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        • KCI등재후보

          신 공중보건과 국가공중보건체계

          배상수,Bae, Sang Soo 한국농촌의학지역보건학회 2012 농촌의학·지역보건 Vol.39 No.4

          The New Public Health(NPH) is a comprehensive approach to protecting and promoting the health status of each individual member and society as a whole. NHP is not so much a philosophy to broaden the understanding of public health as it is an action plan to address current public health system. This paper's objectives include increasing public and professional awareness of the significant changes in the national public health systems of developed countries and contributing to more effective delivery of public health services in Korea. This paper reviews articles and documents concerning NPH and the public health system, and outlines of the achievements in developed countries since NPH movement began. These include the change in the definition and function of public health, expansion of public health networks, strengthening of public health policy, reorientation of public health delivery systems, promotion of workforce capacity, and the implementation of evidence-based management. To overcome the challenges facing the public health system of Korea, we must prioritize the value of population-based approach, expand the notion of a public health system to encompass all sectors that can influence health, promote a "Health in All Policies" approach, focus on an evidence-based health policy and program, develop core competencies for public health workers, and establish performance standards for public health organizations based on the core functions of public health.

        • KCI등재후보
        • KCI등재후보
        • KCI등재후보

          한국(韓國) 일부(一部) 농촌주민(農村住民)에 대(對)한 혈액학적(血液學的) 고찰(考察) -혈압치(血壓値)와 적혈구용적치관계(赤血球容積値關係)를 중심(中心)으로-

          남택승,강득용,Nam, Taik-Sung,Kang, Duk-Yong 한국농촌의학지역보건학회 1977 농촌의학·지역보건 Vol.15 No.1

          A study on blood pressure and hematocrit values of 1,559 people in 19 Korean rural areas was carried out in 1974 and the results were analyzed statistically. Obtained as follows: 1. The blood pressure according to sex and age groups (from the twenties to the seventies) was as follows: 1) The blood pressure of male by age group il) In the twenties, M (mean) was 125. 85/74, 15mm/Hg, a (standard deviation) was 15.9/10.2, and ill (standard error) was 1.55/0.99. (2) In the thirties, ${\delta}$ was 123.93/77.19 mm/Hg, a was 14.4/10.8, and m was 1.24/0.93. (3) In the forties, M was 128.44/81.15 mm/Hg, a was 23.9/14.7, and m was 2.16/1.33. (4) In the fifties, M was 128.48/181.24 mm/Hg, a was 24.7/13.9, and m was 2.05/1.16. (5) In the sixties, M was 135.80/81.70 mm/Hg, a was 27.4/18.8, and ${\delta}$ was 2.74/1.88. (6) In the seventies, M was 146.84/83. 16mm/Hg, ${\delta}$ was 24.5/10.0, and m was 5.62/2.30. 2) The blood pressure of female by age group (1) In the twenties, M was 117.89/73.33 mm/Hg, ${\delta}$ was 15.7/12.1, and m was 1.42/1.09. (2) In the thirties, M was 118.04/75.71 mm/Hg, ${\delta}$ was 16.9/13.0, and m was 1.13/0.87. (3) In the forties, M was 120.92/78.17 mm/Hg, ${\delta}$ was 20.9/12.9, and m was 1.42/0.87. (4) In the fifties, M was 122.14/79.55 mm/Hg, ${\delta}$ was 24.2/15.9, and m was 1.63/1.07. (5) In the sixties, M was 131.57/84.29 mm/Hg, ${\delta}$ was 28.4/16.9, and m was 2.58/1.53. (6) In the seven ties, M was 139.62/86, 54 mm/Hg, ${\delta}$ was 22.4/15.7, and m was 4.38/3.09. And the range of systolic blood pressure in male was 70~230 mm/Hg and in female was 80-230 mm/Hg. The range of distolic blood pressure in male was 50~160 mm/Hg and in female was 40~140 mm/Hg. 2. The hematocrit value according to sex and age groups was as follows: 1) The hematocrit values of male by age group (1) In the twenties, M was 42.72%, ${\delta}$ was 3.05, and m was 0.30. (2) In the thirties, M was 41.77%, ${\delta}$ was 3.29, and m was 0.28. (3) In the forties, M was 41.39, ${\delta}$ was 3.86, and m was 0.35. (4) In the fifties, M was 40.12%, ${\delta}$ was 3.65, and m was 0.30. (5) In the sixties, M was 39.88%, ${\delta}$ was 3.81. and m was 0.38. (6) In the seventies, M was 38.47%, ${\delta}$ was 2.27, and m was 0.52. 2) The hematocrit values of female by age group (1) In the twenties, M was 35.40%, ${\delta}$ was 3.37, and m was 0.30. (2) In the thirties, M was 35.50%, ${\delta}$ was 3. 35, and m was 0.22. (3) In the forties, M was 35.75%, ${\delta}$ was 3. 18, and m was 0.22. (4) In the fifties, M was 35.84%, ${\delta}$ was 3.30, and m was 0.22. (5) In the sixties, M was 35.70%, ${\delta}$ was 3.35, and m was 0.30. (6) In the seventies, M was 35.08%, ${\delta}$ was 3.08, and m was 0.60. The range of hematocrit values in male was 23~50% and in female was 18~50% (un associated with age groups). 3. In comparison with the blood pressure and the value of hematocrit of study groups showed that the blood pressure raised higher but the value of hematocrit got lowered on the contrary as the groups are getting older. 4. Total number of patients with hypertension was 165(10.6%) which were consisted with 71 male (11.3%) and 94 female (10.1%). But only two cases of the male patient and one case of the female patient were associated with protein uria. 5. The incidence of anemia by hematocrit values was as follows: 1) The incidence of male anemia patients based on$\leqq$41% ($\leqq$39%). (1) In the twenties, incidence was 43.90% (16.98%). (2) In the thirties, 41.48% (25.93%). (3) In the forties, 42.62% (25.41%). (4) In the fifties, 62.76% (40.69%). (5) In the sixties, 70% (38%). (6) In the seventies, 84.21% (73.68%). 2) The incidence of female anemia patients bailed on $\leqq$3

        • KCI등재후보

          농촌의료(農村醫療)의 문제점(問題點)과 대책(對策) - 의료제도(醫療制度)를 중심(中心)으로-

          송오달,Song, Oh-Dal 한국농촌의학지역보건학회 1977 농촌의학·지역보건 Vol.15 No.1

          Health care conditions in Korea are gradually improving along with the economic and social development. However, the volume of disease is still great, especially in rural areas. This study attempts, therefore, to initiate a comprehensive proposal of rural health care delivery system. The proposal is constructed three parts, problem of health care system, medical cost, medical education system. The proposal consist of the following components: I. The health care system 1. health sub-center is required to be locate in "Myun" the basis administrative unit of local government for delivering primary health care. But, in the viewpoint of medical economics, the primary health care is operated cautiously. 2. Health center is desirable to provide health services in coordinating the health sub-center and other private health institution. 3. The secondary health care is performed in regional combination hospitals, and the attitude that doctors accomodate this system is required. II. The medical cost, Insurance In the expenditure of medical care, the method of a third person's payment is required absolutely. III. The medical education system. 1. The medical education system (process) is changed from the medical education to regional doctor education. 2 In the nurse education system. nursing technical high school is resurrected.

        • KCI등재후보
        • KCI등재후보

          일개 농촌 면단위 지역 주민의 보건소 의료이용실태에 관한 조사

          위자형,하은희,이선희,조희숙,김정연,김선희,배현아,Wie, C.H.,Ha, E.H.,Lee, S.H.,Jo, Heui-Sook,Kim, J.Y.,Kim, Sun-Hee,Bae, Hyun-A 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

          This study was analyzed through the reports which published on the subject matter of Su Dong-Myun from 1994 to 1997 and the medical record of patient in Su-Dong Myun health subcenter. The result are as follow: 1. The number of population in Su-Dong Myun(study area) was 5,475 in 1994, 5,707 in 1995, 6,079 in 1996 and 6,253 in 1997. In composition rate of population, "65 and over" of age group only showed markedly increasing tendancy from 9.8% in l995 to 10.2% in 1997. However, the rest of all age group showed decreasing tendancy. 2. Annual utilization rate showed decreasing tendancy, such as 247 in 1994. 203 in 1995, 146 in 1996, and 140 in 1997 per 1000 population. But visiting time is increasing tendency, such as 3.1 in 1994, 2.8 in 1995. 2.4 in 1996 and 3.4 in 1997 per disease case. 3. Age specific annual utilization rate, all age showed decreasing tendancy in the age group of "0-14", "15-44" and "45-64", however showed increasing tendency in the age group of "65 and over" from 1994 to 1997. 4. The major disease were disease of Respiratory system. Gastrointestinal system. Musculoskeletal system and Connective tissue. Skin and Subcutaneous tissue and Circulatory system The disease of Musculoskeletal system and Connective tissue and Circulatory system are increasing.

        • KCI등재후보

          농촌지역 성인의 당뇨병 유병율에 대한 조사연구

          전은석,이종섭,Chon, Eyon-Seok,Lee, Jong-Sub 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

          The purpose of this study is to establish the basic consultation data for diabetes in adults and to demonstate the necessity of preventive regular medical examinations. The study was carried out at Chungyang County, Chungchungnam-Do from the first of January, 1996 to the end of December. Below is the statistical data of this study which concerns the distinction of sex, ages, and occupations from the 600 examinees. 1. According to the distinction of sex, there are 12 males and 11 females among the 300 examinees in each group. That means, the diabetic percentage is 4.0% versus 3.6% and male/female diabetic ratio is 1.1:1 2. According to the distinction of ages, there is one people 0.25% aged 20years old and 5 peoples 1.3% aged 30 years old among the 400 examinees. There are 6 peoples 1.0% aged 40 years old and 6 peoples 1.0% aged 50 years old among the 600 examinees. There are 4 peoples 2.0% aged 60 years old among the 200 examinees. 3. According to the distinction of occupations, there are 13 white collar workers 6.5% among the 200 examinees, and there are 8 blue collar workers(4%) among the 200 examinees. There are 2 government employees 1% among the 200 examinees. This show that there is less diabets in government employees than other occupational groups of the same number. 4. Among the white and blue collar workers, 7 diabetis's blood glucose levels are 140mg%--200 mg% and 6 are 200mg%. 5. Among the community medical insurance holders, 7 diabetic's blood glucose levels are 140 mg%--200mg% and 1 is 200mg%. 6. Among the government employees, 2 diabetic's bleed glucose levels are 140mg--200mg% and there is no 200mg%.

        • KCI등재후보

          농촌 지역 남성들의 혈청 gamma-glutamyl transferase 활성도와 관련된 행태적 요인에 관한 연구

          조병만,Cho, Byung-Mann 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

          혈청 GGT는 임상적으로 널리 이용되고 있음에도 불구하고 정상 인구 집단에서의 행태적 관련 인자에 대해서는 잘 알려져 있지 않다. 본 연구에서는 경상남도 내의 농촌 지역인 울산시 울주군 두동면에서 1997년에 실시한 주민 건강 검진에 참여하였던 40세 이상의 남성 248명을 대상으로 혈청 GGT 활성도와 관련된 행태적 요인을 조사하였으며 다중 회귀 분석과 공분산 분석을 이용하여 혼란 변수의 영향을 통제하였다. 신체 비만지수(kg/$m^2$)와 알코올 섭취량(ml/day)이 증가함에 따른 혈청 GGT 활성도의 차이는 연령과 요인 상호간의 영향을 보정하였을 때 통계학적으로 유의하였다(p=0.051 및 p<0.001). 비음주자에서 신체 비만지수가 25 이상인 경우는 25 미만인 경우에 비해 혈청 GGT의 활성도가 통계학적요로 유의하게 상승하였으나(p=0.007), 음주자에서는 유의한 차이를 볼 수 없었다(p=0.892). 알코올 섭취는 신체 비만지수가 25미만인 경우와 25 이상인 경우 모두에서 혈청 GGT의 활성도 상승과 유의한 연관성을 보였다(p<0.001 및 p=0.002). 이상과 같은 소견은 농촌 지역 남성들에서 혈청 GGT의 활성도와 가장 밀접하게 관련된 요인이 음주, 그리고 비음주자에서의 비만임을 암시한다. Although serum gamma-glutamyl transferase(GGT) has been widely used as a marker of alcoholic hepatic dysfunction, little is known as to behavioral correlates in the normal population. To examine the association between serum GGT activity and some behavioral factors in male rural population, data un health examination in a rural population (248 males aged 40 years and older) was analyzed Multiple linear regression and analysis of convariance were used to control the effect of confounding factors. Adjusted average differences in the level of serum GGT according to body mass index(BMI: $kg/m^2$) and alcohol intake(ml/day) were statistically significant(p=0.051 0<0.001 respectively). Serum GGT activity for BMII$\geq$25 was significantly higher than for BMI<25 in non-drinkers(p=0.007), but not significantly different in drinkers(p=0.892). Alcohol intake was significantly associated with elevated serum GGT activity for both BMI$\geq$25 and BMI<25(p<0.001, p=0.002 respectively). These findings suggest that alcohol drinking, obesity in non-drinkers are important factors associated with serum GGT in male rural population.

        • KCI등재후보

          농어촌의료(農漁村醫療)서비스 개선사업(改善事業)에 대한 보건소(保健所) 공무원(公務員)의 인식도(認識度)

          김영길,박재용,감신,한창현,차병준,Kim, Young-Gil,Park, Jae-Yong,Kam, Sin,Han, Chang-Hyun,Cha, Byung-Jun 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

          This study was performed investigate the opinion of civil servants in Health center about Rural Health Service Improvement Project The survey by mail was carried out for 447 servants of 25 health centers in Kyungsangbuk-do and the data were collected through self-administered questionnaires to servants about need, participation, concern, and comprehension for the project and satisfied with current facility and equipment of health center. The results were as follows. Generally considered, 48.2% of the improved health center servants was satisfied with health center building and 14.0% or 24.1% of the improving or unimproved center was. About the location of health center, 37.7% of the improved health center servants was satisfied, 25.9% of the unimproved center was. Of the improved health center servants, 43% was satisfied with the medical equipment but in unimproved place, the dissatisfaction was appeared higher than any other place. 49.7% of respondents was participated in making out the Rural Health Service Improvement Project. 50.6% was interested in this project. In the improved area. 65.5% of health center servants replied that the mayor's or county executive's concern about this project was high and 46.5% in councilors but in the unimproved area. their concern was low. About the contents of the project. 24,6% of the servants in the improved center, only 15.2% in unimproved center replied that they had known well. After making out the plan, 13.6% of respondents was unsatisfied with this plan and 17.1% replied that the estimating method of selecting the project area was not good. After the improvement of institution and equipment, 86.1% of health center servants answered that the medical service provided by health center would increase but 59.2% replied that the residents' utilization rate of private medical facility would decrease. The servants of the improved health center replied that the recognition about the developing will of health service(91.2%), the efficiency(91.2%), the quality of health and medical service(93.0%), the amount of health project(91.2%) were improved. In health center which had already improved the institution and equipment, 88.5% of servants replied that the residents' utilization for health center was increased. So, this project should be continuously carried out for health center and health center must develope new project to fit region condition.

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