• Title/Summary/Keyword: Community-based

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The Past and the Current Status of Community-based Health Promotion (지역사회 중심 건강증진의 과거와 현재)

  • Cho, Byong-Hee
    • Korean Journal of Health Education and Promotion
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    • v.27 no.4
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    • pp.1-6
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    • 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.

A Study on the Factors in Relation to Job Performance of Community-Based Rehabilitation Program in Health Centers (보건소의 방문보건재활업무 수행정도와 관련요인에 관한 연구)

  • Kim, Ji-Yun
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.121-139
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    • 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.

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Measures to Activate the Community Network of Community Child Centers Based on the Systems Thinking (시스템사고에 근거한 지역아동센터의 지역사회 연계 활성화방안)

  • Cho, Sungsook
    • Korean System Dynamics Review
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    • v.16 no.2
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    • pp.33-52
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    • 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.

A Study on the Support System of the Elderly in Japan for the Realization of Aging in Place (에이징 인 플레이스 실현을 위한 일본의 고령자 지원체계 연구 - 지역포괄케어시스템의 구축을 중심으로 -)

  • Yoon, Hye-Yeong
    • Journal of the Korean housing association
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    • v.25 no.2
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    • pp.99-107
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    • 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.

A Study on the Perception, Emotion and Capacity of Cultural-Based Community's Policy Target Groups (문화기반 마을공동체 정책대상자의 인식, 정서, 역량에 대한 연구)

  • Song, Anna;Kim, Saejune
    • Korean Association of Arts Management
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    • no.56
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    • pp.5-38
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    • 2020
  • This study begins with the question of how culture-based communities can form a community culture and become a community of sustainable development. Based on the concept of community, community development factors and stage of development, cultural activities, and policy implementation theory, policy execution analysis models suitable for culture-based community projects were derived. A qualitative case study method was adopted as a research method, and success stories of culture-based village communities were selected as the 'Gamgol Community' in Sadong, Ansan, 'Sangdong Community' in Daebu-dong, Ansan, and 'Grimae Village' in Sinse-dong, Andong. Through in-depth interviews, literature analysis, and direct observation, the research analysis used pattern matching, explanation, chronicle analysis, and case integration analysis methods presented by Yin (2009). As a result of the study, first, the characteristics of the policy implementation strategy were taking place in the process of step-by-step development. The main factors in the community development phase were the improvement of community consciousness through the emotional change of participants and the change of capacity within the community. Second, it was understood that cultural activities played a major role in strengthening community consciousness and community capacity, and could be understood as various creative activities. Based on the ecological approach study on culture-based community, this study derived the policy execution analysis model, analyzed the case of culture-based village community, presented the direction of development of community and presented practical implications.

Using Community-Based Participatory Research(CBPR) for Health Promotion (건강증진을 위한 지역사회 기반 참여연구의 적용 방안)

  • Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.141-158
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    • 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.

The Approach Method of Community-based Cancer Screening Program in Japan (일본의 지역사회 암 조기 검진사업에 관한 접근 방안)

  • Kim, Yeong-Bok
    • Journal of Korea Association of Health Promotion
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    • v.3 no.2
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    • pp.137-146
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    • 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.

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Literature Review on Community Health Assessment based on the Concept of 'Community as Client' (간호대상자로서의 지역사회 개념 및 지역사회간호사정에 관한 문헌분석)

  • June, Kyung-Ja;Kwon, Young-Sook;Oh, Jin-Ju;Park, Eun-Ok;Kim, Eun-Young;Kim, Hee-Girl
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.3-20
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    • 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.

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Development of a Community-based Participatory Global Health Project Model for Primary Health Care Capacity Development: A Case Study from a Rural Community in Ecuador (일차보건의료 역량 개발을 위한 지역사회 기반 참여형 국제보건사업 모델 개발: 에콰도르 일개 지역을 중심으로 한 사례연구)

  • Shin, Hye-Jeong;Kim, Eui-Sook;Yoo, Byung-Wook;Lee, Hyeon-Kyeong
    • Research in Community and Public Health Nursing
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    • v.21 no.1
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    • pp.31-42
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    • 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.

Exploring Factors That Inhibit and Activate Community-Based Child Care Community Activities -Focusing on Jeonbuk Area Cases- (지역기반 아동돌봄공동체 활동의 저해 및 활성화 요인 탐색 -전북지역 사례를 중심으로-)

  • Lee, Juyeon;Hwang, Mi-jin
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.3
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    • pp.69-85
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    • 2021
  • The purpose of this study was to explore ways to revitalize the community-based child care community by identifying the factors that are hindering and activating the operation and use of this community by elementary school students. To this end, an in-depth interview survey was conducted of operators of child care communities in Jeollabuk-do and users of caring communities. Detailed themes, sub-ranges and upper ranges were determined through a qualitative research method. As a result of the study, it was determined that the basic environmental weakness of the caring community and its lack of power are the things hindering the operation and use of rhe communities the most. On the other hand, the main activation factors for community-based child care community activities were the stabilization of the environment and the strengthening of the internal capacity of the care community. This study is meaningful as basic data for the safe establishment and activation of a community-based child care community, which is emerging as an alternative to the child care gap due to the prolonged effects of COVID-19.