• Title/Summary/Keyword: HEALTH MANAGEMENT & PROMOTION

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The Future Direction of Health Promotion Fund (국민건강증진기금 중장기 운용 방향)

  • Lee, Ju-Yul;Jeong, Ae-Suk;Kim, Hyun-Jeong
    • Korean Journal of Health Education and Promotion
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    • v.24 no.4
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    • pp.201-217
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    • 2007
  • This study reviews the amount and expenditures in national health promotion fund from 1997 to 2006, to analyse the problems and provide the future direction of health promotion fund programs. This study suggested the guide for future plans and the scope and contents of health promotion fund programs, priority and fund budgetary allocation, and operation organization. It is needed to revise health promotion law and enforcement decree of the health promotion act. The fund should be used in limited 9 areas related to healthy life activities: (1)Anti-smoking actions, (2)To support activities leading to a healthy life, (3)Public health education and development of materials, (4)Investigation and research regarding community health matters, (5)Public nutrition management activities, (6)Oral health management activities, (7)Physical exercises for health promotion, (8)Foundation related to supporting healthy life style practice society, (9)Expenses necessary for the management and operation of the fund. And also, in order to improve the performance of health promotion, it is considered to reform the operation system including organization.

Community Health Education (지역사회 보건교육)

  • Lee, Ju-Yul;Park, Chun-Man;Suh, Mee-Kyung;Choi, Eun-Jin
    • Korean Journal of Health Education and Promotion
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    • v.24 no.4
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    • pp.241-249
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    • 2007
  • Health education aims at behavior change rather than just delivering health knowledge to people. In Korea health education activities in public sector began in 1960 and they were included in the primary prevention program in communities. This article reviewed current health education programs in healthy living practice programs provided by local public health centers in Korea and drew implications for the future role of health education in community setting. Health education has been a core function of the National Health Promotion programs in the nation since the enactment of the National Health Promotion Law in 1995. The National Health Promotion programs are funded by the National Health Promotion Fund which are drawn from tobacco tax. The National Health Promotion programs include healthy living practice programs (smoking prevention and cessation programs, moderate alcohol use programs, physical activity promotion programs, and nutrition programs), chronic disease prevention programs, oral health programs and public hygiene programs. Methods of the National Health Promotion programs include health education, health counseling, health class, health information management, survey and research. Smoking prevention and cessation programs include smoking cessation clinic, smoking cessation education, non-smoking environment program, and non-smoking campaign. Moderate alcohol use programs include alcohol use education, moderate alcohol use campaign, alcohol use counseling, and alcohol free environment programs. Physical activity promotion programs include obesity control, targeted exercise program, and exercise civic group programs. Nutrition programs include nutrition management, obesity management, nutrition education, breakfast eating program, and nutrition counseling and treatment programs. The health education programs in community are not efficient today because there are many overlapping contents and short term goals. Community health education programs needs to be more comprehensive. Workforce development is another big issue at the moment because the National credential program will begin in 2009. Variety of community health education programs should be developed and funded by the national health promotion fund.

Mediating Effects of Health-Promotion Behaviors on the Correlation between Self-Perceived Health and Medical Care Utilization among Older Adults (노인의 주관적 건강인식과 의료기관 이용에 있어 건강증진행위의 매개효과)

  • Kim, Kyu-Min;Kim, Han-Kyoul;Rhee, Hyun-Sill
    • The Korean Journal of Health Service Management
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    • v.13 no.4
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    • pp.179-190
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    • 2019
  • Objectives: This study aimed to investigate the mediating effects of health promotion behaviors on the correlation between self-perceived health and medical care utilization among older adults. Methods: This study used data from a. Data were analyzed with frequency analysis, descriptive statistics, Pearson's correlation coefficient, and hierarchical multiple regression. Mediation analysis was performed according to the Sobel test. Results: The self-perceived health and some health promotion behaviors in older adults had a statistically significant effect on medical care utilization. Only the nutritional management of health promotion behaviors had a mediating effect on the relation between the self-perceived health and medical care utilization of older adults. Conclusions: The nutritional management of older adults was confirmed as an important factor to health promotion and prevention. This study was meaningful in that it identified the political directions for establishing health care policy for the older adults.

The Convergence Study of Self-Management and Self-efficacy on Health Promotion Activities of University Student (대학생의 자기생활관리와 자기효능감이 건강증진행위에 미치는 융복합적 연구)

  • Lee, Sook Ryon
    • Journal of Digital Convergence
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    • v.14 no.1
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    • pp.311-320
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    • 2016
  • Purpose: A descriptive study to focus the life style, self-efficacy and health promotion activity of university students, to analyze the phase-to-phase relationship between and impact on health promoting behaviors. Method: At K University among 225 students on 22-26th August 2014. Self-management and self-efficacy of [24] and health promotion activities of [29] are used for the measuring tools. Results: Health promotion activity with general characteristics is major, living and allowed time is a significant different. Between health promotion activity and self management of health variables were shown moderate correlation. Self-efficacy was too. The relevant explanatory factors influencing the self management of health promotion activities was found to be 64.0%. Conclusion: This study suggests that to improve the health promotion activities, measures to promote self-management and self-efficacy are required and the development of health promotion program is needed.

A Study on the Effective Factor of an Oral Health Promotion Behavior for Adolescents (청소년의 구강건강증진행위에 미치는 영향요인 연구)

  • Kim, Yeong-Im
    • The Korean Journal of Health Service Management
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    • v.11 no.2
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    • pp.129-142
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    • 2017
  • Objectives : The purpose of this study was to identify the main variables of difference in high school students' oral health promotion behaviors among adolescents and to improve their academic and oral health promotion behaviors. Methods : The research subjects consisted of 311 high school students in Jeonju. Results : The adequacy of the hypothetical model accounted for 46.9 % of the oral health promotion behavior. The Redundancy of all variables showed the value of the positive values, indicating that the Goodness of fit was greater than the optimum value of the model, and the model of the PLS was a desirable model. The effects of perceived benefits, self efficacy, and social support on oral health promotion behaviors were found to be higher in oral health promotion behaviors. Conclusions : This study is expected to have a significant impact on the perception of the oral health promotion for adolescents in the future and will contribute to the expansion and generalization of Pender's oral health promotion model.

The Effect of Follow-Up Management Service on Health Promotion: for High Risk Population Classified in Health Screening of National Health Insurance Corporation (건강검진 사후관리 서비스의 건강증진 효과 - 건강주의자를 대상으로-)

  • Lee, Ae-Kyoung;Kang, Im-Ok;Jung, Bak-Keun;Han, Jun-Tae;Park, Il-Soo;Lee, Sang-Yi
    • Korean Journal of Health Education and Promotion
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    • v.24 no.1
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    • pp.127-138
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    • 2007
  • Objectives: This study aims to examine if the follow-up management service by National Health Insurance (NHI) for person at health risk leads to significant modification of the lifestyle and change of health status. Methods: Of persons who underwent health screening and were classified as having health risks after periodic health screening by NHI in 2003, persons who took the follow-up management service were selected as case group and persons who took no service were selected as control group. The DW database of NHI was used to explore the effect of the follow-up management service on the modification of health status and lifestyle. Chi-square tests were conducted with SAS 9.1 to examine the differences of health promotion effect between case vs. control group. Results: It was shown that of lifestyle behaviors, only exercise was significantly improved for case group compared with control group as the effect of the follow-up management service by NHI (2.98%p) (p<.0001). Further, morbidity rate for control group was 2% higher than that of case group (p <.0001), which indicates that persons who received the follow-up management service better maintained their health significantly than persons who did not. Conclusions: The present study shows that the appropriate follow-up management services need to be provided for maximizing potential effect of periodic health screening by NHI.

Influence of Aging on Activities of Health Promotion Behavior in Elderly Men (연령 증가가 남성 고령자의 건강증진행위 실천에 미치는 영향)

  • Kim, Yun-Jin;Hwang, Hye-Rim;Cho, Duk-Young
    • The Korean Journal of Health Service Management
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    • v.10 no.4
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    • pp.123-140
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    • 2016
  • Objectives : This study aimed to evaluate the factors influencing health promotion behaviors in elderly men. Methods : We used data from the 6th Korea National Health and Nutrition Examination Survey. We analyzed difference between sociodemographic characters, health statuses, and health promotion behaviors by age. Logistic regression analysis was used to investigate the relation between health promotion behaviors and sociodemographic factors by age. Results : Health promotion behaviors related to aging were weight control effort, health screen examination, smoking cessation, and influenza vaccination. Socioeconomic statuses of elderly men declined from the preliminary age, and health status was influenced by the reduction of social role. Health promotion behaviors such as weight control, health screen examination, and performance of aerobic activities were decreased in men of advanced aged. Conclusions : The health promotion behaviors of elderly men differed significantly with age.

Experiences of the Elderly with Chronic Diseases in a Health Management Program (만성질환 노인의 건강관리 프로그램 참여 경험)

  • Kim, Jeong-Soo
    • Korean Journal of Health Education and Promotion
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    • v.28 no.3
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    • pp.17-29
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    • 2011
  • Objectives: This study was to explore how elderly with chronic disease in a health management program managed their health and to describe their health management strategies. Methods: The data were collected through in-depth interviews, with a purposeful sample of twelve in an urban community. The collected information was analyzed through grounded theory approaches by Strauss and Corbin. Results: Though open coding process, 35 concepts, 17 subcategories, 8 categories were identified. As for the participation experience process, four stages had surfaced, namely, 'Perception of chronic disease', 'Concerned about health', 'Developing life pattern', 'Restoring health'. These processes were within 'Restoring Health Equilibrium', core category. Consequently, the participants revealed in restoring relationship-oriented life and settling in family-focused life. Conclusions: These findings have implications for the understanding of health promotion for the elderly with chronic diseases and contributing to make a basic data for developing elderly health management program.

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

  • Cho, Han-Ik
    • Korean Journal of Health Education and Promotion
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    • v.29 no.4
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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.

Effectiveness of lifestyle intervention on the management of metabolic syndrome (생활습관 중재프로그램이 성인의 건강생활습관실천과 대사증후군 개선에 미치는 효과 분석)

  • Lee, Eun-Hee;Lee, Yun-Hee;Moon, Sun-Young;Kwon, Eun-Joo;Lee, Sun-Ha;Kim, Hye-Kyeong
    • Korean Journal of Health Education and Promotion
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    • v.24 no.3
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    • pp.1-19
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    • 2007
  • Objectives: The purpose of the this study was to evaluate lifestyle intervention program for the treatment of the metabolic syndrome. Methods: Subjects of this study were 700 adults with metabolic syndrome who took health examinations in health promotion centers of Korea Association of Health Promotion between May 1 and June 30, 2006. Subjects were randomly assigned to an experimental group and a comparison group. Participants in the experimental group received intensive 3-month lifestyle modification intervention and participants in the comparison group received minimal information on lifestyle modification. Pre test and Post test were carried out to evaluate the effectiveness of the intervention program. Results: After the intensive intervention on lifestyle modification(healthy diet, physical activity, moderate drinking, stress management, and smoking cessation), the levels of blood pressure, waist circumference, fasting blood glucose and triglycerides were significantly reduced for those in experimental group(P<0.001). For those in comparison group, the levels of blood pressure(P<0.001), waist circumference(P<0.001), and triglycerides(P<0.01) were significantly reduced after the intervention. No change in the levels of high-density lipoprotein cholesterol were observed in both groups. After 3-month intervention, the prevalence of metabolic syndrome was reduced to 35.7% in experimental group and 48.5% in comparison group. Conclusion: This study has demonstrated the efficacy of therapeutic lifestyle intervention for the management of metabolic syndrome.