• Title/Summary/Keyword: Community/public Health

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Dimensions of Community Capacity: A Case of a Resident Committee in a Public Residence Lease Apartment Complex in Seoul (지역사회 역량의 구성 영역 - 서울시 임대아파트 임차인 대표회 사례 -)

  • Kwak, Min-Son;Yoon, Nanhe;Jang, Sarang;Cho, Byong Hee;Yoo, Seunghyun
    • Korean Journal of Health Education and Promotion
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    • v.29 no.5
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    • pp.77-88
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    • 2012
  • Objectives: This paper aims to identify the dimensions of community capacity in a public residence lease apartment complex in Seoul as a case study, and discusses their application to community health promotion. Methods: The research team performed a focus group interview and a brief survey with resident committee representatives to explore community context and to identify the dimensions of community capacity and their order of priority. Results: We identified many groups with different senses of community and various dynamics in the community. Seven dimensions of community capacity were identified. However, there are different developmental stages among them. Also there are some influences with the different directions in a dimension, e.g. leadership and citizen participation. Conclusions: This study illustrated the identification of the dimensions of community capacity focused on the perspective and recognition of the community and community member, as an effort to understand community capacity in domestic community health promotion context.

A Study on job satisfaction and strategies to improve the system of Public Health Doctors in Charge of Community Health programmes (보건사업전담 공중보건의사 직무만족도 및 제도 개선방안)

  • 정헌재;조희숙;배상수
    • Health Policy and Management
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    • v.14 no.1
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    • pp.1-23
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    • 2004
  • This study was carried out to investigate the activities and job satisfaction of public health doctors in charge of community health programmes. Subjects were 138 public health doctors charged with community health project, registered in the roll of public health doctors, made out by Central Supporting Team for the District Health Work in 2002. Data was obtained from Ninety-six public health doctors. The response rate was 70%. The survey was conducted from March to April in 2003 bye-mail. The items of the questionnaire consisted of general characteristics of participants, understanding of their activities, support system, job satisfaction, and suggestions to improve the system. Collected data was analyzed using PC-SPSS 10.1. Descriptive analysis, t-test, and ANOVA test were used. The results are as follows: Most of the respondents showed a low participation rate in community health services, but they agreed to the importance of their activities and the necessity to modify and improve the system. 70% of the respondents were dissatisfied with their jobs. The participation in health planning and programmes of health center, and the degree of acceptance of their opinion from health center workers were significantly related to their job satisfaction. The participation rate of the public health doctors having specialty, in community health services is higher than that of the others. In terms of the supports for system operation, the reflection of one's intention in job arrangement process, education and public relation of this system, and the administrative and financial supports made significant differences in the job satisfaction and the accomplishment of their duty. The respondents hoped that the administrative and financial supports for public health doctors in charge of community health programmes should be reinforced to motivate them. They also wanted that they could keep from being overloaded with clinical services. They favored to conduct home visit, community diagnosis, health planning, and health promotion programs as their appropriate activities. From these results, we suggest some strategies to motivate and empower the public health doctors in charge of community health programmes.

A Literature Review on the Public Program of Walking Promotion for Active Living (활동적 생활을 위한 걷기증진 공공사업에 관한 고찰)

  • Kim, Dong Ha;Kang, Jaewook;Yoo, Seunghyun
    • Journal of agricultural medicine and community health
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    • v.46 no.2
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    • pp.98-108
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    • 2021
  • Objectives: This study aimed to describe the current public programs for community walking in Korea and to discuss their challenges. Method: We identified the literature related to community walking including five laws, 22 white papers from government departments and 84 program reports from the Seoul Metropolitan Government. Results: Korean law guarantees legal rights and validity to create safe, convenient and equitable environments for community walking. The government department, which has jurisdiction over legislation relating to community walking, has dominated community walking programs, and the role of public health department has been insufficient. Almost all sectors in the department of Seoul Metropolitan Government were involved in community walking programs. However, inter-sectoral cooperation system for community walking was insufficient. Conclusion: It is necessary to revise the condolences of the National Health Promotion Act to establish the role and perspective of public health in community walking promotion. Institutional efforts should be made to expand the network structure between sectors of community walking programs by establishing an organizational, budget, and performance sharing system for inter-sectoral approach.

Using Community-Based Participatory Research(CBPR) for Health Promotion (건강증진을 위한 지역사회 기반 참여연구의 적용 방안)

  • Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.141-158
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    • 2009
  • Community-Based Participatory Research(CBPR) has gained attention as a public health approach to develop community health interventions to address health disparities in recognition of the community relevance of specific health issues associated with social determinants of health. It emphasizes community involvement in equal partnership with researchers and public health professionals to address community-identified needs. The characteristics and principles of CBPR discussed in this paper highlight participatory nature, capacity development, partnership building, and process-orientation of CBPR. A 6-step process model for community empowerment is then introduced as a CBPR operationalization strategy. Mixed methods research approaches are valuable in CBPR as well as process evaluation. For the application of CBPR in Korean contexts, the Diffusion of Innovation theory is suggested as a theoretical framework for implementation. Building public health partnerships between public and private sectors to create partnership synergy is a necessary condition for successful CBPR for health promotion in Korea. Accompanying critical factors for the CBPR application include: common understanding of CBPR and its values, establishment of the definition of 'community,' 'community-based' and 'participation' in community health, development of accommodating research infrastructure for CBPR, recognition of the importance of program evaluation (particularly process evaluation), and training CBPR specialists.

Strategy for Strengthening Community-Based Public Health Policy (지역사회기반 공중보건정책 강화방안)

  • Kim, Dong-Hyun
    • Health Policy and Management
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    • v.26 no.4
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    • pp.265-270
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    • 2016
  • Public health system for more prevention-oriented health promotion rather than hospital-based curative service, focusing population rather than individual, and comprehensive health management in the local community strongly needs to be constructed to solve major issues on efficiencies and equity problems which Korean healthcare system is facing nowadays. Public health promotes and protects the health of people and the communities where they live, learn, work, and play. Medical care tries to cure those who have diseases, but public health tries not to become ill and not to be injured. Debates on how we build or rebuild public health system, which is contrasted with medical care system, are needed in Korea, focusing how needs for healthy community and right to health are fulfilled. Public health specialists for practising population health at local community level should be systematically recruited, the function of public health centers should be strengthened, and new government organization should be established for place-based health management.

Direction of the Community Health Nursing Practice Education Focusing on the Nursing Education Accreditation Criteria (지역사회간호학 실습교육 개선 방안: 간호교육 인증평가 기준을 중심으로)

  • June, Kyung Ja;Chin, Young Ran;Kim, Hee Girl;Kim, Chun Mi;Song, Yeon Yi;Kim, Souk Young;Lee, Hanju;Jeong, Ihn Sook;Seo, Ki Soon;Choi, Kyung Won
    • Research in Community and Public Health Nursing
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    • v.27 no.2
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    • pp.183-192
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    • 2016
  • Purpose: The purpose of this study was to seek the direction of community health nursing practice education focus on the nursing education accreditation criteria. Methods: We collected data through e-mail survey to all of 202 Korean nursing baccalaureate education institute in April, 2016. The 93 professors teaching community health nursing was responded about their affiliated institute (response rate 46.0%). Results: The Korean nursing graduates in Feb. 2016 was practiced 3.01 credits, 131.6 hours in community health nursing course. Community health nursing practice agency was public health center (98.9%), Public health center post (43.0%), Public health center branch (32.3%) in order. The possibility to achieve the course objectives up to national examination was recognised Public health center (3.4), Public health center post (3.3), Public health center branch and school (3.2) from 5 score likert scale. A lot of nursing education institute have difficulty in clinical placement in community health nursing practice agency that meet eligibility of preceptor and space gaining for only nursing students. Conclusion: The nursing education accreditation criteria in 3rd cycle have to be considered real community health nursing practice situation and newly emerging community health nursing fields.

Community Health Program Planning and Local Public Health System : The MAPP Model (지역사회보건기획과 지역보건체계 강화: MAPP 모형의 사례)

  • Kwak, Min-Son;Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.27 no.3
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    • pp.59-66
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    • 2010
  • Objectives: This paper aims to describe a public health planning model, Mobilizing for Action through Planning and Partnership(MAPP), and to discuss its application in Korea with a specific focus on the Local Public Health System (LPHS) component of MAPP. Methods: Literature content review was performed on research papers on MAPP development and application, MAPP handbook and guides, the guidelines for the 5th Phase Community Health Plan, and a research report on public health center evaluation system. Results: MAPP has been applied to public health planning (the 5th Phase Community Health Plan) and a performance evaluation system for public health center in Korea. The current application is limited to the early stages of the MAPP. Limited or partial application affects the integrity of the model. Follow-through should be strengthened especially for evaluation planning. Conclusion: Systems thinking approaches should be considered for the development of LPHS and strengthening logical and practical linkage between planning and evaluation of community health planning.

Contexts and Directions of the Collaboration between Public Health Centers and Community Partners for Health Promotion (보건소의 지역사회 건강증진 협력 모색)

  • Yoo, Seunghyun;Kim, Kwang Kee
    • Korean Journal of Health Education and Promotion
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    • v.30 no.4
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    • pp.77-85
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    • 2013
  • Objectives: This paper discusses the current contexts of the collaboration between public health centers(PHCs) and community partners for health promotion. Then it suggests directions for the development and enhancement of the collaboration. Methods: The discussion in this paper is based on key literature on community health promotion, including literature reviews and case reports. Results: PHCs are mostly engaged in networking and cooperation rather than collaboration with the community. A typical pattern of cooperation is where PHCs provide healthy-setting types of programs to the community in single-partnered relationships. Current cooperation rarely involves co-planning by a multi-partnered partnership, and is greatly influenced by the interest of PHC directors and PHC performance evaluation indicators. Systems change is recommended to foster collaboration for community health promotion. Such change involves: shared understanding of health promotion and collaboration, inclusion of collaboration mechanism in public health governance, leadership development, capacity enhancement of all partners. role definition of PHCs for community collaboration, and development of collaborative system, at the least. Conclusions: At this point where collaboration should be more than rhetoric, multi-faceted, intersectoral, and concurrent approaches are required to create discourses, to develop cases, and to share experience for actual realization of collaboration for community health promotion.

Moderating Effects of Public Health Service Utilization Rate between Public Health Resources and Community Mental Health (지역사회 공공보건자원과 지역사회 정신건강의 관계에서 공공보건서비스 이용률의 조절효과)

  • Kim, Jae-Hee
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.2
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    • pp.268-278
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    • 2020
  • This study aimed to identify the moderating effect of public health service utilization rate between public health resources and community mental health. The subjects included 144 local communities, from the data of 6th Community Health Plan and the 2015 Community Health Survey. Public health resources were measured by public health budget, public mental health budget and public mental health personnel; and mental health was measured by rate of perceived stress, rate of depressive mood and suicide rate. The hierarchical regression analysis was used to identify the moderating effects. The results were as followed. First, the effect of public mental health budget on rate of depressive mood was moderated by public health service utilization rate. Second, the effect of public mental health personnel on rate of depressive mood was moderated by public health service utilization rate. Third, the effect of public mental health personnel on suicide rate was also moderated by public health service utilization rate. Fourth, the effect of public health resources on mental health differed between the groups with high and low public health service utilization rate. In improving community mental health, the measures to improve the public health service utilization rate should be considered to ensure that reinforcing public health resources leads to the improvement of community mental health.