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과제정보

과제정보
과제명 2002년도영아·모성사망조사표설계
기관명 보건복지부 담당부서
전화번호 연구기간 2004-06-24 ~ 2004-12-23
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개요 2002년도영아·모성사망조사표설계

계약정보

과제정보
수행기관 한국보건사회연구원 [기타]
수행연구원 한영자 계약일자 2004-06-24
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연구결과 정보

과제정보
제목 2002~2003 ?兒?母性死亡調査 設計
연구보고서 비공개   이후 공개 예정
이 정책연구는 공개예정일자에 연구수행 부처에서 공개 가능 여부를 재검토하며, 비공개 기간이 연장될 수 있습니다.
목차
要 約········································································································ 9 Ⅰ. 序 論································································································· 15 1. 調査票 設計의 背景········································································· 15 2. 硏究目的························································································· 17 3. 硏究內容 및 方法············································································ 17 4. 用語의 定義···················································································· 21 Ⅱ. 蒐集資料의 種類 및 內容···································································· 23 1. 資料의 種類···················································································· 23 2. 資料出處························································································· 23 3. 資料蒐集 項目················································································· 24 4. 蒐集된 資料別 레이아웃 ·································································· 31 Ⅲ. 資料蒐集過程 ····················································································· 41 1. ?兒死亡 關聯資料 確認·································································· 41 2. 母性死亡 關聯資料 確認·································································· 42 3. 旣存資料 蒐集 結果········································································· 43 Ⅳ. 調査對象者 및 調査對象 醫療機關 選定················································ 46 1. 調査對象者 選定············································································· 46 2. 調査對象 醫療機關 選定·································································· 55 Ⅴ. 調査票 開發························································································ 61 1. 調査票 項目···················································································· 61 2. 調査票 作成要領············································································· 69 Ⅵ. 調査實施 計劃····················································································· 82 1. ?兒?母性死亡 調査方法 改善 ························································ 82 2. 調査槪要························································································· 83 3. 調査準備 및 措置事項····································································· 84 4. 調査票 點檢?聚合 및 提出······························································ 86 5. 調査對象 醫療機關의 有故에 대한 處理············································ 87 Ⅶ. 結論 및 政策提言················································································ 90 參考文獻··································································································· 93 附 錄······································································································ 95 附錄 1. 調査票······················································································· 97 附錄 2. 地域別 코드 番號····································································· 102 附錄 3. 韓國標準疾病分類, 死亡製表用 分類··········································· 105 附錄 4. 韓國標準疾病 死因 分類···························································· 108 附錄 5. 調査票 作成期間中 質疑 應答···················································· 112
 

要 約········································································································ 9
Ⅰ. 序 論································································································· 15
1. 調査票 設計의 背景········································································· 15
2. 硏究目的························································································· 17
3. 硏究內容 및 方法············································································ 17
4. 用語의 定義···················································································· 21
Ⅱ. 蒐集資料의 種類 및 內容···································································· 23
1. 資料의 種類···················································································· 23
2. 資料出處························································································· 23
3. 資料蒐集 項目················································································· 24
4. 蒐集된 資料別 레이아웃 ·································································· 31
Ⅲ. 資料蒐集過程 ····················································································· 41
1. ?兒死亡 關聯資料 確認·································································· 41
2. 母性死亡 關聯資料 確認·································································· 42
3. 旣存資料 蒐集 結果········································································· 43
Ⅳ. 調査對象者 및 調査對象 醫療機關 選定················································ 46
1. 調査對象者 選定············································································· 46
2. 調査對象 醫療機關 選定·································································· 55
Ⅴ. 調査票 開發························································································ 61
1. 調査票 項目···················································································· 61
2. 調査票 作成要領············································································· 69
Ⅵ. 調査實施 計劃····················································································· 82
1. ?兒?母性死亡 調査方法 改善 ························································ 82
2. 調査槪要························································································· 83
3. 調査準備 및 措置事項····································································· 84
4. 調査票 點檢?聚合 및 提出······························································ 86
5. 調査對象 醫療機關의 有故에 대한 處理············································ 87
Ⅶ. 結論 및 政策提言················································································ 90
參考文獻··································································································· 93
附 錄······································································································ 95
附錄 1. 調査票······················································································· 97
附錄 2. 地域別 코드 番號····································································· 102
附錄 3. 韓國標準疾病分類, 死亡製表用 分類··········································· 105
附錄 4. 韓國標準疾病 死因 分類···························································· 108
附錄 5. 調査票 作成期間中 質疑 應答···················································· 112
초록
1. 연구의 필요성 및 목적 ? 영아사망?사산?모성사망 통계는 한 국가의 보건?복지수준을 대표하는 주요 지표임. ? 1995년 새로운 조사방법으로 영아사망 조사를 실시한 후 3년 주기로 조사를 실시하고 있음. ? 영아사망, 사산, 모성사망조사를 효율적으로 실시할 수 있는 조사방법의 개 선을 포함한 조사설계 ? 영아?모성사망 조사표 개발 ? 영아사망?사산?모성사망에 대한 의료기관조사가 가능하도록 조사대상 의료 기관과 조사대상자를 선정하여 명부 작성 2. 연구방법 가. 자료수집 ? 자료수집 전 과정에서 조사 관계자에 대한 철저한 교육을 통하여 개인의 사 생활이 보호되도록 노력하였으며, 대상자의 ID에 접근할 수 있는 연구진을 최소화하고 보안서약서를 제출하였음. ? 영아사망, 사산, 모성사망을 포함하고 있거나 동 사망조사에 기초가 되는 기 존자료의 전산수록 항목 확인, 레이아웃 작성 및 자료 수집 ? 통계청: 출생아, 여성사망, 영아사망 ? 국민건강보험공단: 자격자료, 장제비자료, 진료비 청구자료(O, P, Q 코드) ? 의료기관 보고자료(모성사망, 사산, 신생아사망) 수집 및 전산 입력 나. 조사기관?조사대상자 선정 ? 조사대상 및 조사대상 의료기관 선정 기준 설정 ? 전산자료간 연계로 조사대상 의료기관 및 조사대상자 명부 파일 구축 다. 조사표 개발 및 조사계획 수립 ? 문헌연구 ? 전문가 자문회의 개최. ? 본 조사설계에서는 핵심 정보를 손상시키지 않는 범위내에서 불필요한 정보 나 중복되는 조사 항목을 최대한 배제하도록 조사표를 재구성 ? 과거 조사에서는 확인대상자 유무에 상관없이 5종류의 조사표를 반드시 작 성하도록 하였으나 본 조사에서는 조사표 1을 제외하고는 조사대상자가 있 는 경우에만 조사표를 작성하도록 하여 조사업무 부담을 줄임. 라. 영아사망?사산?모성사망 통합조사 계획 수립 ? 임신?분만 관련 수진자를 출생아와 연결하고, 동시에 15~49세 여성 사망자 와 연결하여 확인이 필요한 영아사망과 모성사망 가능성이 있는 대상자를 선별하여 의료기관 조사를 실시하도록 설계 ? 본 조사는 보건복지부에 의해 실시되며, 조사를 위한 기존자료를 국민건강보 험공단, 통계청으로부터 제공받고, 관련 전문학회의 자문과 한국보건사회연 구원의 조사설계에 의해 실시 ? 보건복지부의 조사추진반과 시?도, 보건소의 조사 담당자가 의료기관을 대상 으로 조사 실시 3. 주요연구결과 및 정책건의 가. 조사 대상자 선정 1) 확인대상자 선정 ? 최종 확인대상자는 83,867건 ? 임신 및 분만관련 수진자료의 수진자(산모)와 출생관련 자료를 연결하여 전혀 연결이 되지 않은 수진자중 분만과 관련이 높다고 생각되는 83,867 건의 자료는 출산여부와 출산형태를 알 수 없으므로 의료기관에 확인 조 사할 필요가 있음. ? 통계청의 출생신고자료는 부와 모의 주민등록번호가 존재하지 않아 수진자 와 출생아 연결에 활용하지 못함. 2) 영아사망 조사대상자 선정 ? 이 자료는 기존 수집된 자료에서 사망으로 확인된 영아 중 조사할 의료기관 이 확인된 자료로 영아사망 조사표에 인쇄되어 나가게 됨. ? 통계청 영아사망신고 2,436건, 건강보험에서 확인된 영아사망 892건, 의료기 관보고 830건을 주민등록번호를 Key로 하여 통합한 후 의료기관을 확인할 수 있는 자료만을 선별 ? 작업결과 사망영아 3,485건, 이들 자료 중 의료기관이 확인되어 의료기관 조 사가 가능한 영아사망은 3,425건 3) 사산아 조사대상자 선정 ? 건강보험자료에서 추출한 O 36.4 코드로 진료를 받은 3,161건, 의료기관보고 3,074건을 통합한 후 중복배제 과정 거침 ? 작업 결과 조사 대상 사산 건수는 5,044건 4) 모성사망 조사대상자 선정 ? 2002~2003년도 사이에 사망한 여성 중 임신 및 분만과 관련하여 진료 받은 사실이 있는 여성을 선정하여 의료기관에서 모성사망여부를 확인 ? 장제비, 통계청 자료의 가임기 여성사망자를 임신?분만관련 수진자료와 연결 하여 임신?분만과 관련하여 진료받은 사실이 있는 여성 사망자를 찾아내는 작업방법 ? 건강보험자료(19,063), 통계청(22,423) 자료를 사망자 주민등록번호를 Key 로 하여 중복자를 배제하여 가임기 여성사망자 선별 ? 시?도 보고자료 중 임산부사망 66건을 각각의 의료기관별로 추가 ? 중복자를 배제한 자료를 임신?분만관련 수진자료 1,346,795건과 연결 ? 작업결과 조사대상 모성사망자 수는 1,046건 나. 조사대상 의료기관 선정결과 1) 시도별 의료기관 종류별 확인조사 기관 ? 진료 및 분만 결과 확인조사기관수는 종합병원 267개소, 병원 183개소, 의원 1,811개소, 조산소 20개소, 보건기관 7개소로 총 2,288개소 ? 시도별로 서울 569개소, 경기 466개소, 부산 163개소, 인천 134개소 순서임. 2) 시도별 의료기관 종류별 사망조사 기관 ? 기존자료로부터 수집한 영아사망 중 추가정보 수집을 위해 조사가 실시되어 야 할 의료기관은 총 573개소였으며, 이중 의원 224개소, 종합병원 195개소, 병원이 139개소 ? 시도별로는 서울이 130개소, 경기 94개소, 경북 45개소, 부산 41개소 순서임. ? 기존자료에서 이미 확인한 사산아의 추가정보 수집을 위해 조사가 실시되어 야 할 의료기관은 총 591개였으며, 이중 의원이 327개소로 55.3%를 차지하였 으며, 다음은 종합병원 157개소, 병원 104개소 순서임. ? 시도별로는 경기가 123개소로 가장 많았고, 그 다음이 서울로 107개소 ? 기존 자료에서 수집된 여성사망 중 모성사망 여부를 확인하기 위해 조사가 실시되어야 할 의료기관은 총 563개소였으며, 이중 의원이 237개소로 가장 많았고, 종합병원 175개소, 병원 126개소였음. 3) 시도별 의료기관 종류별 총 조사 기관 ? 보고가 누락된 사망자를 발견하기 위한 확인조사기관과 기존자료에서 이미 사망을 확인하였지만 사망자의 추가 정보를 얻기 위한 사망조사 기관을 합 하여 조사대상 의료기관수는 총 6,673개소. 이중 의원이 4,976개소로 74.6%를 차지함. ? 전체 조사대상 기관은 사망자 누락을 최소화하기 위하여 사망 발생 가능성 이 있는 모든 기관을 포함시켰기 때문에 의원이 차지하는 비중이 큰 것으로 생각됨. 시도별로는 서울이 1,539개소(23.1%), 경기 1,405개소(21.1%) 였음. 다. 정책제언 ? 사망이 희귀한 사건이기 때문에 표본조사로부터는 사망률 산출이 가능하지 않으므로 본 조사방법이 현재로서는 사망신고 누락을 보완할 수 있는 유일 한 방법이나, 본 조사가 갖는 한계점이 있으며 다음 조사를 위해서 해결되 어야 할 과제는 다음과 같음. ? 개인의 ID가 있어야만 자료간 연계가 가능하지만 자료를 제공하는 기관 에서는 ID 제공을 제한하고 있기 때문에 기본 자료수집에 상당한 시간이 소요됨. ? 영아?모성사망조사는 3년 주기로 실시되기 때문에 원 자료를 보유하고 있는 기관에서 자료 추출작업에 경험 있는 직원이 교체되고 업무의 연속 성이 없어 담당자와의 적절한 의사소통이 어려움. ? 본 조사는 초기에 영아사망조사로 시작되었으나, 그 후 사산아조사와 모성사 망조사가 추가되었음에도 불구하고 추가예산이 확보되지 못하여 조사 여건 이 악화됨. ? 향후 기존자료 수집시 진료기관?사망발생 의료기관의 요양기관번호를 수집 하도록 해야 할 것임. 전국에 동일한 명칭을 가진 의료기관이 적지 않아 연 계 어려움. ? 출생신고서에 출생의료기관 코드를 포함시키고 전산입력하도록 통계청에 요 청. 출생시 정보를 얻기 위해 진료받은 전 기관을 조사해야 하는 부담을 감 소시킬 수 있음. ? 영아모성사망 통계생산 시스템이 구축되어 3년주기가 아닌 매년 통계가 생 산되도록 해야 할 것임. 최근 폐쇄된 의료기관의 수 증가로 후향적 조사로는 조사의 완성도가 떨어질 우려 큼. ? 출생?사망 연계자료 세트(Birth-death linked data set)와 주산기통계 데이터 베이스(Perinatal statistics D/B) 구축방안이 모색되어야 할 것임. ? 영아사망, 사산, 모성사망, 미숙아, 선천대사이상아, 선천성 기형, 불임, 유 산 자료가 한 곳에 집중되어 연계분석시 자료의 효용가치가 클 것임 ? 영아모성사망조사의 일차적인 목적은 사망률의 산출이나, 모자건강은 인 구 전체의 건강에 미치는 영향이 클 뿐만 아니라, 최근 출생아 수의 감 소로 건강한 태아의 출생에 대한 요구가 그 어느 때보다 크므로 모자건 강 향상을 위한 연구자료 확보가 요구됨. ? 자료간 연계를 통해서 모자건강 위험요인 연구 활성화 방안이 모색되어 야 할 것임. ? 본 조사방법의 핵심은 개인의 주민등록번호를 이용하여 자료간 연계를 실시 하는 방법인데 개인정보 보호문제로 의료기관 협조에 어려움 발생. 개인정보 보호와 국가의 기본통계 수집간의 충돌에 대한 대안이 모색되어야 할 것임. ? 여성 전체를 추적하는데 현실적인 어려움이 있어서 모성사망 조사 대상자를 가임기 여성으로 15세에서 49세로 하였으나, 건수는 많지 않지만 15세 이전 과 50세 이후의 임신도 가능하므로 대상연령을 확대 여부 검토 필요
 

1. 연구의 필요성 및 목적
? 영아사망?사산?모성사망 통계는 한 국가의 보건?복지수준을 대표하는 주요
지표임.
? 1995년 새로운 조사방법으로 영아사망 조사를 실시한 후 3년 주기로 조사를
실시하고 있음.
? 영아사망, 사산, 모성사망조사를 효율적으로 실시할 수 있는 조사방법의 개
선을 포함한 조사설계
? 영아?모성사망 조사표 개발
? 영아사망?사산?모성사망에 대한 의료기관조사가 가능하도록 조사대상 의료
기관과 조사대상자를 선정하여 명부 작성
2. 연구방법
가. 자료수집
? 자료수집 전 과정에서 조사 관계자에 대한 철저한 교육을 통하여 개인의 사
생활이 보호되도록 노력하였으며, 대상자의 ID에 접근할 수 있는 연구진을
최소화하고 보안서약서를 제출하였음.
? 영아사망, 사산, 모성사망을 포함하고 있거나 동 사망조사에 기초가 되는 기
존자료의 전산수록 항목 확인, 레이아웃 작성 및 자료 수집
? 통계청: 출생아, 여성사망, 영아사망
? 국민건강보험공단: 자격자료, 장제비자료, 진료비 청구자료(O, P, Q 코드)
? 의료기관 보고자료(모성사망, 사산, 신생아사망) 수집 및 전산 입력
나. 조사기관?조사대상자 선정
? 조사대상 및 조사대상 의료기관 선정 기준 설정
? 전산자료간 연계로 조사대상 의료기관 및 조사대상자 명부 파일 구축
다. 조사표 개발 및 조사계획 수립
? 문헌연구
? 전문가 자문회의 개최.
? 본 조사설계에서는 핵심 정보를 손상시키지 않는 범위내에서 불필요한 정보
나 중복되는 조사 항목을 최대한 배제하도록 조사표를 재구성
? 과거 조사에서는 확인대상자 유무에 상관없이 5종류의 조사표를 반드시 작
성하도록 하였으나 본 조사에서는 조사표 1을 제외하고는 조사대상자가 있
는 경우에만 조사표를 작성하도록 하여 조사업무 부담을 줄임.
라. 영아사망?사산?모성사망 통합조사 계획 수립
? 임신?분만 관련 수진자를 출생아와 연결하고, 동시에 15~49세 여성 사망자
와 연결하여 확인이 필요한 영아사망과 모성사망 가능성이 있는 대상자를
선별하여 의료기관 조사를 실시하도록 설계
? 본 조사는 보건복지부에 의해 실시되며, 조사를 위한 기존자료를 국민건강보
험공단, 통계청으로부터 제공받고, 관련 전문학회의 자문과 한국보건사회연
구원의 조사설계에 의해 실시
? 보건복지부의 조사추진반과 시?도, 보건소의 조사 담당자가 의료기관을 대상
으로 조사 실시
3. 주요연구결과 및 정책건의
가. 조사 대상자 선정
1) 확인대상자 선정
? 최종 확인대상자는 83,867건
? 임신 및 분만관련 수진자료의 수진자(산모)와 출생관련 자료를 연결하여
전혀 연결이 되지 않은 수진자중 분만과 관련이 높다고 생각되는 83,867
건의 자료는 출산여부와 출산형태를 알 수 없으므로 의료기관에 확인 조
사할 필요가 있음.
? 통계청의 출생신고자료는 부와 모의 주민등록번호가 존재하지 않아 수진자
와 출생아 연결에 활용하지 못함.
2) 영아사망 조사대상자 선정
? 이 자료는 기존 수집된 자료에서 사망으로 확인된 영아 중 조사할 의료기관
이 확인된 자료로 영아사망 조사표에 인쇄되어 나가게 됨.
? 통계청 영아사망신고 2,436건, 건강보험에서 확인된 영아사망 892건, 의료기
관보고 830건을 주민등록번호를 Key로 하여 통합한 후 의료기관을 확인할
수 있는 자료만을 선별
? 작업결과 사망영아 3,485건, 이들 자료 중 의료기관이 확인되어 의료기관 조
사가 가능한 영아사망은 3,425건
3) 사산아 조사대상자 선정
? 건강보험자료에서 추출한 O 36.4 코드로 진료를 받은 3,161건, 의료기관보고
3,074건을 통합한 후 중복배제 과정 거침
? 작업 결과 조사 대상 사산 건수는 5,044건
4) 모성사망 조사대상자 선정
? 2002~2003년도 사이에 사망한 여성 중 임신 및 분만과 관련하여 진료 받은
사실이 있는 여성을 선정하여 의료기관에서 모성사망여부를 확인
? 장제비, 통계청 자료의 가임기 여성사망자를 임신?분만관련 수진자료와 연결
하여 임신?분만과 관련하여 진료받은 사실이 있는 여성 사망자를 찾아내는
작업방법
? 건강보험자료(19,063), 통계청(22,423) 자료를 사망자 주민등록번호를 Key
로 하여 중복자를 배제하여 가임기 여성사망자 선별
? 시?도 보고자료 중 임산부사망 66건을 각각의 의료기관별로 추가
? 중복자를 배제한 자료를 임신?분만관련 수진자료 1,346,795건과 연결
? 작업결과 조사대상 모성사망자 수는 1,046건
나. 조사대상 의료기관 선정결과
1) 시도별 의료기관 종류별 확인조사 기관
? 진료 및 분만 결과 확인조사기관수는 종합병원 267개소, 병원 183개소, 의원
1,811개소, 조산소 20개소, 보건기관 7개소로 총 2,288개소
? 시도별로 서울 569개소, 경기 466개소, 부산 163개소, 인천 134개소 순서임.
2) 시도별 의료기관 종류별 사망조사 기관
? 기존자료로부터 수집한 영아사망 중 추가정보 수집을 위해 조사가 실시되어
야 할 의료기관은 총 573개소였으며, 이중 의원 224개소, 종합병원 195개소,
병원이 139개소
? 시도별로는 서울이 130개소, 경기 94개소, 경북 45개소, 부산 41개소 순서임.
? 기존자료에서 이미 확인한 사산아의 추가정보 수집을 위해 조사가 실시되어
야 할 의료기관은 총 591개였으며, 이중 의원이 327개소로 55.3%를 차지하였
으며, 다음은 종합병원 157개소, 병원 104개소 순서임.
? 시도별로는 경기가 123개소로 가장 많았고, 그 다음이 서울로 107개소
? 기존 자료에서 수집된 여성사망 중 모성사망 여부를 확인하기 위해 조사가
실시되어야 할 의료기관은 총 563개소였으며, 이중 의원이 237개소로 가장
많았고, 종합병원 175개소, 병원 126개소였음.
3) 시도별 의료기관 종류별 총 조사 기관
? 보고가 누락된 사망자를 발견하기 위한 확인조사기관과 기존자료에서 이미
사망을 확인하였지만 사망자의 추가 정보를 얻기 위한 사망조사 기관을 합
하여 조사대상 의료기관수는 총 6,673개소. 이중 의원이 4,976개소로 74.6%를
차지함.
? 전체 조사대상 기관은 사망자 누락을 최소화하기 위하여 사망 발생 가능성
이 있는 모든 기관을 포함시켰기 때문에 의원이 차지하는 비중이 큰 것으로
생각됨. 시도별로는 서울이 1,539개소(23.1%), 경기 1,405개소(21.1%) 였음.
다. 정책제언
? 사망이 희귀한 사건이기 때문에 표본조사로부터는 사망률 산출이 가능하지
않으므로 본 조사방법이 현재로서는 사망신고 누락을 보완할 수 있는 유일
한 방법이나, 본 조사가 갖는 한계점이 있으며 다음 조사를 위해서 해결되
어야 할 과제는 다음과 같음.
? 개인의 ID가 있어야만 자료간 연계가 가능하지만 자료를 제공하는 기관
에서는 ID 제공을 제한하고 있기 때문에 기본 자료수집에 상당한 시간이
소요됨.
? 영아?모성사망조사는 3년 주기로 실시되기 때문에 원 자료를 보유하고
있는 기관에서 자료 추출작업에 경험 있는 직원이 교체되고 업무의 연속
성이 없어 담당자와의 적절한 의사소통이 어려움.
? 본 조사는 초기에 영아사망조사로 시작되었으나, 그 후 사산아조사와 모성사
망조사가 추가되었음에도 불구하고 추가예산이 확보되지 못하여 조사 여건
이 악화됨.
? 향후 기존자료 수집시 진료기관?사망발생 의료기관의 요양기관번호를 수집
하도록 해야 할 것임. 전국에 동일한 명칭을 가진 의료기관이 적지 않아 연
계 어려움.
? 출생신고서에 출생의료기관 코드를 포함시키고 전산입력하도록 통계청에 요
청. 출생시 정보를 얻기 위해 진료받은 전 기관을 조사해야 하는 부담을 감
소시킬 수 있음.
? 영아모성사망 통계생산 시스템이 구축되어 3년주기가 아닌 매년 통계가 생
산되도록 해야 할 것임. 최근 폐쇄된 의료기관의 수 증가로 후향적 조사로는
조사의 완성도가 떨어질 우려 큼.
? 출생?사망 연계자료 세트(Birth-death linked data set)와 주산기통계 데이터
베이스(Perinatal statistics D/B) 구축방안이 모색되어야 할 것임.
? 영아사망, 사산, 모성사망, 미숙아, 선천대사이상아, 선천성 기형, 불임, 유
산 자료가 한 곳에 집중되어 연계분석시 자료의 효용가치가 클 것임
? 영아모성사망조사의 일차적인 목적은 사망률의 산출이나, 모자건강은 인
구 전체의 건강에 미치는 영향이 클 뿐만 아니라, 최근 출생아 수의 감
소로 건강한 태아의 출생에 대한 요구가 그 어느 때보다 크므로 모자건
강 향상을 위한 연구자료 확보가 요구됨.
? 자료간 연계를 통해서 모자건강 위험요인 연구 활성화 방안이 모색되어
야 할 것임.
? 본 조사방법의 핵심은 개인의 주민등록번호를 이용하여 자료간 연계를 실시
하는 방법인데 개인정보 보호문제로 의료기관 협조에 어려움 발생. 개인정보
보호와 국가의 기본통계 수집간의 충돌에 대한 대안이 모색되어야 할 것임.
? 여성 전체를 추적하는데 현실적인 어려움이 있어서 모성사망 조사 대상자를
가임기 여성으로 15세에서 49세로 하였으나, 건수는 많지 않지만 15세 이전
과 50세 이후의 임신도 가능하므로 대상연령을 확대 여부 검토 필요
제작일 2004-12-23
발행년도 2004년

연구결과 평가 및 활용보고서

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