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- 저자 : 方 琡 (검색결과 1 건)
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方 琡,金鐘淏,李鍾仁 순천향대학교 1988 논문집 Vol.11 No.1
This study is to investigate the maternal health care seeking behavior in relation to the characteristics of the local health care systems in rural Korea. This study found that there was a medical pluralism in the maternal health care seeking behavior such as healer shopping. This is due to the existence of the structural complexity of the local health care system in rural Korea. We can categorize the local health care systems into four sectors: mordern-public (i.g. health sub-center, MCH center, community health practionner), modern-private(i.g. local clinics, hospitals ect.). traditional-formal (i.g. herb doctor) and traditional-informal (i.g. acupunctucture practionner, informal drug marchant and spiritual therapeutists such as shamans, diviners.) sectors, Because of this structural complexity of the local health care system, not all maternity women are soley depended on modern medical doctors and their professional referrals, but used one or two other sectors without professional referrals before and after reaching modern medical sectors. In 40 families we studied, there were no cases whose maternal health care (prenatal, delivery & postpatrum) were soley depended on one obstetrical care resources. This anthropological observations correspond to the survey data collected in July 1987. We can conclude that the medical pluralism in maternal health care seeking behavior is mainly due to the structural complexity of the local health care system in which four sectors, cited above, are not systematically linked each other in the health care deliverly system. This study also found that there were the socio-cultural factors which influence on the maternal health care seeking process as follows: a. The delivery cost at the MCH center is about ￦30,000 While the same service costs ￦180,000 at a community Hospital. Thus. 44% of the pregnant women were delivered at the county MCH center while 15% used a Community Hospital, according to the survey in July 1987. b. The utilization of the MCH center was influenced by the family type (nuclear and extended). Though the stay period in the MCH center after delivery is 3 days, a higher percentage of women from extended families with mother-in law stayed for only 24 hours, in comparison with women from nuclear families. c. For postnatal care, rural women tend to depend on traditional medicine especially for back pain after delivery. For delivery care, however, most rural women depend on western medicine facilities. d. In terms of doctor patient relationship, a close relationship is a key factor in selecting a physician. Patients tend to go back to the same doctor again and again. This partnership is most evident in prenatal care. e. The patients prefer the individual private practioner over the hospital. Rural women have more confidence on older private doctors than in younger hospital doctors. A factor related to this is that older doctors tend to take more time to listen to the patient. Younger doctors at hospital offer more laboratory tests, but do not take the time to listen to the patient or provide an adequate explanation regarding the patient's problems. Therefore, there is a need to take into account socio-cultural aspects of maternal health seeking behavior in planning and implementing a maternity care programme in rural Korea.
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