• 보건교육건강증진학회지
• /
• 제27권4호
• /
• pp.1-6
• /
• 2010

Objectives: This paper aims at addressing the importance of community-based health promotion. It would identify the origin of community health programs in Korea, which emphasized community involvement. And it would reveal the discontinuity of community-oriented health programs in the current health promotion activities. Finally, the methods of attaining community-based health promotion would be suggested. Results and Conclusion: Community-based health promotion had been implemented in rural areas by medical schools in the 1970s and 1980s, which emphasized the role of village health workers. But their roles has disappeared since the government-initiated health promotion policies and programs have been implemented in the mid-1990s. This paper addressed the factors contributing to this discontinuity, such as the expansion of heath insurance system, the change of health care discourses, the monopoly of resources for health promotion by government, and the bureaucratic approach to health promotion, etc. This paper suggested the utilization of voluntary and civic organizations in community for realizing the goal of community-based health promotion.

• 지역사회간호학회지
• /
• 제10권1호
• /
• pp.121-139
• /
• 1999

Persons with disabilities have increased and among others, number of them in the community is at the high proportion. But they have a difficulty in physical, psychological adjusting and they don't be offered appropriate, sufficient rehabilitation services. Therefore, Community-Based Rehabilitation Services in Health Center be needed. With these backgrounds, this study was conducted to examine factors in relation to job performance of community-based rehabilitation program in Health Centers, and the factors are characteristics of district nurses, internal factors, external-environmental factors. This study provides guidelines for effective management for rehabilitation program. Subject in this study were 122 Health Centers randomly chosen. Data were collected from September, 16, 1998 to October, 9, 1998, and the data for analyses were ones of 105 respondents. The instrument of this study was job performance of community-based rehabilitation program is modified WHO guidelines. Credibility of instruments was 0.73-0.95 in main study. The summary of results was as follows. First, the mean of job performance of com munity-based rehabilitation program was 2.33 of full score 4.00. Significant differences were not obtained on the job performance among areas. Second, stepwise multiple regression analysis revealed that the most powerful predictor to job performance was community-based health program. The number of volunteer workers, the score of cooperation with other institution, the number of visiting nurse, the number of facilities for person with disabilities are accountable factor to the job performance of community-based rehabilitation program. In conclusions, for all the people with disabilities, Health Centers are necessary to promote community-based rehabilitation program and to increase participation of community residents and to cooperate with other institution.

• 한국시스템다이내믹스연구
• /
• 제16권2호
• /
• pp.33-52
• /
• 2015

This study aims to comprehensively understand the dynamics of the community network of Community Child Centers and further find out the measures to activate its community network based on the Systems Thinking. The contents of the study are as follows. Firstly, it examines the existing studies on the community network of Community Child Centers and presents the major variables to understand the situation of its community network. Secondly, it analyzes the structure of its causation in order to understand the dynamics of its community network. Lastly, it concludes with the suggestions to activate its community network based on its feedback structure presented in the causal loop diagrams. This study is expected to make a useful and basic material as the first research to dynamically understand the community network issue of the Community Child Centers.

• 한국주거학회논문집
• /
• 제25권2호
• /
• pp.99-107
• /
• 2014

This study attempts to provide implications for developing more efficient and effective community-based support system with AIP perspective for the elderly in Korea. The main purpose of this study is to analyze Japan's community-based integrated care system that respond to the concept of aging in place (AIP) and its cases. In Japan, they have offered Community-Based Service since 2005, and the advanced system which include integrated support categories and consolidated community/local resources will started in 2015 by The revision of Long-term Care Insurance policy, 2012. The result of policy analysis and case studies are as follows: 1) The suggestion for ideal support system model promoted a relationship of multiple agents include private sectors even resident and senior and specified responsibility sharing, 2) the system proposed Not only health and medical care support, living care and residence are also addressed as a comprehensive support. and 3) the amount of available community resource is different by each local government, but the effort to get the understanding of community residents and to connect with a potential community resource is also essential aspect to set effective community-based support system.

• 예술경영연구
• /
• 제56호
• /
• pp.5-38
• /
• 2020

본 연구는 문화기반 마을공동체가 어떻게 고유의 공동체 문화를 형성하고, 지속가능한 성숙한 공동체가 되는지 파악하기 위해 정책대상자의 인식, 정서, 역량에 대해 살펴보았다. 공동체의 개념, 공동체 성장요인 및 성장단계, 문화활동, 그리고 정책 집행이론에 대한 선행연구를 살펴보고, 문화기반 마을공동체 사업에 적합한 정책집행 분석모형을 도출하였다. 연구방법은 질적사례연구방법을 채택하였고, 연구대상은 안산 사동 '감골주민회', 안산 대부동 '상동공동체', 안동 신세동 '그림애문화마을'로 문화기반 마을공동체의 성공사례를 선정하였다. 심층인터뷰와 문헌분석, 직접관찰을 통해 얻은 자료를 로버트 인(2009)이 제시한 패턴매칭, 사례통합 분석기법을 활용하여 분석하였다. 연구결과는 첫째, 정책대상자는 공동체 활동을 통해 신뢰와 정서적 친밀감, 소속감을 느끼는 정서적 변화를 겪으며, 지역에 대한 애착심이 향상되었다. 둘째, 정책대상자의 공동체 의식과 공동체 역량이 성장에 중요한 요인으로 나타났다. 공동체 활동을 통해 참여유도, 상호교류, 역량강화, 파트너쉽의 단계를 거치며 성장해나가고 있음을 알 수 있었다. 셋째, 다양한 창의적 문화활동을 통해 스스로를 표현하면서 자신을 재발견하고, 타인과 소통하면서 마을공동체의 공통적 고민과 사회적 문제를 해결하는 경험을 하는 것으로 나타났다. 본 연구는 문화기반 마을공동체에 대한 생태학적 접근 연구를 기반으로 정책집행 분석 모형을 도출하였고, 문화기반 마을공동체의 사례를 분석하여 공동체의 성장 방향성과 실천적 함의를 제시하였다.

• 보건교육건강증진학회지
• /
• 제26권1호
• /
• pp.141-158
• /
• 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.

• 한국건강관리협회지
• /
• 제3권2호
• /
• pp.137-146
• /
• 2005

The Community based cancer screening program passed in 1960 was a milestone for initiating a national and local health program in Japan. And since then local governments and Cancer Society have been developing and providing cancer screening programs of Stomach, Cervix, Breast and Colorectum for population. To apply the effectiveness of community based cancer screening program, it is important to understand the key issue related to cancer screening participation of population and technology of cancer detection. The purpose of this study was to understand the community based cancer screening program in Japan, and to apply the information for establishment of community based cancer screening program in Korea. The characteristics of community based cancer screening program in Japan were as follows. The first, community based cancer screening program was implemented by the National Health and Medical Services Law for the Aged since 1983. The second, Cancer Society and Cancer Detection Center were core for cancer screening program. The third, the budget for cancer screening program was established by the National Health and Hygiene. The fourth, the continuous quality control for medical staff was provided by Cancer Society and Cancer Detection Center The fifth, the efforts for the promotion of cancer screening rate.

• 지역사회간호학회지
• /
• 제11권1호
• /
• pp.3-20
• /
• 2000

The purpose of this study was to compare the concept of community and community health, community health assessment tool, and community health nursing diagnosis based on the concept of 'Community as Client'. The method for this purpose was to search the articles and textbooks related to community assessment and review the contents by the researchers who were 5 community health nursing faculties and 1 doctoral candidate. The sources of articles were limited in Public Health Nursing and the Journal of Community Health Nursing. As the result, three types of conceptual model were classified: epideiological model. fuctional model. system model. System model by Newman and Helvie included more comprehensive concept of community health than others. Helvie model suggested the most specific indicators among them. The components of nursing diagnosis in the system model had the subjectives. problems and the related factors. It makes the nursing care plan related to the nursing diagnosis. But there was no nursing diagnosis system among the three model. It is needed to compare the nursing intervention based on the concept of 'Community as Client'. It will be helpful to the community health nursing practice to develop the nursing diagnosis system based on the system model. For the community health nursing education, it is suggested to try the case study by the using three types of model. Finally, it is needed to validate the community assessment tool in Korean setting.

• 지역사회간호학회지
• /
• 제21권1호
• /
• pp.31-42
• /
• 2010

Purpose: The aims of this study were to identify successful strategies and propose a community-based participatory global health project model for primary health care capacity development. Methods: The study used case study methodology. A The unit of analysis was an international cooperation health project entitled "Community-based Primary Health Care Improvement in San Lorenzo, Ecuador" using community-based participatory research conducted in 2007~2008. Data were collected through windshield surveys, focus group discussion, key informant interviews, and provider surveys. Results: Identified successful strategies for the international cooperation health project were reciprocal partnership between researchers and community, partners' capacity building, south-to-south cooperation, and continuous monitoring and feedback. Community participation was found to be an essential tenet to guarantee the improvement of primary health care in the underserved rural community. Evidence from the activities of community health practitioners in Korea was applicable to the development of training programs for primary health care providers in Ecuador. Conclusion: Strategies for strengthening primary health capacity may be tailored depending on socio-cultural, political, and economical situations of each country. The model, however, would be applicable to the entire process of community-based global health projects in underserved rural communities of other countries.

• 가족자원경영과 정책
• /
• 제25권3호
• /
• pp.69-85
• /
• 2021

본 연구의 목적은 초등학생 대상의 지역기반 아동돌봄공동체 운영·이용 활동의 저해 및 활성화 요인을 파악하여 지역기반의 아동돌봄공동체를 활성화할 수 있는 방안을 탐색하고자 했다. 이를 위해 전북지역 아동돌봄공동체 운영자와 돌봄공동체 이용자 대상 심층면접조사를 실시하였고 질적연구방법을 통해 세부주제, 하위범위와 상위범위를 도출하였다. 연구결과, 지역기반의 아동돌봄공동체 운영·이용 활동의 저해요인 상위범주로는 돌봄공동체의 기본적인 기반 환경 취약과 돌봄공동체의 동력 부족이 도출되었다. 반면, 지역기반 아동돌봄공동체 활동의 활성화 요인 상위범주로는 돌봄공동체 기반 환경 안정화와 돌봄공동체 내부 역량 강화로 나타났다. 본 연구는 최근 코로나19의 장기화에 따른 아동돌봄 공백의 대안책으로 대두되고 있는 지역기반의 아동돌봄공동체의 안전 정착 및 활성화를 위한 기초자료로써 의의가 있다.