• 제목/요약/키워드: Community medicine

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건강증진을 위한 지역사회 참여와 지역사회 공동체의식: 대도시 지역을 중심으로 (Sense of community and community participation for health promotion in urban areas of Korea)

  • 강민정;이명순
    • 보건교육건강증진학회지
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    • 제33권5호
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    • pp.107-119
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    • 2016
  • Objectives: This study aims at examining the association of sense of community with community participation for health promotion in urban areas of Korea. Methods: We analyzed data from 'Community Capacity for Healthy Gangdong Communites' Survey' in 2007. The survey was based on self-reported questionnaires, which were distributed to 1,800 community residents over the age of nineteen in five administrative communities of Gangdong-gu, Seoul, in Korea by using proportionate probability sampling method. We measured 'Sense of community' with four indicators including 'Good neighborhoods', 'Perceived possibility of cooperation', 'Pride of community' and 'Possibility of development' by using 5-point Likert scales. Community participation was measured with the experience rate or the extent of participation by 5-point Likert scales in seven community actions or activities including voting, community program planning, social actions, etc. We examined the association of sense of community with community participation by using regression analyses. Results: This study has shown that sense of community was associated with and made positive impacts on community participation in diverse community actions or activities in urban communities. Conclusions: For promoting community health in urban areas, we can increase community participation more effectively with the efforts of enhancing sense of community.

지역사회복지의 관점에서 고령화 시대에 대비하는 한의사의 역할에 대한 연구 (Community Welfare and Oriental-Korean Medicine for the Aged People)

  • 이해웅;김훈
    • 한방안이비인후피부과학회지
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    • 제19권2호
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    • pp.168-179
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    • 2006
  • Background and Aim : As the aged society is coming, people pay attention to it and the government is also increasing subsidy into the welfare of the aged. As a branch of social welfare, community welfare is familiar and close to local residents. We could open up a new field in community welfare for oriental medicine and oriental medical doctor(OMD). Materials and Method : Analyzing the worts of community welfare center, we tried to find ways for OMDs to take part in there. We focused m community care and home care service of community welfare center and community health center. Result : Free oriental medical services are offered in many places, but a lot of them are temporary and hard to continue due to financial problem and lack of specialist. Local residents want to know about oriental medicine but few OMDs are willing to participate, thereforen, unqualified lectures of such as hand acupuncture, moxibustion, meridian massage prevail among them. This leads to illegal oriental medical services in the name of volunteer medical work. Conclusion The system is needed that local OMD association take part in community welfare of oriental medical service and care with community welfare center and community health center. Local volunteer medical services and researches of medical policy can help increase the chance for OMDs to go into social welfare system of the aged.

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대전광역시 지역사회 통합돌봄 체계내에서 공공보건의료 연계 모델 개발 (Development of a public health care linkage model within the community care system in Daejeon City)

  • 임지연;안나나;이석구;안순기
    • 농촌의학ㆍ지역보건
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    • 제47권1호
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    • pp.1-13
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    • 2022
  • Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson' model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users' commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions: Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.

주민주도형 건강증진전략이 수반하는 가치: 경상남도 건강플러스 행복플러스 사업을 중심으로 (The values evident in strengthening community actions: health plus happiness plus projects in Gyeongsangnam-Do)

  • 김장락;정백근;박기수;강윤식
    • 보건교육건강증진학회지
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    • 제32권4호
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    • pp.13-23
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    • 2015
  • Objectives: his study was performed to examine whether a community organization strategy had been driven by core values explicit in Ottawa Charter and to give some suggestions for using values in health promotion practice in Korea. Methods: We searched literature online with key words of 'values', 'health promotion', and/or 'Ottawa Charter', etc, and reviewed published papers on design, implementation, and evaluation of Health Plus Happiness Plus Projects in Gyeongsangnam-Do, a community organization strategy. Results: Evident core values since Ottawa Charter had been holistic definition of health, empowerment, community participation, addressing the impact of broader determinants of health, reducing social inequities and injustice, and intersectoral collaboration. A community organization strategy was good at realization of most values. Some ways for value-driven health promotion practice were suggested. Conclusions: More discussion and debate on values in health promotion are needed in Korea.

강북구 148마을의 건강주민운동으로서 발전가능요인 (Success factors for the Development of Health Community Organizing in: 148 Village, Gangbuk-gu, Seoul)

  • 홍종원;김준형;이순희;김남준;박웅섭
    • 농촌의학ㆍ지역보건
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    • 제47권3호
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    • pp.154-165
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    • 2022
  • 이 연구는 정부지원이 중단된 이후에도 건강주민운동이 발전해 나아간 과정과 강북구 건강주민운동의 단계별 특징을 분석하고 발전가능요인을 도출하는 것을 목적으로 수행되었다. 연구의 대상은 강북구 148번지에서 일어난 건강주민운동에 실제로 참여하였으며 주된 역할을 수행하였던 참여자들이다. 건강주민운동의 진행과정, 주민주도성, 건강주민운동의 발전가능요인 등에 대하여 심층면접을 통해 조사하였다. 연구 결과, 정부지원이 중단된 이후에도 강북구 건강주민운동이 발전할 수 있었던 요인은 다음과 같다. 첫째, 세대를 넘나든 주민 관계가 형성되었다. 둘째, 주민의 이해관계에서 출발하였다. 셋째, 함께 해결할 수 있다는 믿음이 있었다. 넷째, 주민의 자발성을 바탕에 둔 외부지원이 있었다. 다섯째, 공공성에 기반하여 활동하였다. 여섯째, 지역에 기반한 주민 지도력을 발굴하였다. 외부의 지원 없이 주직조직화의 원칙을 따르는 건강주민운동은 지속 및 발전이 가능하며, 주민중심의 건강주민운동으로 발전하려면 이 연구에서 도출한 성공 요인을 반영할 필요가 있다.

Assessment of Community Capacity Building Ability of Health Promotion Workers in Public Health Centers

  • Kim, Jung-Min;Koh, Kwang-Wook;Yu, Byeng-Chul;Jeon, Man-Joong;Kim, Yoon-Ji;Kim, Yun-Hee
    • Journal of Preventive Medicine and Public Health
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    • 제42권5호
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    • pp.283-292
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    • 2009
  • Objectives : This study was performed to assess the community capacity building ability of health promotion workers of public health centers and to identify influential factors to the ability. Methods : The subjects were 43 public officers from 16 public health centers in Busan Metropolitan City. Questionnaire was developed based on 'Community Capacity Building Tool' of Public Health Agency of Canada which consists of 9 feathers. Each feather of capacity was assessed in 4 point rating scale. Univariate analysis by characteristics of subjects and multivariate analysis by multiple regression was done. Results : The mean score of the 9 features were 2.35. Among the 9 feathers, 'Obtaining resources' scored 3.0 point which was the highest but Community structure scored 2.1 which was the lowest. The mean score of the feathers was relatively lower than that of Canadian data. The significant influential factors affecting community capacity building ability were 'Service length', 'Heath promotion skill level', 'Existence of an executive department', and 'Cooperative partnership for health promotion'. According to the result of multiple linear regression, the 'Existence of an executive department' had significant influence. Conclusions : Community capacity building ability of subjects showed relatively lower scores in general. Building and activating an executive department and cooperative partnerships for health promotion may be helpful to achieve community capacity building ability.

The development of a community-based medical education program in Korea

  • Yoo, Jung Eun;Hwang, Seo Eun;Lee, Gyeongsil;Kim, Seung Jae;Park, Sang Min;Lee, Jong-Koo;Lee, Seung-Hee;Yoon, Hyun Bae;Lee, Ji Eun
    • Korean journal of medical education
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    • 제30권4호
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    • pp.309-315
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    • 2018
  • Purpose: The introduction of community-based medical education would help improve the quality of primary care. This paper suggests learning objectives and an educational program for community-based medical education. Methods: The educational program was developed in a 1-day consensus workshop. Twenty experts, including faculty members from family medicine department of a college of medicine in Seoul and community-based preceptors, participated in the program. A needs-assessment survey was conducted among community-based preceptors before the workshop. Through this workshop, we derived learning objectives and a standardized curriculum for community-based medical education. Results: In the questionnaire before the workshop, community-based preceptors voiced concerns over the program's potential costs and the time required for teaching. The learning objectives and educational programs derived from the workshop's consensus were consistent with the characteristics of the primary care. Based on the results of this workshop, the joint expert team developed a standard educational program on two core topics: clinical teaching and mentoring. Conclusion: From this curriculum development process, participants could construct a more standardized curriculum for community-based medical education. Future studies are needed to evaluate the long-term outcomes of these educational programs, such as the learners' satisfaction and achievement.

Health Behaviors Before and After the Implementation of a Health Community Organization: Gangwon's Health-Plus Community Program

  • Joon-Hyeong Kim;Nam-Jun Kim;Soo-Hyeong Kim;Woong-Sub Park
    • Journal of Preventive Medicine and Public Health
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    • 제56권6호
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    • pp.487-494
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    • 2023
  • Objectives: Community organization is a resident-led movement aimed at creating fundamental social changes in the community by resolving its problems through the organized power of its residents. This study evaluated the effectiveness of health community organization (HCO), Gangwon's Health-Plus community program, implemented from 2013 to 2019 on residents' health behaviors. Methods: This study had a before-and-after design using 2011-2019 Korea Community Health Survey data. To compare the 3-year periods before and after HCO implementation, the study targeted areas where the HCO had been implemented for 4 years or longer. Therefore, a total of 4512 individuals from 11 areas with HCO start years from 2013 to 2016 were included. Complex sample multi-logistic regression analysis adjusting for demographic characteristics (sex, age, residential area, income level, education level, and HCO start year) was conducted. Results: HCO implementation was associated with decreased current smoking (adjusted odds ratio [aOR], 0.73; 95% confidence interval [CI], 0.57 to 0.95) and subjective stress recognition (aOR, 0.79; 95% CI, 0.64 to 0.97). Additionally, the HCO was associated with increased walking exercise practice (aOR, 1.39; 95% CI, 1.13 to 1.71), and attempts to control weight (aOR, 1.36; 95% CI, 1.12 to 1.64). No significant negative changes were observed in other health behavior variables. Conclusions: The HCO seems to have contributed to improving community health indicators. In the future, a follow-up study that analyzes only the effectiveness of the HCO through structured quasi-experimental studies will be needed.