RISS 검색 - 국내학술지논문 상세보기

부가정보

다국어 초록 (Multilingual Abstract)

Aim(s): Soldiers have received primary health care from the medical company in Republic of Korea Army, and they are transferred to the medical battalion or military hospital if needed. However, the medical company has a restriction in providing timely care because of the lack of resources, which causes a decrease quality of primary health care. Therefore, we conducted a pilot project that the medical battalion conducted unctions of primary health care instead of the medical company. The purpose of the study was to compare performance indicators of the primary health care before and after the pilot projects.

Method(s): This study evaluated differences in performance indicators of primary health care before and after the pilot projects. The indicators consisted of three categories: accessibility (travel time to medical unit, waiting time per patient, and the number of untreated among outpatient visits), system infrastructure (the number of X-ray inspections and pathological tests), and care coordination (the number of transferring to an advanced or private hospitals). The pilot project was conducted from September 2019 to April 2020, and the data were collected from January 2019 to March 2020.

Result(s): The system infrastructure and care coordination were improved while accessibility was deteriorated. Travel time to medical unit, waiting time, and the number of untreated patients were increased. The number of X-ray inspections and pathological tests were increased by 23.0% and 20.2%, respectively. The number of transferring was increased by 29.9% as well.

Conclusion(s): This study identifies that the pilot project on improvement of medical battalion"s function was effective in improving system infrastructure and care coordination. Meanwhile, this study may suggest that strengthening strategies for accessibility should be prioritized to expand the pilot projects.