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김공현 서울大學校保健大學院 1995 國民保健硏究所硏究論叢 Vol.5 No.1
This paper reviewed the background and several definitions of health promotion, introduced criteria for the development of health promotion programs prepared by the American Public Health Association in 1986, and identified pattern of health related practices among Korean adults aged 20-59 using data collected through a nation wide sample survey conducted in 1989 and health risks among them based on the above mentioned data. In addition, Key components of the National Health Promotion Law newly promulgated in January 1995 were summarized with emphasis on programs development, and strategies for a development of national health promotion programs in Korean context were proposed with an expectation to stimulate discussions about health promotion programs in the country among health professionals.
김공현 한국보건사회연구원 2008 보건복지포럼 Vol.146 No.-
이 글은 WHO의 활동과 문서에 기초하여 최근에 구미와 동남아세아 등에서 이미 실시되고 있는 “건강영향평가”의 배경과 정의가 무엇인가를 기술하고 있다. 건강영향평가는 사람들의 건강은 보건의료서비스의 접근과 이용만으로 결정되는 것이 아니라 생활의 현장을 비롯한 여러 환경의 영향을 받아 결정된다는 이해에 기본적 바탕을 두고 있다. 건강영향평가는 이러한 이해를 바탕으로 삼아 주로 정부가 시행하는 정책, 프로그램, 프로젝트, 특히 개발프로젝트가 가진 사람들의 건강에 대한 잠재적 효과를 사전에 사정하여 그 결과를 의사결정자에게 제공해 이들의 의사결정에 반영하여 주민의 건강 수준과 상태를 개선 향상시키려 한다. 이 글은 “건강영향평가”가 대두된 배경과 정의를 살펴본 다음에 그것이 추구하는 가치, 수행의 수준과 편익,건강의 결정요소와의 관계, 그리고 제도화 과정에서 직면하는 장애 요인들을 기술하여 "건강영향평가"에 대한 이해를 도모하고 있다.
김공현,박형종,홍성출 인제대학교 1995 仁濟醫學 Vol.16 No.2
1992년 8월 26일에 실시한 보건복지부의 "환자조사" 자료를 이용하여 부산시와 경상남도에 소재한 의료기관에서 의료서비스를 받은 65세 이상 노인들의 질병양상을 분석하였다. 대상자는 입원환자의 경우 1992년 6월1일부터 6월 30일까지 퇴원한 환자 8,333명이었고 외래환자의 경우는 조사 당일의 환자 23,776명이었다, This study was carried out to idnetify diseases pattern of elders aged 65 years and over which may be used as basic data for developing measures to cope with health care problems of elders. The subjects of this study were 8,333 elders discharged from hospitals and clinics located in Pusan City and Kyungsangnam-do during June 1 to June 30, 1992, and 23,776 elders who visited the hospitals and clinics in Pusan City and Kyungsangnam-do for medical care on August 26, 1992. A file of data for this study was provided by the Ministry of Health and Welfare which conducted A National Patients Census in 1992. Diseases pattern were classified with three-digit categories of International Diseases Classification revised in 1975. The top ten common diseases of discharged elders were that the first cataract (4.70%), the second diabetes mellitus (2.54%), the third conscussion (2.53%), the fourth fracture of tibia and fibula (2.18%), the fifth cerebral laceration and contusion (2.16%), the sixth sprains and strains of other and unspecified parts of back (1.80%), the seventh essential hypertension (1.78%), the eighth contusion of low limb and of other unspecified sites (1.76%), the nineth acute appendicitis (1.58%), the tenth chronic airways obstruction, loot elsewhere classified (1.54%). The spells of these top ten common diseases were 22.6% of the total spells of the subjects. The top ten common diseases of outpatient elders were that the first gastritis and duo-denitis (4.02%), the second essential hypertension (3.14%), the third other and unspecified disorders of back (3.10%), the fourth diseases of hard tissues of teeth (3.04%), the fifth inflammatory disease of cervix, vagina and vulva (2.99%), the sixth diseases of pulp and periapical tissues (2.69%), the seventh acute nasopharyngitis (2.16%), the eighth sprains and strains of other and unspecified parts of back (2.01%), the nineth gingival and periodontal diseases (1.80%), the tenth contact dermatitis and other eczema (1.71%). The spells of these top ten common diseases were 26.7% of the total spells of the subjects. Considering diseases pattern of elders, it can be inferred that it is important for elders to take nutritionally balanced diet, to have healthy lifestyle, to practice physical excrcises and to organize effective health programs for the secondary prevention in order to live life long actively.