외국인 근로자를 위한 의료서비스 활성화 방안에 관한 연구 = Activation of Mobile Medical Services for Migrant Workers

다국어 초록 (Multilingual Abstract)

This descriptive study was done to identify the level of satisfaction of migrant workers and what they want, and to suggest for its activation in mobile medical services.
For the data collection, visitors at 3 of free clinics in Seoul, Raphael Clinic, Good Neighbor Clinic, Seoul Red Cross Hospital, were asked to answer to a structured questionnaire which is consisted of general characteristics, working conditions, health perceptions, and use of medical services. The data was analyzed by its frequencies, percentiles, and content analysis for open questions. And hospital records at Seoul Red Cross Hospital during the same period were analyzed focusing on the written diagnoses.
The results were as follows:
1. The respondents were mostly from China(42.5%) and Bangladesh(26.6%). In religion, Muslim(36.5%) was most, and Christian(18.9%), Catholic(6.0%), Buddhism(5.2%) in its order.
Most of them(52.8%) were working for manufacturing, and housemaid(17.2%) in women.
2. In health perception, almost half of them(49.8%) complained sickness with musculoskelectal problem(35.6%), digestive problem(24.0%), respiratory problem(12.0%), dental problem(2.8%), and circulatory problem(2.4%).
3. The respondents sought for medical help through free clinics (43.6%), pharmacy(39.2%), local clinics(8.9%), and general hospitals (6.5%), in its order.
4. For better services, they wanted to see doctors every weekend at hospital facilities. And shortening waiting time, better quality of medical team, interpretation, emergency medical service were factors to be improved.
5. The migrant workers were hospitalized under diagnosis of hemorrhoid, ligament rupture, HIVD, and delivery cases in women.
Based on the results, several problems were identified with suggestions to activate mobile medical services in free clinics for migrant workers. For effectiveness of medical resources, sharing informations and equipments, cooperation between clinics should be considered. For better services a systematic support of government should be considered which provide stable funds for clinics and incentives for volunteer doctors.

목차 (Table of Contents)

• 제 1 장 서 론
• 제 1 절 연구의 목적 = 1
• 제 2 절 연구의 범위 및 방법 = 4
• 제 2 장 외국인 근로자의 이론적 논의
• 제 1 절 외국인 근로자에 대한 의의 = 5
• 1. 외국인 근로자의 유입배경 = 5
• 2. 외국인 근로자 현황 및 유형 = 6
• 3. 외국인 근로자에 대한 정책 = 13
• 제 2 절 외국인 근로자의 건강특성 = 16
• 1. 외국인 근로자의 건강문제 = 16
• 2.외국인 근로자의 의료이용 행태 = 18
• 제 3 절 국내외 무료진료소 운영실태 비교 = 19
• 1. 서울적십자병원 진료소 = 19
• 2. 라파엘의 집 = 20
• 3. 경동교회 = 21
• 4. 일본 = 23
• 제 3 장 외국인 근로자의 무료진료소 실태 분석
• 제 1 절 선행연구 = 27
• 1. 연구대상자의 일반적 특성 = 27
• 2. 직업 및 주거환경 특성 = 28
• 3. 건강문제 = 29
• 제 2 절 연구방법 = 30
• 1. 연구의 설계 = 30
• 2. 분석방법 = 31
• 제 3 절 무료진료소의 실태 분석 = 31
• 1. 대상자의 일반적 특성 = 31
• 2. 무료진료소의 진료현황 및 이용실태 = 40
• 3. 무료진료소 이용 만족정도와 실제 요구사항 = 46
• 4. 무료진료소의 문제점 = 54
• 제 4 장 외국인 근로자 무료진료 서비스의 활성화 방안
• 제 1 절 무료진료소 의료이용 실태의 활성화 측면 = 59
• 1. 운영의 지속성 및 체계화 = 60
• 2. 시설 및 장비의 개선 = 60
• 제 2 절 무료진료소 이용 만족 활성화 측면 = 60
• 1. 제도적인 의료체계의 마련 = 60
• 2. 사회 적응을 위한 체계적인 사회교육 실시 = 61
• 제 5 장 결 론 = 62
• 참고문헌 = 66
• 설문지 = 71
• 영문초록 = 79