Current Issues in Evaluating Health Promotion Programme Using Traditional Korean Medicine in Korea

한동운,김유금,이영호 대한한의학회 2008 대한한의학회지 Vol.29 No.5

Purpose:The aim of this study is to identify current situation and issues of outcome measures to evaluate the public health programs using traditional medicine by public health centers in Korea. Method:This study analyse and review existing data and documents related to traditional Korean medicine and health policy using contents analysis method. To collect the information on outcome measures evaluating the programmes, this study reviewed annual reports for health promotion programmes using traditional Korean medicine(HP-TKM) of Hub public health centers, as pilot public health centers, which have implemented the health promotion programmes collectively. Additionally, the review included research articles, government documents and book chapters on the topics related assessments in health promotion. Results:HP-TKM are stroke prevention education, smoke free program, health promotion according to Four Constitutional Medicine, home visiting treatment, etc. However, there are only a few studies of traditional medicine focused health promotion evaluation strategies. The benefits of health promotion programs using TKM can be categorized as non-health benefit, physiological, psychological and physical effects. To manage and monitor the intervention programmes efficiently, attention should be given to developing relevant and valid outcome measures for evaluating the programmes by government and public health center. Conclusion:Up to now, considering number of researchers, research projects undertaken or published articles and reports, within traditional Korean medicine there is a lack of capacity in research. Thus, government should pay more attention to developing relevant and valid outcome measures for evaluating the programs. Purpose:The aim of this study is to identify current situation and issues of outcome measures to evaluate the public health programs using traditional medicine by public health centers in Korea. Method:This study analyse and review existing data and documents related to traditional Korean medicine and health policy using contents analysis method. To collect the information on outcome measures evaluating the programmes, this study reviewed annual reports for health promotion programmes using traditional Korean medicine(HP-TKM) of Hub public health centers, as pilot public health centers, which have implemented the health promotion programmes collectively. Additionally, the review included research articles, government documents and book chapters on the topics related assessments in health promotion. Results:HP-TKM are stroke prevention education, smoke free program, health promotion according to Four Constitutional Medicine, home visiting treatment, etc. However, there are only a few studies of traditional medicine focused health promotion evaluation strategies. The benefits of health promotion programs using TKM can be categorized as non-health benefit, physiological, psychological and physical effects. To manage and monitor the intervention programmes efficiently, attention should be given to developing relevant and valid outcome measures for evaluating the programmes by government and public health center. Conclusion:Up to now, considering number of researchers, research projects undertaken or published articles and reports, within traditional Korean medicine there is a lack of capacity in research. Thus, government should pay more attention to developing relevant and valid outcome measures for evaluating the programs.

Current Issues in Evaluating Health Promotion Programme Using Traditional Korean Medicine in Korea

Han, Dong-Woon,Kim, You-Kum,Lee, Young-Ho The Society of Korean Medicine 2008 대한한의학회지 Vol.29 No.5

Purpose : The aim of this study is to identify current situation and issues of outcome measures to evaluate the public health programs using traditional medicine by public health centers in Korea. Method :This study analyse and review existing data and documents related to traditional Korean medicine and health policy using contents analysis method. To collect the information on outcome measures evaluating the programmes, this study reviewed annual reports for health promotion programmes using traditional Korean medicine(HP-TKM) of Hub public health centers, as pilot public health centers, which have implemented the health promotion programmes collectively. Additionally, the review included research articles, government documents and book chapters on the topics related assessments in health promotion. Results :HP-TKM are stroke prevention education, smoke free program, health promotion according to Four Constitutional Medicine, home visiting treatment, etc. However, there are only a few studies of traditional medicine focused health promotion evaluation strategies. The benefits of health promotion programs using TKM can be categorized as non-health benefit, physiological, psychological and physical effects. To manage and monitor the intervention programmes efficiently, attention should be given to developing relevant and valid outcome measures for evaluating the programmes by government and public health center. Conclusion :Up to now, considering number of researchers, research projects undertaken or published articles and reports, within traditional Korean medicine there is a lack of capacity in research. Thus, government should pay more attention to developing relevant and valid outcome measures for evaluating the programs.

스포츠사회학 : 국민건강증진을 위한 운동지도 사업의 확립 방안

박헌열(HunYulPark) 한국체육학회 2005 한국체육학회지 Vol.44 No.4

Due to diseases pattern shifts from acute ones to chronic, current national health promotion measures have been emphasized on preventive base national health promotion programs rather than curative measures after the occurrence of illnesses. Along most of the advanced countries have been providing the exercise instruction programs in the aggressive and supportive manner as a part of national health promotion programs. In this circumstance, health promotion programs need to be established the co-operative fields to accommodate the fields between the new exercise instruction system and the existing health care system, in order to promote and enhance the health level of the its own people. It will provide a great contribution on national health promotion, the financial stability of the National Health Insurance Scheme, cost containment of the national health expenditure, and the enhancement of quality of life of the people. Furthermore, the exercise instruction programs should be sophisticatedly rebuilt to execute well as a part of health promotion programs through the establishment of the scope of the exercise instruction programs in the health promotion policies, the entitlement of the national license for the relevant professionals, the assorted service provision between the exercise instruction and the national health promotion programs, the improvement of the exercise instruction programs in health centers and the activation of an incentive system for the exercise instruction related program, etc. It has been known as a common idea that Ministry of Health and Welfare is the right governing department for the effective utilization of exercise instructors. The importance of introducing national examination, which will increase the public confidence level on exercise instructor, has been also realized from the survey. Additionally, the survey with the people who have exercise instructor certification showed that due to insecure job condition, low level of public confidence, and lack of welfare system, they did not have a positive idea regarding their future of job. The connection cooperation which with the community resources must become accomplished. Because cooperation of the government, private sector and the relation group to lead and when maximum reconciliation it goes out and a policy synergic effect. The purpose of the study is to provide the foundation data for policy establishment on training the exercise instructor and its application methods for promoting the public health. I would like to, first of all, survey the systems provided in the advanced countries in this area and to analyze the current problematic operating systems in Korea, and, after that, to present the feasible policy alternatives to facilitate the exercise instruction programs in Korea.

보건분야 치과위생사들의 건강증진사업을 위한 전문교육 필요도 조사

황윤숙 ( Yoon Sook Hwang ) 한국치위생학회 2007 한국치위생학회지 Vol.7 No.4

The purpose of this study was to analyze dental hygienists` opinions on health promotion projects in public health and their needs for specialized education in the projects, so that it could help prepare specialized education program required for health promotion projects in the future. To meet the goals, total 364 dental hygienists working in public health were asked to join a questionnaire survey via e-mail in September 2007 for data analysis. As a result, this analysis came to the following conclusions: First, it was found that 29.9% of total respondents took in charge of health promotion projects, and 26.9% respondents considered it very necessary to be responsible for the health promotion projects(56.0% considered it necessary). Almost half respondents considered nonsmoking assistance most desirable task(48.4%) and foremost demanded(50.5%) out of all current health promotion projects. 39.8% respondents answered that they could carry on health promotion task if assigned, after completing occupational training course. Second, it was found that 39.3% respondents acquired other licenses and qualifications than certificate of registered dental hygienist, and their medical licenses or qualifications included certificate of nursing assistant (18.7%) and certificate of social worker(11.8%) by category. Third, in terms of opinions on possible ways to facilitate health promotion projects, it was found that over half respondents considered it recommended to step up specialized education(56.9%) and prepare legal basis and administrative system(53.6%). Notably, 90.7% respondents considered it necessary to step up specialized education in health promotion. Fourth, in terms of opinions on participation in health promotion projects, it was found that almost half respondents(49.7%) considered it necessary and very positive for extending dental hygienists` works in the future. Moreover, in terms of reasons for such positive answers, it was found that many respondents considered it helpful for appointment(41.8%) and contributing to capability development and job satisfaction(44.5%). In terms of opinions that such participation would be unnecessary, 29.7% respondents thought that nothing would be changed in their dental health projects even with reduced number of public health dentists, and 31.3% respondents thought that dental hygienists are professional manpower responsible only for dental health works. Finally, in terms of on-the-job training(OJT) related to health promotion, it was found that 92.9% respondents desired for OJT. In terms of experiences in OJT, 79.9% respondents answered that they never joined OJT course. In other words, only 20.1% respondents joined OJT courses for health promotion task, such as nonsmoking assistance(8.8%), health promotion FMTP training(2.2%), exercises(l.4%) and nutrition(0.6%).

공중위생업의 육성을 위한 기금 조성 방안

이호용(Lee, HoYong) 한양법학회 2009 漢陽法學 Vol.26 No.-

The paradigm of ‘concept of health' in public health is developing day and day. Traditionally health was concept of ‘hygiene' that meaned disease prevention through isolation from infectious disease, but it passed through concept of ‘sanitary' that meaned personal health maintenance, developed concept of ‘health promotion' that meaned national health furtherance and maintenance, recently its meaning is expanded to the concept of ‘convenience of living'. However, the concept and category of public health is larger and larger and occupies most important part of national every day life, but governmental efforts for industrial promotion of public health business is scarcely accomplished. It is not question of selection but what should be to improve quality of public health business and to make advance to high class in side of national basic rights too. In making revision bill of ‘The Management Law of Public Health Business', it is regarded three sides as follows: constitution side, action side, and finance side of administration. In this article is about finance side among these. Specially public fund as financial methods for promotion of public health business is theme of this article. Fund for promoting public health business(it is called ‘public health fund' for short) is local autonomy fund and operation fund. Main resources of this fund is surcharges that is collected against violation of ‘The Management Law of Public Health Business'. In this article I intend to study methods of building up and practical use of public health fund.

한국 정부 지원의 건강증진 연구

박성희,황정해,최윤경,강창범 대한임상건강증진학회 2012 Korean Journal of Health Promotion Vol.12 No.3

Background: This study was carried out to examine the trends of government-supported health promotion research projects conducted in Korea over the past 12 years. Methods: Research type, area of interest, organization, and expense of 726 research projects conducted from 1998 to 2009 were examined and the health promotion content analyzed. Results: In Korea, 361 health policy researches (HPR) and 365 general health researches (GHR) were supported by the government during the defined time period. A total of 60.5 health promotion research were conducted annually with a total amount of 27.1 billion won provided (2.26 billion won per year). With the average research project lasting 8.5 months, HPR (7.7 months) projects were completed sooner than GHR (9.2 months). Those who majored in preventive medicine completed 177 research (24.4%), the most number of research projects, followed by public health (22.5%), and family medicine (15.6%). There were 641 health promotion research projects done mostly on policies, legal systems, and grasping current conditions, and only 85 (11.7%)clinical test research on the development or effects of health promotion programs. Conclusions: HPR have been increasing annually. However, our study could not be certain of how close the studies were to the government's health promotion policies. Furthermore, the main health promotion area,'healthy living', was not researched as often as should be. Additionally, to improve applicability of the research projects, interdisciplinary cooperation should be promoted. 연구배경: 본 연구는 지난 12년간 수행된 정부지원 건강증진연구 동향을 분석하고자 하였다. 방법: 1998년부터 2009년까지 시행된 건강증진연구 과제 726개를 대상으로 연구유형, 연구분야, 수행기관 및 연구비 등을 분석하였다. 결과: 지난 12년간 실시된 총 726과제 중 정책연구는361과제(49.7%)였고 일반연구는 365과제였다. 연간 평균적으로 60.5개의 과제가 진행되었으며, 매년 22.6억 원씩12년간 총 271억 원이 지원되었다. 연구기간은 평균 8.5개월이었으며, 정책연구(7.7개월)가 일반연구(9.2개월)보다 짧은 경향을 보였다. 연구수행자는 예방의학 전공자가177과제(24.4%)로 가장 많았으며, 보건학 22.5%, 가정의학 15.6% 등의 순이었다. 건강증진연구는 대부분(641과제) 정책이나 법․제도 등에 관한 연구, 현황 파악에 대한조사연구 중심이었고, 건강증진 프로그램 개발이나 효과를 분석한 임상시험연구는 85과제(11.7%)에 불과하였다. 결론: 건강증진연구 중 정부의 정책 사업과 밀접히 연관된 정책연구 과제가 지속적으로 확대된 것으로 보이고있으나 ‘건강생활실천’ 영역이 차지하는 연구비중이 높지않았다. 또한 연구의 적용가능성을 향상시키기 위하여 다학제 간 참여가 활성화되어야 한다.

생활권 중심 공공보건시설 시설환경 만족도 및 요구에 관한 연구

최인영,박혜경 한국실내디자인학회 2022 한국실내디자인학회논문집 Vol.31 No.2

The role of public health facilities related to health promotion in local communities is being emphasized. This study aims to understand the current status of public health facilities related to health promotion and examine users' satisfaction and needs in the facility environment. This is meaningful in deriving the design direction of public health facilities to promote community health. For this study, we conducted literature review and survey. The results are as follows. (1)Domestic public health facilities include public health centers, health centers, health clinics, and health life support centers. As an institution dedicated to health promotion in urban areas, the importance of the Health and Living Support Center could be confirmed. (2)As a result of examining the characteristics of use, it was found that most of them have been used, mainly for document issuance and vaccination. Those in their 40s and 50s mainly participated in the health promotion program, but the ratio was low. In the future, it was found that the demand for participation was high among all age groups, so it was necessary to actively promote and induce participation. (3)In the case of facility environment satisfaction, it was found that it was evaluated to be moderate, but those in their 40s and 50s evaluated relatively lower than those in their 20s and 30s. In addition, it was found that comfort and convenience had a significant positive (+) effect on overall satisfaction, indicating that consideration for this was necessary when planning.

Effects of public transportation use on non-exercise activity thermogenesis and health promotion: a mini-review

김성우,황든솔,견성환,장인권,김태호,김종원,신인섭,임기원 한국운동영양학회 2024 Physical Activity and Nutrition (Phys Act Nutr) Vol.28 No.1

[Purpose] Public transportation (PT) systems significantly shape urban mobility and have garnered attention owing to their potential impact on public health, particularly the promotion of physical activity. Beyond their transportation functions, PT systems also affect daily energy expenditure through non-exercise activity thermogenesis (NEAT). This mini-review surveys the existing literature to explore the effects of PT use on NEAT levels and subsequent health outcomes. [Methods] A comprehensive literature search was conducted using the electronic databases PubMed, Google Scholar, and Web of Science. Keywords including “public transportation,” “non-exercise activity thermogenesis,” “physical activity,” “health promotion,” and related terms were used to identify relevant studies. [Results] This review highlights the multifaceted relationship between PT use and health promotion, emphasizing the potential benefits and challenges of increasing NEAT through public transit utilization. Overall, the findings suggest that PT use contributes positively to NEAT levels, and thus improves health outcomes. However, the extent of this impact may vary depending on individual and contextual factors. [Conclusion] Interventions promoting active transportation modes, including public transit, hold promise for addressing sedentary behavior and fostering healthier lifestyles at the population level.

스포츠 활동을 매개체로 한 국민건강증진 전략

유호(Yoo Ho),황의룡(Hwang Eui-Ryong) 한국체육과학회 2008 한국체육과학회지 Vol.17 No.4

The purpose of this essay is to devise a new strategy for the promotion of public health in Korean society. For this, relying on a basic idea of Public-Health-Promotion-Concept applied in a former research to Neuss and Mettmann regional areas in Germany, it attempts to examine its applicability to the Korean society. The public concern for ‘health’ has recently become more and more in demand in Korean society. In particular, concern for the excessive medical expenditure caused by development of various kinds of diseases and related adult diseases(chronic degenerative diseases) on the sharp increase has grown serious. This situation leads necessarily to public demand to map out new directions for the national health policy, generating a new and urgent task not to be easily solved by medicine only. In this respect, it is suggested that we need to approach the public(national) health policy not from a medical point of view, but rather from a synthetic view composed not merely of medical countermeasure, but also socio-economic ones.

우리나라 공중보건의 현재

박병주 ( Byung-joo Park ) 대한보건협회 2017 대한보건연구 Vol.43 No.2

Public health was defined by Wislow as one of the efforts organized by society to protect, promote, and restore the people`s health. It is the combination of sciences, skills, and beliefs that is directed to the maintenance and improvement of the health of all the people through collective or social actions. Public health activities change with changing technology and social values, but the goals remain the same: to reduce the amount of disease, premature death, and disease-produced discomfort and disability in the population. Public health is thus a social institution, a discipline, and a practice. The Acheson Report offered a more succinct definition: The science and art of preventing disease, prolonging life, and promoting health through organized efforts of society. Korea has made extraordinarily rapid economic development in the world, which is called “Miracle of Han River”. Such a rapid economic development in a short time period has made Korean people live longer, but also suffer from many chronic diseases including cancer, cardiovascular diseases, and diabetes mellitus. In addition we have to face many public health problems like health inequity, suicide, addiction, obesity, communicable diseases outbreak, environmental pollutions, elderly people, low birth rate, insecure environment, etc.. Government and National Assembly should try their best to establish effective administrative systems based on appropriate law and policy. For achieving such a goal, they should communicate with NGO collaboratively, which could solve such a huge public health problems in Korea and contribute to promote people`s health.