保健所機能 標準化作業 및 保健所와 支所의 均衡있는 開發策 : 農村保健所를 中心으로 = Standardization of Health Center's Function and Its Balanced Development between Health Center and Sub-center

다국어 초록 (Multilingual Abstract)

Since the commencement of the activities of the health centers there have been many problems inherent in the system. Namely health centers have excluded the medical care function from -their list of activities and it is this function which is most eagerly desired by the community at large. So the function has not been sufficient to solve the health needs of communities in our country.
Therefore, the health center has not been able to really take roots in the community in our, country. Even though the health centers have conducted public health measures for the prevention of diseases the community has never appreciated these endeavors due to a lack of -understanding about health in general. The health center should accordingly be renewed from :its old stagnant activities and be reactivated to perform new tasks including medical care. Indeed the government has changed the health center with performing these tasks including providing medical care to low. income persons beginning this year. The duties and responsibilities of the health center are therefore of very great importance.
The function of the health center should be based on community needs. It is highly desirable then to establish new functions and strengthen old functions of the health center in order to fulfill the health needs of the community. Also it would be desirable to create a local community .organization to inform the people that the health center is their own agency and that would act for their own health maintenance and promotion.
The function of the health center should include:
1. Medical care
2. Local health planning -based on health needs of the community
3. Community health organization including participation of residents
4. Health organization in coordination with outside health facilities
5. Supervision, guidance and training for health workers at health sub-center 6. Functions concerning environmental sanitation including food sanitation 7. Evaluation
The function of the health sub-center should be:
1. Primary medical care, patient case finding and referral to high level facilities 2. Comprehensive health services based on household unit
3. Collection of vital statistics to evaluate the project programs 4. Cooperating with local residents
5. Guidance concerning health matters in every day life
To improve the function of the health center it would be desirable to provide a competent staffs, a sufficient financial support, installation of modern equipments and unification of the administrative channels.
To improve the efficiency of personal health services to the community at the health sub center it would be desirable to establish a place where health care could be easily delivered to the community.