• Title/Summary/Keyword: regional health plans

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Policy Proposals for the Safe Living of the Rural Elderly (농촌 노인의 생활안전을 위한 정책적 제언)

  • Cho, Hee Keum;Lee, Mi Young
    • Journal of Family Resource Management and Policy Review
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    • v.21 no.2
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    • pp.1-24
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    • 2017
  • The purpose of this study, which focuses on safe living as an important determinant of the quality of life for the elderly, is to provide policy proposals for their safe living in rural areas by examining their current living conditions and related policies. To examine the related policies, we analyzed government plans including: the first, second and third Basic Plan on Low Fertility and Aging Society, first implemented in 2006, the first, second and third Basic Plan for Healthy Families, also first implemented in 2006, and the first, second and third Five-year Plan for Improvement of the Quality of Life of Rural People and Regional Development of Rural Areas, first implemented in 2005. In addition to these plans, government projects concerning safe living environments were assessed. we present the following policy proposals for the safe living of the elderly in rural areas. First, integrated, customized policies are required for the rural elderly's everyday life. That is, elderly-friendly residential improvement policies are needed since accidents involving the rural elderly usually occur in their own houses. Policies should also be introduced to monitor and improve the elderly's nutritional and health status. Also considering the high proportion of elderly people in rural areas, policies must be aimed at creating elderly-friendly and family-friendly villages. Second, educational sessions for the elderly are necessary to raise their awareness of safety in everyday lives, which they often overlook.

Assessment of the Health Promotion Education Effectiveness through K-WIFY Model (건강증진교육을 위한 K-WIFY 모형의 적용)

  • Nam, Eun-Woo;Jo, Eun-Joo;Park, Jae-Sung;Moriyama, Masaki
    • Korean Journal of Health Education and Promotion
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    • v.22 no.2
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    • pp.63-76
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    • 2005
  • Objectives: The purpose of this study was to evaluate the effectiveness of K-WIFY model that was a participatory health education program. Based on WIFY, this study developed K-WIFY that was only focused on health related issues rather than all broad ranges of life issues. This study evaluated changes in health related recognition, self-efficacy, self-esteem, social support, perceived benefits, perceived barriers, and situational barriers of the subjects after participating the program. Methods: During from March 16 to April 1, 2004, 216 study subjects of university students were subjected to a quantitative survey and 187 subjects of the total subjects were exposed to qualitative survey. Results: The results were as follows: 1. Health related perceptions were statistically different after taking participatory a health education program using K-WIFY. The amount of improvement was 6.36. 2. After participatory health promotion education using K-WIFY, self-efficacy(p=.029), self-esteem(p=.019) and perceived benefits(p=.031) were statistically higher than before. Conclusions: In conclusion, this study verified the effectiveness of participatory health education promotion using K-WIFY. We recommend K-WIFY to national and regional health promotion plans and health promotion education for university students.

A Smart City Model in Urban-Rural Complex Area - A Case Study of Geumsan-gun - (도농복합도시의 스마트도시 전략 모델 제시 - 충청남도 금산군 사례분석을 중심으로 -)

  • Nam, Yun-Cheol
    • Journal of the Korean Institute of Rural Architecture
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    • v.23 no.3
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    • pp.9-18
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    • 2021
  • This paper conducted a survey of residents and public officials for the projects to make smart-city plans of Geumsan-gun. In introduction, several domestic and foreign cases related to smart-city projects were Investigated. To initiate the smart-city project of Geumsan-gun, the local status of Geumsan-gun was investigated regarding various aspects of natural, social, urban environment and smart-city facilities. The results of this survey are as follows: Overall, more than half of survey respondents said they had satisfaction of their housing quality. Several problems in their residence areas, such as insufficient welfare systems, shortage of parking spaces, industrial infrastructure, were reported. Meanwhile, the survey result indicated that tourism and leisure facilities, health care support systems, industries promote the economy and job market of the area. An interview with public official is also important to select the relevant meaningful projects and regional issues. Three models for each spatial unit were proposed in Geumsan-gun based on the natural, agricultural, and geographical environment. In result, the three smart-city models are categorized as urban type(large area), complex city type(medium area), and smart village type(small area)

The Preparedness Plan for Influenza Pandemic (신종 인플루엔자 대유행에 대한 우리나라의 대응방안)

  • Lee, Duk-Hyoung;Park, Ki-Dong
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.386-390
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    • 2005
  • Influenza A viruses periodicall y cause worldwide epidemics, or pandemics, with high rates of illness and death. A pandemic can occur at any time, with the potential to cause serious illness, death and social and economic disruption throughout the world. Historic evidence suggests that pandemics occurred three to four times per century. In the last century there were three influenza pandemics. The circumstances still exist for a new influenza virus with pandemic potential to emerge an d spread. The unpredictability of the timing of the next pandemic is underlined by the occurrence of several large outbreaks of highly pathogenic avian influenza since the early 1980s. In 1999, the World Health Organization published the Influenza pandemic plan. The role of WHO and guidelines for national and regional planning. And in 2005, WHO revised the global influenza preparedness plan for new national measures before and during pandemics. This document outlines briefly the Korean Centers for Disease Control's plan for responding to an influenza pandemic. According to the new pandemic phases of WHO, we set up the 4 national levels of preparedness and made guidelines for preventing and control the epidemics in each phase. And also we described the future plans to antiviral stockpiles and pandemic vaccine development.

A Review of the Types and Characteristics of Healthy Life Expectancy and Methodological Issues

  • Kim, Young-Eun;Jung, Yoon-Sun;Ock, Minsu;Yoon, Seok-Jun
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.1
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    • pp.1-9
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    • 2022
  • An index that evaluates the health level of a population group considering both death and loss of function due to disease is called a summary measure of population health (SMPH). SMPHs are broadly divided into life year indices and life expectancy indices, the latter of which comprise healthy life expectancy (HLE). HLE is included as a policy target in various national and regional level healthcare plans, and the term "HLE" is commonly used in academia and by the public. However, the overall level of understanding of HLE-such as the precise definition of HLE and methods of calculating HLE-still seems to be low. As discussed in this study, the types of HLE are classified into disability-free life expectancy, disease-free life expectancy, quality-adjusted life expectancy, self-rated HLE, and disability-adjusted life expectancy. Their characteristics are examined to facilitate a correct understanding and appropriate utilization of HLE. In addition, the Sullivan method, as a representative method for calculating HLE, is presented in detail, and major issues in the process of calculating HLE, such as selection of the population group and age group, estimation of death probability, calculation of life years, and incorporation of health weights, are reviewed. This study will help researchers to select an appropriate HLE type and evaluate the validity of HLE research results, and it is expected to contribute to the vitalization of HLE research.

Characteristics Analysis on Budget Distribution of Master Plan for Comprehensive Development Projects of Rural Villages (농촌마을종합개발사업의 기본계획 사업비 특성분석)

  • Kim, Dae-Sik;Lee, Seung-Han
    • Journal of Korean Society of Rural Planning
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    • v.17 no.1
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    • pp.13-27
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    • 2011
  • This study analyzed the budget investment plans for the unit-project items(UPI) of 176 project districts for the rural village comprehensive development projects (RVCDP). This study classified the master plan reports of 176 project districts into 88 unit project items in aspect of project management, in order to analyze characteristics of distribution of budget in each project item. Most of all unit project items have similar types of uniform distribution with plus skewness in frequency pattern analysis except the total budget of the project district. This study analyzed the characteristics of budget distribution per province, year, and geographical types of region. Furthermore this paper also analyzed ratio of budget in unit project items to find out distribution pattern of each budget between project items over time. The hierarchical system for UPI of RVCDP consisted of three steps, which are 4 items of the first step on Strength of Rural-urban Exchange & Regional Capability (RURC), Green-income Infrastructure & Facility (GIF), Culture- health-welfare Facility, and Eco-environment & Landscape facility (ELF), 13 items for the second one, and 52 items for the third project items. From the results of the budget investment analysis for 5 years from 2004 to 2008, the budget investment ratios of RURC and ELF have steady state for every year, while GIF in decreasing and ELF in increasing over time. The ratios of UPI on infrastructure were decreased, whereas those on culture, health, and welfare were increased. Portion of tow project items among 52 items, which are community centers for village residents and rural experimental study facility, has 30% of total budget investment. Futhermore, the budget ratios of seven project items showed 50% of total budget. Average value of project budgets for five years was optimized as a type of exponential function in the case of decent array for ranking order.

Study on the Japanese local Medical Facility Function Improvement Direction - Focused on the regional medical care plans of local governments - (일본 지역의료시설의 기능정비 방향에 관한 연구 - 지자체의 권역별 의료계획을 중심으로 -)

  • Park, Tae-Sung
    • Journal of the Korean Institute of Rural Architecture
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    • v.17 no.4
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    • pp.33-40
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    • 2015
  • This study is aimed at exploring the direction and characteristics of Japanese medical facility improvement in each area, a move to strengthen local medical services. Also, this study is intended to establish implications for Korea, which has similar social conditions as Japan's. Based on the findings, Japanese medical facility improvement has the following characteristics. First, as for medical service supply system, the linkage between facilities was being strengthened. The purpose is to share the functions and roles of limited medical facilities. It allows patients to receive complete medical services in one area. Second, local public health facilities were consolidated to boost their management efficiency and to improvement their original functions. Third, local medical facility roles were divided into different levels. The purpose is to treat patients more efficiently depending on their diseases. In other words, the cooperative medical system was strengthened by dividing the roles of medical facilities. It is aimed at treating each patient more systematically depending on their conditions in line with the treatment stage. The findings suggest the following for Korea. In order to supply and maintain stable medical services regionally in line with social changes, functional issues of medical facilities should be tackled consistently and systematically.

Classification of 18F-Florbetaben Amyloid Brain PET Image using PCA-SVM

  • Cho, Kook;Kim, Woong-Gon;Kang, Hyeon;Yang, Gyung-Seung;Kim, Hyun-Woo;Jeong, Ji-Eun;Yoon, Hyun-Jin;Jeong, Young-Jin;Kang, Do-Young
    • Biomedical Science Letters
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    • v.25 no.1
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    • pp.99-106
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    • 2019
  • Amyloid positron emission tomography (PET) allows early and accurate diagnosis in suspected cases of Alzheimer's disease (AD) and contributes to future treatment plans. In the present study, a method of implementing a diagnostic system to distinguish ${\beta}$-Amyloid ($A{\beta}$) positive from $A{\beta}$ negative with objectiveness and accuracy was proposed using a machine learning approach, such as the Principal Component Analysis (PCA) and Support Vector Machine (SVM). $^{18}F$-Florbetaben (FBB) brain PET images were arranged in control and patients (total n = 176) with mild cognitive impairment and AD. An SVM was used to classify the slices of registered PET image using PET template, and a system was created to diagnose patients comprehensively from the output of the trained model. To compare the per-slice classification, the PCA-SVM model observing the whole brain (WB) region showed the highest performance (accuracy 92.38, specificity 92.87, sensitivity 92.87), followed by SVM with gray matter masking (GMM) (accuracy 92.22, specificity 92.13, sensitivity 92.28) for $A{\beta}$ positivity. To compare according to per-subject classification, the PCA-SVM with WB also showed the highest performance (accuracy 89.21, specificity 71.67, sensitivity 98.28), followed by PCA-SVM with GMM (accuracy 85.80, specificity 61.67, sensitivity 98.28) for $A{\beta}$ positivity. When comparing the area under curve (AUC), PCA-SVM with WB was the highest for per-slice classifiers (0.992), and the models except for SVM with WM were highest for the per-subject classifier (1.000). We can classify $^{18}F$-Florbetaben amyloid brain PET image for $A{\beta}$ positivity using PCA-SVM model, with no additional effects on GMM.

Analysis of Vision Statements in 6th Community Health Plan of Local Government in Korea (우리나라 시·군·구 지역보건의료계획의 비전(Vision) 문구 분석)

  • Ahn, Chi-Young;Kim, Hyun-Soo;Kim, Won-bin;Oh, Chang-hoon;Hong, Jee-Young;Kim, Eun-Young;Lee, Moo-Sik
    • Journal of agricultural medicine and community health
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    • v.42 no.1
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    • pp.1-12
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    • 2017
  • Objectives: In this study, we analyzed vision statements of the 6th community health plan of local government in Korea. Methods: We examined vision statements letters, missions and strategy plans, and long-term missions of 6th community health plans of 229 local government in Korea. We also analyzed the numbers of vision letters, sentence examination, word frequency, each vision statement with frequency analysis, chi-square test, and one-way ANOVA. Results: Among 229 local government, 172(75.1%) of local government had the number of letters (Korean) less than 17 of vision statements, and there were a significant differences according to type of community health centers (p<0.05). Figuration (37.1%) were the most used in an expression of vision statement sentence, and special characters (43.2%) were the most used language except Korean. The most commonly used words of vision statement in order of frequency were 'health', 'happiness', 'with', 'citizen', 'city', '100 years old' etc. Chungcheong provinces and Daejeon metropolitan city had a highest score in directionality on phrase evaluation, and there were a significant differences according to regional classes of local government (p<0.01). Gyeongsang provinces, Ulsan, Daegu, and Busan metropolitan cities had a highest score in future orientation and sharing possibilities on phrase evaluation, and there were a significant differences according to regional classes of local government (p<0.01). Conclusions: Vision is one of the most important component of community health plan. We need more detailed 'vision statement guideline' and the community health care centers of local government should effort to make more clear and complete their vision.

A Case Study on the Appealing Dementia Rest Area in Our Village for Regional Specialization Province in Gyeongsangbuk-do ("우리마을 예쁜치매쉼터" 운영에 관한 사례연구; 일 개도의 지역특화사업 중심)

  • Ha, Tae Hee;Hyung, Na Kyum;Kwak, Kyung Phil
    • Journal of Korean Public Health Nursing
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    • v.34 no.2
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    • pp.182-197
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    • 2020
  • Purpose: This study undertook to qualitatively investigate the operation status, support requirements and improvement plans for establishing an appealing dementia rest area in Gyeongsankbuk-do. Methods: Data were collected from May 1 to June 20, 2019, using participation observation and in-depth interview of 8 health professionals, and were subjected to qualitative analysis. Results: Our analysis revealed 4 themes and encompassing 16sub-themes: 1) program operation status (hard to prepare and operate programs, difficulty adjusting the program level, various needs of program participants, lack of mutual understanding among program participants); 2) policy support needs (need for assistants staff and basic education, requirement of extensive training for the main operators, support program aid equipment, incentive payments and performance reflections); 3) project operation's improvement plan (improved the operation of doubles classes, improved of training materials for the main operators, improved program activities and workbooks, Increasing the number of dementia rest areas); 4) positive effects and changes (positive effects of specialized projects, changes in perceptions of dementia, strengthening community awareness through doubles classes, synergy effect on community health care post awareness) Conclusion: We believe the current study results can be applied as basic data for establishing a new model, and will positively impact the national dementia management project.