[논문]지역보건의료계획 수립과정에서의 시민참여: 건강 격차 해소방안을 위한 시민원탁회의 결과를 중심으로

이수진; 홍남수; 김건엽; 류동희; 배상근; 김지민

doi:10.5762/kais.2021.22.5.151

지역보건의료계획 수립과정에서의 시민참여: 건강 격차 해소방안을 위한 시민원탁회의 결과를 중심으로
Citizen Participation in the Process of Establishing the Community Health Plan: Based on the results of roundtable discussions to Resolve the Health Disparity 원문보기

한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, v.22 no.5, 2021년, pp.151 - 161

이수진 (대구광역시 공공보건의료지원단 협력지원팀) , 홍남수 (경북대학교 예방의학교실) , 김건엽 (경북대학교 예방의학교실) , 류동희 (대구가톨릭대학교 예방의학교실) , 배상근 (칠곡경북대학교병원 공공보건의료사업실) , 김지민 (대구광역시 공공보건의료지원단 협력지원팀)

초록
AI-Helper

본 연구는 지역보건의료계획 수립과정에서 시민들이 생각하는 건강문제와 보건 서비스 요구도를 정확히 파악하고 이를 대구광역시의 중장기 보건의료 종합계획 수립에 반영하고자 함을 목적으로 하였다. 시민참여단을 구성하여 2차례의 시민원탁회의를 실시하였으며, 시민원탁회의는 고객여정지도, DVDM (Definition, Value, Difficulty, Method) Map, 페르소나 기반 시나리오법을 통해 진행하였다. 시민들은 건강수준 향상을 위한 방안으로 보건 서비스 접근성 확대, 소생활권 중심 보건 서비스, 정신건강 서비스 확대, 건강 친화적 환경조성, 환경오염 개선, 사회적 건강개선을 제안하였으며, 건강 격차를 줄이는 방안으로는 건강 취약계층의 소통 향상 및 사회적 환경조성, 보건의료에 대한 접근성 향상, 쾌적한 물리적 공간, 사회적 역할 수행이 필요하다고 하였다. 본 연구 결과는 기존의 설문조사를 통한 주민요구도 조사와 달리 실제 주민들의 생각과 요구를 상세히 파악할 수 있었다는 점에서 의의가 있으며, 향후 지역보건사업의 기획과 수행과정에서 주민참여 수준의 단계를 평가하고, 보다 다양한 시민들의 의견을 적용할 수 있도록 주민참여 제도화 기반 수립을 위한 추가적인 연구가 필요할 것이다.

Abstract ▼ AI-Helper

The purpose of this study was to identify citizens' needs and what they perceive the health-related problems are so public opinion can be reflected in the Daegu Community Health Plan. A citizen participation group was organized, and two roundtable discussions were held in June and July 2018. The number of participants in the first and second round was 40 and 44, respectively. Customer itinerary guidance, DVDM (Definition, Value, Difficulty, and Method) Map, and Persona-based scenario method were used for the roundtable discussions. The measures to improve the health status proposed by the citizens included expanding access to health services, establishing health services centered on small-living areas, expanding mental health services, creating health-friendly environments, resolving environmental problems, and improving social health. In addition, enhancing communication and creating harmonized environments, improving access to healthcare, generating pleasant physical environments, and assigning socials roles for vulnerable individuals were brought up as the means to resolve health disparities. The strength of the present study lies in the fact that, unlike survey methods, the citizens' exact needs were identified by sharing their thoughts. Moreover, it was proven that practical measures would be needed to implement citizen participation in planning health-related projects.

주제어

표/그림 (5)

표 Table 1. Characteristics of participants
그림 Fig. 1. The 1^st round of the roundtable discussion: Using Customer Journey Map and DVDM Map
그림 Fig. 2. The 2^nd round of the roundtable discussion: Using Persona-based Scenario Method
표 Table 2. Results of the 1^st roundtable discussion involving citizens: How to improve citizens' health status?
표 Table 3. Results of the 2^nd roundtable discussion involving citizens: - what are the means that can resolve health disparities?

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