• 제목/요약/키워드: Community-centered

검색결과 417건 처리시간 0.024초

병원의 보건교육 활성화 방안에 관한 고찰 -지역사회와 병원의 연계방안을 중심으로- (A Study on Improvement of Health Education in Hospitals)

  • 홍인정
    • 보건교육건강증진학회지
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    • 제14권1호
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    • pp.1-9
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    • 1997
  • The health education in hospitals has many problems including lack of the division specialized in health education, lack of implementation system of health education, insufficient professional health education and insufficient health education materials. Despite these restraints, hospitals should reinforce health education program as a part of active response centered on disease prevention and health promotion targeting healthy people who have potential health risk before the onset of disease, rather than passive approach emphasizing the treatment. Accordingly, health education team should be organized in a hospital, in which health educators can provide the following education services. First of all, hospitals themselves should provide active community services in collaboration with community organizations. In addition, multi-disciplinary approach in cooperation with schools, work places should be reinforced to establish the comprehensive health education system. The establishment of medical service referral system with other medical institutions and the linkage system for medical information exchange are also needed. The utilization of education materials obtained through these system should be open to community residents as well as patients. Finally, medical staff working in hospitals should try to provide the high-quality health education that is as high as the level of medical services. The high-quality health education is possible when its level is based on one required by community residents and the county rather than the international or arbitrary standard.

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농촌지역 공공부조사업의 차별성 반영에 관한 연구 (A Study on Differentiate Performance of Public Assistance Program in Rural Community)

  • 김인
    • 한국사회복지학
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    • 제42권
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    • pp.107-138
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    • 2000
  • Today, the public assistance program in Korea is provided mainly for the livelihood protection beneficiary in urban area. The fact that the urban community-centered program is also applied to the livelihood protection beneficiary in rural area brings about some problems in fitness and effectiveness of resource distribution. The purpose of my study is to present my opinion that the public assistance program for the rural community should be put in practice after being fully distinguished from the urban program for the effective distribution of limited social welfare resources to insure the minimum standard of living and seek the self-support contribution which is the purpose of the public assistance program. The subject for this study were livelihood protection beneficiaries living in both rural and urban area. And the study was carried out in this parts: first, the way of life in them, second, the contents of 6 main public assistance programs being carried out. Total number of the livelihood protection beneficiaries are 279 case: 143 case from 15 Dong in 5 cities, and 136 case from 15 Myun in 5 counties. And the social worker who are performing the public assistance programare consisted of 50 case: 25 case from 5 Dong in 5 cities, and 25 case from 5 Myun in 5 counties. This research reach the result that the differentiate performance of the public assistance program in rural community would be an effective device for self-support to be freed from the vicious circle of poverty.

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Artificial Neural Network Analysis for Prediction of Community Care Design Research in Spatial and Environmental Areas in Korea

  • Yumi, Jang;Jiyoung An;Jinkyung Paik
    • International Journal of Advanced Culture Technology
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    • 제11권2호
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    • pp.249-255
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    • 2023
  • This study aims to empirically confirm the effect and impact of community care design research centered on domestic space and environment on health promotion, diagnosis treatment, disease management, rehabilitation, and mitigation through the year of publication and perspective. To this end, based on 1,227 space and environment design studies from 2,144 community care design research data conducted for about 20 years from 2002 to 2022, when care services began in earnest through the long-term care system for the elderly, SPSS 26.0 was used to create a 'Multi-layer Perceptron' artificial neural network structure model was predicted and neural network analysis was performed. Research Results First, as a result of checking studies in each field of health care by year, there is a significant difference with the number of studies related to health promotion being the highest. Second, the five perspectives are region, time, dimension, function, and content perspective. As a result of inputting these variables as independent variables and analyzing their importance in the artificial neural network, the function perspective had the most influence, followed by the region > content > dimension > time perspective.

지역사회 거주 노인의 웰다잉 인식, 건강 관련 삶의 질 및 노인시설 관련 거부감 (Recognition of Well-dying, Health-related Quality of Life and Repulsion-related Nursing Home of Community-dwelling Older Adults)

  • 김소영;이현주;김숙남
    • 근관절건강학회지
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    • 제31권1호
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    • pp.31-41
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    • 2024
  • Purpose: This study aimed to measure the relationship between the recognition of well-dying, health-related quality of life (HRQoL), and repulsion-related nursing homes and community-dwelling older adults. Method: A descriptive survey was conducted among 505 community-dwelling older adults aged over 65 years. Data were collected from October 25 to November 30, 2023, and analyzed using a t-test, one-way ANOVA, and Pearson's correlation coefficients with SPSS/WIN 26.0. Results: The results reveal that the subjects' recognition of well-dying was 2.30, HRQoL was 0.84, and repulsion-related nursing home was 3.31 points. Recognition of well-dying was significantly correlated with HRQoL (r=.10, p=.024). Conclusion: The results indicate that consumer-centered, well-dying education programs for community-dwelling older adults should be developed and applied continuously through effectiveness verification.

사회복지분야의 간호활동실태 및 간호수요에 관한 연구 (A Study of Activities and Demand on Welfare Nursing in Korea)

  • 김영임
    • 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.

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초등학생 저학년 돌봄교실의 건강식생활 교육프로그램 개발 및 적용 (Development and Application of an Education Program for Healthy Dietary Life for Elementary School Aftercare Class Children)

  • 김정현;경민숙;박인영;박영심
    • 대한지역사회영양학회지
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    • 제24권6호
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    • pp.497-511
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    • 2019
  • Objectives: This study aimed to develop a school-centered healthy eating environment for children in elementary care classrooms and prevent incorrect eating habits and obesity through the development and application of standardized healthy eating habit-forming educational materials. Methods: Ten schools in eight districts of Gyeonggi-do and 400 students from 19 care classes were selected. Based on the developed educational materials, the program was applied to students once in two weeks. 'Notices for Parents' forms were also sent to the students' home to educate their parents. Pre and post-surveys were conducted to evaluate the effectiveness of the education. The pre-education, education, and aftercare were conducted from September 28 to September 31, 2016, from October 3 to November 30, 2016, and from December 5 to December 9, 2016, respectively. Results: The healthy eating program for elementary care classes was designed to develop a school-centered healthy eating environment and provide standardized educational material for healthy eating habits. Twelve educational topics were developed: , , , , , , , , , , , and . Moreover, the materials were produced in four forms: for students, for after school caring teachers, for external specialists, and for parents. The effectiveness evaluation was conducted to confirm the application of the program. The average eating habits score was 3.3 ± 0.6, with no significant difference between before and after application. The score of overall satisfaction of the education was 3.9 ± 0.9. The most satisfying content was 'Did you get to know how to eat evenly?'. Significant increases were observed in two contents for parents regarding their children's knowledge changes after the education: 'Five nutrients needed for growing children' and 'Knowing sugar foods and sugar-containing foods'. On the other hand, their educational satisfaction was 3.6 ± 0.6, which was lower than the children's satisfaction. This might be because their education was conducted only through the 'Notices for Parents' form. Conclusions: In the long term, the healthy eating habit-formation education for lower elementary school children is expected to be beneficial. To prevent obesity and establish healthy eating habits of children, it is important to develop healthy eating education programs centered on elementary school aftercare classes, including the development of educational materials and an application system through connection with the home and community.

의료기관 중심 보건의료·복지 통합 서비스 제공 사업 비교 (Comparison of Integrated Health and Welfare Service Provision Projects Centered on Medical Institutions)

  • 이수진;김종연
    • 농촌의학ㆍ지역보건
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    • 제49권2호
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    • pp.132-145
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    • 2024
  • 본 연구는 국내 의료기관 중심 보건의료·복지통합 서비스 활성 방안을 모색하기위하여 대구의료원 달구벌건강주치의사업, 삼척의료원 301 네트워크 사업, 부산의료원 3 for 1 사업 을 프로그램 논리모형을 적용하여 사례 비교하였다. 상황적 측면에서 세 사업 모두 보건의료·복지 서비스의 분절과 의료사각지대 문제를 해결하기 위해 고안되었으며, 투입 요소 중 인력은 모두 다학제 팀 구성 현황은 유사하였으나 구체적인 구성 분야, 채용 규모, 고용 형태, 에서는 기관별 차이가 있었다. 예산을 지원받는 재원 출처의 차이로 각 사업은 지역사회와 협력하고 지원하는 방식과 향후 방향성에서의 차별성도 확인할 수 있었다. 산출은 수혜대상자 수와 진료 건수에 차이가 있었으며, 투입인력 또는 운영비 대비실인원 수, 수혜대상 1인당 사업비 비교시 다른 결과를 확인하였다. 의료기관 중심의 보건의료·복지 통합제공체계의 설계 시 우선적으로 권고하는 상황은 안정적인 기금마련 기전을 확보하고 이에 합당한 대상자와 서비스 전달체계를 구축하라는 것이다. 또한, 의료기관 내 사례관리 전담기구로서 각 부문의 활동을 연계할 수 있도록 위탁이 아닌 전담부서 설치, 적정 규모의 채용, 안정적 고용 체계가 필요하며, 민·관 협력 및 경증부터 중증까지 제공할 수 있는 포괄적 제공체계 구축을 제안한다. 이를 통해 의료기관 중심보건의료복지 통합 서비스 제공 사업은 지역사회에서 풀리지 않는 난제였던 보건의료 서비스 강화와 촘촘한 연계를 가능하게 함으로 궁극적인 지역사회 건강안전망 역할 강화를 기대한다.

지역사회 거주 뇌졸중 환자의 가정방문 작업치료 효과: 사례 연구 (Effect of Home-Visit Occupational Therapy on Community Dwelling Stroke Survivors: A Case Study)

  • 정은화
    • 재활치료과학
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    • 제9권2호
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    • pp.87-98
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    • 2020
  • 목적 : 본 연구는 재가 뇌졸중 환자를 대상으로 가정방문 작업치료를 제공한 사례를 통해 가정방문 작업치료 서비스의 효과성을 검증하고자 하였다. 연구방법 : 서울시 소재 보건지소에 가정방문 작업치료 서비스를 신청한 뇌졸중 환자 두 명을 대상으로 가정방문 작업치료 프로그램은 대상자의 일상생활동작 기능, 작업수행 기능, 인지기능, 정서 기능을 평가하고 클라이언트 중심 접근(Client-centered approach)을 기반으로 작업치료 목표를 설정하고 중재를 계획하였다. 작업치료 프로그램은 클라이언트의 주요 문제를 바탕으로 여가 활동 탐색 및 참여를 목표로 설정하여 12회기의 프로그램으로 구성하였다. 결과 : 두 사례 모두 COPM 점수에 향상이 있었고, 사례 2에서 MBI와 K-MMSE 점수의 향상이 있었다. 또한 사례 1에서 KGDS 점수의 향상이 있었다. 결론 : 가정방문 작업치료는 뇌졸중 환자의 삶의 질 향상 및 경제적 부담 등을 고려하면서 뇌졸중 환자의 일상생활활동, 인지, 정신적 기능의 변화가 있음을 확인하였다. 가정 및 지역사회 통합에 있어 기관중심재활에서 지역사회중심재활로 지속적이고 연속된 재활 서비스가 활성화가 요구되어지며, 병원에서 퇴원하는 뇌졸중 환자들의 신체적, 인지적, 정신적 및 사회적 접근의 증진을 위한 적극적인 가정방문 작업치료서비스가 필요하다.

브랜드커뮤니티 경험가치가 브랜드만족, 브랜드신뢰, 브랜드 공동가치창출에 미치는 영향:방탄소년단과 아미를 중심으로 (The Effect of Brand Community Experience Value on Brand Satisfaction, Brand Trust, and Brand Value Co-Creation: Focusing on the Case of BTS and A.R.M.Y)

  • 이민하
    • 한국콘텐츠학회논문지
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    • 제21권7호
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    • pp.374-385
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    • 2021
  • 브랜드커뮤니티는 브랜드에 대한 열정을 갖고 브랜드 가치 향상에 동참하는 소비자 집단을 의미한다. 본 연구에서는 세계적 성공을 거두고 있는 방탄소년단의 팬 커뮤니티 '아미'를 대상으로 브랜드 커뮤니티 경험이 브랜드 만족과 신뢰, 브랜드 공동가치창출에 미치는 영향을 알아보았다. 연구결과, 브랜드 커뮤니티 경험을 통해 얻은 심미적 감수성, 자아 일치감, 지적 충족감 등의 가치는 브랜드 만족과 신뢰에 전반적으로 긍정적인 영향을 미치며, 브랜드 공동가치창출과도 유의한 영향 관계를 갖는 것으로 나타났다. 본 연구의 시사점은 다음과 같다. 첫째, 기업 관점에서 브랜드 자체에 초점을 맞춰 홍보하는 전통적 마케팅 전략보다는 브랜드 커뮤니티 양성을 통해 고객-기업, 고객-고객 간 정서적 교감과 연대를 이끌어내는 방식이 미래 브랜드 마케팅의 방향성이 되어야 한다. 둘째, 브랜드 커뮤니티 활성화를 위해서는 브랜드와 관련한 감각적 자극 요소뿐 아니라 고객의 지적 호기심과 자아 일치감 충족을 위한 다양한 기회를 제공하는 것이 필요하다.

<사례보고> 건강격차 해결을 위한 주민참여형 보건사업: 주민자치회 중심 전략개발 ( Community-Based Participatory Project to Reduce Health Disparity: Focusing on the Residents' Autonomy Council)

  • 홍남수;김건엽
    • 농촌의학ㆍ지역보건
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    • 제48권3호
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    • pp.165-177
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    • 2023
  • 이 연구에서는 신체활동 수준 격차의 근본적인 원인을 해결하기 위해서 1) 중재모형을 개발하고 적용하였으며, 2) 중재모형 평가를 통해 지역 간 격차 해소 전략을 제시하였다. 취약지역 1개동을 선정하여 사업을 진행하였으며 주민자치회를 기반으로 주민건강조직을 구성하고 역량강화 교육을 시행하였다. 리빙랩을 활용하여 주민건강조직 중심으로 사업을 계획하고 추진하였다. 이러한 주민참여 활동을 바탕으로 주민자치회 건강행복분과를 신설하여 지속적인 사업의 토대를 마련하였다. 사업 평가를 통해서 주민자치회 건강분과를 중심으로 보건소, 주민센터 등이 협력하고, 보건영역과 공동체 영역에서 사업을 지원하는 사업 모형을 개발하였다. 주민자치회가 주민건강조직으로 작동할 수 있는 가능성을 확인하였으며, 지역사회에서 이루어지고 있는 주민참여나 자치활동과의 연계를 통해서 주민참여형 보건사업 전략이 활성화 될 수 있다고 생각된다.