PyeongChang Health center and County hospital 2005' 3

1
PyeongChang Health center and County hospital
2005. 3

• Joo H. Yoon, M.D.

2
Pyungchang County

• The navel of Korea
• Abuts with 5 other counties.
• 2 Great ski resorts famous nationwide. (Yongpyung
  resort, Pheonix park)
• Population 45,311 (in decreasing unfortunately)
• Many meadows, many cows (over 45,311 maybe)
• Buckwheat noodle, Steamed potato, korean
  beefsteaks are very famous dishes.

3
Administrative Districts

• 1 Eup (little county) Health care and county
  hospital
• 7 Myons (town) Health subcenters
• 187 Ris (small town) primary health care posts
• 16 health center and county hospitals in Korea
• Made by reinforcing clinics to the traditional
  public health center, launched on the year of
  1989.
• Working as secondary medical center in the remote
  counties without hospital

4
Resources

• Public health doctor doctors who are to work in
  the doctorless hamlets for 3 years as their
  duties instead of serving the army.
• Serve as main manpower in the rural area.
• The Korean draft system
• All formerly elaborated hospitals are managed by
  the county office. (budget approx. 50 grand USD
  annually)
• Affiliated with the Health and Welfare Affairs
  and the Province office

5
(No Transcript)
6
Organization
7
Role County hospital (1)

• 1. health promotion, health education and
  nutrition, oral health.
• 2. Control of contagious disease
• 3. Maternal, reproductive healthcare and
  childcare.
• 4. Control of geriatric disease
• 5. food safety and public hygiene

8
Role County hospital (2)

• 6. Direction for health care providers
• 7. Direction for medicaltechnician and
• spectacle office.
• 8. Emergency care
• 9. Direction for public health doctors and
  nurses who are engaged in health subcenter and
  primary health care post..

9
Role County hospital (3)

• 10. Education - pharmacist
• - esp. control of narcotics.
• 11. Mental healthcare
• 12. Home visiting care
• 13. Prevention and palliative Tx. of cancer
• 14. Chronic disease control
• 15. Rehabilitation of the handicapped.

10
Health Service of Community-Based Rehabilitation

• 1. Purpose
• ? Minimizing disabilities and improving
  self-achieving ability
• - prevention, early diagnosis and
  proper treatment of disease
• condition at the community level
• ? Reinforcing rehabilitation service
• - building up relationships among various
  organizations.
• ? Production, execution and further management
• of rehabilitation program

11

• 2. Primary objects
• Establish the basic research system for
• enlisted handicapped people (I.e. )
• Run an actual, geographically accesible rehab.
• model by the Health subcenters
• Application of private funds to run the house
  call
• (visiting healthcare) and rehab.  program

12
Present condition

• 1. Present condition of eligible people for
  rehabilitation service ? Total population
  45,311 ? Handicapped persons 2,078 (4.58)

13

• 2. Human resources (health care provider) ?
  County hospital a housecall team of 4
  (including temporary) ? Health subcenter 7 ?
  Primary health care post 15 3. Facilities ?
  rehab. center Pyungchang, Yongpyung and Jinbu
  Health subcenter 
  (3)     --gt Equipments
  22 types 4.  Available centers

14

• 5. System ? County hospital      Planning
  and evaluation of overall services, support of
  practice  (counselling, house call,
  physical therapy) ? Health subcenter / Primary
  health care post     house call, physical
  therapy, education,  ? Volunteer   
   Improving the quality of life
• (washing clothes, repairing, cooking,
  transportation) ? Provincial
  rehabilitation center     counselling
  therapy for the handicapped persons,     and
  running rehabilitation program

15
Concrete service plan

• 1. Overall house call rehabilitation program 1)
  Object  ? Run a housecall rehabilitation team
  in every town  ? Support for managing team of
  county hospital 2) Promotion Contents and
  Process  ? Promotion Contents   - Medicine
  Housecall connected by doctors of Internal
  medicine, Herbal medicine,
  Rehabilitaion medicine,
  Dental medicine.   - Lifestyle improvement
  Cleaning residential area, haircut,
  bathing, cooking services.   -
  Transportation Regard to rehabilitation
  program    - Register the handicapped persons

16

• 2. Managing Physical therapy
• and rehabilitation care center 1)
  Service contents  ? Eligible people for
  rehabilitation center      Within 1 year from
  disability, having will of rehabilitation  ?
  Connection service with the volunteer groups for
  transportation  ? 2 or more therapy per
  week to gain the maximal efficacy
• 2) Details in management  ? At the
  rehabilitation center      register the
  handicapped persons after the consultation by
• rehabilitation doctor (treatment plan
  and prognosis)  ? Transportation service     
  2 or more transportation service per week     ?
  Dispatch of the rehabilitation doctor  
  Consultation once a week (re-evaluation  at
  6th month)
• Contents Education, counselling,
  treatment, prescribing
• orthosis, evaluating level of
  disability.

17

• 3. Stroke and Orthosis management 1) Service
  contents 
•  ? Education of high-risk group for stroke,
  prevention of bed sore. ? Continuous
  post-stroke care for preventing relapse.  ?
  Purchase and lease manage for the handicapped.
   ? Re-evaluation of orthosis care every 6
  months. 2) Details in management
• ? Treatment of bed sore Prevention is the
  most important of all. ? Prescribing the
  orthosis - with house call rehab. program.   ?
  Consultation by doctor should be arranged
• (within 1 month of wearing.)  ?
  Educating the proper usage and re-evaluating
  every 3 months. ? Dietary management of
  hypertension and diabetes.

18

• 4. Direct participitation of residents in the
  local community to the rehab. program. 1)
  Service contents Managing services by not only
  caregivers but also residents in the local
  community.
• 2) Details in management A. Outdoor activity
  for the handicapped - Target People with
  limited activity due to immobilization   -
  Method Combined with volunteer groups, a
  one-day trip.   - Time October   - People
  in participation 20-30 B. Prevention and
  actual experience of disability - In
  connection with the provincial rehabilitation
  center, the education of traffic rules and
  actual disability experiences
  session  toward the kindergarten and elemental
  school kids.   - Education of chronic
  degenerative diseases      (hypertension, DM,
  strokes, arthritis)   - Prevention of the
  disability from the elderly     (65 years old
  or over) physical exercises, aerobics

19

• 5. Others
•  ? 5 Special training of rehab. service
  centers by the
• consignment to National rehabilitation
  center  ? Education of the Health subcenter 
  2005. 5.  ? Education training of the
  volunteers April and May        ? Education
  and management basic training - Febrary
  - further training will be done at any time
  around the year.

20
Budget