• Title/Summary/Keyword: Promotion of Health and Welfare

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Network Analysis to Describe Service Link for Customized Visiting Health Care Program (맞춤형방문건강관리사업의 지역사회 네트워크 탐색)

  • Jang, Soong-Nang;Cho, Sung-Il
    • Korean Journal of Health Education and Promotion
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    • v.29 no.1
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    • pp.1-11
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    • 2012
  • Objectives: The nurse visiting health service named Customized Visiting Health Care Program(CVHCP) requires the service innovations incorporating community support into a local service network. The purpose of this study was to assess the community network in CVHCP and inform improvement in this network. Methods: We used Social Network Analysis(SNA) in one CVHCP at H city. Network links were generated by self-administered questionnaires by the 14 community resource centers who quantified their links to all other 25 agents on the list. Links were analyzed by a dichotomous scale for any experience of collaboration and a scored scale of 0 to 3 for level of collaboration using UCINET v6. Results: A list of 14 agents was generated, and local network was dominated by the Public Health Center and a local welfare center named Unlimited Care Center(UCC). According to centrality score, UCC was the most prominent agent, and Public Health Center was the most influential agent, being a link in the pathway flow between other agents for 9.5% of contribution. CVHCP scored lower rank of prominent with 30.8% of other agents reported referring to it. Conclusions: Social network analysis provides a useful network description for informing and evaluation service network improvement in maximizing its service for the CVHCP.

Analysis of the Results of Health Service Programs in the Primary Health Care Posts (보건진료소 보건사업 현황 분석)

  • Son, Gye-Soon;Moon, Ja;Park, Choon-Hee;Lee, Eun-Gyung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.3 no.1
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    • pp.24-33
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    • 2008
  • Purpose: To analyze health programs of the PHCP (Primary Health Care Posts) Method: From August 2006 to July 2007, data on the general quality and health program of the PHCP was requested by official letter and replies were received via E-mail. From December 8 to December 30, 2007, data from 1,268 (66.8%) PHCP out of 1,897 PHCP were analyzed using SPSS 12.0 Win program. Results: The average population covered by each PHCP is 878.3 people. For the health and special programs, Community Health Practitioners report high motivation for programs on health promotion, management of chronic illness, social welfare (40-50%). Demand by the residents was reported at 10% and increases in the health of the residents were attributed to high interest and demand. Volunteer work was 83.3% for bathing, 54.5% for equipment support and 46% for exercise programs. As elders make up 30% of the population in rural areas, there is an increasing demand for volunteer work in bathing programs. Conclusions: As the number of elders in the population increases and there is an increased need for more medical treatment for older people who are sick, the role of PHCP must be strengthened to include visits to homes of community residents. Where financial support for the PHCP is difficult, it is necessary to develop sound data on demographic characteristics of the population in order to develop efficient and effective health promotion programs. The finding that 54.7% of the population need management of chronic illness has difficulty in seeing a physician indicates a need to enhance the health care delivery system by strengthening the role of the Community Health Practitioners and including them in the civil service system to ensure stability of the PHCP.

Qualitative study on experience of health behavior among Korean low-income breast cancer survivors (저소득층 유방암 생존자의 건강증진 행위 경험 연구)

  • Rhee, Young-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3188-3198
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    • 2015
  • This study explores the health behaviors and related situations of Korean low-income breast cancer survivors using in-depth interview. The study derives 95 concepts, 23 sub-categories and 12 categories in open coding. Illness experiences were categorized by behavioral, psychological, and social domains, cognitive were categorized by causal and destiny thought, emotions were categorized by negative, positive emotion, reserve capacity were categorized by internal and external domains and health behaviors were categorized by behavioral, psychological, and social domains. Understanding illness experience, cognitive, emotion, reserve capacity and health behaviors for Korean low-income breast cancer survivors will be useful in developing social welfare interventions and for enhancing health promotion.

The Relationship between Socio-Familial Status and Health Problems among the Younger Elderly (초기노년기 건강문제의 가족사회 속성별 비교)

  • 이인수
    • Journal of Families and Better Life
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    • v.20 no.3
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    • pp.1-12
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    • 2002
  • This study was conducted to examine the relationship between socio-familial characteristics and health status in early stage of elderly life. In this study, a total of 252 Korean males and females aged 55 to 74 were interviewed to obtain information on various socio-familial characteristics such as age, gender, residence, marital status, education, religion, distance with children, household size, and living arrangements. They were also examined for self-perceived depression and diagnosed health problems. The analysis of the results show that marital status, gender, and living arrangement were major characteristics differentiating health status; widowed women living apart from their children are at lower level for most items of hea1th status such as emotional, circulatory, respiratory, digestive, and muscle and skeletal function. Based on this analysis, suggestions are made for efficient health management. First, widowed females living without children are encouraged to participate in regular health promotion programs in self-organized groups. Second, usual welfare service programs need to be segregated for each age group, so that relatively young elderly are not frustrated from being treated together with extremely frail older elderly. Third, low education group living in rural area are offered preventive medical services for muscular and skeletal related health problems.

Moderate Effects of Gender on the Knowledge and Attitude toward Smoking and Self-concept among High School Students (성별에 따른 고등학생의 흡연에 대한 지식, 태도 및 자아개념)

  • Lee Sun-Hye;Suh Kyung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.23 no.2
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    • pp.29-45
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    • 2006
  • Objectives: This study aims to investigate the attitude toward smoking and knowledge on smoking, self-efficacy, and self-esteem among high school students, and examine the moderate effects of gender on the differences in those variables between smoking and non-smoking students. As the result of investigation, it would suggest useful information for those who want to provide interventions of smoking prevention and smoking cessation to adolescents. Methods: Participants were 1,117 high school students (511 males, 584 females), whose mean age was 16.38 (SD=.87). To identify whether participants were smoking or not, bogus-pipeline was used. The data was collected with questionnaire include Smoking Attitude Inventory, General Self-Efficacy Scale, and Rosenberg's Self-Esteem Scale. A Pearson chi-square test and 2-way MANOVAs were performed with SPSS 11.5 for Windows. Results: With bogus-pipeline, one hundred thirty five (26.0%) of male students and 125(21.4%) of female students reported as they were smoking, while 115(22.2%) of male students and 78(13.3%) of female students reported as they were smoking at unidentified survey which was performed one week before bogus-pipeline. Results revealed that students who smoked had more positive attitude toward smoking and more knowledge on smoking than those who didn't smoke. Difference in knowledge on smoking between smoking and non-smoking students only existed in female students. Female students who smoked had lower self-esteem than female students who didn't smoke, but this difference didn't exist in male students. Conclusion: With the results of this study, it is considered smoking rates of adolescents surveyed with unidentified self-report questionnaires as underestimated. Health practitioners might consider female smokers' attitude toward and knowledge on smoking and self-esteem, especially for high school students. Despite of limitation of this study, it might help those who want to prevent initiation of smoking and give up smoking in adolescence.

A Study on Examination of Health Inequality among Dying Alone Cases (고독사와 건강불평등에 대한 탐색적 연구)

  • Kim, Hae Sung
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.1
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    • pp.311-318
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    • 2019
  • Dying alone is an emerging social problem in South Korea. It is reported that most cases of dying alone showed various and chronic health problems. Despite of this situation, there existed neither medical support nor welfare services when dying. It indicated severe health inequality problems. With this background, the purpose of this study was to examine health inequality issue among dying alone cases by using news paper articles during the past three years(2016-2018). Content analysis was employed for 89 dying alone cases. Characteristics of dying alone cases, types of illness and health problems, and unmet medical services were analyzed. Based on the findings, future directions were addressed.

Koreans' Beliefs on Helpfulness of Mental Health Resources: A Comparison between Depression and Schizophrenia (정신건강문제 해결자원의 유용성에 관한 신념: 우울증과 정신분열병의 비교)

  • Suh, Jin-Hwan;Lee, Sun-Hae
    • Korean Journal of Health Education and Promotion
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    • v.26 no.3
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    • pp.97-110
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    • 2009
  • Objectives: This study investigated Korean public's beliefs on helpfulness of various resources and preferred ways of addressing symptoms of mental health problems. Methods: A household survey was conducted on a stratified sample of adults aged between 18 and 74 (N=1,584). The participants were asked to provide their opinion on helpfulness of 39 resources for problems presented in the vignette, either depression(DEP) or schizophrenia(SPR). Descriptive statistics and factor analysis were conducted to summarize their opinion and to identify the underlying structure of beliefs about helpfulness of various resources. Results: Counselors/psychologists/social workers, family, psychiatrists, other therapists, and religious leaders were believed to be the most helpful. Methods that require one's initiatives marked percentages much higher than those of 'waiting to get better' or 'dealing with it alone'. The percentages for medications were lower than other methods in general, but higher than those of a western sample especially on antidepressants and anti-psychotics. Psycho/social approach was favored more for SPR than for DEP, and popular/cultural approach was favored much more for DEP than for SPR; physical/medical approach was strongly unfavored against DEP. Conclusion: Strategies need to be developed for utilizing various helpful resources to diversify modality of mental health services and facilitate referrals and gatekeeping. The differences in beliefs on helpfulness of various methods between DEP and SPR point to the need for problem-specific strategies.

Factors Affecting Instrumental Activities of Daily Living in Community-Dwelling Seniors: A Study Based on an Ecological Approach (지역사회 노인의 도구적 일상생활수행능력 영향요인: 생태학적 모델을 기반으로)

  • Hur, Jungyi;Yi, Yunjeong;Kim, Heegerl
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.341-354
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    • 2020
  • Purpose: This is a descriptive survey research study that identifies the intrapersonal, interpersonal, and organizational and community factors affecting the instrumental activities of daily living (IADL) in community-dwelling seniors. Methods: The study used data from a 2017 national survey of senior citizens, and includes 10,299 subjects aged 65 years or more. Complex sampling was performed to increase accuracy of the population, and hierarchical logistic regression was performed to identify the factors affecting IADL in seniors. Results: Amongst the organizational and community factors, we determined that the number of health centers, welfare facilities for senior citizens, hospital beds, and community sport facilities affected IADL in seniors, even after adjusting for intrapersonal and interpersonal factors. Conclusion: Helping seniors to maintain IADL independence for a longer duration is essential for their physical and social independence. Therefore, when establishing and developing policies for health promotion programs, efforts should be undertaken to actively reflect the level of IADL functions, and to create an accessible health and medical welfare environment by considering characteristics of senior citizens for operating programs.

The Comparison with Health Promoting Life Styles of People between Demonstrating and Non-Demonstrating Health Promotion Services in Rural Community (농촌 건강증진 시범사업 지역주민과 비 시범사업 지역주민의 건강증진생활 행태 비교)

  • Lee, Young-Sook
    • Journal of agricultural medicine and community health
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    • v.34 no.1
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    • pp.124-134
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    • 2009
  • Objectives: This study was to compare with health promoting Life styles of people between demonstrating and non-demonstrating health promotion services in rural community. Methods: Objects of the study were 13,000 people by stratified sampling in rural community of H and J Gun in Korea. Data were collected from 1st December to 30th, 2005, using structured questionnaire. Research tool of this study were modified Korea BRFSS, Park‘s stress questionnaire and Nutritional evaluation tool suggested by ministry of health & welfare in Korea. Results: People received demonstrating health promotion services were significantly more good health promoting life styles in related drinking, exercise and stress than that of non-demonstrating health promotion services. Conclusions: There were significantly higher health promoting Life styles of people received demonstrating health promotion services than that of non-demonstrating. Government supporting health promotion services was more effective than that of local government finance.

Gender Differences in Health Status, Health Behavior and Disease Prevalence of Multi-cultural Family (성별에 따른 다문화 가족의 건강상태, 건강행위 및 질병이환)

  • Kim, Eungyeong;Wee, Hwee
    • Health Communication
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    • v.13 no.2
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    • pp.103-108
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    • 2018
  • Background: This study was to analyze gender differences in health status, health behaviors and disease prevalence of multi-cultural family in order to contribute to health promotion of them. Methods: This study used raw data from the Korea Community Health Survey(KCHS) which was performed in 2015. Among them, 3,045 multi-cultural family members were included in this study. Data was analyzed using SPSS 21.0 for descriptive statistics, t test, Chi-square test, and Pearson's correlation coefficients. Results: According to gender, depression and subjective health were different in health status. High risk drinking, hypertension, dyslipidemia, arthritis, and obesity prevalence rate were higher in males than females significantly(p<.001). Conclusion: Based on the study results, it is necessary to establish a public health care program to improve health and welfare of multi-cultural families.