책 소개
고려대학교 안산병원 로제타 홀 의료봉사단’은 2005년부터 안산병원에서 의료진의 자발적인 참여로 이루어지던 지역 내 의료봉사 활동이 인정을 받아 2015년에 정식으로 발족하게 된 봉사단체입니다. 최근 잠시 주춤하기는 하지만, 그 동안 지속적으로 국내 및 국외에서 의료 봉사를 진행해 왔으며, 자발적인 지원자를 중심으로 운영되고 있습니다. ‘늘 함께 하겠습니다.’ 이는 두 가지의 내용을 함축하고 있는 안산병원 로제타 홀 의료봉사단의 모토입니다. 그 첫 번째 의미는 ‘진정성’입니다. 소중하지 않거나 의미 없는 봉사활동은 없다고 생각합니다. 하지만, 봉사 활동이 노동처럼 여겨지거나, 외부적인 목적 때문에 순수성의 혼란이 일어나는 경우도 가끔씩 보게 됩니다. 저희 봉사단은 우리의 초심을 잃지 않기 위해 지속적으로 노력해 나가겠습니다. ‘진정성’없는 보여주기 식의, ‘봉사’보다 ‘사업’에 더 비중을 두는 활동은 지양하고자 노력하겠습니다. 또 하나의 의미는 ‘지속 가능성’입니다. 물론, 재난 지역이나 의료 취약지구에서의 의료 봉사 활동은 단발성이더라도 큰 의미가 있습니다. 하지만, 우리 봉사단은 평소 환자 진료에 충실하면서 자발적으로 모여서 의료봉사를 하는 특성을 가진 모임으로 단발성보다는 지역 보건환경과 현지 주민 건강을 지속적으로 향상시킬 수 있는 지속적인 봉사활동을 지향하고 있습니다. 2017년부터 포스코 인터네셔널과의 협력 사업으로 진행해 온 인도네시아 파푸아 섬에서의 의료 봉사 경험을 바탕으로 정리된 이번 백서는 봉사의 초심을 망각하지 않으려는 우리 봉사단의 노력과, 현지 주민과 어린 자녀들, 그리고 현지 의료진과 보건국 당직자들과 꾸준히 소통하고 서로 교육하면서 지속적인 지역 사회 공헌을 위해 노력해 온 경험을 담고 있습니다. 조금씩 개선되어 가는 현지 보건 환경과 이에 따른 주민들의 건강 향상이 몸으로 느껴지고 있어 우리 봉사단 모두는 큰 보람을 가지고 있습니다. 어려운 환경에서도 우리 봉사단의 활동을 적극 지원해 주신 고려대학교 의료원과 안산병원, 건강한 여성 재단과 포스코 인터네셔널에 진심으로 감사의 말씀을 전하며, 무엇보다 망설임 없이 봉사활동에 지원해 주신 자원봉사자 모든 분께 감사와 존경의 말씀을 전합니다.
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제1장 활동 배경 및 목적제1절 활동 배경························································································································31. 지역에 대한 이해···········································································································32. 사회공헌 활동의 필요성(지역사회 가치 창출에 기여하는 지역사회 밀착형 사회공헌)·····················3제2절 울릴린 지역 주민건강조사 및 진료활동 필요성·······································································41. 자연환경적 문제············································································································42. 팜오일 농장의 양적·질적 확대···························································································43. 2017년 1,2차 및 2018년 1차 지역주민건강조사에 근거························································4제3절 활동 기대 효과 및 활용 방안·······························································································51. 활동계획······················································································································52. 기대 효과 및 활용 방안···································································································6제2장 활동 방법 및 추진 전략제1절 활동 내용························································································································9제2절 활동 방법 및 추진 전략····································································································10제3장 활동 결과제1절 울릴린 지역 의료활동 대상 및 인구학적 특성·······································································151. 지역 주민건강조사 및 의료활동 참여 대상 인구··································································15제2절 지역주민 건강행태 및 만성질환유병률 조사 결과··································································181. 만성질환관리의 필요성·································································································182. 지역주민 건강행태 조사 결과··························································································193. 만성질환 유병률 조사 결과·····························································································42제3절 지역주민 진료활동 결과···································································································951. 주상병 분포 및 유병률··································································································952. 주상병 대분류/세분류 통계 현황·····················································································963. 대분류별 질환 분포 현황·····························································································1074. 상위 20 주상병명······································································································1115. 주요 근골격계 질환 통계·····························································································115제4절 지역 소아 질환 현황······································································································1181. 소아환자 환자 진료 통계·····························································································1182. 주요 소아 질환 통계···································································································1203. 주요 소아 질환 통계 표 및 도표·····················································································1214. 진료환자군의 신체발달 사항(2019년 10월 진료 기준)·······················································1345. 진료 준비 및 진행관련 의견··························································································1366. 추후 진료 개선을 위한 의견··························································································137제5절 지역주민 모성건강 관리 현황··························································································1391. 주요 임신 및 주산기, 기형, 부인과 질환 통계 표 및 도표·····················································1392. 2017년 이후 환자 진료 환자군에 대한 비교 분석······························································1443. 의료 활동 진행관련 의견 및 제언···················································································146제6절 외과적 처치 현황··········································································································14…
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