• 보건의료산업학회지
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• 제9권1호
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• pp.169-178
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• 2015

This study implemented a health support network project to improve the quality of life of women with musculoskeletal disorders. These activities were intended to analyze the effects of the impact on the quality of life of women with musculoskeletal diseases, continuing to base their future needs for materials and practice so as to provide a method for this purpose. On August 19, 2013 through December, a survey of 320 people living in Seoul included 31 women with symptoms of musculoskeletal disorders. Another, 16 weeks led to a total of 127 people with housewives screened as a subjects for social support networks projects. After the research, the health support network project was implemented, and most musculoskeletal pain was reduced, depression levels were reduced, and a quality improvement was noted in health-related life activities. In particular, mental- health-related quality of life was found to increased. As incidental factors that may cause musculoskeletal disorders, marital status, living with family, low income, and a high depression index were related to low health-related quality of life. Future studies can support continued health at the local business community level rather than with smaller samples. This work can also be supported by follow-up studies to evaluate the effectiveness of program.

• 지역사회간호학회지
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• 제15권4호
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• pp.539-550
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• 2004

Purpose: The purpose of this study was to evaluate the achievements of the project, and also to find out its strengths and weaknesses. Method: This evaluative study employed system theory and analytic techniques by using criteria which were relevance, appropriateness, adequacy, progress, effectiveness and satisfaction for input, process, output, and outcome of program. Study subjects were participants in the home health care program implemented in G public health center in Inchon metropolitan city in 2003. Results: Input factors including recruitment personnel, and support organization development were not adequately met for the program. However. the goal and objectives of the project were really appropriate for the community needs as well as government's policy. For the Process evaluation, home health care record form and computer data base had not progressed as scheduled, but overall program activities were finished on time. However, cooperation between organizations in the health center during service activity were not supportive. Managerial ability of program charged personnel about coordination and integration of team members was not affirmative. Output and outcome evaluation showed that people improved self care ability were 221 (17.5%). and 71 (5.62%) of subjects were moved into category of possible self-care. Client's satisfaction for this project showed a high degree. Conclusions: Based on the above results support organization and staff personnel for this program should be developed. Also, a community network of resources should be established and case management services should be focused continuously in community based home health care.

• 한국사회복지학
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• 제69권2호
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• pp.143-169
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• 2017

본 연구는 서울특별시 북부병원 301 네트워크 사업에 참여한 이용자들의 경험을 통해, '보건-의료-복지' 네트워크를 통한 통합적 지원의 의미와 운영의 구체적인 맥락을 탐색한 연구이다. 이를 위해 일반적 질적연구 방법을 적용하여, 총 10명의 연구 참여자와의 심층면접을 통해 얻어진 자료를 주제분석하였다. 분석 결과, 이용자들은 301 네트워크 서비스 참여 이전 가난과 질병의 악순환으로 삶의 의지를 상실하였으나, 서비스 참여를 통해 '치료-케어-생활안정'의 통합적인 지원을 받을 수 있었고 이를 통해 종국에 그들의 삶의 의지가 재생성되는 경험을 하였다. 이러한 경험의 기저에는 다전문직의 팀의 구성, 병원 내외의 연계 체계의 구축, 치료 지원금 확보를 통한 치료연계 체계 구축, 조정 수준의 자원연계 등의 운영전략과 조건이 작동되고 있었다. 연계의 전략과 조건이 잘 갖추어진 '보건의료복지'의 통합 지원의 시도는 우리나라 보건복지 지원 체계의 한계를 보완할 수 있다는 가능성을 보여주었기에 관련 사업의 확장을 주장하였으며, 이를 위해 연계체계의 더욱 공고한 안정화와 제도적 측면의 개선을 제언하였다.

• 보건의료산업학회지
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• 제6권4호
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• pp.219-229
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• 2012

This study aimed to explore influencing factors on the establishment of the network system between public hospitals and to make a process evaluation of it. we analyzed the case of a strategic alliance contracted by a National University Hospital(NUH) and a Community Hospital(CH). Main points of the project were regular dispatch of clinical specialists in the NUH such as gastroenterologist and running teleradiology program. The NUH considered the improvement of it's image as a public hospital as a successful element of the network program. The provincial office which have to manage the CH satisfied with these program in terms of helping CH in need of clinical specialists. Staffs in the CH pointed out the problem of discontinuity for patients who visited the CH. Three institutes argued that continuous support of central government in the relevant institution and budget could play the most important role in the advance of the network system between public hospitals.

• Child Health Nursing Research
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• 제6권1호
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• pp.103-111
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• 2000

The aim of the study is to analyze and evaluate the Child Health Management Service that was promoted as a part of Mother-Child Health Guidance Project by the Public Health Center of BukCheju-gun in 1999, to reflect the problems needed to be improved, and, thus, to present the integral program model for the Child Health Management Service that guides childhood health, regarded as the foundation of that of the adulthood period, to the optimum level. The common results of the evaluation of the Child Health Management Service of BukCheju-gun public health center are as below: 1. In the aspect of public information, the existing simple material and method of public information was not effective. 2. The opportunities for the necessary training and education to develop the persons concerned and their ability for the Child Health Management were not enough.3. The environment under which the service, aimed to promote Child's health, was carried out was not clearly divided from that of the services related with the prevention and treatment of disease. And the service environment for the child health was threatening to the clients.4. Still, the actual result was pursued more than the quality management, while carrying out the project. With the reflection of the above result, the research has presented the program model of Child Health Management Program for the next. The main concept of the model is, through the establishment of the network for information offerings and effective convergence of a variety of opinions for the community around the Public Health Center and for the correct evaluation of the project and the reflection of the result from it, to achieve the ultimate goal of the optimal growth and development of the childhood by expanding the support necessary for carrying out Child Health Management Program more effectively.

• 농촌의학ㆍ지역보건
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• 제34권2호
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• pp.155-167
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• 2009

본 연구는 국내 건강도시사업을 추진하는 지역사회 담당자를 대상으로 세계보건기구의 건강도시 특성을 중심으로 건강도시 추진 현황을 살펴봄으로 국내 건강도시의 나아가야 할 방향을 위한 기초자료를 제공하고자 실시되었다. 2007년 2월부터 2007년 12월까지 우편설문조사를 하였는데, 설문문항은 건강도시 현황, 건강도시 담당자의 일반적 특성, 건강도시 기본 특성, 건강도시에 대한 자체평가, 건강도시 발전방향 등으로 구성하였다. 전체 23개 지역사회 중 도시가 11개(47.8%), 농촌이 12(52.5%)였으며, 건강도시 담당부서는 보건소가 73.9%로 대부분이었다. 건강도시 담당자는 여자가 60.9%, 연령은 40대가 65.2%, 건강도시 경력은 6~12개월인 경우가 34.8%로 가장 많았다. 건강도시 기본 특성을 살펴보면, 건강도시 자체 예산 확보(91.3%), 도시건강 프로파일 작성(91.3%), 협력대학 기술지원(82.6%), 건강도시 조례 제정(78.3%), 주민참여(78.3%), 운영위원회 구성(73.9%), 생활터 접근 사업(69.9%), 건강도시 네트워크에 적극적 참여(69.6%) 등이 높았으며, 부서간 협력 활성화(34.8%), 건강도시 장기 계획 수립(39.1%), 공약 및 시정방향에 건강도시 포함(43.5%), 취약 계층 대상 사업(47.8%), 전담조직 구성(47.8%), 건강도시 자체 세미나 실시(47.8%)가 낮았다. 도시농촌간 건강도시 전담조직의 경우 도시가 72.7%가 구성되어 있는 반면 농촌은 25.0%만 구성되어 통계적으로 유의한 차이를 보였다(p<0.05). 건강도시 전담조직 유무에 따른 건강도 기본특성을 살펴보면, 전담조직이 있는 경우 부서간 협력, 주민참여, 생활터 접근, 건강도시 네트워크가 잘 된다고 응답하였다(p<0.05). 건강도시 수행시 사업개발과 예산확보가 어려웠으며, 건강도시 사업시 우선 고려 사항으로는 부서간 협력이 34.8%로 가장 높았다. 건강도시성공을 위한 핵심인물로는 82.6%에서 단체장이라고 응답하였고, 국내 건강도시 활성화를 위해 향후 역할을 할 기관으로는 중앙정부인 보건복지가족부(52.2%)가 가장 높았다. 국내에서는 AFHC 회원도시 수가 급속히 증가하여 왔으나 건강도시를 위한 정치적 지원과 전담조직의 설립 등이 미진하며, 건강형평성을 고려한 사업 및 부문간 협력에 의한 포괄적인 건강도시 경험이 축적되어 오지 못하였다. 이를 해결하기 위해서는 건강도시의 정의와 선진 건강도시들이 제시하고 있는 원칙 및 특징에 충실하도록 노력하여야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제56권1호
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• pp.31-40
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• 2023

Objectives: This study investigated the effect of cognitive impairment on the association between social network properties and mortality among older Korean adults. Methods: This study used data from the Korean Social Life, Health, and Aging Project. It obtained 814 older adults' complete network maps across an entire village in 2011-2012. Participants' deaths until December 31, 2020 were confirmed by cause-of-death statistics. A Cox proportional hazards model was used to assess the risks of poor social network properties (low degree centrality, perceived loneliness, social non-participation, group-level segregation, and lack of support) on mortality according to cognitive impairment. Results: In total, 675 participants (5510.4 person-years) were analyzed, excluding those with missing data and those whose deaths could not be verified. Along with cognitive impairment, all social network properties except loneliness were independently associated with mortality. When stratified by cognitive function, some variables indicating poor social relations had higher risks among older adults with cognitive impairment, with adjusted hazard ratios (HRs) of 2.12 (95% confidence interval [CI], 1.34 to 3.35) for social nonparticipation, 1.58 (95% CI, 0.94 to 2.65) for group-level segregation, and 3.44 (95% CI, 1.55 to 7.60) for lack of support. On the contrary, these effects were not observed among those with normal cognition, with adjusted HRs of 0.73 (95% CI, 0.31 to 1.71), 0.96 (95% CI, 0.42 to 2.21), and 0.95 (95% CI, 0.23 to 3.96), respectively. Conclusions: The effect of social network properties was more critical among the elderly with cognitive impairment. Older adults with poor cognitive function are particularly encouraged to participate in social activities to reduce the risk of mortality.

• Perspectives in Nursing Science
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• 제7권1호
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• pp.10-22
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• 2010

Purpose: Through a thorough examination of the CCSC (Community Comprehensive Support Center) system in Japan, this study suggests a scheme to provide community-based preventive health care services for the elderly in Korea. Methods: The study inquired into the applicability of the Japanese model by reviewing the data related to the CCSC project, aided by both in-depth interviews with staff in the field and consultations with specialists. Results: Rearrangement of the Visiting Health Management Project system is needed to manage the collective or individual visiting care management for frailty prevention of the elderly in communities. The delegated service system for preventive care in the community, including direct management by one of the public health centers, also needs to be reviewed and the application of stricter standards for the selection of the agency or corporation to run the delegated service is necessary. Long-Term Care Insurance, along with national and local grants, is to be considered as a financial resource for the community-based preventive health care model for the elderly. By making active use of education rooms at district offices, senior citizen centers in neighborhoods for the elderly with easy access can be created. The project needs to raise active supports from communities, develop programs which can be absorbed into particular local cultures, and promote the understanding of the preventive project in local communities. The preventive program should focus on first solving the problems of depression, seclusion, and lack of mobility of the elderly. Second, the program should instruct physical self-management for exercise-nutrition-dental maintenance, and third, the program should strengthen the cognitive abilities of the elderly. In addition, it is necessary to systematize and implement counter-plans of the family and community to protect the elderly who has mental and cognitive problems. Finally, by establishing a network of public health welfare resources based upon research on a community level, assessment and planning for the health of the elderly should be one with their family, and comprehensive consultation and recommendations should be provided to the family. Conclusion: Taking into consideration the experience Japan has had with respect to a similar project, it is appropriate to develop and implement a service system which would combine the Visiting Health Management Project system which has already been established and a preventive health care model for the elderly on a community level.

• 보건교육건강증진학회지
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• 제27권5호
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• pp.15-25
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• 2010

본 연구의 목적은 원주 건강도시사업을 평가하여 문제점을 확인하고 건강도시사업의 원칙과 전략에 근거하여 사업을 발전시키고자 하는데 있다. 연구를 위하여 건강도시연맹에서 개발한 과정평가 도구인 SPIRIT Checklist를 사용하였다. 평가팀은 39개의 관련문서를 분석, 평가하고 건강도시사업 담당자, 관련부서 담당자, 자문위원과의 회의를 통해 평가 결과에 대한 의견수렴을 실시하였고 최종적으로는 AFHC의 SPIRIT평가 전문가와의 연석회의를 통하여 분석 결과를 검증하였다. 원주시의 건강도시사업을 평가한 결과 강력한 정치적 지원에 근거하여 지속적인 건강도시사업을 가능하게 하는 자원, 중기사업계획, 인프라, 협력적 조직, 건강도시네트워크 등이 갖추어져 있는 것을 확인하였고, 건강증진 전략을 적용한 사업의 보완 및 개선이 필요한 것으로 나타났다. 건강도시사업의 과정평가를 위해 개발된 SPIRIT 체크리스트는 질적 평가도구로서, 향후 건강도시간의 비교를 위하여 질적 평가방법에 기초한 양적 평가 지표를 추가할 필요가 있다.

• Journal of Preventive Medicine and Public Health
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• 제46권6호
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• pp.336-345
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• 2013

Objectives: Research has shown that obesity appears to spread through social ties. However, the association between other characteristics of social networks and obesity is unclear. This study aimed to identify the association between social network characteristics and body mass index (BMI, $kg/m^2$) in an elderly Korean population. Methods: This cross-sectional study analyzed data from 657 Koreans (273 men, 384 women) aged 60 years or older who participated in the Korean Social Life, Health, and Aging Project. Network size is a count of the number of friends. Density of communication network is the number of connections in the social network reported as a fraction of the total links possible in the personal (ego-centric) network. Average frequency of communication (or meeting) measures how often network members communicate (or meet) each other. The association of each social network measure with BMI was investigated by multiple linear regression analysis. Results: After adjusting for potential confounders, the men with lower density (<0.71) and higher network size (4-6) had the higher BMI (${\beta}$=1.089, p=0.037) compared to the men with higher density (>0.83) and lower size (1-2), but not in the women (p=0.393). The lowest tertile of communication frequency was associated with higher BMI in the women (${\beta}$=0.885, p=0.049), but not in the men (p=0.140). Conclusions: Our study suggests that social network structure (network size and density) and activation (communication frequency and meeting frequency) are associated with obesity among the elderly. There may also be gender differences in this association.