• 대한지역사회영양학회지
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• 제13권6호
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• pp.890-902
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• 2008

The purpose of this study was to develop a standardized job description for dietitians working in the public health nutrition area. Work-oriented job analysis methodology was employed for the study purpose. Subjects of 38 dietitians currently working at health centers in 2002 were recruited. Based on the focus group interview with 7 public health nutritionists and 7 professors, information about task elements was collected. Questionnaires measuring work performance and self-perception of importance of the selected task elements were administered. Reliability and validity of this instrument were tested by Chronbach's alpha and factor analysis. SAS PC package program was used for the statistical analysis. The final developed job description for public health nutritionists included 5 duties, 20 tasks and 93 task elements. The results of this study can be summarized as follows; 1) 5 duty areas are A. plan and evaluation of public health nutrition services, B. developing nutrition education materials, C. implementing nutrition services, D. networking community, and E. self development. 2) Each duty area from A to E was composed with 6, 2, 6, 4, 2 tasks, respectively. 3) Each duty area from A to E was composed with 24, 8, 38, 14, 9, and 2 task elements, respectively.

• 한국지하수토양환경학회지:지하수토양환경
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• 제27권4호
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• pp.1-9
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• 2022

This study was conducted to supplement new-normal strategies on management plans of rural groundwater resources in the era of Post COVID-19. Global outbreak of COVID-19 has damaged across all areas including public policy, economics, industrial services, and others without exception, which has resulted in establishing new-normal strategies in order to restore balance and functions as for these areas. The new-normal ones were represented as enhancing preventative management on infectious diseases, expanding non face-to-face services, enhancing protective trades and food securities, and preparing growth policies on public services using the 4^th industrial revolution techniques. In this study, G-WASH_AD (Groundwater supply, sanitation, and hygiene with attraction and digitization) was suggested to be new-normal strategies on rural groundwater resources. The G-WASH_AD was consisted of three detailed action plans: a preventative plan on waterborne-diseases of groundwater (PP), a groundwater-tourism plan with rural heritage (GP), and an application plan of the 4^th industrial revolution techniques to groundwater facilities and its data (P4). The PP can contribute to protect human health from waterborne-diseases and minimize hazardous effects on crop cultivation. The GP accompanied with high-quality groundwater resources is able to strengthen rural tourism, to promote marketing activities on local agricultural products, and to increase household incomes of rural communities. The P4 can reinforce fast, comfortable, and scientific management on groundwater facilities and its data, creating a virtuous cycle between innovative management on groundwater and growth of technology related to it. Results of the G-WASH_AD strategies can encourage a green growth engine in field of rural groundwater management keeping up with Post COVID-19.

• 농촌의학ㆍ지역보건
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• 제42권3호
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• pp.155-167
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• 2017

이 연구는 서울시 강북구 건강마을 사업에 대한 문헌고찰과 운영주체를 대상으로 한 심층면접을 통해 주민운동의 관점에서 사업의 성과와 한계를 살펴보고, 기존 건강증진 사업과의 차별성을 찾아 향후 건강증진 사업의 새로운 방향성을 모색하는 것을 목적으로 하였다. 연구 결과 빈곤층의 비율이 높고, 물리적 환경이 열악한 지역사회 주민들의 건강불평등을 완화하기 위한 건강친화 마을 만들기 사업은 주민조직화의 원리를 적용한 것으로 기존 건강증진사업과 다음과 같은 방법론적 차별성과 성과가 있었다. 첫째, 주민 스스로 지역보건의료 계획을 수립하고 주민의 성장을 통한 건강증진사업이 이루어졌다. 둘째, 기존 건강증진사업에서는 볼 수 없었던 주민활동가가 팀을 이루어 보건소 및 전문가, 주민 간 긴밀한 협력을 위해 매개자로 활동하였다. 셋째, 병의원이나 보건소가 아닌 대안적 주민참여 건강증진 공간인 건강카페를 통한 건강증진 구심점이 마련되어 다양한 프로그램이 활성화되었다. 넷째, 건강의 사회적 결정요인을 고려한 접근을 통한 건강증진 프로그램이 활성화 되었다. 따라서 향후 건강친화 마을 만들기와 같은 지역사회 건강불평등 완화를 위한 사업을 실시할 때 이 연구에서와 같은 방법론적 접근을 고려해볼 필요가 있다. 하지만 다양한 사업주체들이 모인만큼 이해관계와 역할분담과 관련된 어려움이 발생한 점과 시범사업의 성과와 한계를 사전에 명확히 예상하기 못해 갈등이 유발되었던 점 등의 한계가 있었던 만큼 향후 유사한 사업의 계획 시 이 연구에서 나타난 한계점 등을 고려한 내용이 반영되어야 할 것이다. 주민건강운동의 관점에서 건강마을사업 확산 된다면 사회 전체에 건강증진 효과를 만들 것이다.

• 지역사회간호학회지
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• 제7권2호
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• pp.203-215
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• 1996

Social security is concerned with ensuring all citizens maintain basic needs, community health nursing maintains and promotes health for all community members. Lately, This new area of community health nursing, concern social welfare has increased. The objectives of this study are, first, to analysis the activities of nurses at community social welfare institutes, second, to estimate nursing demand for social welfare areas. The study methods used were as literature review, an analysis of statistical data and case study etc. The analytical framework also included a demand analysis of nursing manpower in community social welfare areas. The major results are as follows; 1. Employees which work at social welfare institutes number 55,464, nursing manpower (including nurse aids) number 1,458 and this is 3% of the total employees. Within nursing manpower, nurses number 780, nurse aids number 670. 2. The rates of nurses among total employees were high in institutes for mental disorders and institutes for the age. 3. The salary level of nurses was lower than average and the rates of retirement showed a roughly middle level in welfare institutes. 4. The satisfaction level of nursing services was high, and it is the trend that nurses substitute for nurse aids which retire at social welfare institutes. 5. Nurse demand that follows legal criteria is 2,221, but only 35% are working. It is therefore insufficient from the minimum of 733 to a maximum 1433. 6. The sufficiency rates by institution were high at institutes for vagrants, aged and the handicapped. In conclusion, the conditions are of nurses which are working in with the social welfare institutes are poor. Also the number of nurses compared rates of demand were in surplus. But, the basic direction of welfare policy is universal-preventive and provision of the family and of community centered service, and nursing service demand in the social welfare institute will increase continuously, we predict. Therefore, we will need a positive plan such as the development of an inservice education program and the construction of an information collection system etc.

• 농촌의학ㆍ지역보건
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• 제16권2호
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• pp.179-194
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• 1991

Despite its universal coverage of health insurance, the rural health insurance program(RHIP) stands at the crossroads in Korea. The RHIP has weaknesses in stability of financing, problems of inequities in the provision of health services and has suffered from high cost of running the program. The author has analyzed these problems from the perspective of health insurance policy and presented several options for improvement. First of all, this study urged the importance of a firm Governmental commitment of RHIP with the 50% subsidization of contributions as the Government had promised, instead of the current 40%. This can be justified from the 20% subsidization by the Government for the contributions of private school teachers and their dependents, who belong to richer segments of the population. Second, various cost containment measures ought to be sought curbing the rising demand for medical through strengthening health education and increasing individual responsibility, and tightening the claim review process. Third, this study requires the Government to run a demonstration project on the introduction of case payment system for primary health care. Fourth introducing an income-related cost sharing scheme is another possibility. Reforming the cost sharing formula for large medical expenditures is recommendable for a beginning. This measure can take the form of tax credit for medical expenditures of the poor. Fifth, the degree of financial adjustment among health insurance plans should be levelled up for enhancing stability of RHIP and social solidarity. Sixth, health policy should be redirected toward development of rural health resources and higher priority should be put on relieving difficulties in access to care. Seventh. the insurance plan owned-hospital needs to be developed or provision of health services in the medically underserved areas, and the need of such facilities is particularly acute for geriatric care, rehabilitation and renal dialysis, etc. Eighth, more generous insurance benefits are required of the elderly who are suffering the most : elimination of the maximum 180 days of benefit period and provision of glasses and artificial dentures, etc. Ninth. the economies of scale principle is working for the operating expenses of regional self-employed insurance plan. Thus, measures should be instituted to pursue an optimum size of health insurance plans. Lastly, excessive dependence on exclusion items is an evil so that some radical remedies are urgently required to cut them.

• The Journal of Korean Physical Therapy
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• 제32권4호
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• pp.258-265
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• 2020

Purpose: This study examined the legal basis related to a physical therapist's home-based rehabilitation. Methods: The policy data were referenced to the comprehensive plan for national health promotion and the guidebook Community Health Promotion Project issued by the Korea Health Promotion Institute and other institutes. The legal data were referenced to the Bill information system on the National Assembly website. Results: The physical therapist's home-based rehabilitation did not have a legal basis in the community-based rehabilitation project (CBR) of the HP 2020 project. On the other hand, according to the Home health care part of the community health promotion project that began in 2013, physical therapists were allowed to play a role from 2020 under Article 16-2 (Public Officials in Exclusive Charge of Visiting Health Management) of the REGIONAL PUBLIC HEALTH ACT. Conclusion: Policies and laws are being developed in the field of healthcare, but the necessary policies and laws in the field of rehabilitation are still insufficient. A bill to rehabilitate in a variety of fields and spaces by modifying the scope of work of physical therapists will be needed.

• 대한예방한의학회지
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• 제24권3호
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• pp.57-67
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• 2020

Background : The Life cycle Health Promotion Programs using Traditional Korean Medicine (the Life cycle HaPPs-TKM) are the on-going 3rd stage projects that have centered on the development and dissemination of the standard life cycle HaPPs-TKM in the local community. The purpose of the study was to introduce the development background of the standard life cycle HaPPs-TKM and to suggest its activation plan. Methods : Academic and government research reports on the life cycle HaPPs-TKM were analyzed to introduce the development process, development backgrounds and the details of KM-HPP for each life cycle, such as infants and toddlers, adolescents, pregnant women, adults and the elderly. Results : We reviewed the development process of the standard life cycle HaPP-TKM consisted of a series of diagnosis on community members' health problems, establishment of project purpose, research on the involvement of KM intervention in a project, and final development of the project model. And we rediscovered that in the development backgrounds of KM-HPP, there were beneficial goals to manage and promote public health conditions for each life cycle. Conclusion : To activate life cycle HaPPs-TKM, we would recommend that activation plan should include six factors through systematic analysis of research reports. These factors consist of diversified goals for each life-cycle, competency reinforcement of local project manager, diversified Korean Medicinal modalities to enhance Sasang Constitution and Qigong, development of standard Outcome Index, periodical holding of performance contest, and improved guidance of government and associated entities through whole process of HaPP-TKM.

• 대한지역사회영양학회지
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• 제19권4호
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• pp.372-385
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• 2014

Objectives: The purpose of this study was to develop web-based self-nutrition management u-Health program for diabetic patients (DMDMG: Diabetes Mellitus Dietary Management Guide) for achieving systematic self-management of diet. Methods: The program consisted of five parts with different contents according to the results of needs assessment. Five major parts were 1) meal management part which contains calorie prescription, meals recording and dietary assessment, 2) prevention of disease part with information of diabetes and assessment of dietary behavior, 3) dietary behavior modification part with an education on dietary behavior modification plan and dietary behavior plan, 4) meal plan containing a training section for meal plan and self constructing part for meal planning by making tables, and 5) information about myself which composed with general and physical information. The system proposed in this study provides nutrients intake results right after input of diet intake, which is possible with simultaneous calculation of input data in the server with 3,495 food and 1,821 meal data base. The nutrients analysis program was evaluated with 26 diabetic patients with two-day 24 hr recall. Results: The differences of nutrients intakes between DMDMG and CANPRO 3.0 ranged from 13.5-16.5%, which was caused by the differences of databases of the two programs. The characteristics of DMDMG were; 1) it can provide an interactive tailored nutrition management, 2) it is a practical tool of diabetes nutritional management, 3) the program gives motivation for the dietary behavior modification. Conclusions: The effectiveness of whole program needs to be conducted, but the program was an innovative tool for self-management of nutrient intakes, diet behaviors, meal management and tailored nutrition education.

• 농촌의학ㆍ지역보건
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• 제37권4호
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• pp.195-214
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• 2012

The New Public Health(NPH) is a comprehensive approach to protecting and promoting the health status of each individual member and society as a whole. NHP is not so much a philosophy to broaden the understanding of public health as it is an action plan to address current public health system. This paper's objectives include increasing public and professional awareness of the significant changes in the national public health systems of developed countries and contributing to more effective delivery of public health services in Korea. This paper reviews articles and documents concerning NPH and the public health system, and outlines of the achievements in developed countries since NPH movement began. These include the change in the definition and function of public health, expansion of public health networks, strengthening of public health policy, reorientation of public health delivery systems, promotion of workforce capacity, and the implementation of evidence-based management. To overcome the challenges facing the public health system of Korea, we must prioritize the value of population-based approach, expand the notion of a public health system to encompass all sectors that can influence health, promote a "Health in All Policies" approach, focus on an evidence-based health policy and program, develop core competencies for public health workers, and establish performance standards for public health organizations based on the core functions of public health.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2005년도 제57차 추계 학술대회 연제집
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• pp.292-292
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• 2005