Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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The Past and the Current Status of Community-based Health Promotion

지역사회 중심 건강증진의 과거와 현재

  • Cho, Byong-Hee (Graduate School of Public Health, Seoul National University)
  • 조병희 (서울대학교 보건대학원)
  • Received : 2010.11.19
  • Accepted : 2010.12.11
  • Published : 2010.12.30
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Abstract

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.

Keywords

References

  1. 나백주. 제5기 지역보건의료계획 방향과 지침소개. 한국농촌의학지역보건학회. 2010년도 춘계학술대회 연제집. 2010,33-47.
  2. 박순우. 국민건강증진 종합계획 2020 틀 및 추진계획. 한국농촌의학지역보건학회. 2010년도 춘계학술대회 연제집.2010, 73-94.
  3. 유승현. 건강증진을 위한 지역사회 기반 참여연구의 적용방안. 보건교육 건강증진학회지 2009;26(1):141-158.
  4. 이명순. 건강증진을 위한 지역사회 주민 참여전략 및 방법 개발(1차연도 실적보고서). 2008.
  5. 이주열. 국민건강증진 사업체계 확충과 효과적 관리. 한국농촌의학지역보건학회. 2010년도 춘계학술대회 연제집 2010,01-115.
  6. 정민수, 길진표, 조병희. 지역사회 기반 조직을 이용한 지역사회역량의 측정과 건강증진 기획: 서울시 S구를 중심으로. 보건교육건강증진학회지 2009;26(3):35-48.
  7. 정민수, 조병희, 이성천. 지역사회 자발적 결사체의 연결망과 지역사회역량: 서울시 도봉구와 강동구의 비교를 중심으로. 한국보건행정학회지 2007;17(4):54-81.
  8. Brownlea A. Participation: Myths, realities and prognosis. Social Sciences and Medicine 1987;25(6):605-614. https://doi.org/10.1016/0277-9536(87)90085-2
  9. Freire P. Pedagogy of the Oppressed. New York: Seabury Press, 1970.
  10. Minkler M, Wallerstein N. Improving health through community organization and community building: a health education perspective. M. Minkler ed. Community Organizing and Community Building for Health. 2nd ed., 26-50. Piscataway, NJ: Rutgers University Press, 2005.
  11. Turner B. Social capital, inequality and health: the Durkheimian revival. Social Theory & Health 2003;1(1):4-20. https://doi.org/10.1057/palgrave.sth.8700001
  12. World Health Organization. Primary Health Care. Geneva, 1978.
  13. World Health Organization. From Alma-Ata to the Year 2000: Reflection at the midpoint. Geneva, 1988.
  14. World Health Organization. Global Strategy for Health for All by the Year 2000. Geneva, 1981.