• Title/Summary/Keyword: Community Health Centers

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The Effects of Client Violences on the Turnover Intention of Mental Health Social Workers Working in Community Mental Health Centers : Focusing on the Mediating Effects of Job Stress (정신건강증진센터에 종사하는 정신보건사회복지사의 클라이언트 폭력경험이 이직의도에 미치는 영향 : 직무스트레스의 매개효과를 중심으로)

  • Kim, Ja-Young;Hong, Song-Iee;Han, Chang-Keun
    • Korean Journal of Social Welfare Studies
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    • v.47 no.3
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    • pp.113-138
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    • 2016
  • This study aims to examine whether the relationship between client violence and turnover intentions is mediated by job stress among community mental health social workers. Data of a sample of 1,429 drawn from a study of nation-wide mental health promotion centers in 2013 was analyzed in order to verify both the direct and mediating effects between client violence, turnover intentions, and job stress. The study found that 67.2%(n=961) of the sample experienced client violences in the workplace. Furthermore, the experience of client violences had a direct effect on turnover intentions and job stress had a partially mediating effect on the relationship between client violence and turnover intentions. Based on the results, implications were discussed to reduce the extent of job stress of mental health social workers and to provide a safer work environment.

A study on the Needs for Nutrition Management Program for Elderly Who use Welfare Facilities (노인복지시설 사용자 중심의 영양·식생활관리 프로그램 요구 분석)

  • Lee, Min-June;Kim, Jung-Hyun;Park, Ok-Jin;Lee, Young-Mi
    • Korean Journal of Community Nutrition
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    • v.21 no.1
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    • pp.65-74
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    • 2016
  • Objectives: This study was performed to investigate the nutritional status, health conditions, eating habits and experience and demand for nutrition dietary management of senior citizens. And these data are formed foundation of development of nutrition dietary management education program and contents in welfare facilities for the aged. Methods: We visited 3 public health centers, 3 senior citizens centers, and 4 welfare centers in Seoul, Gyeonggi-do, Chungnam province, and Daejeon area and carried out interview by semi-structured questionnaire for senior citizens older than 65 years who use those facilities. Results: The study included 17%, 30.7% and 52.3% of senior citizens from public health centers, seniorcitizen centers and and welfare centers, respectively. The age range of 43.9% of the population was 65-74 years and and 56.1% were older than 75 years. We observed that 83.2% of subjects took some medicines due to diseases that they have and 58.0% took prescription medicines for hypertension. The thing that they considered the most when selecting food was 'the taste'(p<0.05). Regarding the level of practice to keep the dietary life, they answered more than 'average' for most of items but answered less than 'average' for lot of salt intake, drinking, exercise. For the experience of nutrition dietary life education, only 19.8% answered 'Yes' and the service for nutrition dietary life management showed the highest score in the demand for 'provide nutritious food'. For the size of consulting group for nutrition/dietary life education, the public health center and welfare center preferred a larger group size but the senior citizens center preferred a smaller group. With regard to who will carry out the consulting, the demand for dietitian was the highest and the operation type showed the high demand in the order of consulting, education. The contents that they want to have consultation in nutrition dietary life education were diet therapy for diseases and the ordinary diet therapy for health. Conclusions: This study suggested the management of nutrition dietry life necessitates qualitative measures according to the different types of welfare facilities. For these, it is in need of development of counseling and education program included therapy for disease. Above all, the policy to secure dietitian of welfare facilities for the aged to perform these should be achived.

An Efficiency Evaluation of Public Health Center by Data Envelopment Analysis -Focused on Public Health Centers of Gyeongnam Province- (자료포락분석을 이용한 보건사업의 효율성 평가 -경상남도 보건소를 중심으로-)

  • Yang, Jong-Hyun;Chang, Dong-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.6
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    • pp.2129-2137
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    • 2010
  • In this research, we analyze the efficiency of 20 public health centers of Gyeongnam Province, so the reduction and weakness of input and output factor were found. We used the CCR, BCC model of Data Envelopment Analysis as a method of evaluation, made a choice human resource as the input variable, made a selection the performance of health care center, ward as the output variable. The results show that 12(60%) public health centers in 20 were productive with respective to overall Technical Efficiency(average score 0.868), 14(70%) with respective to overall Pure Technical Efficiency(average score 0.924) and 12(60%) with respective to overall Scale Efficiency(average score 0.933). It is expected that this research can provide a good data for effective management of public health centers.

Dietary Behaviors Related to Metabolic Syndrome in Korean Adults (우리나라 성인의 대사증후군 유병과 관련된 식습관 및 식행동 요인)

  • Park, Jinkyung;Kweon, Sanghui;Kim, Yangha;Jang, Myoung-Jin;Oh, Kyungwon
    • Korean Journal of Community Nutrition
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    • v.17 no.5
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    • pp.664-675
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    • 2012
  • This study was conducted to investigate the cross-sectional associations between dietary factors and the risk of metabolic syndrome (MetS) in 12,755 subjects (males 5,146, females 7,609) aged 19 years or above using data from the 4th (2007-2009) Korea National Health and Nutrition Examination Survey (KNHANES). The prevalence of MetS in Korean adults was 23.6% (males 26.1%, females 20.9%) with the criteria for modified National Cholesterol Education Program Adult Treatment Panel III. While males had a higher prevalence of abdominal obesity, hyperglycemia, hypertriglyceridemia, and high blood pressure than females, the prevalence of low HDL-cholesterol level was higher in females than in males. Among dietary guidelines, the response of 'yes' for asking practice of 'avoiding salty foods', and 'eating moderately and increasing physical activity for healthy weight' were significantly associated with the decreased risk of MetS in both males and in females. Especially, the risk of MetS was significantly lower in the subjects that responded the practice of all items of Korean Dietary Guidelines. Significantly negative associations with MetS were also found in the responding for practice of 'limiting consumption of alcoholic beverages' in males, and taking dietary supplements in females. Skipping breakfast was positively associated with the risk of MetS. In conclusion, dietary behaviors such as having breakfast, practice of dietary guidelines, and food consumption in moderation could modify the prevalence of MetS, and our findings could be useful for establishing guidelines for preventing MetS.

A Study on Visiting Nursing Service in Primary Health Care Units (일차보건의료조직에서의 방문간호사업 실태조사연구)

  • Lim, Young-Ok;So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.480-493
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    • 1999
  • The visiting nursing service is an essential part of public health. The purpose of this study was to analyze the visiting nursing service in primary health service centers. The data were collected from visiting nurse records in Wonju City Health Center, Myun Health Center and Community Health Subcenters. The period of data collection was from April 6 to July 15, 1998. The major findings were as follows: 1. Characteristics of 36 service providers. 1) Age : Over 40 years old - 66.7% 2) Educational level: The proportion of registered nurses was 47.2% and nurse aids 52.8% 3) Career: The proportion of providers who worked over 11 years in Public Health Service was 7.8% 2. Characteristics of Subjects 1) The major health problems were cerebro vascular attack, hypertension, D. M., arthritis, gastrointestinal problems and psychiatric problems. The prevalence of chronic health problems increased with age, except for mental illness. 2) The prevalence of cancer was 4.3/1000. 3. Contents of Home Visiting Nursing Services. 1) The major service was education and counseling. 2) The other services were Direct Care(ROM exercise, wound care, physical therapy, basic nursing care etc,) as 56.5%, of the work involved Indirect Care(teaching, counseling, emotional support, etc,) 30.3%, medication - 11.7%, and referral to hospitals - 1.5%.

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Health Service Delivery and Attitudes toward Multi-cultural Clients of Community Health Practitioners (보건진료 전담공무원의 다문화대상 보건의료서비스 제공실태와 다문화 인식 조사)

  • Kim, Jin Hak;Song, Min Sun
    • Journal of Home Health Care Nursing
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    • v.23 no.1
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    • pp.5-15
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    • 2016
  • Purpose: This study was conducted to evaluate health service delivery and attitudes, toward multi-cultural clients amongst community health practitioners (CHPs). Methods: A survey was conducted among 242 CHPs from December 10-22, 2015. The collected data were analyzed using chi-square test, t-test, and ANOVA using SPSS 18.0. Results: General awareness of multi-culturalism varied significantly by CHPs age and language ability. Additionally, utilization of services in accordance with the location of community health centers (CHCs) was significantly higher in rural areas than urban areas CHCs in post-partum maternal & neonate care giver service (in maternal child health), management of health educational programs and management of physical exercise (in implementing healthy life style) and networking resources in & outside of CHCs (in management of chronic disease). Conclusion: CHPs deliver health-care services to multi-cultural clients, but have not received sufficient training or education to serve these clients effectively. CHPs who received multi-cultural and foreign language training had more positive experiences with multi-cultural clients. This supports the needs for developing educational programs to enhance multi-cultural understanding amongst CHPs.

Effects of Self-efficacy, Health Attitudes, and Healthy Lifestyle on Recovery of People with Mental Disorders in the Community (지역사회 거주 정신질환자의 자기효능감, 건강태도, 건강생활습관이 회복에 미치는 영향)

  • Kwak, Yun Bok;Kim, Ji Young;Lee, Myung Ha
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.303-312
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of self-efficacy, health attitudes and healthy lifestyles on recovery of people with mental disorders in the community. Methods: Participants were 188 people with mental disorders receiving mental health services at community mental health welfare centers in the J province. The data were collected from May to June, 2018. Self-report questionnaires were used to measure general self-efficacy, health attitude scale, healthy lifestyles and recovery. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and stepwise regression using the SPSS/WIN 23.0 program. Results: Self-efficacy, health attitudes, and healthy lifestyle of people with mental disorders were significant factors, explained about 72% of the variance on recovery. Conclusion: These findings suggest that education programs and health promotion programs focused on healthy lifestyles, improving health attitudes, and self-efficacy should be developed for people with mental disorders to promote their recovery.

The Effects of e-Health Literacy and Subjective Health Status on Health-seeking Behaviors of Elderly Using the Internet in the Community (인터넷을 이용하는 지역사회 노인의 e-헬스 리터러시 및 주관적 건강상태가 건강추구행동에 미치는 영향)

  • Song, Ji-Hyeon;Shin, Su-Jin
    • Journal of Digital Convergence
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    • v.18 no.1
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    • pp.321-332
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    • 2020
  • The purpose of this study was to identify relationships among level of e-Health literacy, subjective health status and health-seeking behaviors. Subjects were 102 senior citizens who used the internet at least once in the last month and visited elderly community centers and welfare centers. Collected data were analyzed descriptive statistics, t-test, ANOVA, Pearson's Correlation Coefficient, and Multiple Regression using SPSS version 25.0. Fifty five percent of subjects responded the average weekly internet usage hours was 'less than 3 hours', The e-health literacy (r=.349, p<.001) and subjective health status (r=.466, p<.001) were positively correlated with health seeking behavior. Subjects' gender (β=.22, p=.012), type of disease (β=.23, p=.013) and subjective health status (β=.38, p<.001) had significant effects on health-seeking behaviors. The results suggest that the development of intervention programs to increase the level of e-Health literacy and subjective health status to improve of their health-seeking behaviors.

Current Status and Appropriateness of Diabetes Management in Chungbuk Region Using Community Health Survey (지역사회건강조사를 이용한 충청북도지역 당뇨병 관리 현황 및 적절성)

  • Sung-Hoon Lee;Sung-Up Choi;Jieun Yun
    • Journal of agricultural medicine and community health
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    • v.49 no.3
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    • pp.194-204
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    • 2024
  • Objectives: This study aims to assess the current status of diabetes management among residents in 11 administrative regions (Si and Gun) of Chungcheongbuk-do, using data from the 2023 Community Health Survey, and to analyze variations according to the types of local governments. Methods: A total of 12,033 residents of Chungcheongbuk-do, aged 19 and older, were selected as study participants through the 2023 Korean Community Health Survey by Korea Centers for Disease Control and Prevention. Diabetes management indicators, including blood glucose awareness, treatment adherence, and complication prevention, were analyzed using SAS Enterprise Guide version 8.3, focusing on regional differences and patterns according to local government classifications. Results: Less than half of the residents of Chungcheongbuk-do were aware of their blood glucose levels, with considerable variation observed across regions. The overall proportion of individuals receiving appropriate diabetes management in Chungcheongbuk-do was 9.6%, but the rates differed significantly between regions. For instance, Yeongdong had the highest rate of diabetes self-management education (57.5%), while Chungju had the lowest (4.3%). The frequency of regular diabetic complication screenings, such as eye and kidney exams, remained suboptimal in most regions, with many falling below 50%. Even among regions with similar local government characteristics, substantial disparities in diabetes management were identified. Conclusions: There is a pressing need for Chungcheongbuk-do and its local governments to enhance blood glucose awareness among residents and integrate comprehensive diabetes education into local health care strategies. Tailored health initiatives must be developed at the local level to improve diabetes management outcomes and reduce regional disparities, ultimately aiming to improve the quality of life for individuals with diabetes.

Factors Influencing Medication Adherence in Hypertensive Patients (일 지역 고혈압 환자의 약물치료 이행의 영향요인)

  • Seo, Yeong-Mi
    • Research in Community and Public Health Nursing
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    • v.21 no.1
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    • pp.82-91
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    • 2010
  • Purpose: The purpose of this study was to identify factors that influence medication adherence in patients with hypertension. Methods: One hundred sixty two patients with hypertension who visited the outpatient clinics of health centers in J City participated in the study. Data were collected through a questionnaire survey done from January 9 to February 25, 2008. To analyze the sample survey data, descriptive statistics, t-test, ANOVA, Scheffe's test, and multiple regression analysis were performed with SPSS/WIN 12.0. Results: Significant factors that affect medication adherence in patients with hypertension were autonomous motivation, competence, health status, and sex. These variables explained 24% of medication adherence (F=12.48, p<.001). Conclusion: The results indicate that in order to improve the medication adherence of patients with hypertension it is important to develop nursing programs that focus on autonomous motivation and competence and to give consideration to differences in health status and sex. Also further studies are needed to confirm autonomous motivation related to health behavior in patients with hypertension.