• 보건교육건강증진학회지
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• 제23권3호
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• pp.149-167
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• 2006

Objectives: This study examined the national health promotion plan 2010 in order to identify the agenda and issues to be considered for the improvement of the evaluation of the plan and future planning. In specific, the examination focused on both the planning model and practical aspects of the planning work. With regard to the planning model, attention was directed to the theoretical background, logical framework and assumptions involved in the design. Also, an observation was made in comparison with Japanese $\ulcorner$Health Japan 21$\lrcorner$ and American $\ulcorner$Healthy People 2010$\lrcorner$ which provided main reference to our original health plan 2010 and revised health plan 2010 respectively. From this observation it was found that all the plans of three countries, except our original health plan 2010, basically employed a model of educational and ecological approaches to health promotion planning. As predicted, the practical constraints on the health promotion policy and programs in Korea led to many difficulties in attaining the rationality and validity of the plan. The short period of time afforded for the planning work, the limited availability of relevant data and research findings, and the lack of experiences and competent personnel in health promotion planning were main factors impeding the planning work performance. The observation and analysis of the National Health Promotion Plan 2010 suggest two main implications for the future planning of health promotion. First, it will be both theoretically and practically appropriate to maintain the current planning model basically as it is. Second, there are many practical problems that may impede effective planning for health promotion, thus continuous efforts should be made to remove or alleviate such problems.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.159-170
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• 2009

The purpose of this study was to review national mental health policy goal in Korea and America, and to suggest strategies for advancing the national mental health policy in Korea. Objectives: First, the review of nation mental health policy in Korea. Second, the review of nation mental health policy in America. Third, the development of nation mental health plan in Korea. Methods: To achieve this objectives, review the books, journals, and national published papers and so on. Results: First, 15 goals are planned for mental health promotion in Korea Health Plan 2010. Second, 14 goals and multiple strategies are planned for mental health promotion in America Healthy People 2010. Third, 3 plans are suggested for mental health promotion in Korea. Conclusion: Mental Health is essential dimension in holistic health. And mental health promotion has been increasingly emphasized in national health plan. Therefore, effective nation mental health policy establishment would be needed continuously.

• 보건교육건강증진학회지
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• 제22권3호
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• pp.157-171
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• 2005

The Korean Government has produced the Health Plan 2010 aimed at setting up healthy Korea objectives, policies on preventing chronic diseases, reshaping the country's health and medical infrastructure. The policy goal targets the people's healthy life expectancy at 75 by 2010, and includes healthy life practice measures including health education, health improvement services, and disease management measures, in achieving the objectives. Also, the plan provides life cycle-based health improvement and disease prevention services, as well as pushes ahead with projects with greater ripple effects in each area. To this end, the government is simultaneously pushing to operate an experts-centered health promotion committee and establishing the infrastructure including the augmentation of national health improvement funds. Through its Health Plan 2010, the Korean Government will exert efforts to achieve its policy objectives as addressed in the measures by enhancing the national potential health and providing systematic disease prevention services.

• 보건교육건강증진학회지
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• 제21권3호
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• pp.19-33
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• 2004

The focus of this paper is to critically evaluate the contemporary health promotion policy of g Korea and Japan. The primary purpose of this comparative research project is to stimulate policy debate and to strengthen the design and implementation of evidence-based policies that improve population health and reduce health related disparities. For the purpose of the research object we adopted analysis of health promotion(HP) sources. The HP Source which is still under development in Europe, is a potentially valuable tool for global use. This European Commission funded project lead by the London School of Hygiene and Tropical Medicine has brought together organisations from all of the European Union Member States, plus Norway, Iceland, Latvia, Switzerland and the Czech Republic to contribute their data. The findings of this research will be conclude by making recommendations for further comparative studies and in particular how EUHPID and the HP Source tool and database can be expanded for use at global level through the IUHPE. The result as follows: 1. The Health Promotion Act enacted 1995 in Korea and 2000 in Japan. The government has a national document on HP titled Health Plan 2010 and Healthy Korea 2010 in Korea and Healthy Japan 21 in Japan. 2. The Health Plan 2010 of Korea contains 14 goals, i.e. life expectancy, smoking, nutrition, mental health, dental health, reproductive health, hypertension, cerebrovascular diseases, arthritis, diabetes mellitus, cardiovascular diseases, and cancer. It should be emphasized that the Korean HP national document adds 3 goals of health expectancy, reproductive health, and arthritis to its Japanese counterpart. Health Plan 2010 of Korea specifies 37 objectives in 14 goals, and Healthy Japan 21 proposes 48 objectives and 80 targets in 9 goals. 3. Health Plan 2010 and Healthy Japan 21 have not been evaluated yet, and no regular systematic monitoring reporting of HP policies is available in Korea and Japan yet. 4. National Health Promotion Fund is a financial source of HP programs at the national level in Korea. Its annual amount is 736 billion Won(equivalent to approximately 640 million US$), otherwise no specific Health Promotion Fund in Japan.

• 보건교육건강증진학회지
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• 제23권1호
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• pp.143-171
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• 2006

There has been 10 years since the Health Promotion Act was legislated. The government began to establish a health promotion fund on the basis of Health Promotion Act in 1995, and to manage and operate the fund from 1998. It is evaluated that health promotion program have had various outcomes in many aspects. First, there has been growing awareness of the impotance of health promotion through the establishment of Health Plan 2010 and the effort to actualize the Plan. Second, the importance of securing health equity and identifying health determinants have been recognized during the planning process of Health Plan 2010. Third, the health promotion program have mainly focused on improving healthy life style of the population. As a result, desirable health behavior change of the population could be expected from the result of 2005 National Health and Nutrition Survey. Fourth, public health centers began to play a crucial role in implementing health promotion programs, and began to build infrastructure for health promotion programs. Fifth, management efficiency of private health related organizations have been improved. Finally, training for health promotion personnel and their participation in the program could be the foundation for the higher level of outcome achievement from the health promotion programs. Important challenges for future health promotion would be identification of the determinants and risk factors of health, formulating plan of regional health promotion programs, building infrastructure for health promotion, creation of specific action model by public health center, development of health promotion program for the elderly, conducting research for evidence concerning major factors reducing the need for health care through prevention disease activities, and establishment of evaluation and feed back system for health promotion programs.

• 대한치과의사협회지
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• 제48권6호
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• pp.443-453
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• 2010

We examined progress in oral health of Korean 5 year olds children and dental public health infrastructure since the National Health Promotion Plan 2010 Oral Health Objectives were issued. We summarize trends in the prevalence of dental caries and trends in national public oral health program activities and budget. The Oral Health Objectives were achieved in 2006. Oral health in Korean preschool children improved considerably by improving of lifestyle and consumption of fluoride containing toothpaste. Although the number of public oral health center and the budget of oral health education were increased, the impact of public oral health program for preschool children was not influential. New oral health program for infants such as fluoride varnish application and strengthening of existing public oral health program should be performed for continuing improvement of oral health in Korea.

• 대한치과의사협회지
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• 제51권5호
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• pp.265-273
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• 2013

The insurance payment plan for dental implants in Korea has been criticized because the payment priority has not been properly established, and the benefits are concentrated among middle-class citizens. In the current study, the relationship between the oral health condition and socioeconomic status of the elderly was analyzed using data from the Korea National Health and Nutrition Examination Survey (KNHANES). This study aims to determine the reason underlying the criticism of the insurance payment plan. The subjects were >65-year-old individuals in the 2010 and 2011 database of KNHANES. Data from 2,812 subjects were analyzed. The socioeconomic status was determined based on edentulousness, molar tooth loss, and presence of 28 teeth. According to the analysis, the average income was 1,560,000 won for edentulous elderly, 1,811,000 won for elderly who had lost molar teeth, and 1,896,000 won for elderly with 28 teeth (p<0.05). In addition, elderly with a low education level demonstrated a poor oral health condition (p<0.001). In conclusion, the insurance plan currently under examination is not properly designed for economically impoverished elderly because the plan only covers 50% of the costs and is limited to implantation of molar teeth only. This plan will not provide practical benefits to elderly with a poor socioeconomic status; therefore, the insurance payment plan needs to be improved so that the appropriate beneficiaries can be targeted.

• 한국보건교육건강증진학회:학술대회논문집
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• 한국보건교육건강증진학회 2005년도 국민건강증진법 제정 10주년 국제학술대회
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• pp.153-195
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• 2005

There has been 10 years since The Health Promotion Act was legislated. The government began to establish a health promotion fund on the basis of Health Promotion Act in 1995, and to manage and operate the fund from 1998. It is evaluated that health promotion program have had various outcomes in many aspects. First, there has been growing awareness of the impotance of health promotion through the establishment of Health Plan 2010 and the effort to actualize the Plan. Second, the importance of securing health equity and identifying health determinants have been recognized during the planning process of Health Plan 2010. Third, the health promotion program have mainly focused on improving healthy life style of the population. As a result, desirable health behavior change of the population could be expected from the result of 2005 National Health and Nutrition Survey. Fourth, public health centers began to play a crucial role in implementing health promotion programs, and began to build infrastructure for health promotion programs. Fifth, the outcomes of health promotion programs by public health centers and private health organizations have been increasing. Finally, training for health promotion personnel and their participation in the program could be the foundation for the higher level of outcome achievement from the health promotion programs. Important challenges for future health promotion would be identification of the determinants and risk factors of health in Korea, establishment of local health promotion plan, building infrastructure for health promotion, creation of specific action model by public health center, development of diverse health promotion programs and health promotion program for the elderly, conducting research for evidence concerning major factors reducing the need for health care through prevention disease activities, and establishment of evaluation and feed back system for health promotion programs.

• 대한치과의사협회지
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• 제54권6호
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• pp.468-474
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• 2016

Korean government enacted the 1st Basic Plan for Low Fertility and Population Ageing in 2005 due to the long-lasting ultra-low birth rate. Based on the Act, Korean government set up a step-by-step strategic goal and establish a basic plan, every five years, to achieve the sustainable development of society corresponding to low fertility and aging society. Over the past decade, the 1st Basic Plan for Low Fertility and Population Ageing (2006-2010) and the 2nd Basic Plan for Low Fertility and Population Ageing (2011-2015) was executed. This year, based on the achievements and limitations of the 1st and 2nd Basic Plan, the 3rd Basic Plan for Low Fertility and Population Ageing begins. In this manuscript, I discuss the background of the 3rd Basic Plan and its significance in oral health area.

• 한국보건교육건강증진학회:학술대회논문집
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• 한국보건교육건강증진학회 2004년도 국제학술대회
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• pp.89-109
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• 2004

보건복지부에서는 2002년 2010년을 향한 국민건강증진종합계획(Health Plan 2010)을 수립하여 발표한 바 있다. 이 계획에서는 국민의 건강증진을 위하여 건강수명을 연장하는 것을 목표로 하고 있으며 우리나라 국민건강증진의 방향을 반영하고 있다. 2000년 현재 우리나라 국민의 평규수명은 75.9세이고 2010년에는 78.8세가 될 전망이다. 건강수명은 2000년 현재 66.0세로 나타나 평균수명에 대비하여 볼 때 평생의 약 13% 정도를 질병이나 장애로 인해 불건강을 겪으며 살게 된다고 볼 수 있다. 특히 흡연, 과음, 잘못된 생활습관, 운동부족 등으로 인한 비만, 정신질환 등이 사망과 질병의 원인이며 건강수명을 단축하는 요인으로 작용하고 있다. 일본, 독일, 프랑스 등 선진국과 비교시 우리나라국민의 평균수명 대비 불건강으로 지내는 기간의 비율은 다른 선진국에 비하여 12%높은 편이다. 따라서 향후 2010년까지 목표로 하는 75세까지의 건강수명 연장에 도달하기 위해서는 정부차원에서 국민의 건강잠재력을 제고하기 위한 구체적인 방향 제시와 함께 지역사회의 각 부문에서 건강증진사업을 펼쳐나갈 수 있도록 적극적으로 지원하는 것이 필수적이라고 할 수 있다. 2001년 우리나라 사망자의 사망률이 높은 사인 순위를 보면, 암(악성신생물), 심장 질환, 뇌혈관 질환의 순으로 높으며, 운수 사고, 자살과 같은 사고 등의 순으로 나타난다. Health Plan 2010 계획에서는 장기적 목표인 건강수명연장을 달성하기 위해 건강 생활실천, 정신보건, 구강보건, 모자보건, 만성질환관리, 암관리 등 건강증진부문이 선정된 바 있고 각 부문별로 세부 목표들이 명시되어 있다. 이 세부목표를 달성하기 위한 건강증진사업은 생애주기별로 영유아기에서 노년기에 이르기까지 개략적인 계획이 개발되어 있다. 특히 취약계층의 건강권 보호와 건강증진을 위하여 취약계층이 주로 찾는 보건소 등 공공보건기관을 확충하고 기능을 강화시키는 것을 골자로 하여 공공보건기관 확충 및 도시형 보건지소 설치를 통한 의료취약지역 보건의료.건강증진서비스 제공 확대를 계획하고 있으며, 보건소.국공립병원.국공립대학병원을 연계하는 공보건의료전달체계를 구축하여 저소득층에게 양질의 보건의료서비스 제공하려고 한다. 그리고 가정간호사업 활성화 및 대도시 지역 방문보건사업 실시를 통해 저소득층의 의료비 부담을 경감시키려고 하고 있다. 국민건강증진종합계획에서는 건강증진사업의 효과적 추진을 위하여 중앙에 국민건강증진위원회를 구성하고, 도시형 보건지소 설치, 보건소 건강생활실천 사업확대 등을 주요내용으로 하고 있다. 사업에 따라서 국민건강증진기금뿐만 아니라 국비 및 지방비의 지원이 필요한 사업도 있다. 국민의 건강증진을 위하여 국민건강증진위원회 구성, 도시형 보건지소설치, 보건소의 건강생활실천사업 확대 등을 통해 사업기반을 구축하고 만성질환관리, 생애주기별 건강증진서비스 제공, 보건의료서비스의 형평성 제고 등 을 2010년까지 추진하는 것을 계획하고 있다. 정부의 건강증진 목표를 달성하기 위해서는 보건교육사업이 중요한 위치를 차지하고 있고 이에 따라 보건교육사의 역할은 더 확대될 전망이다. 주요 만성질환의 위험요인이 금연, 절주, 운동, 영양, 스트레스관리 등이며 이에 대한 적절한 과학적 정보의 수집이 필요하다. 보건교육사는 이러한 보건주제와 관련하여 행동변화의 훈련이 필요하다. 또한 건강증진사업이 지역사회의 보건소를 기반으로 하고 있으므로 지역사회내의 각 기관간 커뮤니케이션과 상호협력을 조정하는 일이 중요한 역할이 괼 전망이다. 또한 국민건강증진기금의 지원으로 보건교육사업을 확대하기 위해서는 보건교육사업의 적절한 평가가 이루어지고 보고되어야 한다. 따라서 평가를 실행할 수 있는 적절한 능력이 요구되므로 향후 전문가집단에서 훈련프로그램을 다양하게 개발하여야 할 것이다. 또한 정부 및 공공에서는 보건교육사 훈련의 기회를 확대해야 할 것이다.