초록 ▼

Ⅳ. 연구결과
농어촌 보건의료서비스개선사업을 위한 농특세 재정의 특별지원은 필요성과 타당성이 충분히 있으며 그 사업의 중간평가 결과 목적한 방향으로의 투자가 이루어져 각 분야에서 상당한 효과를 거두고 있음.
그러나 사업관리의 경직성, 사후활용도 제고 대책 미흡, 농어민접근도가 높은 면 단위 이하 보건지소와 보건진료소의 투자 미흡, 지역보건의료계획과 집행능력의 부족 등이 지적되고 있음.
취약한 부문에 대해서도 투자를 계속할 경우 보다 큰 효과를 거둘 것으로 예상됨.
따라서 계속적인 투자사업으로 지속되도록 해야할

Ⅳ. 연구결과
농어촌 보건의료서비스개선사업을 위한 농특세 재정의 특별지원은 필요성과 타당성이 충분히 있으며 그 사업의 중간평가 결과 목적한 방향으로의 투자가 이루어져 각 분야에서 상당한 효과를 거두고 있음.
그러나 사업관리의 경직성, 사후활용도 제고 대책 미흡, 농어민접근도가 높은 면 단위 이하 보건지소와 보건진료소의 투자 미흡, 지역보건의료계획과 집행능력의 부족 등이 지적되고 있음.
취약한 부문에 대해서도 투자를 계속할 경우 보다 큰 효과를 거둘 것으로 예상됨.
따라서 계속적인 투자사업으로 지속되도록 해야할 것임.

Abstract ▼

This study intends to assess intermediate results of investment project in public health facilities, which has been practiced since 1994 in order to improve rural medical care service. Up until now, 222 billion won has been invested on public health facilities via rural special tax fund based on the

This study intends to assess intermediate results of investment project in public health facilities, which has been practiced since 1994 in order to improve rural medical care service. Up until now, 222 billion won has been invested on public health facilities via rural special tax fund based on the rural development bill, and future investment will be continued in the project. Therefore, it is important to examine goals and direction of the investment project and further assess results and effects of the project.
This study also intends to get some solution for the problem derived in the assessment process and suggests direction for efficient investment project in the future.
In this study survey has been done on both institution facilities and employees in 145 public health centers in county level, who are supported by rural medical care service support program.
Results from this study are summarized as follows:
Firstly, investment project of public health facilities supported by the rural special tax has justification and propriety to boost rural medical care service system, confronting rural population decrease and rural medical service needs.
Secondly, the investment project has equitability in selecting the objects of support and processing the project under strict rules. However, once the investment project has been done, it turns out ex post facto management is poor in terms of enhancing utilization of the facilities and equipment. Furthermore there were few measures to make up deficiencies.
Thirdly, as a result of the investment project of public health institutions, rural residents feel easy accessibility to medical care service, and employees in public health institutions have been elevated their morale. However, specialists to handle/care the new facilities and equipment are in shortage.
Forthly, rural medical service has been reinforced as a result of the investment project.
Fifthly, rural residents feel cheaper and convenient accessibility to medical care service, especially in cases of slight diseases, after the investment project.
In order to enhance equitability and efficiency of the investment project, the investment project should put priority on primary health care posts and public health sub-centers rather than on public health centers, because rural residents can easily access to primary health care posts or public health sub-centers in terms of distance and transportation.
Programs enhancing utilization of the invested facilities/equipment and monitoring system need to be developed and supported in order to enforce ex post facto management system.
It is necessary to enforce planning and execution board for the regional medical care service program. Manpower or specialists in the regional medical care service program need to be systematically organized and execute extension and management services for public health institution in the region.
In order to enhance preventive medical care and public health management system, future investment needs to be focussed on medical equipment rather than on facilities, and moreover it is necessary to develop software enhancing utilization efficiency of the invested equipment and facilities.
Public health institution needs to be the center of regional public health management system. To do so, public health institution needs to extend its business onto public verification related health and medical matters in the region as well as planning and execution of public health programs.
So far it has been turned out the investment project of public health facilities obtains good fruit, which convince future investment on public health. Therefore it is necessary to continue financial support on rural public health service.