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        지역사회 보건교육

        이주열(Ju-Yul Lee),박천만(Chun Man Park),서미경(Mee-Kyung Suh),최은진(Eun-Jin Choi) 한국보건교육건강증진학회 2007 보건교육건강증진학회지 Vol.24 No.4

        Health education aims at behavior change rather than just delivering health knowledge to people. In Korea health education activities in public sector began in 1960 and they were included in the primary prevention program in communities. This article reviewed current health education programs in healthy living practice programs provided by local public health centers in Korea and drew implications for the future role of health education in community setting. Health education has been a core function of the National Health Promotion programs in the nation since the enactment of the National Health Promotion Law in 1995. The National Health Promotion programs are funded by the National Health Promotion Fund which are drawn from tobacco tax. The National Health Promotion programs include healthy living practice programs (smoking prevention and cessation programs, moderate alcohol use programs, physical activity promotion programs, and nutrition programs), chronic disease prevention programs, oral health programs and public hygiene programs. Methods of the National Health Promotion programs include health education, health counseling, health class, health information management, survey and research. Smoking prevention and cessation programs include smoking cessation clinic, smoking cessation education, non-smoking environment program, and non-smoking campaign. Moderate alcohol use programs include alcohol use education, moderate alcohol use campaign, alcohol use counseling, and alcohol free environment programs. Physical activity promotion programs include obesity control, targeted exercise program, and exercise civic group programs. Nutrition programs include nutrition management, obesity management, nutrition education, breakfast eating program, and nutrition counseling and treatment programs. The health education programs in community are not efficient today because there are many overlapping contents and short term goals. Community health education programs needs to be more comprehensive. Workforce development is another big issue at the moment because the National credential program will begin in 2009. Variety of community health education programs should be developed and funded by the national health promotion fund.

      • KCI등재

        공공부문에서 보건교육사의 활동 영역과 능력 개발

        이주열(Ju Yul Lee) 한국보건교육건강증진학회 2010 보건교육건강증진학회지 Vol.27 No.2

        Objectives: This paper reviews the activities of health education specialist in public sector and the professional skills needed to perform the role. Results and Conclusion: Health education specialist is professional who educates individual, group, and community to practice voluntarily deeds beneficial to health and promotes to make healthy environment. Health education specialist works in public health enter, hospital, workplace, and school to solve health problems. And also he can serve in health departments at central and local government. To do this, in addition to the basic skills health case management and health counseling skills are required. Health education specialist conducts health assessments on all aspects of life, and if necessary professional skills makes the connection. Ultimately, the main roles of health education specialist are primary health counseling related to living healthy lives and health coordinator.

      • KCI등재

        국민건강증진기금 중장기 운용 방향

        이주열(Ju-Yul Lee),정애숙(Ae-Suk Jeong),김현정(Hyun-Jeong Kim) 한국보건교육건강증진학회 2007 보건교육건강증진학회지 Vol.24 No.4

        This study reviews the amount and expenditures in national health promotion fund from 1997 to 2006, to analyse the problems and provide the future direction of health promotion fund programs. This study suggested the guide for future plans and the scope and contents of health promotion fund programs, priority and fund budgetary allocation, and operation organization. It is needed to revise health promotion law and enforcement decree of the health promotion act. The fund should be used in limited 9 areas related to healthy life activities: ①Anti-smoking actions, ②To support activities leading to a healthy life, ③Public health education and development of materials, ④Investigation and research regarding community health matters, ⑤Public nutrition management activities, ⑥Oral health management activities, ⑦Physical exercises for health promotion, ⑧Foundation related to supporting healthy life style practice society, ⑨Expenses necessary for the management and operation of the fund And also, in order to improve the performance of health promotion, it is considered to reform the operation system including organization.

      • KCI등재후보

        농어촌 의료서비스 개선사업 성과에 대한 지역주민과 사업담당자간의 인식 비교

        이주열(Ju Yul Lee),황라일(Rah Il Hwang) 한국농촌의학 지역보건학회 2018 농촌의학·지역보건 Vol.43 No.2

        본 연구는 보건소의 농어촌 의료서비스 개선사업 담당자와 관내 지역주민을 대상으로 농어촌 의료서비스 개선사업 성과에 대한 인식을 파악하는것을 목적으로 하고 있다. 연구대상은 농어촌 의료서비스 개선사업 추진 경험이 있는 141개 보건소의 농어촌 의료서비스 개선사업 담당자와 관내 보건소, 보건지소 및 보건진료소를 방문한 지역주민이며, 자료수집은 구조화된 설문지를 이용하여 실시하였다. 자료분석은 SPSS 22.0을 이용하여 t-test, one-way ANOVA, x2-test를 사용하였다. 연구결과 사업담당자는 지역주민 보다 ‘보건기관의 건물(시설) 개선’ 항목에 대해서는 통계적으로 유의하게 긍정적으로 인식하고 있는 것으로 나타났다. 또한 시 지역 주민이 군 지역 주민 보다 대체로 ‘보건기관 이용 주민 증가’와 ‘보건기관에 대한 주민 인식 개선’ 항목에서 보다 긍정적으로 인식한 반면 사업담당자는 군 지역이 시 지역 보다 ‘새로운 보건의료사업 시작’ 항목에서 보다 긍정적으로 인식하고 있는 것으로 나타났다. 지역주민의 농어촌 의료서비스 사업 전반적 인식도는 성별, 직업별, 지역보건의료기관 종류별로 차이가 있었고, 사업담당자 경우는 직렬에 따라 통계적으로 유의한 차이가 있는 것으로 나타났다. 한편 보건지소와 보건진료소 운영 개편 관련하여 보건지소와 보건진료소 수에 대해서는 적정하다가 가장 많은 가운데 지역주민은 부족하다와 사업담당자는 많다로 응답률의 차이를 보였다. 보건지소 중심 보건진료소 팀제 운영에 대해서는 지역주민은 반대한다에 사업담당자는 찬성한다에 가장 높은 응답률을 보여 차이를 보였다. 결론적으로 농어촌 의료서비스 개선사업 성과 및 보건지소 및 보건진료소 운영체계 개편에 대해 사업담당자와 지역주민 간의 인식 차이가 있음을 확인하였으므로, 향후 획일화된 농어촌 의료서비스 제공 방안을 탈피하여 다양한 지역적 특성과 함께 지역주민의 의견을 반영한 신중한 농어촌 의료서비스 개선사업 및 보건의료체계 구축이 필요할 것이다. Objectives: The purpose of this study is to compare the perceptions of the rural healthcare service improvement project’ performance and reorganization of public health centers between project staffs and local residents. Methods: Data collection from this study was performed in 141 project areas using structured questionnaires. Data analysis was used in SPSS 22.0 version. Results: The public health center staffs were more positive about the items for improving health facilities than the local residents. Residents in the Si area generally perceived performance as more positive than residents in the Gun area, while public health center staffs in the Gun area perceived performance as more positive than public health center staffs in the Si area. Local residents expressed negative opinions about the reduction in the number of branches of public health clinics and health medical clinics. Conclusions: In conclusion, careful improvement projects for rural health care and the establishment of health care systems will be necessary, reflecting the opinions of local residents, along with a variety of regional characteristics.

      • KCI등재

        집창촌 여성들의 이촌 의향

        이주열 ( Ju Yul Lee ) 한국보건사회학회 2008 보건과 사회과학 Vol.0 No.23

        이 연구는 집창촌에 거주하는 성매매 여성들의 이촌 의향에 영향을 미치는 요인을 분석하였다. 자료는 전국 7개 지역(서울, 경기, 인천, 대구, 부산, 전북, 강원)의 집창촌에서 생활하는 성매매 종사여성 1,078명을 대상으로 설문조사한 결과이며, 이중에서 999명이 최종분석에 활용되었다. 집창촌 생활년수, 집창촌 성매매 경험년수, 성병경험, 콘돔사용정도 등을 독립변수로 생활만족도와 성병 및 에이즈 감염에 대한 불안감을 매개변수로 설정하여 중다회귀분석 및 경로분석을 통하여 변수들 간의 인과관계를 분석하였다. 한편, 연령, 학력, 결혼상대 등은 통제변인으로 설정하였다. 집창촌 여성들의 이촌 의향은 성병 및 에이즈 감염 불안감이 높을수록, 생활만족도가 높을수록, 성병 감염횟수가 많을수록, 연령이 높을수록, 미혼인 경우 낮았으며, 성병 및 에이즈 감염 불안감은 집창촌에서 생활을 오래 했을수록 높았다. 이상의 결과를 종합하면, 집창촌의 특성이 반영 될 수록 이촌 의향이 낮았다. 즉, 누적된 집창촌 생활경험은 사회적 편견이 내변화되는 결과를 낳고 성매매 여성들의 자아정체감을 훼손시켜 집창촌을 벗어나 일반 사회로의 편입의지를 약화시키는 것으로 추정된다. The purpose of this study is to examine how intention of moving out from brothels is affected by specific properties such as the experience of prostitution, the sense of insecurity of venereal disease and AIDS infection, and the experience of Infection. The data were collected by self-administrated questionnaires from 1078sex workers at 11 cities and provinces in country. The sample consisted of 999 sex workers. SPSS 12.0 for PC was used for multiple regression and LISREL 8.25 was used for path analysis. The major findings may be summarized as follows: First, The longer they have lived at the brothel, the higher they have felt the sense of insecurity regarding the venereal disease and a AIDS infection. The more they have had the experience of venereal disease, the lower they have felt the sense of insecurity regarding the venereal disease and a AIDS infection. Second, The more they have had the experience of condom use, the higher they have felt life satisfaction. Third, The higher they have felt the sense of insecurity regarding the venereal disease and a AIDS infection, the lower they have had intention of moving out from brothels. And also the higher they have felt their life satisfaction, the lower they have had intention of moving out from brothels. The more they have had the experience of venereal disease, the lower they have had intention of moving out from brothels. Sex workers express a wish to escape from their way of life but because of their lack of Self confidence they fear economic or other hardship if they moving out from brothels.

      • KCI등재

        공공부문 건강증진사업의 발전방향

        이주열(Ju-Yul Lee) 한국보건교육건강증진학회 2012 보건교육건강증진학회지 Vol.29 No.4

        Objectives: This paper aims to suggest some ways we could improve the efficiency and equity in health promotion programs in the public sector. Methods: Reports published by the Minister of Health and Welfare and web-site information were reviewed. And, the empirical results and theoretical considerations provided in this study could be used in making future direction for health promotion programs in the public sector. Results and conclusion: The public sector should play a leading role in health promotion programs. The role of public sector in health promotion program is to establish the health promotion plan based on the health survey, to develop the scientific programs, to provide the free health services, and to maintain a cooperative relationship with the private sector. In order to activate the health promotion programs in the public sector, establishing the role of the public sector, changing the operation of health promotion fund, block grants for health promotion, local health promotion fund, and integration of health statistics were suggested.

      • KCI등재

        보건교육사 교과목의 개발과정

        이주열(Ju Yul Lee) 한국보건교육건강증진학회 2011 보건교육건강증진학회지 Vol.28 No.1

        Objectives: This study describes the development process of courses for health education specialists. The history, background, development process, and contents of courses for health education specialists are described. Results and Conclusion: In order to enhance the course implementation and training for health education specialists, the followings should be considered: First, the course and examination requirements for Health Education Specialist Level 3 should be increased. Second, requirement policies for elective courses should be revised. Third, health education practicum requirements should be specified, including specific training contents, types of participating training organizations, and the number of hours required. Fourth, support should be made available for revision and improvement of the courses such as Health Program Planning and Evaluation, Health Education Methods, Health Program Management, Health Communication, and Health Ethics.

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