• 제목/요약/키워드: Public Health Promotion Programs

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보건소 건강증진사업 수행과정의 질 평가지표 개발 -고혈압관리사업에서의 타당도 검증- (The Development of a Quality Assessment Tool for the Process of Health Promotion Programs at Public Health Centers)

  • 서영준;정애숙;박태선;이규식
    • 보건행정학회지
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    • 제13권3호
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    • pp.35-51
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    • 2003
  • This study purports to develop a quality assessment tool for the process of health promotion programs at public health centers(PHC). The draft of the assessment tool developed by the literature was distributed to 242 staffs who were in charge of the health promotion programs at PHCs for evaluating the feasibility of the tool on September and October 2002. The major results of the study were as follows; The quality assessment tool developed in the study consisted of four domains: strategic planning, program management, monitoring and evaluation, and resources and information. The strategic planning dealt with the function of the planning staff and committees, community data analysis, the feasibility of the program, and the approach methods for attaining the goal of the program. The program management included the items on the qualification and power of the program staff. The monitoring and evaluation included the items on the reporting and communication among program units, and feed back after monitoring. Finally, the resources and information dealt with community networking, clients' response, and consulting activity of the staff. The validity of the tools was tested and partly supported by both formative and criterion-related methods. The assessment tools developed in this study could be used by health promotion workers in the self-evaluation of the program quality. In conclusion, the quality assessment tool developed in the study will be a good safeguard for assuring the quality of the process of health promotion programs.

민간부문의 건강증진 사업과 연구 현황, 발전방향과 과제 - 한국건강관리협회의 건강증진 사업과 연구를 중심으로 - (Challenges and Future Directions for Health Promotion Practice and Research in Private Sectors: Focusing on the KAHP Experiences)

  • 조한익
    • 보건교육건강증진학회지
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    • 제29권4호
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    • pp.39-56
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    • 2012
  • Objectives: This paper aims to discuss the current situation of and future directions for health promotion practice(HPP) and research in private sectors in Korea. Methods: Publications and web-site information of public health organizations, WHO-Health Promoting Hospitals member institutes, health/medical academic societies, and professional unities were collected and reviewed. Activities of Korea Association of Health Promotion(KAHP) were described in detail considering its leading role in health examination and promotion field in Korea. Results: The most common HPPs in private sectors were health education and public health campaigns for the prevention and management of diseases. Tailored health promotion programs for lifestyle changes and longitudinal follow-ups were the routine process for managing high risk groups at KAHP. Health promotion research in private sectors have focused on identifying health problems and behavioral determinants, and planning, implementing and evaluating health promotion programs. The most serious issues in HPPs of the private sectors were limited budget and manpower along with a lack of public recognition and a system-level support. Conclusion: To promote HPPs and research in private sectors, a system for financial sustainability should be introduced. They also need scientific evidence from research. 'Borderline medicine', a discipline specialized in management of high risk borderline group, could lead HPPs to sustainable private practices.

노인 건강증진 프로그램의 효과 분석 (The Effectiveness of Health Promotion Program for the Elderly)

  • 임미영;문영희
    • 한국보건간호학회지
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    • 제27권2호
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    • pp.384-398
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    • 2013
  • Purpose: This study was conducted in order to identify the effect of a community based health promotion program for elders in Korea. Methods: The PICO-SD (Participants, Intervention, Comparison, Outcome, and Study Design) strategy was established. A search of the electronic bibliographic database of NDSL, RISS, KMbase, and KoreaMed etc. was performed and 28 articles met inclusion criteria. Results: Both exercise and health education were in most programs and were more effective than one of the two. The health education included stress management, mental health, health promotion lifestyle, chronic disease, and medication. Various exercises such as walking, stretching, gymnastics, rhythmic activity, muscle strength, and joint exercise were performed. The programs for elders showed an association with significantly improved muscular strength, flexibility, depression, quality of life, subjective health status, satisfaction with life, self-efficacy, and health promotion behavior. Conclusion: Intervention programs including both exercise and health education are effective in improving health promotion behavior and physical and psychological health status in elders. Therefore, these results could provide useful guidelines for development of effective health intervention programs for the elderly.

사업장 규모별 금연 및 절주 프로그램 공급 실태 및 수유 (A Study on the Supply and Demands for Worksite Health Promotion Programs)

  • 장혜정;장윤업
    • 보건교육건강증진학회지
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    • 제21권3호
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    • pp.133-149
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    • 2004
  • This study investigates the worksite resources and programs for health promotion services, especially in areas of smoking cessation and acohol-reducing. Health promotion program is important for employees and employers to promote their productivity and enhance their quality of life. To explain the worksite health promotion programs, a three-stage survey model was established and 111 worksites filled up the questionnaire. Stages of the model included the supply status of worksite health programs, attitudes to get rid of health risks, and behavioral intentions to provide health promotion programs in the near future. The results of this study are as follows. First, the facility and personnel for health promotion services are not equipped sufficiently in the middle-sized worksites. Second, provided programs are not good enough in both quantity and quality, because most worksites provide inefficient and low-cost programs. Third, worksites provide the programs such as advertisement, education materials especially in large-sized worksites, but not in middle-sized worksites. Therefore, worksites need to be supported with a public institution for efficient programs and continuing legal and systematic support for middle-sized worksites should be emphasized.

활동적 생활을 위한 걷기증진 공공사업에 관한 고찰 (A Literature Review on the Public Program of Walking Promotion for Active Living)

  • 김동하;강재욱;유승현
    • 농촌의학ㆍ지역보건
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    • 제46권2호
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    • pp.98-108
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    • 2021
  • 본 연구는 지역사회 걷기와 관련된 공공사업의 현황을 확인하고 정책적 시사점을 모색하기 위해 한국의 법령, 중앙정부부처의 백서, 그리고 우수사례로서 서울시 사업을 고찰하였다. 지역사회 걷기와 관련된 법령에는 물리적 환경 개선을 중심으로 제도적 근거가 마련되어 있고, 관련 법령을 소관하는 중앙정부부처에서만 걷기를 목적으로 한 다수의 사업을 장기적으로 추진하고 있어 지역사회 걷기증진을 위한 포괄적인 법적 토대를 구축해야 한다. 서울시는 지역사회 걷기와 관련된 유관부서의 개입이 다각적으로 이루어지고 있지만, 부서를 아우르고 연계, 조정할 수 있는 거버넌스 체계의 개발과 걷기 친숙한 사회문화적 여건을 조성하기 위한 보다 구체적이고 체계화된 노력이 요구된다.

갱년기 여성을 위한 한의약 건강증진 프로그램 개발 (Development of Public Health Promotion Programs for Menopausal Women using Traditional Korean Medicine)

  • 정혜인;김경한
    • 대한예방한의학회지
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    • 제24권1호
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    • pp.57-64
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    • 2020
  • Objective : This study was conducted to development of public health promotion programs for menopausal women using Traditional Korean Medicine (TKM). Method : 4 domestic data bases were used to derive TKM intervention that could improve women's menopausal symptoms. Based on this, the program was organized through consultation with experts from the academic community. Results : Program was composed of 3 categories, lecture, therapy and practical exercise. The lecture was made with 'Understanding of menopause', 'Understanding of meditation', and 'Dietary therapy on menopause'. In therapy, 少府(HT8), 合谷(LI4), 內關(PC6), 三陰交(SP6) and 加味逍遙散(Gamisoyo-san) were chosen by expert discussion. Meditation, aromatherapy, walking and palate test were selected for practical exercise. Conclusion : Programs could be used to improve women's health in menopause.

병원건강증진서비스에 대한 의료소비자의 이용의도 (Customer's Intention to Use Hospital-based Health Promotion Services)

  • 함명일;강명근;박춘선;조우현
    • Journal of Preventive Medicine and Public Health
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    • 제36권2호
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    • pp.108-116
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    • 2003
  • Objective : To determine the relationships between customer's attitude, the subjective norm and the intention to use hospital-based health promotion services. Methods : This study was based on the theory of reasoned action, suggested by Fishbein and Ajzen. The subjects of this study were 501 residents of Seoul, Bun-dang, Il-san and Pyung-chon city, under 65 years, who were stratified by sex and age. A covariance structural analysis was used to identify the structural relationships between attitude towards health promotion programs or services, their subjective norm and their intention to use the aforementioned services. Results : The subjective norm for using the health promotion programs or services provided by hospitals was a significant predictor of the intention to use, but the attitude towards the services was not significant Conclusions : Our results suggest that a customer's reference group affects their use of the hospital-based health promotion services. Because the subjects of this study were restricted to specific urban areas, there are limitations to generalizing the study results. Despite the limitations of these results, they can serve as baseline information for the understanding of consumers behavior toward hospital-based health promotion services.

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

  • 조병희
    • 보건교육건강증진학회지
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    • 제27권4호
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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.

한방 공공보건사업의 운영실태와 정책과제 (Current Status and Policy Recommendations of Oriental Public Health Programs)

  • 장동민
    • 대한예방한의학회지
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    • 제11권2호
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    • pp.101-112
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    • 2007
  • Oriental public health programs have been introduced for the purpose of providing comprehensive oriental health care services to community people including vulnerable classes, increasing the accessibility of oriental medicine and the public benefit, and further more elevating the health promotion and the quality of life of community people. Promoting these programs since 2002 in earnest, it is evaluated that it has made a lot of performances. In the other side, it showed many problems and policy issues also. This study is accomplished to analyze the problems made since the system was introduced and until now, 2007, and with this analysis, to examine policy issues and the reasonable recommendations for its development Major problems are as follows. First, fundamental notions and identity of oriental public health programs are not positioned accurately. Second, the infra-structure construction for effective propulsion of business is insufficient. Third, it is short of the capacity for program implementation of oriental public health doctors, related manpower, and health centers. Fourth, oriental health promotion programs that can fulfill the various health needs of community people are deficient. Fifth, active aid of the government and the oriental medical world as well as legal and systematical support for oriental public health programs is insufficient. As a result, to solve the problems and induce the successful settlement of the program, the policy recommendations such as (i) the fundamental notions of the program and establishment of approach strategies, (ii) reinforcement of the foundation of the program implementation, (iii) capacity enhancement of the manpower of the program implementation, and (iv) effective building of supportive system of the program are presented.

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Strategies for Worksite Health Interventions to Employees with Elevated Risk of Chronic Diseases

  • Meng, Lu;Wolff, Marilyn B.;Mattick, Kelly A.;DeJoy, David M.;Wilson, Mark G.;Smith, Matthew Lee
    • Safety and Health at Work
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    • 제8권2호
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    • pp.117-129
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    • 2017
  • Chronic disease rates have become more prevalent in the modern American workforce, which has negative implications for workplace productivity and healthcare costs. Offering workplace health interventions is recognized as an effective strategy to reduce chronic disease progression, absenteeism, and healthcare costs as well as improve population health. This review documents intervention and evaluation strategies used for health promotion programs delivered in workplaces. Using predetermined search terms in five online databases, we identified 1,131 published items from 1995 to 2014. Of these items, 27 peer-reviewed articles met the inclusion criteria; reporting data from completed United States-based workplace interventions that recruited at-risk employees based on their disease or disease-related risk factors. A content rubric was developed and used to catalogue these 27 published field studies. Selected workplace interventions targeted obesity (n = 13), cardiovascular diseases (n = 8), and diabetes (n = 6). Intervention strategies included instructional education/counseling (n = 20), workplace environmental change (n = 6), physical activity (n = 10), use of technology (n = 10), and incentives (n = 13). Self-reported data (n = 21), anthropometric measurements (n = 17), and laboratory tests (n = 14) were used most often in studies with outcome evaluation. This is the first literature review to focus on interventions for employees with elevated risk for chronic diseases. The review has the potential to inform future workplace health interventions by presenting strategies related to implementation and evaluation strategies in workplace settings. These strategies can help determine optimal worksite health programs based on the unique characteristics of work settings and the health risk factors of their employee populations.