Browse > Article

A Study on Characteristics of Core Projects Described in 3rd Community Health Plans  

Kim, Dong-Moon (Department of Health Policy and Management, Graduate School of Public Health, Seoul National University)
Lee, Weon-Young (Department of Preventive Medicine, Chung-Ang University College of Medicine)
Moon, Ok-Ryun (Department of Health Policy and Management, Graduate School of Public Health, Seoul National University)
Kim, Chang-Yup (Department of Health Policy and Management, Graduate School of Public Health, Seoul National University)
Publication Information
Journal of Preventive Medicine and Public Health / v.37, no.1, 2004 , pp. 88-98 More about this Journal
Abstract
Objectives : The 3rd community health plan let health centers select and promote core projects considering budget and manpower. This study analyzed the content and selection processes of core projects, using the nationwide 3rd community health plans, to give relevant information on health center policies. Methods : Classification criteria for content analysis of core projects were established and verified through a literature review and by specialist discussions. Fifty plans were selected by stratified proportional random sampling for regional characteristics. And coding criteria standardized through coding repetition and discussion, by 2 persons (k>0.7). Using stratified proportional random sampling for 16 cities and provinces, regional characteristics, 117 plans were selected, and the contents of the core project selection processes and program contents analyzed. Results : The survey was used by 59.8 % of samples as a core project decision-making method. The partici- pants included 98.6, 81.4, 40 and 38.6% of the health staffs, residents, medical institutions, and administrators, respectively. Discussion was used by 15.4% of samples. The participants were health staffs by 100% as a great. The ranking of the frequencies of the selected core projects were, in order; chronic disease control, health promotion, elderly health, maternal-child health, and oral health at 16.4, 14.8, 14.3, 12.7 and 11.9%, respectively. Analyses on the chronic disease control and elderly health contents showed the diversity of object disease, high rates of visitors on patient detection programs, high rates of unclear target populations, and the provision of medical exams and treatments as the main services, with high variations in business per-formance. The national health budgets for health centers in 2003 were about 910 and 240 million won for chronic disease control and elderly health, respectively, which were less than for the other five priority core projects. Conclusions : The chronic disease control and elderly health at the health centers were not standardized for object disease, patient detection program, target population, service provision, and national support budget was insufficient. Thus it is necessary to develop standard guidelines, and increase financial support, for chronic disease control and elderly health
Keywords
Health center; Health center function; Priority setting; Community health plan; Core project; Content analysis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Lee YW, Sin YJ, Kwon YJ, Choi BY, Moon OR, Chum HJ. A comparative study on enhancing the function of the heath center in a urban area, Korean J Prev Med 1998; 31(4): 857-874 (Korean)
2 Kim JS, Park HJ, Kim KH, Kim BS. A study on the functions of urban health centers under the local autonomy system. Korean J Health Policy & Admin 1994; 4(1): 1-24 (Korean)
3 대니얼 라이프, 스티븐 레이시, 프레데릭 피코. 미디어 내용분석 방법론. 양적 분석을 중심으로. 배현석 역저. 커뮤니케이션 북스; 2002. (13-16쪽)
4 Oh JJ. An analysis on contents of health-concerned editorials of five leading daily newspapers in Korea. Korean J Public Nurse 1991; 5(1): 23-34 (Korean)
5 보건복지부. 2002년도 구강보건사업안내. 2002. (1-230쪽)
6 보건복지부, 건강증진기금사업지원단. 보건소 건강증진사업 안내서. 2003. (6-357쪽)
7 대통령자문정책기회위원회. 정책포럼 (32). 2002. (174-177 쪽)
8 Nutbeam D, Marilyn W. Planning for all: International experience in setting health goals targets. Health Promotion Int 1996; 11(3): 219-226   DOI   ScienceOn
9 권인순. 재가노인방문의료서비스사업의 현황과 과제. 보건복지포럼(71). 2002. (1-6 쪽)
10 보건복지부. 2001년도 고혈압. 당뇨 관리사업 지침. 2001. (1-61쪽)
11 지역보건법 제9조
12 보건복지부. 2003년도 가족보건사업 안내. 2003. (3-86쪽)
13 US DHEW(1979). 'Healthy people: The Surgeon General's Report on Health Promotion and Disease Prevention'
14 김은미. 공공보건의료의 현실과 개선방향-보건소를 중심으로 보건의료체계 전반에 대해-. 의료발전 특별위원회 토론회 연제집. 2001. (53-62쪽)
15 이건세, 안문영. 보건소 및 광역보건행정기능강화 방안. 한국보건사회연구원 연구용역 보고서. 2002. (1-23쪽)
16 WHO. The World health report 2000-Health Systems: Irrproving perfonnance. Geneva. 2000
17 Bas SS. The function of health center in the new public health Age. Korean J Health Policy & Admin 2001; 11(1): 131-152 (Korean)
18 Kim YK. Definition and Strategy of Community Involvement in Health. Korean J Health Policy & Admin 1992; 2(2): 90-111 (Korean)
19 보건복지부. 2003년도 보건의료사업 일반회계 예산자료. 2003
20 배상수. 지역보건법을 중심으로 한 보건소 기능의 재정립. 한국보건행정학회 후기학술대회 연제집. 2000. (63-89쪽)
21 보건복지부. 제3기 지역보건의료계획 작성지침. 2002. (1-53쪽)
22 한국보건산업진흥원. 공공보건의료기관 공공보건의료계획 평가 및 평가체계 개발. 2002. (38-42쪽)
23 김창엽. 의료공급에서의 공공부문과 민간부문의 역할 분담 방안. 한국보건행정학회 학술대회 연제집. 2002
24 한국보건산업진흥원. 제3기 지역보건의료계획 작성실무. 2002. (45-187쪽)
25 보건복지부. 2003년도 건강증진기금 예산자료. 건강정책과. 2003
26 한국보건산업진흥원. 21세기 국민건강 증진을 위한 보건소 업무개선 및 사업평가방안개발. 2000. (22-91 쪽)
27 Kim HK, Choi SJ, Kim MY, Yan KM, Im ML. A study of the content Analysis on the Sexual knowledge and Attitude for the adolescence in Korea. J HeaIth Edu Health Promotion 1999; 16(1): 167-185 (Korean)
28 한림대학교 사회의학 연구소. 건강보장연구(5). 보건의료서비스의 우선순위 결정과 보건목표설정. 2001. (107-148 쪽)
29 강민종. 우리나라에서 보건의료 공공성향상을 위한 바람직한 보건소역할 설정에 관한 연구: 델파이 기법의 적용. 서울대학교 보건대학원 석사학위논문; 1999. (9-13 쪽)
30 보건복지부. 2003년도 노인보건복지사업안내. 2003. (1-189쪽)
31 한국보건산업진흥원. 제2기 지역보건의료계획 및 시행결과 평가연구. 2002. (176-194 쪽)
32 이선희. 공공보건사업에서의 민간조직의 참여. 영남대학교 의과대학 주최, 21세기 우리나라 공공보건사업의 방향 심포지엄 발표자료. 1998
33 한국보건산업진흥원. 만성퇴행성질환 국가관리체계 구축연구. 1999. (105-121 쪽)
34 한국보건의료관리연구원. 21세기 보건소를 위한 보건소 업무 표준화 및 교육.훈련 프로그램개발 기초연구(1). 1998. (17-57쪽)
35 이종구. 최근 우리나라 보건정책의 과제와 실천전략. 대한예방의학회 동계학술 심포지엄 연제집. 2000.(1-18쪽)
36 박재용. 지역보건의료계획 평가. 한국보건행정학회 전기학술대회 연제집. 1999. (3-45쪽)
37 Matthew Lombard, Jennifer Snyder-Duch, Cheryl Campanella Bracken. Practical Resources for Assessing and Reporting Intercoder Reliability in Content Analysis Research Projects. Available from: URL:http://www.temole.edu/mmc/reliability/
38 Leon Gordis. Epidemiology.WB Sauders Co. Philadelphia; 1996. p. 70-74