一部 農村住民의 傷病 및 醫療實態에 關한 調査硏究

Abstract

This survey was made to determine the overall health situation on (1) the status of sickness; (f) the medical care utilization; (3) the medical cost in Mi-Kum Myun, Nam Yang Ju Gun, Kyung-Gi Do. The survey with questionaire was carried out with 2,840 peoples in 560 households from August 9th to 16th,1979. The findings from the survey were as follows; 1. In therms of the sex distribution, 49.9% of the sample was male and 50.2% was female. Average family number per household was 5.1. 2. The education distribution of the householders was: Primary school 35.2%, illiteracy 17.1%, and college 3.9% respectively. 3. Annual morbidity rate Of the prolonged ill cases was 97.2 per 1,000 population (male 94.7, female 99.6). The highst age specific morbidity rate was 274.5 of the 45-to 64-year group and the lowest was 21.9 of the 5- to 14- year group, 4. Annual morbidity rate of the new patients was 777.5 per 1.000 population(male 644.5, female 909.5). 5. The chief complaints distribution of the prolonged ill cases was: local pain 36.6%, indigestion 22.4%, coughing 7.3%, general pain 4,7%, weakness or dizziness 2.9%, and fever 2.2% respective1y. In terms of age and sex distribution, a large number of female of the 45- to 64- year group complaned of local pain or general pain and a large number of both sexes of the 30- to 44- year group complaned of indigestion. 6. The status of severity of the prolonged ill cases was: severe 17.7%, moderate 49.3%, and mild 33.0% respectively. 7. The major diseases of the new patients which classified with International Classification of Diseases(1.C.D.) were disease of the respiratory system, disease of the digestive system, and disease of the musculo-skeletal system and connective tissue for male, disease of the respiratory system, disease of the digestive system, and accident . poisoning . violence for female. 8. Total ill days of the 92 new patients were 536 days and average ill days per case were 6 ±30.3 days. The distribution by duration of disease was: within 3 days 46.7%, 4-7 days 26.1%, and 8 days over 27.2% respectively. 9. The rate of receiving treatment in the prolonged ill cases was 82.2% (medical facilities 46.4%, drug stores 27.5%, herb medicine 8.3%). 10. The rate of receiving treatment by first choice in new patients was 88.0%: drug stores 57.6%, medical facilities 28.2%, and herb medicine 2,2%, and the rate of receiving treatment by second choice was 30.9% of first treatment cases; medical facilities 44.0%, drug store 44.0%, and herb medicine 12.0%. 11. The utilization rate of treatment of the new patients by duration of disease and mode of treatment was: for duration within 3 days drug stores 72.I% and medical facilities 20.9%, for duration of 4-7 days drug store 45.8%, medical facilities 4l.7%, and herb medicine 4.2%, for duration of 8 days over drug stores 44.0%, medical facilities 28.0%, and herb medicine4.0% respectively. 12. Annual hospitalization rate Per 1,000. Population was 12.0; male 12.0, female 11.9. 13. The Locations of medical facilities utilized by out patients were: in the prolonged ill cases, Seoul or other places 66.4%, Nam Yang Ju Gun 33.6%, in the new patients Seoul or other places 35,1% and Nam Yang Ju Gun 64.9% respectively. 14. The locations of medical facilities utilized for hospitalization were: Seoul or other places 88.2% and Nam Yang Ju Gun 11.8% respectively. 15. The satisfaction rate of the new patients by mode of receiving treatment was: in primary utilization by first choice herb medicine 100.0%, medical facilities 88.5% and drug stores 69.8%, in secondary utilization medical facilities 100.0%, herb medicine 100.0%, and drug stores 72.7% respectively. 16. The medical cost per utilized facilities was as follows: in average medical fee per case out-patient 8,947 won, in-patient 266,000 won, drug stores 1,532 won, and herb medicine 15,607 won, in average medical fee per visiting out-patient 4,829 won, in-patient 14, 178 won, drug stores 891 won, and herb medicine 4,906 won respectively. 17. The sources of the hospital charges paid out were: their own expense 50.0%, debt 35.3%, and security of medical care 14.7% respectively .

;本齋究는 郡準位 地域植金保健匿療事業의 討刻 및 組繼과 그 埼域杜金 開努水準에 적합한 保健隱療信達休系 수립에 요구되는 基礎資斜 一部를 수집할 蘿的으로 梨花女子大孝校 匿料大拳의 農村保健蘿療信達 示龍事業池域인 氷欄面이 속해 있는 甫湯州郡의 梁金面佳民들을 諸遺對象으로 訃劃되었다. 本'硏究圈的을 위하여 1979年 8月9日부터 同16日까지 期間中에標孝練出된 560世帶, 2,840名을 對象으로 調査桑에 의한 傷病 및匿療利用度에 관한 面接 設閭調査를 시행하여 다음과 같은 結果를 얻었다. 1. .調査刻象 560僅帶, 2,840名의 性別 人口分布는 男子 49.8 % 女子 50.2%였으며, 世帶 平均家日員畿는 5.1 名 이 었 다. 2. .世帶主의· 敎育程鹿는 鬪卒 35.2 %, 高卒 22.5 %, 中卒 19.5% 文盲 17.1 %,大率 3.9 %의 順이었다. 3. 長期有病者 276名의 佐民 1,000名 卒間濯病車은 97.2 % 였고, 性別로늘 男子가 94.7, 女子가 99.6 이 었 다. 率齡群別로는 45~64 세군이 274.5로 가장 높았고 5~14 세군이 21.9로 가장 낮았다. 4. 新患者 92名의 住民 1,000名 率間罹病寒은 777.5였고 性別로는 男子가 644.5, 女子가 909.5였다. 5. 長期有病者의 主訴別 分布는 局辯痛疫이 36.6 %, 消化不良 22,4 %, 기침 7.3 %, 全身痛症 4.7 %, 허약 및 현기증 2.9 %, 努熱 2.2 %의 濫이었다. 率齡群別·性別로는 45~64세군의 女子에게 局新痛症과 全身痛疫이 많았으며 補化不良은 30~44세군 男女에게 똑같이 많 았다. 6. 長期有病者의 有病次態는 重症이 17.7 %. 中等症이 49.3 %. 灌流이 33.0%였다. 7. 新患者의 性別 主要疾病은 男子의 경우 呼吸器疾恣, 補化器疾 感, 骨 ·運勳器疾患, 女子의 경우 淨吸器疾病, 消化器疾患, 中毒 ·潑力蓼故의 順이 었 다. 8. .新患者의 綜罹病顯散는 536日로 件平均灌病日鐵는 6±38.3(日)이었다. 有病期間別 分布는 3日 以內가 46.7 %, 4∼7日이 26.8 %, 8日 以上이 27.2 %였다. 9. 長期有病者의 治療裏은 82.2 %였고 匿療機閨利用이 46.4%, 양약사용이 27.5 %, 한약사용이 8.3 %였다. 10. .新患者의 一次 選鎬方法에 의한 治療奉은 88.0 %였으며. 이용방법은 蒙局·謬 57.6 %, 匿·病院 28.2 %, 漢謬 2.2 %의 繼이었고, 二次 選飾方法에 의한 治療裵은 一次의 30,9 %에 해당하였으며 이용방법은 張·痛院 44.0 %,藥局·霧 44.0 %, 漠齋犯 12.0 %의 順이었다. 11. 新患者의 有病期繼別 ·治鑛方法別 利用奉은 駱有病擺問 3日 以內에서 蒙局·雇 72.1 %, 置·病院 20.9%였고 4 ~ 7 日에서 蒙局 ·45.8 %, 匿'病院 41.7 %, 漢潛 4.2 %였으며 8日 以上에서는 蒙局·驛 44.0%, 讓·病院 28.0 %, 溪齋 4.0 %였다. 12. 率間入院匿療利用鑛은 住民 1,000 名? 12.0이었고 性別로는 男子가 12.0. 女子가 11.9이었다. 13. 外來治療에 剩用된 隱療機關의 新在地는 長期有病者의 경우 서울 및 기타지역이 많았으며 (66.4%), 新感者의 경우에는 郡內가 더 많았다( 64.9 % ) 14. 入院治療에 利用된 匿療機閨의 所在地는 서울 및 기타지역이 많았고( 88.2%)그 中 80 % 이상이 病院級 匿療機鬪이었다. 15. 新患者의 治療利用方法別 滯足度를 보면 一次 選流方法의 경우 漢霧 100.0 %, 匿·病院 88.5 %, 蒙局·雇 69.8 %에서 만족을 나타냈으며 二次의 경우 羅·病院과 漢辯은 100.0% 씩 蒙肩 ·72.7%의 만족을 보여 주었다. 16. 外索治療의 治療資 범위는 500 ~ 50,000원, 件출平埼治療叢 및 顧븐平均治療資는 각각 8,947원, 4,829원이었으며 入院治療에서는 치료비 범위가 10,000 ~ 3,000,000월, 件를平均治療費 및羅平均治療叢는 각각 266,000원. 14,178원이었다. 양약 및 한약사용의 경우는 치료비 범위가 400 - 10,000원, 500 ~ 78,000원이었으며 件平均治凉難는 각각 1,532원, 15,607원이었고, 日?平均治療費는 각각 891원, 4,906원이 었다. 17. 支出된 입원치료비의 出述는 自費 50.0 %, 借用 35.3 %, 濫療保障凍況 14.7 % 등이었다.