• Title/Summary/Keyword: public program

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Long-term Policy Development for the Aged on Medical and Health Care Security (노인의료보장 및 건강관리를 위한 장$cdot$단기 대책)

  • Rhee Seonja;Lee Yoon Sook
    • Journal of Korean Public Health Nursing
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    • v.5 no.1
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    • pp.70-95
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    • 1991
  • The ageing problem of the population has been emerging in Korea since 1970's so that it is expecting the elderly 65 years and over among the total population from $4.5\%$ in 1988 to be $6.3\%$ in year 2000. This study was conducted to provide secure policy development in coming years for the aged on medical and health care aspects based on the examining current status of the aged problems and health care policies and systems. The study divided into four parts; The first part examined the medical insurance program and public assistance program of the health services in relation to the aged. The second part emphasized on reduction of medical care cost for the aged. The third part studied the regular health check-up program and health education for the aged. The fourth part examined the chronic disease management programs for the aged and strategies of the health care service quality improvement and specialized programs. The following recommendations made as the results of the study. 1. At present, the medical insurance program and public assistance program for the medically indigent is not appropriate to the elderly because it is a part of general medical insurance program so that Health Security Law for the Aged is proposed. 2. Medical cost will be increased due to the high occupancy rate of hospital beds and long stay of the elderly so that it is recommended to develop an early discharge program, home health care program, Health hospice and an althernative programs. 3. At present, a regular health check-ups for the elderly is not included in medical insurance program so that it is recommended to be included in the insurance program and at the same time health education program thoroughly developed for the aged. 4. To make proper medical and nursing services on chronic diseases for the elderly, it is recommended manpower development, specialized clinics or hospitals, nursing homes and an equivalent long term care facilitices should be established on the community based and a research institutions also to be related to supper the care programs.

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Effect of Community Based Participatory Research Nutrition Education Program for 3rd Grade Elementary School Students in the Ulsan Area (울산 지역 일부 초등학교 3학년생 영양 교육 프로그램 개발 및 효과 - 지역 사회 기반 참여 연구를 중심으로 -)

  • Kim, Yun-Hee;Kim, Min-Jung
    • Journal of the East Asian Society of Dietary Life
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    • v.20 no.2
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    • pp.231-238
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    • 2010
  • This study was evaluate the effects of community based nutrition education program offered to 3rd grade elementary school students. Students enrolled in intervention programs 4 times per class by nutrition teacher & public health center. The subjects were asked to 606 students fill out a questionnaire before and then after completion of community based nutrition education program. After completion of the community based nutrition education program, nutrition knowledge score increased from $5.07{\pm}1.65$ to $6.24{\pm}1.53$ (p<0.001), dietary attitude score increased from $16.79{\pm}2.70$ to $19.52{\pm}2.71$ (p<0.001), dietary behavior score increased from $4.79{\pm}1.23$ to $5.31{\pm}1.14$ (p<0.001). The changes in nutrition knowledge scores were positively correlated with dietary attitude and dietary behavior. Above results showed that community based nutrition education program was effective for the improvement of dietary habits of 3rd grade elementary school students. Therefore this study is suggested effective Community-Based Participatory Research public health program and this program can be used at school and at public health centers.

Clinical Effect of Herbal Medicine Treatment on Insomnia in a Public Health Center (일개 보건소에서 시행한 불면증에 대한 한약치료의 효과분석)

  • Jung, In-Ho;Kwon, Chan-Young;Kim, Jong-Woo;Chung, Sun Yong
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.4
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    • pp.419-429
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    • 2017
  • Objectives: We conducted a public health promotion program in Korean medicine for participants suffering from chronic insomnia in 2016~2017. A significant improvement effect was obtained through the 8-week herbal medicine treatment program. The object of this study is to report the results of this public health promotion program. Methods: Seventy patients diagnosed with chronic insomnia participated in the program, 49 of whom completed the program. Participants were treated with the herbal medicine for insomnia treatment for 8 weeks. A sleep diary was used to assess the total sleep time, sleep latency, and number of times the participants woke. The treatment satisfaction was then evaluated. Results: Through the 8-week herbal medicine treatment program, the total sleep time was significantly increased by $109.59{\pm}70.77$ minutes, the sleep latency was significantly decreased by $63.53{\pm}47.79$ minutes, and the number of times the participants woke was significantly decreased by $1.54{\pm}1.19$ times compared to the baseline (all, p=0.000). Among the 24 patients who were examined for the treatment satisfaction, the average score was 4.33 points of a total of 5 points. Six patients had adverse events. Except for one patient, the symptoms of other patients were mitigated by changing or discontinuing the herbal medicine. Conclusions: For patients with chronic insomnia, the 8-week herbal medicine treatment program was effective, with few side effects and high treatment satisfaction. This study has significance as this is the first report in Korea on the effect of a herbal medicine treatment program for chronic insomnia through Korean medicine public health promotion.

Development of a Health Education Modification Program Regarding Liver Flukes and Cholangiocarcinoma in High Risk Areas of Nakhon Ratchasima Province Using Self-Efficacy and Motivation Theory

  • Kaewpitoon, Soraya J;Rujirakul, Ratana;Wakkuwattapong, Parichart;Benjaoran, Fuangfa;Norkaew, Jun;Kujapun, Jirawoot;Ponphimai, Sukanya;Chavenkun, Wasugree;Kompor, Porntip;Padchasuwan, Natnapa;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.6
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    • pp.2947-2951
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    • 2016
  • A quasi-experimental study was conducted to develop a health education modification program based on self-efficacy and motivation regarding liver flukes and cholangiocarcinoma development in Keang Sanam Nang district, Nakhon Ratchasima province, Thailand. A total of 36 individuals were invited to participate in the program and were screened for population at risk of liver fluke infection and cholangiocarcinoma using SUT-OV-001 and SUT-CCA-001. Development of health education modification program regarding liver fluke and cholangiocarcinoma prevention included 3 steps: (1) preparation, (2) health education program, and (3) follow-up and evaluation. The study was implemented for 10 weeks. Pre-and-post-test knowledge was measured with questionnaires, Kuder-Richardson-20: KR-20 = 0.718,and Cronbach's Alpha Coefficient = 0.724 and 0.716 for percection and outcome expectation questionnaires. Paired and independent t-tests were applied for data analysis. The majority of the participants were female (55.6%), aged between ${\leq}50$ and 60 years old (36.1%), married (86.1%), education level of primary school (63.9%), agricultural occupation (80.6%), and income <4,000 Baht (44.4%). The results revealed that after the health education program, the experimental group had a mean score of knowledge, perception, and outcome expectation regarding liver fluke and cholangiocarcinoma prevention significantly higher than before participation and in the control group. In conclusion, this successful health education modification program for liver fluke and cholangiocarcinoma, therefore may useful for further work behavior modification in other epidemic areas.

The Present Situation and Expansion of the University Museum Public Education Program (대학박물관 사회교육프로그램 운영의 현황과 발전방향)

  • Yeo, Jung-Cheol
    • KOMUNHWA
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    • no.68
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    • pp.77-92
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    • 2006
  • This paper is mainly deals and suggests about a brief history, an expansion and management of the pubic education program which is running by the university museum after careful analysis of the past and current public education program. There are 20 university museums which operate public education program inducing Seoul National University, Ehwa Women's University, Chungbuk National University and Yeungnam University, etc. Yeungnam University museum has been well running the public education program since l990. The public education program named museum university, museum class, culture class, that have been constantly changing and diversify the theme and education method. After careful analysis of the curriculum, it consists of the fields of archaeology, art history, folklore, anthropology, and modern arts. The programs are being held in the classroom and taking field trips to the related sites. Most of the lectures are given by the university professors and students are mainly mid-aged female. I found that the self evaluation and participant evaluation are insufficient for now. Education on demand program development is needed and also it is mandatory set up the curriculum opening committee. A good way to make the public education program is that to establish the sub-cormmitte talk group under KAUM and I feel keenly the necessity of the constant research on the public education program systematically. I guess it is worth to open a program for youth and weekend program for family.

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A Comparative Study on the Storytelling Program for Preschoolers in the Public Libraries of Korea and America (한국과 미국 공공도서관의 취학 전 어린이를 위한 "이야기 들려주기" 프로그램에 관한 비교 연구)

  • Chung Hye-Kyung;Kim Hyun-Hee
    • Journal of the Korean Society for Library and Information Science
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    • v.39 no.1
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    • pp.295-320
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    • 2005
  • Storytelling is a form of arts and a very effective way of school readiness for illiterate preschoolers. Although storytelling programs for preschoolers have been in high increase in Korea, the programs currently operating in Korean public libraries have not been well received by the public because of the lack of understanding of the Public and unsystematic operation of the program. The purpose of this study is to draw out effective ways to reform the storytelling programs for Preschoolers of Korean Public libraries through comparativeanalysis with those of American public libraries. Analytical approaches were discussed with the four essential elements for storytelling program : program, children's librarian, preschooler, and library environment.

A Study on the Outcomes Measurement of a Public Library's Reading Program for Children Using the Evaluation Framework Based-on the Logic Model (로직모델 기반 평가 프레임워크를 이용한 공공도서관 어린이 독서 프로그램 성과 측정 연구)

  • Han, Sang Woo;Park, Sung Jae
    • Journal of the Korean Society for information Management
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    • v.35 no.3
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    • pp.271-286
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    • 2018
  • The purpose of this study is to measure the outcomes of a program provided by a public library using the evaluation framework based on Logic Model. A reading program for children which was operated by a public library in Seoul was selected. The outcome evaluation was started with the analysis of the reading program process including planning, operation, and evaluation. Based on the analysis, a logic model framework for outcome evaluation was developed. For evaluation, user, bibliography, and circulation data were collected from the library KOLAS system. Additionally, the participant information were extracted from the final report drafted after the program. The research results show that the number of circulation of program participants was increased after the program. In addition, the range of reading topic was expanded. These findings indicate that the reading program is an effective program for promoting children's reading habit and that outcome evaluation might be a valid tool to measure the effectiveness of public library programs.

Current Status and Policy Recommendations of Oriental Public Health Programs (한방 공공보건사업의 운영실태와 정책과제)

  • Chang, Dong-Min
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.2
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    • pp.101-112
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    • 2007
  • Oriental public health programs have been introduced for the purpose of providing comprehensive oriental health care services to community people including vulnerable classes, increasing the accessibility of oriental medicine and the public benefit, and further more elevating the health promotion and the quality of life of community people. Promoting these programs since 2002 in earnest, it is evaluated that it has made a lot of performances. In the other side, it showed many problems and policy issues also. This study is accomplished to analyze the problems made since the system was introduced and until now, 2007, and with this analysis, to examine policy issues and the reasonable recommendations for its development Major problems are as follows. First, fundamental notions and identity of oriental public health programs are not positioned accurately. Second, the infra-structure construction for effective propulsion of business is insufficient. Third, it is short of the capacity for program implementation of oriental public health doctors, related manpower, and health centers. Fourth, oriental health promotion programs that can fulfill the various health needs of community people are deficient. Fifth, active aid of the government and the oriental medical world as well as legal and systematical support for oriental public health programs is insufficient. As a result, to solve the problems and induce the successful settlement of the program, the policy recommendations such as (i) the fundamental notions of the program and establishment of approach strategies, (ii) reinforcement of the foundation of the program implementation, (iii) capacity enhancement of the manpower of the program implementation, and (iv) effective building of supportive system of the program are presented.

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Association Between Local Government Social Expenditures and Mortality Levels in Korea

  • Ko, Hansoo;Kim, Jinseob;Kim, Donggil;Kim, Saerom;Park, Yukyung;Kim, Chang-Yup
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.1
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    • pp.1-9
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    • 2013
  • Objectives: We examined the association between social expenditures of the local government and the mortality level in Korea, 2004 to 2010. Methods: We used social expenditure data of 230 local governments during 2004 to 2010 from the Social Expenditure Database prepared by the Korean Institute for Health and Social Affairs. Fixed effect panel data regression analysis was adopted to look for associations between social expenditures and age-standardized mortality and the premature death index. Results: Social expenditures of local governments per capita was not significantly associated with standardized mortality but was associated with the premature death index (decline of 1.0 [for males] and 0.5 [for females] for each expenditure of 100 000 Korean won, i.e., approximately 100 US dollar). As an index of the voluntary effort of local governments, the self-managed project ratio was associated with a decline in the standardized mortality in females (decline of 0.4 for each increase of 1%). The share of health care was not significant. Conclusions: There were associations between social expenditures of the local government and the mortality level in Korea. In particular, social expenditures per capita were significantly associated with a decline in premature death. However, the voluntary efforts of local governments were not significantly related to the decline in premature death.

The Effects of Aquatic Excercise Program on the Physical Function and Depression in Community Elderly (수중운동 프로그램이 지역사회 노인의 신체기능과 우울에 미치는 영향)

  • Jang Soongnang
    • Journal of Korean Public Health Nursing
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    • v.14 no.1
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    • pp.122-130
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    • 2000
  • This study was designed to investigate the effects of an aquatic exercise program on the physical function and depression among the community elderly. The subjects were 41 cases of aged over 65 who went to elderly college in Hawsung-Kun, Kyeongkee province. Seventeen of them were assigned to control group, while twenty four subjects to the experimental group. The period of data collection was from June., 1999 to November., 1999. The aquatic exercise program was developed by the author with the assistance of rehabilitation medicine doctor and physical therapist in the public health center. The program was carried out once a week for 6 months in regular swimming pool. Data were analyzed with t-test, $X^2$ test, ANCOVA. paired t-test using SAS 6.12. Results were obtained as follows: 1. The increments in the range of motion of the shoulder and knee joints in experimental group after exercise was significantly greater than those in the control group. 2. The physical pain score decreases significantly after the exercise in the experimental group only. 3. The experimental group revealed lower level of depression after exercise than the level before the exercise, whereas control group showed no significant changes in this level. These findings may indicate that the aquatic exercise program is effective in increasing the range of motion of shoulder and knee joints and also effective in decreasing pain, the level of depression. Accordingly. the aquatic exercise program can be adopted as an health promotion program for community elderly.

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