• 제목/요약/키워드: health indicator

검색결과 874건 처리시간 0.024초

보건소 건강증진사업 평가지표 개발 (Development of Program Evaluation Indicator : Community Health Center's Health Promotion Program)

  • 송현종;진기남
    • 보건행정학회지
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    • 제13권4호
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    • pp.1-27
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    • 2003
  • The purpose of this study was to develop the evaluation indicator for the health promotion programs of the Community Health Centers and to test its validity. The modified logic model was used as the evaluation model based on the literature reviews. Using this model, four dimensions, eleven sub­dimensions, and forty­one individual indicators were developed. These evaluation indicators are superior in reflecting the distinctiveness of the community health promotion programs, and also flexible enough to accommodate diverse programs. These indicators also emphasize the role of process evaluation, and the diversity of outcomes. To test content validity, survey method of experts in the community health promotion field was conducted. Eleven in three expert groups(professionals, practitioners in Community Health Centers, and policy makers) generally agreed with the validity of evaluation indicators. To examine criteria and construct validity, these indicators were used to evaluate the health promotion programs conducted by the 18 Key Community Health Centers. The data came from the interview surveys of the main health promotion practitioner and 30 visitors from each center. The ranks of these eighteen Community Health Centers were computed from these data. There was no significant difference in ranking either by these indicators or by the existing indicators, which was developed by Technical Support and Evaluation Team for criteria validity. There was no statistically significant difference in ranking between input, process and outcome dimensions. Based on these study results, evaluation indicators developed in this study are valid to evaluate Community Health Center's health promotion program. It can be used both by the Community Health Center for internal evaluation, and by the stakeholders for external evaluation.

환경보건지표를 이용한 지역 환경보건수준 평가 사례연구 (A Case Study on the Evaluation of Environmental Health Status based on Environmental Health Indicators)

  • 정순원;이영미;홍성준;장준영;유승도;최경희;박충희
    • 한국환경보건학회지
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    • 제42권5호
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    • pp.302-313
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    • 2016
  • Objectives: This study was conducted to assess environmental health status on a local scale using environmental health-related indicators. It demonstrated the possibility of using a structural equation model, a methodological approach to provide synthesized information. Methods: Eighteen indicators were selected from official statistical data published by local governments. Each environmental health-related indicator was classified according to the PSR (pressure-state-response) model. Aggregation methods were performed using principal component analysis and fuzzy sets. Results: The five principal components were classified through principal component analysis (PCA) and obtained eigenvalues >1.0 from the initial 18 indicators. The aggregated index was obtained by condensing the original information into two broad and simple categories through fuzzy sets. Conclusion: This could be useful in that the aggregation procedure may provide a basis for establishing environmental health policies and a decision-making process. However, the availability and quality of indicators, assessment of aggregation method bias, choice of weighted scores for indicators, and other factors should be examined in future studies.

원주시 건강도시 웹 데이터베이스 구축 (Building Web Database for WHO Healthy City Wonju)

  • 남은우;신택수;송예리아;박기수;송태민;김민경;박재성
    • 보건교육건강증진학회지
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    • 제24권3호
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    • pp.119-128
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    • 2007
  • The purpose of this study is to develop Web database for healthy city that contains healthy city indicators for making city health plans, setting project priorities, monitoring projects, and evaluating healthy city projects, effectively. Using Delphi survey method for identifying indicator domains and indicators, we extracted nine domains with thirty-four healthy city indicators. Based on the appraisals of DB users about the contents of DB, a web database for healthy city Wonju was constructed. We developed a web database system for the purposes of sharing high quality health related data for managing and evaluating healthy city projects. The web database currently provides variety data in the web address, http://healthycity.wonju.go.kr/index.html. The web DB comprised with major healthy city indicators that are the most important indicators, healthy city indicator data that have a variety data set for encompassing all domain areas such as city infrastructure, health medicine, economies, and all other related areas and qualitative data that contains policy reports, research results, healthy city information and all other tips. A database of healthy city is very essential and important because it makes healthy city projects alive by managing and sharing healthy city related data effectively. But we need to fill out some blank cells in DB because there are currently unavailable data for some indicators. In conclusion, we expect the web DB contributes information sharing of healthy city project teams and improving healthy city project quality at Wonju city in Korea.

지역사회 보건사회지표를 이용한 지역사회 건강수준 관련 요인 분석 (Analysis of Community Health Status and Related Factors Using Community Health and Social Indicators)

  • 박은옥
    • 지역사회간호학회지
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    • 제19권1호
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    • pp.13-26
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    • 2008
  • Purpose: The purpose of this paper was to investigate community health status and related factors using community health and social indicators. Method: Data sources were reviewed and data for 10 categories, 75 indicators were collected. Community health status and health-related factors were categorized, and the means and standard deviation of individual indicators were obtained and standardized scores were calculated. In addition, through factor analysis of individual indicators by category using the scores and using the resultant factor coefficients as weights, indexes were calculated by area. Correlation and regression were analyzed. Result: Each indicator was highly correlated with each index, and the indexes were highly correlated with one another. Correlation coefficients were above 0.8 between community health index and population, education, housing, and economy, between population and education, housing and economy, between education and housing and economy, and between housing and economy, environment and industry. But multicollinearity was not found in the result. Significant factors on community health index were population, health personnel and facilities, education, housing and economy, and R-square were 92.4%. Conclusion: Health determinants such as population, health personnel and facilities, education, housing and economy could be influencing factors on community health in community level. These results showed the importance of intersectoral collaboration within a local government. Overall community health can be enhanced by intersectoral collaboration.

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미국 Medicare 투석환자 치료의 질 지표 개발 : 4가지 주요 치료영역을 바탕으로 (Developing a Composite Quality Indicator to Assess The Quality of Care for US Medicare End-stage Renal Disease Patients)

  • 강혜영
    • 한국의료질향상학회지
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    • 제7권2호
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    • pp.204-216
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    • 2000
  • Background : There has been a concern that the quality of care provided to end-stage renal disease (ESRD) patients in the United States may not be as good as recommended. This paper illustrates a composite measure to assess, the quality of care received by ESRD patients undergoing in-center hemodialysis by incorporating outcomes for 4 major treatment areas. The 4 treatment areas are: dialysis treatments, anemia control, nutritional management, and blood pressure control. Methods : The major data source for the study was the United States Renal Data System (USRDS) Dialysis Morbidity and Mortality Study Wave 1 (DMMS-1) d Sixteen categories of a composite quality indicator were constructed by combining 4 dichotomous variables (16=2*2*2*2). representing the optimal vs. less than optimal level of outcome for each of the 4 treatment outcome measure respectively. Optimal outcome level for each treatment area was defined based on the recommendation from the National Kidney Foundation: (a) delivered dialysis doses (Kt/V) ${\geq}$ 1.2; (b) hematocrit level ${\geq}$ 30%; (c) serum albumin concentration ${\geq}$ 3.8g/dl ; and (d) blood pressure of <140 / <90mmHg. The 16 quality indicator were ranked according to their relative quality weights, which were estimated from its association with the relative risk of survival, adjusting for patient's baseline severity and dialysis facility characteristics. Results : Out of the entire sample of 2,179 patients, only 229 (10%) meet th recommended outcome levels for all 4 treatment areas. Overall, the study patients were distributed evenly over the 16 quality indicators, indicating a great variation in the quality of ESRD care. It appears that the rank of the 16 quality-indicators is driven by serum albumin concentration, suggesting that serum albumin concentration may be the most powerful predictor of ESRD patient survival among the 4 outcome measures. Conclusion : The developed quality indicator has the advantage of describin a range of care for dialysis patients and thus providing a more complete picture of care as compared to previous studies that have focused on only single or few components of the ESRD care.

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우리나라 사업장의 건강증진 프로그램 유형 분석 - 사업장 건강증진운동 우수사례집을 중심으로 - (Analysis of Worksit Health Promotion Programs)

  • 김영임;정혜선;김숙영;이종은
    • 한국직업건강간호학회지
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    • 제13권2호
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    • pp.140-147
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    • 2004
  • Purpose: The purpose of this study is to identify the types of worksite health promotion programs. Method: Data were collected from the excellent 35 cases chosen at the contest for worksite health promotion held by Korea Occupational Safety and Health Agency. Result: Out of all the health promotion programs, the exercise program recorded 35.0%, the nutrition program 29.4%, the smoking cessation program 28.0%, and the alcohol reduction program 7.6%. The major element of worksite health promotion programs were awareness raising intervention. Behavior change intervention and supportive environment intervention occupied a small portion of the health promotion programs. Evaluation of health promotion programs was made mainly by indicators of health behavior change and clinical symptom. Yet economical indicator was not used at all. Conclusion: Use of various evaluation indicator and development of various interventions including behavior change and supply of supportive environment are required to encourage worksite health promotion program.

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아스팔트의 위생학적 이용에 관한 연구 (제 1보). 개량지시약적정법에 의한 아스팔트의 산가 측정 (Studies on the Sanitary Scientific Utilization of Asphalt. Acid values determination of asphalt by improved indicator titration)

  • 우세홍;김선덕;주대수
    • 한국환경보건학회지
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    • 제1권1호
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    • pp.32-35
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    • 1974
  • Acidic substances contained in asphalt are affect upon emulsitiability of asphalt and its adhesion with aggregates, and therfore, detemination of acidity of asphalt is of important one. However, there has not been established a method of precisely determining the acidity of asphalt. This paper reports on an improved color-indicator titration method, by which the acid number of asphalt is determined. By treating benzene solution of asphalt with alcohol, acidic constituents were selectively extracted into alcohol solution, while asphaltic matters precipitated. A color-indicator titration method then was applied to the resultant faint-colored solution. The change of color at end point was clearly observed, and the results were obtained with good reproductivity and checked well with the results by the I.P. 177/64 method. Alcohols having not more than three cabon atoms have been found suitable for extraction.

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