Public Officials' Perceptions on Improving Quality of Community Health Care Service

공무원 인식유형에 따른 보건서비스 개선 방안

  • 양창훈 (관동대학교 행정학과) ;
  • 이제영 (관동대학교 광고홍보학과)
  • Received : 2013.11.15
  • Accepted : 2013.12.24
  • Published : 2014.01.28


The purpose of this study is to understand the perceptions of public officials in improving primary health care service for local communities by applying Q methodology that draw upon schematic model in subjectivity study. A survey was carried out among public officials at Gangneung Community Health Center, South Korea, to classify the 49 selected Q-statements into a normal distribution using a 11 point scale. The collected data was analyzed using QUANL program, and principal component factor analysis using varimax rotation was used to identify public officials' perceptions of improving quality of health care for local communities as a meaningful service provider. Type I can be categorized by a strong concern for the service acceptance, Type II can be categorized by advocating for service usability, Type III can be categorized by the pursuit of service specialization, Type IV can be categorized by roles for service accessibility, and Type V can be categorized by the suggestions for operation and management. The results provide information used to further improve quality of community health care service with the aim to promote the effectiveness of health care delivery and to increase health service utilization.


Public Health Care Service;Subjective Perceptions;Subjectivity Study;Q Methodology;Principal Component Factor Analysis


  1. 정부, 지역보건법 전부개정법률안, 의안번호 3596, 2013.
  3. 박수일, "공공보건의료기관의 현황과 바람직한 역할", 대한공공의학회 정책토론: 국민건강권과 공공보건의료, 2000.
  4. 강복수, 이경수, 김천태, "도시 보건소 보건의료서비스 이용의 결정요인", 보건행정학회지, 제5권, 제2호, pp.104-126, 1995.
  5. 이혜순, "보건소 보건서비스의 만족도 영향요인 분석", 지방정부연구, 제7권, 제3호, pp.261-285, 2003.
  6. 박재산, "보건소 이용자의 의료서비스 만족도에 영향을 미치는 요인", 보건교육.건장증진학회지, 제22권, 제1호, pp.147-160, 2005.
  7. 김행열, "주민유형에 따른 보건의료서비스 만족도에 관한 실증적 연구", 한국거버넌스학회보, 제14권, 제2호, pp.325-347, 2007.
  8. H. Hatry, L. Blair, D. M. Fisk, J. M. Greiner, J. R. Hall, and P. S. Schaenman, How effective are your community services?, Washington, DC: Urban Institute and International City/County Management Association, 1992.
  9. D. Folz, Survey research for public administration, Thousand Oaks, CA: Sage, 1996.
  10. T. I. Miller and M. M. Kobayashi, Citizen surveys: How to do them, how to use them, what they mean, Washington, DC: International City/County Management Association, 2000.
  11. C. Burt, "Correlations between persons," British Journal of Psychology, Vol.28, pp.59-96, 1937.
  12. W. Stephenson, "Introduction to inverted factor analysis with some applications to studies in orexis," Journal of Educational Psychology, Vol.27, pp.353-367, 1936.
  13. 백완기, "한국 행정과 공공성", 한국사회와 행정연구, 제18권, 제2호, pp.1-22, 2007.
  14. 임의영, "공공성의 개념, 위기, 활성화 조건", 정부학연구, 제9권, 제1호, pp.23-50, 2003.
  15. 소영진, "행정학의 위기와 공공성 문제", 정부학연구, 제9권, 제1호, pp.5-22, 2003.
  16. 임의영, "공공성의 유형화", 한국행정학보, 제44권, 제2호, pp.1-21, 2010.
  17. D. Giusti, B. Criel, and X. De Bethune, "Viewpoint: public versus private health care delivery: beyond the slogans," Health Policy Plan, Vol.12, No.3, pp.192-198, 1997.
  18. V. Liljander and T. Strandvik, "The nature of customer relationships in services," In T. A. Swartz, D. E. Bowen, and S. W. Brown (eds.), Advances in Services Marketing and Management, Vol.2, JAI Press: Greenwich, London, pp.141-167, 1995.
  19. B. A. Myers, A guide to medical care administration, Washington, DC: American Public Health Association, 1969.
  20. H. V. Vuori, Quality assurance of health services-concepts and methodology, Copenhagen: WHO, 1982.
  21. A. Donabedian, The criteria and standards of quality, Volume II of Explorations in Quality Assessment and Monitoring, Ann Arbor, MI: Health Administration Press, 1982.
  22. A. Donabedian, "The quality of care: how can it be assessed?," Journal of American Medical Association, Vol.260, No.12, pp.1743-1748, 1988.
  23. 김용득.강희설, "장애인거주시설에 대한 관련 집단들의 인식유형 연구: Q방법론의 적용," 한국사회복지학, 제60권, 제1호, pp.29-51, 2008.
  24. 김흥규, Q방법론: 과학철학, 이론, 분석 그리고 적용, 서울: 커뮤니케이션북스, 2008.
  25. 조경원, "보건의료 직업윤리 및 서비스 교육 프로그램의 개발과 효과 분석," 한국콘텐츠학회논문지, 제8권, 제10호, pp.224-233, 2008.