Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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The United States CHES Program: The Role and Development of the Modern Health Educator

미국의 CHES 프로그램: 현대 보건교육사의 역할과 제도의 발전

  • Sohn, Ae-Ree (Department of Health Management, Sahmyook University) ;
  • Burzo, Jamie (Graduate School of Health Science and Social Welfare, Sahmyook University)
  • Received : 2010.11.18
  • Accepted : 2010.12.11
  • Published : 2010.12.30
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Abstract

Objectives: The field of health education is still relatively new and is therefore evolving and developing rapidly throughout the world. Many countries' certification programs are still being created. This paper will discuss on the US CHES system of regulation, accreditation, and implementation for the future development of international health education programs. Methods: This article focuses on the United States CHES credentialing program, specifically on its historical development and the roles, employment settings and socioeconomic demographics of current CHES professionals through literature review. Results: The roles and skills required vary by employment setting, with seven universally recognized responsibilities of health educators. There are also 35 key competencies which are crucial to the role of the health educator, with 163 sub-competencies performed by all health educators. The employment of health educators will increase from 62,000 in 2006 to 78,000 in 2016. As the costs of healthcare increase, employers are projected to hire more health educators to decrease healthcare costs through prevention and early detection of chronic illnesses. Community health non-profit agencies, academia, healthcare (hospital/clinic), schools, government/government contracting, and businesses are some of the most widespread employment settings for health educators in the United States. Conclusion: Better understanding of this longstanding and successful program will benefit countries developing their own certification system. The variety and specificity of the information on the US CHES program may be of value as South Korea continues to develop its Korean CHES program.

목적: 보건교육 분야는 상대적으로 새로운 영역이나 전 세계적으로 건강증진의 중요성에 대한 요구가 강조되면서 빠르게 발전되고 있다. 많은 나라에서 보건교육사 프로그램을 제도화하는 노력을 하고 있다. 본 연구는 미국의 보건교육사 제도를 고찰함으로써 국제적 보건교육사 제도의 개발 및 발전에 기여하는 데 있다. 방법: 본 연구는 문헌고찰을 통하여 미국의 자격증 제도, 보건교육사의 역사 및 다양한 현장에서 보건교육사의 역할과 특성을 파악하였다. 결과: 보건교육사의 역할과 기술은 현장에 따라 다르게 요구되나 크게 일곱 가지의 대영역으로 분류되며, 35개의 기술 분야에서 163개의 하위기술이 필요한 것으로 나타났다. 미국은 의료비의 증가로 인하여 만성질환의 조기발견과 예방사업을 위하여 미국의 보건교육사는 2006년에 2006명에서 2016년에는 78,000명으로 증가될 것으로 전망된다. 보건교육사는 다양한 분야에서 고용되고 있으며, 주로 지역사회 건강단체, 연구소, 보건센터(병원, 의원, 보건소), 학교, 정부공무원 및 사업체 등에서 활동하고 있다. 결론: 미국의 보건교육사 제도의 발전은 보건교육사 프로그램을 개발하고 발전시키고자 하는 여러 나라에 좋은 모델이 될 수 있다. 또한 미국 보건교육사의 다양성과 전문성은 한국의 보건교육사 제도의 발전에 도움이 될 것으로 여겨진다.

Keywords

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