\uc9c0\uc5ed\uc0ac\ud68c \uae30\ubc18 \uc758\ub8cc \ud504\ub85c\uadf8\ub7a8\uc774 \uc758\ub8cc\uc11c\ube44\uc2a4 \uc774\uc6a9 \ubc0f \ube44\uc6a9\uc5d0 \ubbf8\uce58\ub294 \uc601\ud5a5<\/a>). \ubbf8\uad6d \ub85c\ub4dc\uc544\uc77c\ub79c\ub4dc \uc8fc\ub294 \uc815\ubd80 \uc778\uc99d \ubcf4\uac74\uc18c\uc778 \uc36c\ub354\ubbf8\uc2a4\ud2b8 \ubcf4\uac74\uc18c(Thundermist Health Center)\ub97c \ud1b5\ud574 \uc9c0\uc5ed\uc0ac\ud68c \uae30\ubc18 \uc758\ub8cc \uad00\ub9ac \ud504\ub85c\uadf8\ub7a8\uc778 \u2018\uc9c0\uc5ed\uc0ac\ud68c \uac74\uac15\ud300(Community Health Team, CHT)\u2019\uc744 \uc6b4\uc601\ud558\uace0 \uc788\ub2e4. CHT \ud504\ub85c\uadf8\ub7a8\uc740 \uac04\ud638\uc0ac, \uc9c0\uc5ed\uc0ac\ud68c \ubcf4\uac74 \uc885\uc0ac\uc790, \ud589\ub3d9 \uac74\uac15 \uad00\ub9ac \uad00\ub9ac\uc790, \ud589\uc815 \ubc0f \uacbd\uc601 \uc9c0\uc6d0 \uc9c1\uc6d0\uc73c\ub85c \uad6c\uc131\ub41c \ub2e4\ud559\uc81c \ud300\uc73c\ub85c, \uc13c\ud130\uc5d0\uc11c\uc758 1\ucc28 \uc9c4\ub8cc\ub97c \ud655\uc7a5\ud558\uc5ec \uc0ac\ud68c\uc801 \ubc0f \ud589\ub3d9 \uac74\uac15 \uc9c0\uc6d0, \uc758\ub8cc \uc81c\uacf5\uc790\uc640\uc758 \uce58\ub8cc \uc870\uc815, \ub9cc\uc131 \uc9c8\ud658 \uad00\ub9ac \ubc0f \uc751\uae09\uc2e4(ED) \ubc29\ubb38, \uc785\uc6d0 \ub610\ub294 \uc219\ub828 \uac04\ud638 \uc2dc\uc124\uc5d0\uc11c\uc758 \uc804\ud658 \ud6c4 \ud6c4\uc18d \uce58\ub8cc\ub97c \uc81c\uacf5\ud55c\ub2e4. \ub610\ud55c \uc0ac\ud68c \uc11c\ube44\uc2a4 \ud504\ub85c\uadf8\ub7a8(\uc608: \uc8fc\ud0dd, \uad50\ud1b5, \uc7ac\uc815 \uc790\uc6d0)\uc5d0 \ub300\ud55c \uc2e0\uccad\uacfc \uba54\ub514\ucf00\uc774\ub4dc\ub098 \uc0ac\ud68c\ubcf4\uc7a5 \uc7a5\uc560 \ud61c\ud0dd \ub4f1\uc758 \uc790\uaca9 \ud504\ub85c\uadf8\ub7a8\uc5d0 \ub300\ud55c \uc9c0\uc6d0\uacfc \uac19\uc740 \ube44\uc758\ub8cc\uc801 \uc9c0\uc6d0\ub3c4 \uc81c\uacf5\ud55c\ub2e4. \uc5ec\ub7ec \uba74\uc5d0\uc11c \ud55c\uad6d\uc5d0\uc11c \uae30\ub300\ud558\uace0 \uc788\ub294 \uc9c0\uc5ed\uc0ac\ud68c \ud1b5\ud569\ub3cc\ubd04 \uccb4\uacc4\uc758 \ubcf4\uac74\uc18c \uc5ed\ud560\uacfc \uc720\uc0ac\ud558\uba70, \uc77c\ubcf8\uc5d0\uc11c \uc6b4\uc601\ud558\uace0 \uc788\ub294 \ucf00\uc5b4\ud50c\ub79c\uc13c\ud130\uc640\ub3c4 \ube44\uc2b7\ud55c \ubaa8\uc2b5\uc744 \ubcf4\uc778\ub2e4\uace0 \ud560 \uc218 \uc788\ub2e4.<\/p>\n <\/p>\n
\uc5f0\uad6c\uc9c4\uc740 2014\ub144\ubd80\ud130 2018\ub144\uae4c\uc9c0 CHT\uc5d0\uc11c \uad00\ub9ac\ud55c \ud658\uc790 2,282\uba85\uc744 \ub300\uc870\uad70(10,548\uba85)\uacfc 1:5 \ube44\uc728\ub85c \u2018\uc131\ud5a5 \uc810\uc218 \ub9e4\uce6d(propensity score matching, PSM)\u2019 \ubd84\uc11d\uc744 \uc2e4\uc2dc\ud55c \ub2e4\uc74c, \ub450 \uc9d1\ub2e8\uc758 \uc758\ub8cc \uc774\uc6a9\ub960\uacfc \ube44\uc6a9 \uacb0\uacfc\ub97c \ube44\uad50\ud558\uc600\ub2e4. \uc774\ub54c \uc774\uc6a9\ub960 \uacb0\uacfc\ub294 \uc751\uae09\uc2e4 \ubc29\ubb38\ub960\uacfc \uc785\uc6d0\uc774\uc5c8\uace0, \ube44\uc6a9 \uacb0\uacfc\ub294 \uc785\uc6d0 \ube44\uc6a9, \uc678\ub798 \ube44\uc6a9, \uc804\ubb38\uac00 \ube44\uc6a9, \uc57d\uad6d \ube44\uc6a9 \ubc0f \ucd1d \ube44\uc6a9\uc774\uc5c8\ub2e4. \ubd84\uc11d \uacb0\uacfc, \uc911\uc7ac\uad70\uacfc \ub300\uc870\uad70\uc774 \uc720\uc0ac\ud55c \uae30\uc800 \ud2b9\uc131\uc744 \ubcf4\uc778 \uac00\uc6b4\ub370, \uc911\uc7ac\uad70\uc5d0\uc11c \uc758\ub8cc \uc774\uc6a9\ub960\uacfc \ube44\uc6a9\uc9c0\ucd9c\uc774 \uc0c1\ub2f9\ud55c \uac10\uc18c\ud55c \uac83\uc73c\ub85c \ub098\ud0c0\ub0ac\ub2e4. \uad6c\uccb4\uc801\uc73c\ub85c \uc0b4\ud3b4\ubcf4\uba74, \uc911\uc7ac\uad70\uc5d0\uc11c 1000\uba85\ub2f9 \uc6d4 7\uac74\uc758 \uc785\uc6d0\uc774 \uc904\uc5c8\uace0 1\uc778\ub2f9 \uc6d4 289\ub2ec\ub7ec\uc5d0 \ub2ec\ud558\ub294 \uc785\uc6d0 \ube44\uc6a9\uc774 \uac10\uc18c\ud558\uc600\ub2e4. CHT \uad00\ub9ac \ud69f\uc218\uc5d0 \ub530\ub77c \ubd84\uc11d\uc744 \uc138\ubd84\ud654\ud558\uba74, \uad00\ub9ac \ud69f\uc218\uac00 1~2\ud68c\uc778 \uc800\uc704\ud5d8\uad70 \ud658\uc790\uc758 \uacbd\uc6b0 \uc751\uae09\uc2e4 \ubc29\ubb38\uacfc \uc785\uc6d0, \uc785\uc6d0\u00b7\uc678\ub798\u00b7\uc804\ubb38\uac00 \ube44\uc6a9\uacfc \ucd1d \ube44\uc6a9\uc774 \ud2b9\ud788 \ub354 \uac10\uc18c\ud588\uc74c\uc744 \ud655\uc778\ud560 \uc218 \uc788\uc5c8\ub2e4.<\/p>\n
<\/p>\n
\ub0b4\ub144\ubd80\ud130 \ud55c\uad6d\uc5d0\uc11c\ub294 \u300c\uc758\ub8cc\u00b7\uc694\uc591 \ub4f1 \uc9c0\uc5ed\ub3cc\ubd04\uc758 \ud1b5\ud569\uc9c0\uc6d0\uc5d0 \uad00\ud55c \ubc95\ub960\u300d\uc774 \ubcf8\uaca9\uc801\uc73c\ub85c \uc2dc\ud589\ub41c\ub2e4. \uc9c0\uc5ed\uc0ac\ud68c \ud1b5\ud569\ub3cc\ubd04\uc740 \ud658\uc790\uc758 \uc8fc\uac70 \uc548\uc815, \uc0ac\ud68c\uc801 \uad00\uacc4 \uc720\uc9c0, \uc758\ub8cc \uc811\uadfc\uc131 \ud5a5\uc0c1, \uadf8\ub9ac\uace0 \uc608\ubc29\uc801 \uc11c\ube44\uc2a4 \uc81c\uacf5\uc744 \ud1b5\ud574 \uc0ac\ud68c\uc801 \ube44\uc6a9\uc744 \uc808\uac10\ud558\uace0 \uc778\uac04\ub2e4\uc6b4 \uc0b6\uc744 \uc720\uc9c0\ud558\uae30 \uc704\ud574 \uc911\uc694\ud55c \uc5ed\ud560\uc744 \ud560 \uac83\uc73c\ub85c \uae30\ub300\ub418\uace0 \uc788\ub2e4. \uc55e\uc11c \uc0b4\ud3b4\ubcf8 \uc624\uc0ac\uce74 \uc0ac\ub840\uc640 \uc5f0\uad6c \uacb0\uacfc\uc5d0\uc11c\ucc98\ub7fc, \uc9c0\uc5ed\uc0ac\ud68c \ud1b5\ud569\ub3cc\ubd04\uc740 \uc751\uae09\uc2e4\uc744 \ud3ec\ud568\ud55c \uc758\ub8cc\uc774\uc6a9\uc758 \uc801\uc808\uc131 \uac1c\uc120\uc5d0\ub3c4 \uc21c\uae30\ub2a5\uc744 \ud560 \uc218 \uc788\uc744 \uac83\uc73c\ub85c \ubcf4\uc778\ub2e4. \uc9c0\uc5ed\uc0ac\ud68c \ud1b5\ud569\ub3cc\ubd04\uc774 \uc9c0\uc5ed\uc5d0 \uc21c\uc870\ub86d\uac8c \uc815\ucc29\ub418\uace0 \uc9c0\uc5ed\uc8fc\ubbfc\uc758 \uac74\uac15\uc5d0 \ud6a8\uacfc\uc801\uc73c\ub85c \uc791\ub3d9\ud560 \uc218 \uc788\ub3c4\ub85d \ub2e4\uc591\ud55c \uc911\uc7ac\uc5d0 \ub300\ud55c \ud6a8\uacfc\ud3c9\uac00\uc640 \uac1c\uc120\uc744 \uc704\ud55c \ub178\ub825\uc774 \ud655\ub300\ub418\uae30\ub97c \uae30\ub300\ud55c\ub2e4.<\/p>\n
<\/p>\n
<\/p>\n
* \uc11c\uc9c0 \uc815\ubcf4<\/p>\n
Thapa BB, Li X, Gal\u00e1rraga O. Impacts of community-based care program on health care utilization and cost. Am J Manag Care<\/em>. 2022 Apr;28(4):187-191. doi: 10.37765\/ajmc.2022.88862. PMID: 35420747.<\/p>\n
\n\uc218\ub9ce\uc740 \uc5b8\ub860\uc774 \ud558\ub8e8\uac00 \uba40\ub2e4 \ud558\uace0 \ucd5c\uc2e0 \uc758\ud559 \uae30\uc220\uc774\ub098 \u2018\uc798 \uba39\uace0 \uc798 \uc0ac\ub294 \ubc95\u2019\uacfc \uad00\uacc4\uc788\ub294 \uc5f0\uad6c \uacb0\uacfc\ub97c \uc18c\uac1c\ud569\ub2c8\ub2e4. \ub300\ud45c\uc801\uc778 \uac83\uc774, \u201c\ud558\ub8e8\uc5d0 \u25cb\u25cb \ub450 \uc794 \ub9c8\uc2dc\uba74 \uc218\uba85 \u25cb\ub144 \ub298\uc5b4\ub098\u201d \uac19\uc740 \uac83\ub4e4\uc785\ub2c8\ub2e4. \ubc18\uba74 \uac74\uac15\uacfc \uc0ac\ud68c, \uac74\uac15 \ubd88\ud3c9\ub4f1, \uae30\uc874\uc758 \uac74\uac15 \ub2f4\ub860\uc5d0 \ub3c4\uc804\ud558\ub294 \uc5f0\uad6c \uacb0\uacfc\ub294 \uc880\ucc98\ub7fc \uc811\ud558\uae30 \uc5b4\ub835\uc2b5\ub2c8\ub2e4.<\/span><\/p>\n<\ud504\ub808\uc2dc\uc548>\uacfc \uc2dc\ubbfc\uac74\uac15\uc5f0\uad6c\uc18c\ub294 \u2018\uc11c\ub9ac\ud480 \uc5f0\uad6c\u901a\u2019\uc5d0\uc11c \ub9e4\uc8fc \ubaa9\uc694\uc77c, \uac74\uac15\uacfc \uad00\ub828\ud55c \ube44\ud310\uc801 \uad00\uc810\uc774\ub098 \uc0c8\ub85c\uc6b4 \uc9c0\ud5a5\uc744 \ubcf4\uc5ec\uc8fc\ub294 \uc5f0\uad6c \ub610\ub294 \ub17c\uc7c1\uc801 \uc8fc\uc81c\ub97c \ub2e4\ub8ec \uc5f0\uad6c\ub97c \uc18c\uac1c\ud569\ub2c8\ub2e4. \uc774\ub97c \ud1b5\ud574 \uac1c\uc778\uc758 \ubb38\uc81c\ub85c \uc5ec\uaca8\uc84c\ub358 \uac74\uac15 \uc774\uc288\ub97c \uc0ac\ud68c\uc801 \uad00\uc810\uc5d0\uc11c \uc7ac\ud574\uc11d\ud558\uace0, \uac74\uac15\uc758 \uc0ac\ud68c\uc801 \ub2f4\ub860\ub4e4\uc744 \ud655\uc0b0\ud558\ub294\ub370 \uae30\uc5ec\ud558\uace0\uc790 \ud569\ub2c8\ub2e4.<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
\uae40\uc601\uc218 (\uc2dc\ubbfc\uac74\uac15\uc5f0\uad6c\uc18c \ud68c\uc6d0) \u201c\uc751\uae09\uc0c1\ud669\uc2dc 100% \ubc29\ubb38\uac04\ud638\uc2a4\ud14c\uc774\uc158\uc73c\ub85c \uc5f0\ub77d\uc774 \uc635\ub2c8\ub2e4.\u201d \ud544\uc790\uac00 8\uc6d4 \uc911\uc21c \ubc29\ubb38\ud588\ub358 \uc624\uc0ac\uce74 \uc758\ub8cc\ubcf5\uc9c0\uc0dd\ud65c\ud611\ub3d9\uc870\ud569\uc740 \ubcd1\uc6d0 2\uac1c\uc18c, \uc758\uc6d0 20\uac1c\uc18c, \uce58\uacfc 5\uac1c\uc18c\uc758 \uc758\ub8cc\uae30\uad00\uacfc \ubc29\ubb38\uac04\ud638\uc2a4\ud14c\uc774\uc158, \ud5ec\ud37c(\uc694\uc591\ubcf4\ud638\uc0ac)\uc2a4\ud14c\uc774\uc158, \ud1b5\uc18c\uc7ac\ud65c(\ub370\uc774\ucf00\uc5b4)\uae30\uad00, \uadf8\ub8f9\ud648, \uce58\ub9e4\uc8fc\uac04\uc11c\ube44\uc2a4, \uc18c\uaddc\ubaa8[…]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","jetpack_publicize_message":""},"categories":[10],"tags":[8597,8596,8598,8593,8591,8589,8595,8594,2447,8592,8590],"views":165,"jetpack_featured_media_url":"","jetpack_publicize_connections":[],"_links":{"self":[{"href":"http:\/\/health.re.kr\/index.php?rest_route=\/wp\/v2\/posts\/12450"}],"collection":[{"href":"http:\/\/health.re.kr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/health.re.kr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/health.re.kr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/health.re.kr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12450"}],"version-history":[{"count":3,"href":"http:\/\/health.re.kr\/index.php?rest_route=\/wp\/v2\/posts\/12450\/revisions"}],"predecessor-version":[{"id":12453,"href":"http:\/\/health.re.kr\/index.php?rest_route=\/wp\/v2\/posts\/12450\/revisions\/12453"}],"wp:attachment":[{"href":"http:\/\/health.re.kr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/health.re.kr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12450"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/health.re.kr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}