• 제목/요약/키워드: Community/public Health

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Unconventional Answers to Unprecedented Challenges: The Swedish Experience During the COVID-19 Outbreak

  • Valeriani, Giuseppe;Vukovic, Iris Sarajlic;Mollica, Richard
    • Journal of Preventive Medicine and Public Health
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    • 제53권4호
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    • pp.233-235
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    • 2020
  • Since its early stages, the coronavirus disease 2019 (COVID-19) pandemic has posed immense challenges in meeting the public health and healthcare and social care needs of migrants. In line with other reports from United Kingdom and United States, data from Sweden's health authority show that migrants have been disproportionately affected by COVID-19. Following the World Health Organization's statements, as well as the European Public Health Association's call for action, several centres in Sweden's most populated areas have activated tools to implement national plans for community outreach through initiatives targeting migrants and ethnic minority groups. Unconventional means should be promoted to mitigate the impact of COVID-19 on migrants and the health of the public at large.

코로나바이러스감염증-19 전후 강원도민의 공공의료 인식 비교 : 2019-2020 강원도민 보건의료패널조사 결과를 중심으로 (Changes in Public Health Perceptios after the Outbreak of Coronavirus Disease-19 among the Gangwon Province Residents Focusing on the Results of the Gangwon Province Residents' Panel Survey 2019-2020)

  • 황유성;조희숙;정수미
    • 농촌의학ㆍ지역보건
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    • 제48권1호
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    • pp.13-27
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    • 2023
  • Objectives: The purpose of this study is to investigate changes in public health-related perceptions of residents of Gangwon province after the outbreak of Coronavirus disease-19(COVID-19) of the public. Methods: We performed paired T-test analysis to measure the change in public health-related perceptions before and after COVID-19. We also utilized generalized estimating equations to identify demographic factors correlated with public health-related perceptions. Results: The public perceived public health as 'All citizens can use medical care and protect/promote health.' The concept was the most popular, from 94.3% in 2019 to 95.5% in 2020. In addition, after COVID-19, residents of Gangwon province's satisfaction with medical services increased, but the overall level was not high. Among the eight essential healthcare needs after COVID-19, cardiovascular disease and injury services have emerged as preferred services. However, by sociodemographic factors, distinctive responses were detected. Conclusions: Through COVID-19, Gangwon residents' awareness of the public's health rights has increased. Those living in vulnerable areas or with unmet medical care, supported strengthening public health care. In addition, although medical satisfaction has increased, it is not satisfied, so listening to the voices of the population group with low satisfaction is essential. Lastly, since the necessity of essential health care may change due to specific events, the local government needs to plan health projects reflecting the needs of residents. Therefore, when designing the public health care strategy in Gangwon province, the local government should consider not only political factors but also environmental factors, demographic and conceptual factors.

서울시 보건소 모성실 운영실태에 관한 현장 연구 (A Field Study on Managing System of Maternity Clinic at Public Health Centers in Seoul)

  • 정연강;권영미;김희영
    • 지역사회간호학회지
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    • 제6권2호
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    • pp.259-274
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    • 1995
  • The study is to grasp the problems related to operation of Maternity clinic of public health centers in seoul and needs for public health of community in relation to consumers and providers in order to improve efficiency of community public health for mothers and children. Four pregnancy woman, who receive medical care at the maternity clinic of M public health centers in seoul and understand the purpose of this study, and one nurse who works at the were the objects of this field study. Participating observation and intensive interviews were conducted to collect data. All of them were performed as necessary from time to time since December, 1994, and not during a specific period. Through an data analysis in the order of sector analysis and classification analysis, the data were classified into specific patterns and the results are the following; 1. All of the subjects were using both private hospitals and public clinics, but managing activities prior to delivery were not carried out in accordence with theories for those activities. 2. The subjects showed two types of response to utilizing maternity clinic. they answered that the advantages of the clinic were 'short waiting time for medical treatment', 'medical treatment by female doctors' and 'economical benefit.' Meanwhile, they gave negative response to the problems of 'non-implementation of delivery' 'uncleanness and insufficient facilities', 'limited time of treatment', 'lack of expertise' and 'want of public health education for materity.' 3. Problems related to operation of maternity clinic were 'lack of experts', 'irrational facility structure' and 'absolutely lack budget'. In terms of the status of managing the subjects, 'programs only aimed at attaining the central-government-assigned objects' and 'limited management before and after delivery by non-implementing delivery' were pointed out to be problems. Regarding public health education before delivery and PR relations, 'superficial public health education for maternity' and 'absence of PR programs' were named. In planning and evaluation, 'absence of autonomous planning and evaluation by the clinic itself' was a major problem in operating the clinic. 4. 'Substantial health education and PR', 'supplementation of facilities and eqipment', 'development' and supply of demanded service by the subjects', 'implementation of autonomous programs', and 'reinforcement of supplementary education' were presented as alternatives for efficient opration of maternity clinics.

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보건영양사업의 현황과 전망 - II. 시범보건소 영양사업 지역 주민의 보건영양사업에 대한 인식 및 요구조사 (The Current Status and Propects of Community Nutrition Services - II . The Perception and Needs of Community Nutrition Services among the Residents of the Pilot Service Areas)

  • 박혜련;권지영;조경자
    • 대한영양사협회학술지
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    • 제5권1호
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    • pp.54-63
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    • 1999
  • The purposes of this study were to investigate the perception and needs of community nutrition programs for 379 community residents of 23 health centers where the pilot community nutrition programs are intervening. The awareness rate of the nutrition programs was 54.3% and the reason of the awareness was mainly happened to know when visiting health centers'. More than 90% of the respondents responded that public health nutrition services are necessary. But the residents who experienced the nutrition services showed higher needs of the programs(97.3%) and improved the impression about the roles of health centers(93.6%). They also showed a higher rate of balanced dieting, stronger intentions to change their inappropriate eating style and a higher practicing rate. The more they believed in the provided nutrition information, the more they showed concerns about their diet and practicing rate of the advices from nutritionists. These results show the positive and successful impact of the pilot nutrition programs on the community residents. We need strategies for a more active improvement of the programs and to maintain more qualified public health nutritionists to carry out targeted community nutrition programs.

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농촌 여성노인들의 화병 유병율과 관련요인 (Prevalence and Related Factors of Hwabyung for the Aged Woman in Rural Community)

  • 김혜경;박재용
    • 한국보건간호학회지
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    • 제18권2호
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    • pp.234-242
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    • 2004
  • The purpose of this study was study to prevalence and related factors of Hwabyung for the aged woman in rural community. A self-administered questionnaire survey was carried out for 616 Aged Woman Living in Uiseong County from March 1 to April 20, 2004. Collected data was analyzed by the $x^2-test$. The result of this study was as follows: Prevalence rate of Hwabyung was $13.3\%$ in Aged Woman Living in Rural Community. The factors of agricultural village feminine Hwabyung were personality, husbands. Prevalence rate this Hwabyung was high if a husband had angry work wife's personality was blunt and a wife had angry her husband. The reason to have got angry at a husband was liquor, a whoring. personality problem. It is necessary that community supports the aged woman and she develops own personality for development of own personality and solution of husband's problem in oder to low prevalence rate of Hwabyung for the aged woman in rural community.

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치매예방을 위한 활동 프로그램이 지역사회 노인의 우울, 인지기능 및 삶의 질에 미치는 효과 (The Effects of the Activity Program for Preventing Dementia Against Depression, Cognitive Function, and Quality of Life for the Elderly)

  • 박금숙;정헌영;소선녀;박영희;양희정;정경란;문순주;김혜경;조정희;양경희
    • 동의신경정신과학회지
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    • 제24권4호
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    • pp.353-362
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    • 2013
  • Objectives: This study is conducted to identify the effects of the activity program for preventing dementia against depression, cognitive function, and quality of life for the elderly. Methods: A non-equivalent control group with pretest-posttest design was used on 50 elderly who were assigned to the experimental and control group (25 for each group). Results: Cognitive function was significantly different between the two groups of the pretest and posttest (Z=4.217, p<.001). There were significant differences between the two groups of the pretest and posttest (Z=-2.324, p=.020) for the quality of life on the EQ-5D index. Conclusions: These findings confirmed that the activity program for preventing dementia was effective for improving cognitive functions and quality of life for the elderly. Therefore, it is further encouraged to perform the activity programs for preventing dementia within other community health posts and community centers. It is necessary to study the emotional supports from community health posts in the future.

보건소 인력의 보건교육 관련 인지도 조사연구 (A Survey on Awareness of Health Education in the Manpower of Public Health Center)

  • 최연희
    • 지역사회간호학회지
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    • 제15권4호
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    • pp.528-538
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    • 2004
  • Purpose: This study was conducted to investigate the level of awareness about health education in the manpower of public health center. in order to suggest a basis data for the development of a job-training program. Method: The subjects were 96 manpowers of public health centers. Data were collected from August 2nd. 2002 to September 20th using a self reported questionnaire survey. The data were analyzed using frequency. percentile and $x^2-test$. Results: The most necessary of health education according to health promotion service is 'quitting smoking' during the adolescent period. The most necessary of health education media according to health promotion service is 'reducing alcohol intake'. The most efficient media of health education is 'beam projector'. The most necessary capacity of health educator is 'planning capacity of health education'. The most necessary support implementing health education is 'manpower supply'. Conclusion: The level of awareness of health education in the manpower of the public health center are expected to provide basic data for developing job-training programs that might improve advanced knowledge and techniques of health education.

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지역사회 기반 조직을 이용한 지역사회역량의 측정과 건강증진 기획 -서울시 S구를 중심으로- (The Measurement of Community Capacity Using Community-based Organizations Network and the Development of Health Promotion Plans)

  • 정민수;길진표;조병희
    • 보건교육건강증진학회지
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    • 제26권3호
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    • pp.35-48
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    • 2009
  • Objectives: The community network is a foundation laid by the local community which has been formed historically and geographically to develop itself. This paper as a Korean way of healthy network survey for the community capacity building is an exploratory research to grasp the character of Korean society and then to organize an resident-governing partnership for that. Methods: Research objectives are CBOs(Community-Based Organizations) in S-district of Seoul. This region is a new town, however the solidarity and volunteerism of this resident is lively. The survey tool is Cho's CBOs Evaluation Questionnaire which was originated to measure the community capacity. The period of survey is from the January 2009 to the March 2009 and the study organizations which were collected by snowball sampling were 80. Results: The result shows two main networks: one is the civil society and craft union cluster, the other is welfare organization cluster. Groups of high centrality were organizations whose members are mainly women and craft organizations which were organized before 1990's. The group of high betweenness was the Association of Women's Organizations(0.188). Bi-components were six and they could be divided by organization's aim. In terms of the determinants of the participation to the health center enterprise, only the number of link(B=-0.60, p<0.04) was statistically significant. It means that when organization variables are controlled a tendency appears: the more the voluntary associations network, the less participation in the health enterprise. Conclusion: CBHOs(Community-Based Health Organizations) enhances residents' spontaneity and cohesion to increase the capability of the local community. If the surveyed healthy network, together the community health project, are used for various community development projects, the existing CBOs including CBHOs will be reorganized and furthered newly. For this it will be needed to construct an effective partnership of healthy network by restructuring the existing networks of voluntary associations.