• Title/Summary/Keyword: Community health management

Search Result 1,879, Processing Time 0.03 seconds

An Evaluative Study of Community based Health Promotion Project (지역사회 건강 증진 사업 평가 연구 -1개 도시지역 보건소의 경험적 사례를 중심으로-)

  • Park, Sung-Ae;Park, Jung-Ho;Yun, Soon-Nyung;Lee, In-Sook
    • Research in Community and Public Health Nursing
    • /
    • v.12 no.2
    • /
    • pp.532-546
    • /
    • 2001
  • This report is the result of interim evaluation of a health promotion project which was operated by a public health center of K Gu in the year of 2000. It evaluated the aspects of the aim of a project, a target group. and adequacy and appropriateness of a approaching strategy by considering data of public health center's self-evaluation, and guidelines of a group assigned to evaluate the project. The way of evaluation was dividing the project into a colligated evaluation and a evaluation by projects in the aspects of the structure, the procedure. and the result of a result. Through this. a device to improve the health improvement project was derived. The target data for evaluation was the second data and data of self-evaluation, reported data, membership register data of a health management. and interview materials with the people in charge by projects that are all collected as a project management documents. The result of evaluation is stated below. 1. Main purpose of a health promotion project is building a environment of healthy life practicing and providing information through various ways to increase the rate of practicing healthy life. Through overall project. the ultimate purpose and definite purpose were same, however, it was not quite satisfied to offer planning of a time, and a target amount in detailed strategy. As the purpose was to build environment of healthy life practicing. most of the projects had the whole community citizen as a target group. That made difficult to operate detailed projects. so the result was hard to estimate as much as the effort put into it. Also, there were too many kinds of projects and target groups to be equal to by the human source of a health promotion project team. so we were just bent on operating a project. and could not prepare for the evaluation. As the most of former evaluation of public health service was just counting number of the objects, the new way of evaluating a project wasn't familiar to us. so the evaluation of a detailed project cannot be done well. Techniques and advices needed for all of these things weren't offered appropriately. For the forward direction of unfolding project. it is desirable to operate project by selecting focused target and considering a strategy of evaluation as a strategy of reasonable spread. The evaluation of the project became difficult as participation of citizen for it was poor. So, approach strategy that can lead the motivation of community citizen should be derived. 2. For the continuation of a health promotion project, technical assistance system. description of a field in charge, and arrangement of the amount of task should be developed as a central level. Furthermore, as the health promotion project focus on behavioral modification program whose purpose is to lessen dangerous factors. the public health service model which is incorporated with former project should be developed and spread out in the field for the object-centered project plan.

  • PDF

Development and Management of Database for School Health Improvement (학교보건 증진을 위한 데이터베이스의 개발 및 관리)

  • Choung Hye Myoung
    • Journal of Korean Public Health Nursing
    • /
    • v.18 no.1
    • /
    • pp.154-166
    • /
    • 2004
  • The purpose of this study was to design and implementation of database for school health activity. This database system was designed stand-alone application for college school health center without a hospital affiliation and the database system was made of relational database management system, Microsoft access 2000 to be made GUI (Graphic user interface) type design and made up 7 tables: patients. symptoms. departments, income and outgo. medical cures. and medicine. The construction of this database system was patient management. code management. medicine management. and statistics management. The results of the database system were as follows; 1) This database system could be used for college school health center. 2) This database system could be made correct statistic data. 3) This database system could be managed income and outgo. 4) This database system could be changed for the better activity of community health service. 5) This database system could be simply attired administrative system. This database system will be used for students and employees to protect and promote health to measure for health level and quality of health service. In conclusion. this database system can be applied for unit health center to manage the college school health activity and advanced data management can be applied for health profession to do quality improvement. cost containment. management information system. and decision support system.

  • PDF

The Goals and Strategies for Health Promotion (국민건강증진의 목표와 전략)

  • 오대규
    • Proceedings of The Korean Society of Health Promotion Conference
    • /
    • 2001.09a
    • /
    • pp.1-9
    • /
    • 2001
  • Health Insurance System in Korea was introduced in 1977 and expanded health insurance benefits for all people in 1989. The development of medical service and technology takes a growing concerning for public health and medicine. And also, it helps to extend the average life span of Koreans. Therefore, the old people are steadily increased over seven percent of total population and will take more than 14% in 2023. Generally, the old people have the chronic disease such as diabetes and hypertension. Also, smoking, stress, environmental pollution and lack of exercise, leading cause of cancer, cardiovascular disease and respiratory infections have affected to state economy negatively. Therefore, health promotion law was established for a variety of health promotion process, including education, program implementation and community development. The goals and strategies for health promotion are as following: . Practice of healthy life: - Strengthen publicity activities on smoking and exercise. - Program development for nonsmoking and exercise. - Program extent for community health. Strengthen of mental health: - Planning of national survey for mental patient. - Prevention of alcoholism - Setting up special hospital for alcoholism . Constant cancer management under government - Developing medical treatment and prevention program. - Early diagnosis for the whole nation . Management of chronic disease - Strengthen of Prevention Program . Reinforcing of oral health - A national survey of oral health - Oral health education

  • PDF

Factors That Affect Suicidal Attempt Risk Among Korean Elderly Adults: A Path Analysis

  • Ro, Junsoo;Park, Jongheon;Lee, Jinsuk;Jung, Hyemin
    • Journal of Preventive Medicine and Public Health
    • /
    • v.48 no.1
    • /
    • pp.28-37
    • /
    • 2015
  • Objectives: Among the Korean elderly (those 65 years of age and older), the suicide rate is 80.3/100 000 people, which is ten times higher than the Organization for Economic Cooperation and Development average. Because South Korea is rapidly becoming an aging population, this high elderly suicidal rate will only get worse. Although the size of the elderly suicide problem is quite large, previous research in South Korea has surveyed restricted areas and not the entire country. Even though the factors that affect elderly suicide are complicated, there has been little research into these influencing factors. Thus, this research uses the national survey data (Community Health Survey) that was obtained in 2009. Additionally, we analyze factors affecting elderly suicidal ideation and attempts as well as the paths of these effects. Methods: Community Health Survey data obtained by the Korea Centers for Disease Control and Prevention in 2009 was used for this study. We additionally examined the factors that affect suicide with chi-squared tests, t-tests, Pearson's correlation test, and path analysis. Results: Depressive symptoms and suicidal ideation are the only factors that directly affect suicidal attempts. Demographic, behavioral, and physical activity factors have indirect effects on suicidal attempts. Conclusions: Depression has the strongest influence on suicidal ideation and attempts. Demographic, behavioral, and physical activity factors affect suicidal attempts mostly through depressive symptoms. In addition, there is a path that suggests that demographic, behavioral, and physical activity factors affect suicidal attempts not through depression symptoms but only through suicidal ideation. This means that the elderly who do not have depression symptoms attempt suicide according to their own situations and characteristics.

Servant Leadership of Physical Therapist Supervisor's Impact on the Organization Efficiency (물리치료 관리자의 서번트 리더십이 조직유효성에 미치는 영향)

  • Han, Yong-Soo;Lim, Jung-Do
    • The Korean Journal of Health Service Management
    • /
    • v.5 no.1
    • /
    • pp.111-123
    • /
    • 2011
  • The research tris to provide some basic data for the efficient method of human resources management and the efficiency of hospital organization by drawing how servant leadership of physical therapists has impact on job satisfaction and organizational commitment. As a measuring device the method of self-fill-in questionnaire survey was utilized and the correlation and regression analysis was practiced on demographic property, the relationships of 11 kinds of variables between servant leadership and organizational commitment. Job satisfaction was concerned with internal motivation, autonomy, hearing, altruistic vocation, community sense, sympathy formation, vision in the positive order, while organizational commitment was concerned with internal motivation, altruistic vocation, vision, autonomy, community sense, hearing, and sympathy formation is the positive order. Supervisors of physical therapists should try to strive to fulfill the demands of therapists in their position, suggest the vision and objectives to them, and enhance their community sense. As a result, supervisors of physical therapists can enhance job satisfaction and organizational commitment in the position of their employees.

Status of Community Drinking Water in Korea and Implications for Appropriate Management

  • Lee, Jin-Yong;Park, Youngyun;Kim, Nam-Ju;Jeon, Woo-Hyun
    • Journal of Soil and Groundwater Environment
    • /
    • v.18 no.6
    • /
    • pp.56-68
    • /
    • 2013
  • Community drinking water (CDW), mostly naturally flowing groundwater, plays important roles in supplying drinking water for urban and rural residents in Korea. Over 1,600 CDW facilities are distributed throughout the country, many of them situated in the outskirts of metropolitan cities. A large proportion of Korean people have become dependent on CDW for drinking due to a distrust of piped water's quality and a strong belief in the special medicinal effects of some CDWs. However, administrative and official management and the control of CDW facilities have been inadequate when compared with the strict examination and control of commercial bottled water, which is physically treated groundwater from deep bedrock aquifers. In this study, even though signs of anthropogenic contamination were not generally found, the tested chemical compositions of selected CDWs featured high enrichment of some constituents including Ca, Mg, Na, and HCO3 with natural origins such as water-rock interactions. Careless consumption of particular CDWs, which has no scientific basis, will not guarantee health improvement. Consequently, more intensive management of CDW facilities and a long-term interdisciplinary examination of the health effects of CDWs are needed to effectively protect people's health.

The Relationship between the Prevalence of Suicidal Ideation among Older Adults and Individual·Regional Factors

  • Chin, Young Ran;Kim, Chunmi;Park, Ilsu;Han, Song Yi
    • Research in Community and Public Health Nursing
    • /
    • v.31 no.spc
    • /
    • pp.577-590
    • /
    • 2020
  • Purpose: The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex. Methods: This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4. Results: The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814). Conclusion: In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.

The Relationship Between the Social Network of Community-living Elders and Their Health-related Quality of Life in Korean Province

  • Lim, Jun Tae;Park, Jong-Heon;Lee, Jin-Seok;Oh, Juhwan;Kim, Yoon
    • Journal of Preventive Medicine and Public Health
    • /
    • v.46 no.1
    • /
    • pp.28-38
    • /
    • 2013
  • Objectives: This study aimed to collect information that will help enhance the social networks and improve the quality of life among elderly people by observing the relationship between their social network and health-related quality of life (HRQoL) and by analyzing social network factors affecting HRQoL. Methods: This study was based on the 2008 Community Health Survey in Yeoncheon County. Three hundred elders were included in the study population. We compared the revised Lubben Social Network Scale (LSNS-R) score and Euro quality of life-5 dimensions health status index by demographic characteristics and chronic disease prevalence. We analyzed the data using multiple regression and tobit regression by setting the HRQoL as the dependent variable and social network and other characteristics as the independent variables. We analyzed social network factors by using factor analysis. Results: The LSNS-R score differed significantly according to age and existence of a spouse. According to the results from the hierarchical multiple regression analysis, the LSNS-R explained 0.10 of the variance and LSNS-R friends factor explained 0.10 of the variance. The tobit regression indicated that the contribution of the LSNS-R family size factor to the regression coefficient of the independent variable that affected the HRQoL was $B_T$=2.96, that of the LSNS-R family frequency factor was $B_T$=3.60, and that of LSNS-R friends factor was $B_T$=5.41. Conclusions: Social networks among elderly people had a significant effect on HRQoL and their networks of friends had a relatively higher effect than those of family members.

Health related Lifestyles, Self-efficacy and Health related Quality of Life by the Types of Hypertension Management in Community Health Posts (보건진료소의 고혈압 관리방법에 따른 건강생활습관, 자기효능감 및 건강관련 삶의 질)

  • Kwon, Myung Soon;Yang, Soon-Ok;Jang, Ji-Hye
    • Journal of Korean Public Health Nursing
    • /
    • v.29 no.3
    • /
    • pp.565-581
    • /
    • 2015
  • Purpose: This study was conducted to confirm the factors affecting recipients' quality of life by two types of hypertension management, one was telemedicine provided by community health posts(CHPs) in a rural area, the other was traditional hypertension management by comparing patients' health related lifestyles, self-efficacy and health related quality of life. Methods: The study was conducted from February 1, 2015 through April 25, 2015 on 193 hypertension patients in 6 CHPs consisting of 98 patients in 2 CHPs running telemedicine and 95 patients in 4 CHPs running traditional hypertension management services. The data were analyzed and assessed with frequency, percentage, chi-square test and multiple regression. Results: Self-efficacy and health related quality of life were high for the subjects managed by traditional hypertension management services. Self-efficacy, age, hobby, balanced meals, more than 7~8 hours sleep and regular exercise, which affected the quality of life for recipients were explanatory in 45.9%(F=22.368, p<.001). Conclusion: When any services utilizing telemedicine are provided in the future, consideration of emotional aspects including self-efficacy and quality of life is recommended.

The Effects of Quality of Care, Image, Role Performance Perceived by Community Residents on Medical Service Satisfaction to Public Hospitals (지역주민이 인지하는 의료의 질, 이미지, 역할수행이 공공병원 서비스 만족도에 미치는 영향)

  • Hwang, Eun Jeong;Moon, Jungjoo;Sim, In Ok
    • Health Policy and Management
    • /
    • v.24 no.2
    • /
    • pp.153-163
    • /
    • 2014
  • Background: This study aims to explore the effects of quality of care, image, and role performance perceived by community residents on medical service satisfaction to public hospitals. Methods: The subjects of this study were selected in the community residents around 39 district public hospitals. The questionnaire were included 4 factors and 16 items. The data were collected utilizing call-interview by a survey company. Results: The community satisfaction was positively correlated with quality of care, image, and role performance of public hospitals (p<0.001). As the results of multiple logistic regression, the significant variables of community satisfaction were quality of care (odds ratio [OR], 1.353; 95% confidence interval [CI], 1.211 to 1.511), image (OR, 1.487; 95% CI, 1.280 to 1.727), role performance (OR, 1.240; 95% CI, 1.085 to 1.416) among subjects having use experience of public hospitals. The significant variables of community satisfaction were quality of care (OR, 1.240; 95% CI, 1.175 to 1.309), image (OR, 1.328; 95% CI, 1.232 to 1.432), age (OR, 3.051; 95% CI, 1.385 to 6.724), monthly incomes (OR, 0.420; 95% CI, 0.198 to 0.892) among subjects not-having use experience of public hospitals. Conclusion: Public hospitals have to effort to improve image and satisfaction of community through providing quality of care, and role performance. It is possible to support them by the central and local government.