Study on Decision Making of the Priority of Health Care Services which Municipal Public Health Nurses engaged in the Remote Area

本研究的目的是明确城市公共卫生护士(MPHN)的观点，作为确定孤岛、山村和人口稀少地区(边远地区)卫生服务重点的依据，以及影响他们的因素。结果，10个观点和11个影响因素变得清晰。我们根据偏远地区的存在情况进行了分析。“创造居民好用的服务”，在我新开始服务的时候，有很多共同的观点。当我停止服务时，情况也差不多。此外，在部分地区偏远的市政当局，还有许多“有效开展服务”的地方。“居民获得卫生保健服务”是一个常见的影响因素，而且有很大影响。此外，在一个地处偏远地区的市政当局，除了医疗保健之外，还有许多“行政服务的目的”。当我停止服役时，“服务之间的客观重复”是一个常见的影响因素，而且有很大影响。

The purpose of this study is to identify municipal public health nurses (MPHNs)' viewpoints to become the grounds to decide priority of the health care services in isolated islands or mountain village and underpopulated area (the remote area), and factors which influence them. As a result, ten viewpoints and 11 influence factors became clear. We analyzed it according to the presence of the remote area. It was "to create the service that inhabitants are easy to use", and there were many common viewpoint when I began service newly. When I stopped service, it was similar. In addition, there was much "to carry out service efficiently" in municipality where there was a remote area in a part. "Access to the health care service of inhabitants" was common for an influence factor, and there was much it. In addition, there was much "a purpose of the administrative services except the health care" in municipality where there was a remote area in a part. When I stopped service, "objective repetition between the services" was common as an influence factor, and there was much it.