• Title, Summary, Keyword: 통합건강증진사업

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A Study on the Evaluation and Improvement of an Integrated Health Promotion Program in the Local Community (지역사회 통합건강증진사업 평가와 개선방안)

  • Paek, Jong-Sup;Hong, Seong-Ae
    • Journal of the Korea Convergence Society
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    • v.8 no.7
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    • pp.131-139
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    • 2017
  • The purpose of this study was to investigate the effectiveness of public health center's Integrated Health Promotion Program for the public officials who provide health promotion services to local residents. The survey was conducted from September 10 to October 5, 2015 using a structured questionnaire. Each of the 254 public health centers were sent two questionnaires but I only received 348 and 339 were used for the final analysis. As a result of this study, the all subjects were showed the average level of efficiency, autonomy, accountability, and the support of the Ministry of Health and Welfare, and the related organizations. Also, the evaluation of all the variables were positive when there was a dedicated department for integrated health promotion program within the health center and when the proportion of essential program was high. However, after the Integrated Health Promotion Program was included in the Health centers, the workload has increased and the implementation of the essential program does not fully reflect the regional health problems or local conditions. Based on these results, it is necessary to find a plan for the successful operation of the Integrated Health Promotion Program.

Objectives and Strategies of Government Health Promotion Policy (정부의 건강증진사업 목표 및 추진방향)

  • Lee, Jong-Gu
    • Proceedings of The Korean Society of Health Promotion Conference
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    • pp.3-32
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    • 2005
  • 정부의 건강증진사업은 국민의 건강수명 연장과 삶의 질 향상에 궁극적인 목적이 있다. 이는 건강 지지적인 환경을 조성하고 질병을 예방${\cdot}$관리하며 평생 건강서비스를 제공하고 건강한 생활양식을 형성하도록 함으로써 달성될 수 있는 것이다. 건강증진사업을 위한 기반으로 연구와 개발 강화, 법과 규칙의 조정, 기금과 인력과 같은 자원 확보는 필수적이다. 정부의 건강증진전략은 첫째 자원할당의 우선순위를 확보하는 것으로 건강증진, 질병 및 손상의 예방, 재활관련 사업에 더욱 많은 자원을 할당하는 것이며, 둘째로 국가차원의 건강증진 프로그램을 개발하여 실행하는 것이다. 포괄적인 생애주기별 건강증진 프로그램(건강증진종합계획)과 모아보건, 학교보건, 산업보건, 그리고 만성질환예방프로그램 등이 포함된 포괄적인 프로그램을 개발하여 실행하는 것이다. 셋째로, 건강증진기금을 공공보건을 위한 하부기반과 건강증진 프로그램에 투자함으로써 사업의 하부기반을 정비하는 것이다. 건강증진사업을 위한 하부기반으로는 정책과 위임사항을 들 수 있는데, 국민건강증진법과 국민건강증진종합계획, 2005년 6월에 서울시 의회를 통과한 건강도시추진위원회를 들 수 있다. 정부의 건강증진사업의 법적 기반은 1995년에 제정된 국민건강증진법이다. 국민건강증진법은 국민들이 건강에 대한 가치를 인식하고 책임의식을 함양하며, 올바른 건강지식을 갖고, 국민들이 건강한 생활양식을 실천할 수 있는 환경 조성을 목적으로 하고 있다. 건강증진사업은 대중을 위한 보건교육과 건강상담, 영양관리, 구강보건관리, 질병의 조기발견과 치료를 위한 건강검진, 지역사회 건강문제에 관한 조사와 연구, 담배소비 감소와 건강증진부담금 부과를 통한 국민건강상태의 향상을 위한 사업이다. 훈련과정으로는 보건복지부에서 2005년부터 수행하고 있는 시와 지역을 위한 현장관리 프로그램과 서울시가 수행예정인 지역수준의 지도자 훈련과정이 있다. 건강증진사업의 원활한 진행을 위한 기금조성은 건강증진기금이 담배세로부터 조성되고 있으며 2004년 12월 31일 현재 담배 한 갑 당 500원으로 인상되어 부과되고 있다. 기금의 관리와 운용은 보건복지부가 담당하며, 기금은 건강한 생활양식형성에 대한 지원활동, 국민을 위한 보건교육과 교육자료 개발, 건강증진과 만성질환에 대한 연구, 질병의 조기발견을 위한 건강검진, 구강보건관리활동에 사용되고 있다. 향후 건강증진사업 투자계획은 1단계 (98-02년)에는 사업기반조성기, 2단계(03-06년) 보건소사업발전기, 3단계(07-11년)통합사업정착기로 구성되고 2단계의 인프라구축에 사용될 투자 비율은 30%에서 3단계에 15%로 감소될 예정이며, 사업실행 영역은 50%에서 65%로 확대될 계획이다. 2005년 건강증진사업의 중점목표는 건강증진사업의 지방 분산화, 건강증진사업의 근거마련, 사회적 형평성의 달성에 있다. 건강증진사업의 지방분산화를 위해서는 중앙에 관리센터가 설치되어 기획과 평가, 연구와 개발, 현장관리 훈련을 담당하게 되고, 지역관리센터에서는 자치적인 보건소 중심 건강증진사업의 수행과 평가를 진행하게 된다. 건강증진사업의 근거마련을 위해서 효과가 입증된 사업에 우선순위를 두며, 기획과 평가위원회를 설치하고, 건강증진사업의 평가결과를 환류 할 수 있는 체계를 마련하는 것이다. 또한 건강증진포럼을 구성하며 현 건강조사 체계를 수정한다. 한편 형평성 제고의 측면에서는 저소득층, 노인, 장애인들과 같은 취약계층의 건강상태 향상을 위한 중앙정부와 지방자치단체의 역할을 강화하고, 지역간${\cdot}$사회적 집단 간의 건강증진사업관련 형평성을 제고한다.

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Changing Direction In Nursing Education - Primary and Transcultural Nursing Care (간호교육 초점의 변화-1차 건강간호와 초 문화적 간호-)

  • Leininger Medeleine
    • The Korean Nurse
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    • v.16 no.4
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    • pp.58-67
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    • 1977
  • 미국에서는 2가지 중요한 움직임이 일어나고 있다. 즉 간호의 문화적 교류와 1차 건강 간호의 움직임이다. 이것들은 모두가 간호 교육과 실제를 증진시키는데 놀랍고, 도전적이며, 유망한 발전이다. 그들은 효과적이고 성공적인 간호원을 준비시키는 간호 지도자들에게 새롭고 무거운 책임을 지우고 있다. 따라서, 우리는 교육적 노력과 실제의 영향을 지도해 줄 수 있는 체계적인 평가와 조사연구가 필요하다는 것을 인식한다. 1차 건강 간호와 간호의 문화적 교류는 일반적 의사의 접근법으로 간호와 건강관리의 관심사에 대해 인류를 도와준다. 이 둘 모두가 인류의 다양한 요구를 만족시킬 수 있는 문화적 생활양식과 지역사회에 기초를 두어야 한다. 이 둘은 기타 간호와 타 건강관리 제공자의 일반적인 건강사업 및 치료사업과 통합되어야 한다. 의심할 여지도 없이 이 둘은 질병예방, 건강증진에 대한 통합적인 접근법과 원기 회복을 위한 건강수행을 위하여 지역적이고 국내적이며 세계적인 건강관리 체제와 실제의 일부분이 되야 한다. 전문적인 간호원은 세계에서 가장 규모가 큰 건강관리 제공자로서 급속히 나타나는 세계 건강 문화 속의 인류를 위하여, 우수한 건강 관리를 개선하고 유지할 수 있는 상당한 잠재력과 도전성을 지니고 있다.

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Success and Barrier Factors of Integrated Health Promotion Program to Improve Health Indicators - Hypertension Registration Program in Goseong, Gangwon - (건강지표 개선을 위한 통합건강증진사업의 성공 및 장애요인 - 강원도 고성군 고혈압등록사업 -)

  • Park, Woong-Sub;Park, Okhui;Hwang, Hyunsook;Lim, Hyunjeong;Lim, Heeyoung;Kim, Sang-A
    • Journal of agricultural medicine and community health
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    • v.43 no.2
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    • pp.97-107
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    • 2018
  • Objectives: The purpose of this study was to examine the success and barrier factors of hypertension registration program in Goseong community health center proven improving hypertension treatment rate by community health survey. Methods: We conducted a qualitative research using both a performance review of the program and in-depth interviews with the 8 operators who had worked for this program in April 2018. Results: In this study, the success factors were analysed as follows: First, the willingness to improve health indicators, second, the implementation of large-scale projects, third, improving program processes, fourth, continuous efforts for achievement of goal, not output or reward, and the barrier factors are as follows. First, uniform output monitering, second, evaluation after the fashion of contest, third, the confusing concept of an integrated health promotion program, fourth, the attitude of the person worried with task change. Conclusions: This study suggested that the health community health center should follow the basic principles of public health, and the central government should introduce a health policy of decentralization.

Structural Relationships of Variables Affecting Application of Job Training in the Public Health Promotion Personnel (보건소 통합건강증진사업 담당자의 현업적용도에 영향을 미치는 변인의 구조적 관계)

  • Park, Kwi Hwa;Kim, Hyun-Ju;Yim, Jun
    • The Journal of the Korea Contents Association
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    • v.18 no.6
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    • pp.424-433
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    • 2018
  • The purpose of this study was to analyze the structural relationship of variables affecting application of job training in the Integrated Public Health Promotion Program Personnel(IPHPPP); intrinsic motivation, individual oriented achievement motivation, achievement and satisfaction of program. The subjects were 115 IPHPPP who participated in job training program of Incheon City Integrated Health Promotion Support Team. Data were collected using a structure self-report questionnaire. Data were analyzed by a ANOVA, correlational analysis, and path analysis. As a result, the application of job training was high in the 40s. There was no significant difference in each variable by job application. Application of job training was positively correlated with intrinsic motivation, individual oriented achievement motivation, achievement and satisfaction of program. Further, Application of job training was directly by intrinsic motivation, individual oriented achievement motivation, and indirectly by satisfaction of program. Satisfaction of program was directly or indirectly influenced by achievement and application of job training. This showed that satisfaction of program play an important role in application of job training. Increasing the motivation and satisfaction of the participants is necessary as a way to increase application of job training. This findings may help to design educational programs to improve application of job training for IPHPPP.

수생태계 보전.복원을 위한 주요과제

  • Jeong, Gyeong-Yun
    • Bulletin of Korea Environmental Preservation Association
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    • pp.13-16
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    • 2014
  • 생태하천복원사업 등을 과학적 체계적으로 추진하기 위하여는 현재 축적중인 수생태계 건강성 조사 평가결과를 활용하여 복원대상지역을 선정할 필요가 있다. 아울러 상류유역의 수질오염을 줄이기 위하여 하수처리장 증설을 통한 점오염원과 도시 농업등의 토지이용으로 인한 비점오염원을 함께 줄여나가는 사업을 통합적으로 추진하고, 사업이후에는 수질개선효과와 수생태계 생물다양성의 증진효과를 모니터링을 해나가야 한다.

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Future Directions of the Integrated Health Promotion Programs in Health Center (보건소 통합건강증진사업의 발전 방향)

  • Lee, Ju-Yul
    • Korean Journal of Health Education and Promotion
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    • v.30 no.4
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    • pp.1-7
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    • 2013
  • Objectives: This paper reviews the integrated health promotion program in health center to analyse the problems and to provide the future directions aiming to health promotion block grants. Methods: The guidebook for the integrated health promotion program published by the Minister of Health and Welfare were reviewed in this study. And also the empirical results and theoretical considerations were used in making future directions. Results and Conclusion: This paper suggested four improvement directions as follows; first, the legal review committee is needed to approve when the central government change the way of health promotion program in health center. Second, the required programs should be replaced by an integrated outcom evaluation indicators. Third, the central government should strengthen the capacity of local government. And finally, visiting training should be conducted each health center.

Population Strategy for Physical Activity in Korea (우리나라 신체활동 및 운동사업에서의 인구집단 전략)

  • Lee, Moo-Sik
    • Journal of agricultural medicine and community health
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    • v.30 no.2
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    • pp.227-240
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    • 2005
  • Health promotion has more comprehensive approaches in recent years. Nevertheless we accept the concept of health promotion differently, we are agree on that community is the most important field in health promotion which includes population at the aspect of health policy, individual skill and, environment. And there are a number of different approaches to health promotion. In them, 'population approaches' and 'high -risk group approaches' has the most different characteristics. 'Population approaches' is equally important or more important than 'individual approaches' for maintaining and promoting population health. Almost part of this article contents is the summary of the guideline and population strategy of health promotion in Korea, 1999 - 2005. Community based health promotion program should be reinforced, integrated, comprehensive, collaborative through efficiently utilizing community resources. Recent new orientation of community health program is integrated health program, we can find this orientation at Ottawa charter 1986. Comprehensive approaches with the determinant factors for health are essential task. Physical activity is a key health determinant. The population-health approach suggests that educating people about physical activity is not enough. Individual behavior changes are important too, but need to be balanced with strategies for environmental change. Population strategy with physical activity for health promotion should be developed through improving social and physical supportive environment, linking and integrating community resources between public and private sectors in national, regional and local level. Continuous public education and social marketing should be provided through collaborating with community physical activity organization, facilities, work-places and school for increasing concern of all the people of community about physical activity. Governments, agencies and citizens should held and participate to building movement. And the strategy that various 'active for life' program should be developed, delivered, maintained and reinforced continuously. Basically, adequate and sufficient financing, developing human resources, policies and legislation would be provided and supported fully too. At last, research development and knowledge exchange are required domestically and internationally. In Korea, we had classified the category of strategic priority of physical activity programs by environmental support, life-course approach, high-risk group approach and disease group approach for physical activity program based on community health center. Community based core programs for physical activity that includes infrastructure building and establishment of supporting environment, community campaign, health promotion education and public service announcement, physical activity programs for elderly and obesity, exercise prescription program.

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Factors Influencing Health Status by the salutogenic Theory of Radiologists (방사선사의 건강생성이론에 의한 건강상태 영향요인)

  • Seo, Young-Ho;Kim, Keon-Yeop;Nam, Hang-Me;Park, Chang-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.291-299
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    • 2020
  • This study is based on the theory of salutogenesis, and investigates factors affecting the health status of radiologists who experience high stress and health problems in the rapidly changing medical environment. The study enrolled 379 radiologists working at hospitals in Daegu. A health structure model was established by applying the theory of salutogenesis. Sense of coherence had a direct effect on the health status of radiologists. Psychological stress, social support, and drinking were also influential factors, due to their mediating effect on the sense of coherence. Moreover, social support was also found to be lower when job stresses were higher. Hence, increased psychological stress resulted in lower levels of sense of coherence, social support and exercise. Taken together, results of this study indicate that effects on the sense of coherence have maximum influence on the health status of radiologists, and social support among general resistance resources is an important factor for enhancing sense of coherence. In addition to social support and health behaviors, researches involving various resources and the development of organizational strategies and health promotion intervention programs are required in future, to enable radiologists to cope with their stresses and improve health.