• 보건행정학회지
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• 제11권1호
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• pp.131-152
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• 2001

Public health system and public health practice have changed over the past decades as the result of social and epidemiologic changes. New public health concept emphasizes leadership, strategical thinking, systematic planning and effective performance to identify and solve complex health problem In Korea, the role of Health Center has been expanded rapidly. However there is strong suspicion that Health Center can achieve their mission. This paper aims at understanding what is the needed functions of Health Center and which of its aspects needs improvement. The main results of this study are summarizes as follows. District Health Law does not address the core functions of Health Center. The staffs of Health Center have difficulties in prioritizing their services. The recent attempt to restructure Health Center and change delivery pattern of public health services ended with only limited success. To effectively confront threats to the public's health, the three major function of Health Center must be ${\circled}1$ modifying individual behavior and lifestyle, ${\circled}2$ improving social and economic conditions, and ${\circled}3$ reforming health policies. Better results do not come from setting new functions only; they come from understanding and improving the processes that will then leads to better outcome. We recommend that policy-makers focus economic evaluation of public health programs, building and spreading of the scientific evidence of programs, linkage of public health research and public health program. The criteria of delegation of public health service to private sector is urgently needed. Making community health information data available on a routine basis to providers, managers and researchers of public health services helps promote the efficiency of the overall operation of public health system.

• 한국보건간호학회지
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• 제6권2호
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• pp.5-10
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• 1992

Health care programs of the aged women has !lot been concerned in terms of women's health. Health problems of the aged women are not the same as of those the aged man. This article reviews issues and problems of the aged women's health in specific aspects of physical, psychological and social problems.

• 한국보건간호학회지
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• 제29권3호
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• pp.515-527
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• 2015

Purpose: This study was to the experiences hospital school programs health impaired children as perceived by mothers. Methods: The participants were 9 mothers of children with health impairment who had in hospital school program. ata were collected through in-depth interview using semi-structured questionnaire. The interviews were analyzed by content analysis. Results: domains and 13 categories were extracted from the analysis. The 5 domains related to the experience hospital school program were emotion, therapeutic course, interpersonal relationship, school reentry, and needs for hospital school management. Conclusion: The results of this study indicate that participation hospital school programs not only educational support but it is also helpful for physical, psychosocial adjustment of health impaired children and could be used develop effective hospital school programs to improve the adaption of children with health impairment.

• 대한한의학회지
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• 제29권5호
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• pp.126-133
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• 2008

Purpose : The aim of this study is to identify current situation and issues of outcome measures to evaluate the public health programs using traditional medicine by public health centers in Korea. Method :This study analyse and review existing data and documents related to traditional Korean medicine and health policy using contents analysis method. To collect the information on outcome measures evaluating the programmes, this study reviewed annual reports for health promotion programmes using traditional Korean medicine(HP-TKM) of Hub public health centers, as pilot public health centers, which have implemented the health promotion programmes collectively. Additionally, the review included research articles, government documents and book chapters on the topics related assessments in health promotion. Results :HP-TKM are stroke prevention education, smoke free program, health promotion according to Four Constitutional Medicine, home visiting treatment, etc. However, there are only a few studies of traditional medicine focused health promotion evaluation strategies. The benefits of health promotion programs using TKM can be categorized as non-health benefit, physiological, psychological and physical effects. To manage and monitor the intervention programmes efficiently, attention should be given to developing relevant and valid outcome measures for evaluating the programmes by government and public health center. Conclusion :Up to now, considering number of researchers, research projects undertaken or published articles and reports, within traditional Korean medicine there is a lack of capacity in research. Thus, government should pay more attention to developing relevant and valid outcome measures for evaluating the programs.

• 대한영양사협회학술지
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• 제5권1호
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• pp.54-63
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• 1999

The purposes of this study were to investigate the perception and needs of community nutrition programs for 379 community residents of 23 health centers where the pilot community nutrition programs are intervening. The awareness rate of the nutrition programs was 54.3% and the reason of the awareness was mainly happened to know when visiting health centers'. More than 90% of the respondents responded that public health nutrition services are necessary. But the residents who experienced the nutrition services showed higher needs of the programs(97.3%) and improved the impression about the roles of health centers(93.6%). They also showed a higher rate of balanced dieting, stronger intentions to change their inappropriate eating style and a higher practicing rate. The more they believed in the provided nutrition information, the more they showed concerns about their diet and practicing rate of the advices from nutritionists. These results show the positive and successful impact of the pilot nutrition programs on the community residents. We need strategies for a more active improvement of the programs and to maintain more qualified public health nutritionists to carry out targeted community nutrition programs.

• 대한지역사회영양학회지
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• 제6권3호
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• pp.354-360
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• 2001

This study was carried out to investigate the present status of nutrition services for infants in public health centers and the need for nutrition services of health workers and infants mothers. The study subjects were 146 health workers and 197 infants mothers. The results were as follows : At present, the only major nutrition services for infants were vaccination and dental care. Proper nutrition management services were available to infants. Nutrition knowledge scores were 16.8 for health workers and 15.3 for mothers out of 20 possible points. Health workers strongly demanded a well-organized nutrition education program, government support, audio-visual materials and the employment of a community nutritionist. The public health workers, in particular, demanded the development of education programs for breastfeeding and weaning. The infants mothers demanded services of nutrition information and teaching of cooking and menu planning. Based on this, the results suggest that the employment of a community nutritionist and the development of practical nutrition service programs for infants are needed very urgently for public health centers.

• 한국보건간호학회지
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• 제28권1호
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• pp.5-21
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• 2014

Purpose: The purpose of this study was to examine perceived needs for exercise programs among adults in the workforce based on sociodemographic characteristics and health-related behaviors. Methods: The sample consisted of 182 office workers, sales workers, and service workers recruited at a worksite in Seoul (97 males and 85 females, Mean age=34.6, SD=7.71). Study participants completed a structured questionnaire on health-related behaviors and areas of needs for exercise programs. Analysis of data was performed using descriptive statistics and chi-square tests. Results: Workers with greater interest in exercise reported to engage in exercise. Significant differences were observed in goals of exercise, preferred exercise, preferred methods for delivery of exercise, preferred exercise monitoring, and social support for exercise maintenance according to age, sex, marital status, education, commuting time, occupation, alcohol use, smoking, and current participation in exercise. There were no differences in areas of exercise program needs by consumption of high calorie foods. Conclusion: Public health nurses can use these findings for development and implementation of tailored exercise programs to promote health for workers whose physical activity is insufficient.

• 농촌의학ㆍ지역보건
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• 제43권2호
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• pp.63-73
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• 2018

본 연구는 우리나라 보건소의 재난대응 관련사업의 실태와 향후 방향에 대한 의견을 파악하고자 전국의 5개 보건소를 대상으로 개방형 설문지를 활용하여 연구자가 직접 2017년 9월 1개월 동안 방문하여 심층 면담을 통한 조사결과 다음과 같은 결과를 얻었다. 조사대상 보건소는 재난대비 대응에 있어서 시 군 구의 협조기관으로 생각하는 경향이 있었고, 구급지원, 감염병 위기관리 및 방역실시, 을지훈련참여, 재난훈련 및 연수 등이 활동의 전부로 수동적인 활동이었으며, 보건소 자체 프로그램은 필요하다고 생각하고 있었다. 보건소가 시 군 구의 협력기관으로 활동하는 것도 중요하지만, 재난발생 시 보건활동의 중심적인 역할을 위해서는 보건기관 자체의 총괄보건 활동체계가 구축되어야 할 것이다. 재난은 언제 닥칠지 모르는 것이므로, 이를 위해 필요한 매뉴얼의 개발이 시급한 것으로 보인다. 총괄보건활동체계를 구축하기 위해서는 먼저 보건소를 시 군 구의 협력기관으로만 생각하는 시각을 변화시킬 필요가 있다. 시각의 변화가 쉽지는 않겠지만 관 학 협력으로 일부 가능할 것으로 생각한다. 재난 시에 지역주민에게 필요한 것은 의료지원이나 감염병위기 관리에 국한되지 않는다. 주민의 생활지원은 물론 건강관리 및 영양지원, 정신보건의료, 대피소 환경관리 및 봉사자 관리 등 보건의료 전반에 대한 지원이 필요하다. 보건소의 인력별 역할 및 기능에 따라 운영될 수 있는 시스템이 준비되어야 할 것이다.

• 대한간호학회지
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• 제5권1호
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• pp.31-40
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• 1975

A study on public health education curriculums of 14 universities located in Seoul city was carried out from Oct. 15 1974 to Nov. 15 1974. The data were obtained from 11 universities bulletins & 3 universities administration officers. The contentments of public health were obtained by the interview with the teaching professors on the syllabuses. The results were as follows: 1. General Public health topics were taught at 4 universities (28.6%) out of 14 universities & 129 departments (25.3%) out of 509 departments. General public health education were taught at 2 universities (28.6%) out of 7 universities with medical school of the colleges of education 2 collages (18.2%) had the public health education in the curriculums. 2. Academic administration of Public health education by universities 2 hrs for 2 credits were allocated at 2 universities (50%), while 4 hrs for 2 credits at the rest universities (50% ), Pubic health education were taught as an essential general education at 4 universities. Public health education were taught in freshman course at 2 universities in senior course at 2 other universities. Text books on public health education were chosen at 2 universities and at other 2 universities, just references were introduced to students. Contents of public health education. In two universities teaching programs of public health were undertaken & in other two universities no particular leaching programs were undertaken. And contents of tuberculosis, V. D. & communicable disease control Pregnancy & delivery, precaution ok post paestum maternal & child health were taught at 4 universities. Contents of health & college students, alcohol tobacco & coffee, chosen of sports were taught at few university. 3. General public health education instructors: The instructors were consisted of 13 men(81.2%) & 3 women (18.8%) Physicians were 11 (68.8%), nurses 2 (12.5%) & others 3(18.7%) Full time instructors were 7 (43.7%) part time instructors 9 (56.3%) Position & organization instructors belong to ; instructors (75.0%) had the teaching position in universities & research workers & others were 3 (18.8%) & medical practitioner was I(6.2%) 4. Public health & home nursing education by general home economic departments. Home nursing & public health were taught as an compulsory general education program in 10 departments 50.5% & as an alternative major course in 7 departments (35.0%) 2 hrs for 2 credits were allocated at 9 departments (45.0%) while eve. 4hrs for 4credits were 8 departments (40.0%).

• 보건행정학회지
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• 제13권3호
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• pp.35-51
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• 2003

This study purports to develop a quality assessment tool for the process of health promotion programs at public health centers(PHC). The draft of the assessment tool developed by the literature was distributed to 242 staffs who were in charge of the health promotion programs at PHCs for evaluating the feasibility of the tool on September and October 2002. The major results of the study were as follows; The quality assessment tool developed in the study consisted of four domains: strategic planning, program management, monitoring and evaluation, and resources and information. The strategic planning dealt with the function of the planning staff and committees, community data analysis, the feasibility of the program, and the approach methods for attaining the goal of the program. The program management included the items on the qualification and power of the program staff. The monitoring and evaluation included the items on the reporting and communication among program units, and feed back after monitoring. Finally, the resources and information dealt with community networking, clients' response, and consulting activity of the staff. The validity of the tools was tested and partly supported by both formative and criterion-related methods. The assessment tools developed in this study could be used by health promotion workers in the self-evaluation of the program quality. In conclusion, the quality assessment tool developed in the study will be a good safeguard for assuring the quality of the process of health promotion programs.