련 등 다각적인 접근이 필요한 것으로 확인되었다. 이에 명확한 연계협력 표준 및 절차 수립, 방문간호 전문인력의 처우 개선, 사례관리 통합정보시스템 개발을 제안한다. 또한, 지역 간 편차가 큰 방문건강관리 사업의 특성을 고려하여 다양한 지역을 대상으로 한 추후 연구가 필요함을 제안한다.

Keywords

References

  1. M. C. Hokenstad & R. A. Ritvo, "Linking health care and social services: international perspectives", Sage publications, 1982.
  2. S. Y. Min, "Service delivery system for the integration of public case management", Social Welfare Policy, vol.46, no.2, pp.143-173, 2019. DOI:http://dx.doi.org/10.15855/swp.2019.46.2.143
  3. Ministry of Health and Welfare(MHW), "Korean-style Community Care made with experts and field participation". 2018. Available From: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=344841 (accessed Dec., 20, 2019)
  4. Ministry of Health and Welfare(MHW), "Community care leading project". 2019. Available From: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=347345&SEARCHKEY=TITLE&SEARCHVALUE=%EC%BB%A4%EB%AE%A4%EB%8B%88%ED%8B%B0 (accessed Dec., 20, 2019)
  5. Ministry of Health and Welfare(MHW), "Primary plan of Community Care". 2018. Available From: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=346683&SEARCHKEY=TITLE&SEARCHVALUE=%EC%BB%A4%EB%AE%A4%EB%8B%88%ED%8B%B0 (accessed Dec., 20, 2019)
  6. C. H. Kang, "Tools of Linkage for Integrating Health and Social Care: Commissioning of UK", Health and Social Welfare, vol.33, no.1, pp.417-450, 2013. DOI:http://dx.doi.org/10.15709/hswr.2013.33.1.417
  7. S. J. Kim, H. J. Kim, K. J, Lee, S. O. Lee, "Focus group method", Hyunmoon publications, Seoul, 2000.
  8. K. R. Shin, Y. J. Jang, Y. K. KIm, K. J. Lee, M. M. Choi, H. Y. Kim et al., "Focus group method". Hyunmoon publications, Seoul, 2004.
  9. S. Y. Min, H. S. Kim, E. M. Seoung, K. H. Ha, "A Study on the monitoring for Linkage Cooperation of public case management", Social Security Information Service(SSIS), Seoul, 2019.
  10. J. W. Cresswell, "Qualitative inquiry and research design: Choosing among five traditions', Sage Publications, London, 1998
  11. Y. S. Lincoln, E. G. Guba, "Naturalistic inquiry", Sage publications, Newbury Park, CA, 1985.
  12. Ministry of Health and Welfare(MHW) & Korea Health Promotion Institute(KHPI), "2019 Manual for community based integrated health promotion program - Visiting health care services". Korea Health Promotion Institute Press., Seoul, 2019.
  13. H. K. Nam, "A research on the health care and the demand for visiting health care services for vulnerable children in comparison with non-vulnerable children in a region", Journal of Korean Public Health Nursing, Vol.30, No.3, pp.556-569, 2016. DOI:http://dx.doi.org/10.5932/JKPHN.2016.30.3.556
  14. In-Ha University Industry Academic Cooperation Foundation(IHUIACF). "The development of vulnerable classes health management services model on community integrated health promotion program", Korea Health Promotion Institute Press., Seoul, 2016.
  15. Jeju National University(JNU). "2012 Yearbook of home visiting healthcare service", Ministry of Health and Welfare Press, Sejong, 2013.
  16. J. H. Kim, T. J. Lee, J. H. Lee, S. J. Shin, E. H. Lee, "A cost benefit analysis of individual home visiting health care", Journal of Korean Academy of Community Health Nursing, Vol.21, No.3, pp.362-373, 2010. DOI:http://doi.org/10.12799/jkachn.2010.21.3.362
  17. Visiting Nurse Association in Korea(VNAK), "Understanding and prospect of home visiting healthcare service", Seoul, 2013.
  18. G. A. Lee, S. J. Yang, E. H. Woo, "Past, Present, and Future of Home Visiting Healthcare Services based on Public Health Centers in Korea", Journal of Korean Public Health Nursing, Vol.32, No.1, pp.5-18, 2018. DOI:http://dx.doi.org/10.5932/JKPHN.2018.32.1.5
  19. S. N. Chang, "Developing Strategies for Improving the Efficiency of Home Visiting Program", Ministry of Health and Welfare Press, Sejong, 2014.
  20. Ministry of Employment and Labor(MEL), "Guidelines for transitioning non-regular workers to regular workers in the public sector", 2017. Available From: http://www.korea.kr/archive/expDocView.do?docId=37729 (accessed Dec., 20, 2019)
  21. Y. R. Han, S. J. Yang, O. K. Ham, G. A. Lee, S. H. Kim, J. Y. Ha, "Community Care and visiting Nursing Services in Denmark, Sweden, the United States, and Japan", Journal of Korean Public Health Nursing, Vol.34, No.1, pp5-21, 2020. DOI:http://dx.doi.org/10.5932/JKPHN.2020.34.1.5
  22. K. S. Lee, G. J. Sa, M. K. Han, Y. M. Park, "Community care Theory and policy", Korea Institute for Health & Welfare Policy, Seoul, 2019.
  23. Y. S. Lee, "Trends of visiting medical and home health care services in the US and Singapore", HIRA Policy Trend, Vol.13, No.3, pp83-97, 2019.
  24. Y. R. Han, "Community Care and Nurse Care Coordinator", Journal of Korean Public Health Nursing, Vol.33, No.3, pp311 - 325, 2019. DOI:http://dx.doi.org/10.5932/JKPHN.2019.33.3.311