J Agric Med Community Health.  2024 Jun;49(2):132-145. 10.5393/JAMCH.2024.49.2.132.

Comparison of Integrated Health and Welfare Service Provision Projects Centered on Medical Institutions

• Lee SJ
• Kim JY

• KMID: 2562732
• DOI: http://doi.org/10.5393/JAMCH.2024.49.2.132

Abstract

Objectives
This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions.
Methods
From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output.
Results
All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary.
Conclusions
To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.

Keyword

Vulnerable Populations; Integrated Health Care Systems; Continuity of Patient Care; Healthcare Disparities