• 제목/요약/키워드: public program

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

  • 이선자;이윤숙
    • 한국보건간호학회지
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    • 제5권1호
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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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울산 지역 일부 초등학교 3학년생 영양 교육 프로그램 개발 및 효과 - 지역 사회 기반 참여 연구를 중심으로 - (Effect of Community Based Participatory Research Nutrition Education Program for 3rd Grade Elementary School Students in the Ulsan Area)

  • 김윤희;김민정
    • 동아시아식생활학회지
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    • 제20권2호
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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.

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

  • 정인호;권찬영;김종우;정선용
    • 동의신경정신과학회지
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    • 제28권4호
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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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    • 제17권6호
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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.

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

  • 여중철
    • 고문화
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    • 68호
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    • pp.77-92
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    • 2006
  • 이 글은 대학박물관에서 행해지고 있는 사회교육의 역사를 일별하고 사회교육프로그램의 내용을 분석한 뒤, 사회교육의 발전방향을 논한 글이다. 대학박물관 중에서 사회교육을 시행하고 있는 곳은 서울대학교, 이화여자대학교, 충북대학교, 영남대학교 박물관을 비롯한 20개 기관인데, 영남대학교 박물관이 1990년에 시작한 것을 비롯하여 20년이 되지 않는 짧은 역사를 가지고 있다. 박물관대학, 박물관교실, 교양강좌, 문화강좌 등의 명칭으로 시작한 사회교육은 주제나 교육방식 등이 점차 다양해져가고 있다. 사회교육프로그램의 내용을 분석한 결과, 교육프로그램은 고고학, 미술사, 민속학, 불교사, 역사학, 인류학, 현대미술 등 분야에 대한 강의실 강의와 현장강의, 답사로 이루어졌음이 밝혀졌고 강사는 대학교수가 주종을 이루고 수강생은 4, 50대의 여성이 대부분이었다. 교육프로그램에 대한 자체평가나 수강생의 평가가 미흡한 것으로 나타났고 수요자중심의 프로그램개발이 필요하다고 생각되므로 가칭 교육프로그램 개설위원회의 설치가 필수적이라 할 수 있다. 사회교육의 발전방향으로 대학박물관협회에 사회교육분과를 설치하여 지속적인 연구가 절실하고 사회교육의 청년화와 자녀와 함께 하는 토요박물관에서의 강좌수강도 권유해볼만한 사항이라 여겨진다.

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

  • 정혜경;김현희
    • 한국문헌정보학회지
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    • 제39권1호
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    • pp.295-320
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    • 2005
  • 이야기 들려주기는 예술의 한 분야로서 글을 모르는 취학 전 어린이에게 취학 준비과정으로 매우 효과적인 방법 중의 하나이다. 현재 여러 공공도서관에서 취학 전 어린이를 위한 이야기 들려주기 프로그램을 운영하고 있지만 그 효과는 크다고 할 수 없다. 이는 무엇보다도 프로그램 자체에 대한 인식이 부족하고 아울러 체계적으로 프로그램을 운영하고 있지 못하고 있기 때문이다. 따라서 본 연구의 목적은 오래 전부터 이야기 들려주기 프로그램을 운영하고 있는 미국 공공도서관의 실태를 조사, 검토하여 한국 공공도서관의 프로그램 운영 실태와 비교한 후 이야기 들려주기의 네 가지 구성 요소인 프로그램, 어린이 사서, 취학 전 어린이 및 도서관 환경에 초점을 맞춰 한국 공공도서관 실정에 맞는 효율적인 프로그램 운영 방안을 제시하는 데에 있다.

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

  • 한상우;박성재
    • 정보관리학회지
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    • 제35권3호
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    • pp.271-286
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    • 2018
  • 본 연구는 공공도서관에서 운영하는 프로그램의 성과를 로직모델을 기반으로 개발된 평가 프레임워크를 적용하여 측정하고자 하였다. 성과 측정을 위해 서울 소재 한 공공도서관에서 운영하는 여러 프로그램 중 어린이 독서 프로그램을 선정하였다. 성과 측정 과정은 어린이 독서 프로그램의 계획, 진행, 평가 등의 업무과정 일체를 분석하여 로직 모델을 구현하였으며 이에 의거하여 예상되는 성과를 측정하였다. 데이터는 KOLAS를 통해 회원정보, 서지정보, 대출정보 등을 수집하였고, 프로그램 운영 현황에 대한 데이터는 프로그램 진행 후 작성된 보고서에서 추출하였다. 측정 결과 어린이 독서 프로그램에 참여한 회원들의 대출빈도가 상승하였고, 프로그램의 주제에 따라 대출 장서의 주제가 변화하는 것을 볼 수 있었다. 본 연구를 통해 독서 프로그램이 갖는 효과와 의미를 확인할 수 있었으며, 성과평가가 도서관에서 운영하는 타 프로그램 및 도서관 업무 등의 효과성을 측정하는데 유용한 도구가 될 수 있음을 보여주었다.

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

  • 장동민
    • 대한예방한의학회지
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    • 제11권2호
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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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    • 제46권1호
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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.

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

  • 장숙랑
    • 한국보건간호학회지
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    • 제14권1호
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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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