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본 연구는 최근 지역사회실천의 모범적 사례로 부각되고 있는 안성의료생활협동조합에 대한 실무자인 의료인들의 참여과정을 살펴보고 그 유형을 체계화 하는데 목적이 있다. 이러한 연구목적을 위하여 질적연구 중 과정연구에 적절한 근거이론 방법을 적용하였다. 안성의료생활협동조합의 초창기 실무자인 의료인 5명을 대상으로 “의료생활협동조합 참여과정은 어떠하였는가”를 심층 면접하여 132개의 개념과 33개의 하위범주 그리고 12개의 범주를 추출하였다. 핵심범주는 “의료생협을 구축하면서 의료서비스 확대와 지역사회 조직하기를 통하여 건강한 지역 만들기에 참여하기”로 나타났다. 본 연구결과를 종합하면, 첫째, 실무자인 의료인들이 의료생협에 참여하는 과정은 ‘지속적 도전형’, ‘자원연계형’, ‘염려형’으로 유형화되었다. 둘째, 실무자인 의료인들은 의료생협 참여과정에서 기대단계, 인식단계 그리고 대응단계로서 그 전략을 단계적으로 펼쳐나갔다. 셋째, 실무자들의 참여과정은 개인수준, 조직수준, 사회수준으로 각각 다르게 나타났다.


This study is intended to examine the participation of physicians as practitioners in the Anseong Medical Cooperative, which is seen as an exemplary model for community support and to systematize the types of support the cooperative provides to the community. For these purposes, appropriate methods of grounded theories have been applied to the research in order to understand the development of the model. Five physicians who served as practitioners from the early days of the Anseong Medical Cooperative were interviewed regarding their participation in the cooperative, and as a result, 132 concepts, 33 subcategories, and 12 main categories were identified. The core principle of the cooperative was for the physicians to participate in building a healthy community through community organizing and the expansion of medical services and in the form of a medical cooperative. To summarize the results of the study, three conclusions can be made: First, the process in which the physicians participated in the cooperative can be divided into three stages: a. Thrive on challenges and demonstrate endurance. b. Resources association. c. Worry. Second, in regard to the stages of involvement, the physicians moved strategically from the phase of expectation to recognition and finally to that of reaction. Third, the level of the physicians in the development of the model varies from individual to organizational to social.