생애전환기 건강진단사업의 현황 및 발전방향 = National Screening Program for the Transitional Ages in Korea

다국어 초록 (Multilingual Abstract)

Anationwide screening program promotes the level of public health by reducing the mortality and/or incidence rate of target diseases. In 1988, Korea launched the National Screening Program which targeted chronic disorders such as hypertension and diabetes. However, the national screening program that has been carried out for the past 20years has been evaluated and interpreted as not so successful. To promote the program, the Department of Health and Welfare of Korea decided to carry out a new national screening program called,‘Screening Program for Transitional Ages’for two target groups of age 40 and age 66. What is innovative about the Program is that it provides a systematic follow-up of high risk groups and disease groups who were detected by the Program. The new program provides an estimated risk of major diseases(HRA) for each participant. The Doctors involved in the program is expected to provide health education for life-style change to the participants through an evaluation on smoking, drinking, nutrition, exercise. The Program screens the mental health of the participants which has not been included previously as well as featuring a tailored examination for the groups of age 66. Follow-up for the positives and the high risk group detected by the New National Screening Program is one of the main issue of the program and this was discussed more in detail. With such renovations, the ‘Screening Program for Transitional Ages’is now making a revolutionary contribution and promote the national screening program to the more advanced level. The new program is expected to improve the level of satisfaction of the participants,thereby increasing the overall screening rate. Launching the new program can be interpreted as an epoch-making decision in the history of Korean national screening programs.

참고문헌 (Reference)

1 US Department of Health and Human Services, "Treating tobacco use and dependence. Public Health Service, US Department of Health and Human Services, USA, 2000"

2 NIH, "Theory at a glance-a guide for health promotion practice(second edition). USA"

3 Kim M, "The theory and application of Health education" Gyechuk Munwhasa 2004

4 Statistics Korea, "The Cause of Death Statistics in 2007"

5 Ockene JK, "Smoking intervention: The expanding role of the physician" 77 : 782-783, 1987

6 Pierce M, "Prospective randomized controlled trial of methods of call and recall for cervical cytology screening" 299 : 160-162, 1989

7 Segnan N, "Promo ting participation in a population screening program for breast and cervical cancer: a randomized trial of different invitation strategies" 84 : 348-353, 1998

8 Ministry of Health and Welfare, "Notification No. 2007-126 of the National Screening Program for the transitional Ages in Korea"

9 Pederson LL, "Multivariate statistical models for predicting change in smoking behavior following physician advice to quit smoking" 11 : 536-549, 1982

10 Harris MF, "Implementation of a SNAP intervention in two divisions of general practice: a feasibility study" 183 : s54-s58, 2005

11 Kant AC, "General practitioner based screening for cervical cancer: higher participation of women with a higher risk?" 4 : 35-39, 1997

12 Fox SA, "Barriers to cancer prevention in the older person" 13 : 79-95, 1997

13 Scheltens T, "Awareness, treatment and control of hypertension: the‘rule of halves’in an era of risk-based treatment of hypertension" 21 : 99-106, 2007