서 론
1970 (modernization)
2007 6 1 2007 6 3
2007 6 20
: , 17
(Tel : 02-2220-0666, Fax : 02-2220-4666, E-mail: dwhan@hanyang.ac.kr)
이상재1,2, 한동운1,2, 윤태형1,2, 송기민2, 김영수2
원 저
Perception of Health Center Staff on Health Promotion Programme Using Traditional Korean Medicine
Sang-jae Lee1,2, Dong-woon Han1,2, Tae-hyung Yoon1,2, Ki-min Song2, Young-soo Kim2
1Institute of Health Service Management, Hanyang University
2National Traditional Korean Medicine Research & Development Center, Ministry of Health and Welfare Objectives : The purpose of this study was to explore the perceptions of health promotion programmes using traditional Korean medicine among public health centre staff in charge of running such programmes. To do so, we examined and analysed the current situation of implementing the programmes in the public health centre.
Methods : A survey was designed to collect information on perception of the health promotion programmes using traditional Korean medicine by public health centre staff in charge of running such programmes. The survey, using a structured questionnaire designed for this study, was conducted on 161 public health centre staff attending an annual meeting to presenting the results of activity evaluation related to public health programmes using traditional Korean medicine in public health centres. The participants were asked about the most successful programme, the benefits of the programmes, the positive aspects of the programmes, the most desirable outcomes of the programmes and so on.
The data were analysed using SPSS system 12.0 for Windows.
Results : Of the 161 questionnaires, 121 were analysed. The main findings of this research were as follows. Of the health promotion programmes using traditional Korean medicine implemented in public health centres, qigong and stroke preventive health promotion programmes were perceived as the most successful. The major benefits of the programmes were having merit for health promotion and expecting a positive performance outcome. The major positive aspects of the programmes for health promotion were cultivating community citizen's support and showing consistency between the philosophy of the programmes and the direction of existing health promotion programmes.
The most desirable outcomes of the programmes were spreading community understanding of the programme and establishing an effective and unique health promotion model for implementing the programme. Two major causes of implementation difficulties were lack of material resources such as manpower, facility, and equipment, and methods of performance evaluation. One of the most urgent needs for activating the implementation of programmes was continuing financial and technical support from the central government.
Conclusions : To promote the role of traditional Korean medicine in the public health sector in order to integrate traditional medicine into the public health system, government should develop some measures for solving the identified causes of implementation difficulties and coping with the most urgent needs for activating the implementation of programmes.
Key Words : Korean traditional health promotion programme, perception, hub health centre
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3. 자료분석
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연구 결과
1. 응답자의 사회인구학적 특성
(129 )
Table 1 .
(75.8%) (24.2%) ,
30 (21.1%) 40 (46.9) .
(46.8%), (21.0%)
, ,
, .
HUB
50.8%, HUB 49.2%
.
2. 한방건강증진프로그램에 대한 인식
(8 : ,
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, )
Table 2 .
(32.7%), (26.2%),
(25.2%) .
HUB
(49.1%), (20.8%),
(20.8%) , HUB
(32.7%), (28.6%),
(16.3%) .
(34.1%), (29.3%),
(12.2%),
(12.2%) .
HUB (42.2%),
(31.1%), · (13.1%) ,
HUB (25.7%),
(22.9%), (16.3%)
.
Frequency %
Age(n=128)
20-29 21 16.4
30-39 27 21.1
40-49 60 46.9
50 20 15.6
Gender(n=124) male 30 24.2
female 94 75.8
Job categories (n=124)
Nurse 26 21.0
Medical technicians 58 46.8
Health administrator 3 2.4
other 37 29.8
Working for HUB health center (n=124) yes 63 50.8
no 61 49.2
The most successful programme Unnecessary programme or modification required HUB
(n=53)
not HUB (n=49)
total (n=102)
HUB (n=45)
not HUB (n=35)
Total (n=80)
Quit smoking programme 0(0.0) 7(14.3) 7(6.9) 19(42.2) 8(22.9) 27(33.8)
Stroke preventive programme 11(20.8) 14(28.6) 25(24.5) 1(2.2) 0(0.0) 1(1.3)
Qigong programme 26(49.1) 8(16.3) 34(33.3) 2(4.4) 4(11.4) 6(7.5)
Home visiting programme 11(20.8) 16(32.7) 27(26.5) 1(2.2) 2(5.7) 3(3.8)
Sasang health programme 0(0.0) 1(2.0) 1(1.0) 14(31.1) 9(25.7) 23(28.8)
Maternal health programme 2(3.8) 1(2.0) 3(2.9) 6(13.3) 4(11.4) 10(12.5)
Childcare health programme 2(3.8) 1(2.0) 3(2.9) 2(4.4) 8(22.9) 10(12.5)
Other 1(1.9) 1(2.0) 2(2.0) - - -
3. 한방공공보건사업에 대한 보건사업으로서의 가치에 대한 인식
‘ ’ 27.8%,
‘ ’ 57.9% ,
85.7% (Table 3).
‘
’ 52.5%
, ‘
’
36.1%, ‘ -
’ 5.7%, ‘
’ 3.3% .
HUB HUB
(Table 3).
4. 한방공공보건사업의 성과 정도에 대한 인식
,
‘ ’ 56.3%, ’ 18.3%
74.6% .
HUB Having a positive merit
regarding heath promotion programme
(n=121)
Expecting a positive performance outcome of the
programme (n=121)
The implementing of programme should
be activated (n=120)
HUB not HUB HUB not HUB HUB not HUB
Entirely agree 18(29.0) 14(23.7) 14(22.6) 7(11.9) 14(22.6) 17(29.3)
Agree 39(62.9) 32(54.2) 40(64.5) 29(49.2) 42(67.7) 32(55.2)
Neutral 5(8.1) 12(20.3) 8(12.9) 22(37.3) 5(8.1) 9(15.5)
Disagree 0(0.0) 1(1.7) 0(0.0) 1(1.7) 1(1.6) 0(0.0)
Entirely disagree - - - -
HUB (n=60)
not HUB (n=57)
total (n=117) More cost-effectiveness than existing health promotion programme 1(1.7) 6(10.5) 7(6.0) Cultivating citizen's emotion in a community 30(50.0) 30(52.6) 30(51.3)
Coping with increasing demand for the programme 3(5.0) 1(1.8) 4(3.4)
Showing consistency between the philosophy of the programme and the direction of existing health promotion programme; improving natural healing capacity of the body
24(40.0) 19(33.3) 43(36.8)
other 2(3.3) 1(1.8) 3(2.6)
HUB
(Table 4).
‘
’ 41.2%, ‘
’ 26.9%,
‘ ’ 21.0%,
‘ ’ 9.2%
.
HUB
‘
’(33.9%)
HUB ‘
’ HUB
(n=62)
not HUB (n=52)
total (n=114) Making community citizen have correct understanding of the
programme 17(27.4) 28(53.8) 45(39.5)
Enhancing collaborative implementation with existing health
promotion programme 7(11.3) 4(7.7) 11(9.6)
Establishing effective and unique health promotion model for
implementing the programme 21(33.9) 10(19.2) 31(27.2)
Encouraging community citizen's participation in implementing
the programme 17(27.4) 8(15.4) 25(21.9)
Others - 2(3.8) 2(1.8)
HUB not HUB total
Continuing financial and technical supports of central government 40(24.1) 33(20.6) 73(22.4) Developing health promotion programme using traditional Korean
medicine for health center 41(24.7) 33(20.6) 74(22.7)
Supporting facilities and equipment required to implement health promotion programme using traditional Korean medicine for health center
7(4.2) 15(9.4) 22(6.7)
Recruiting full time staff for implementing the programme in health
center 30(18.1) 34(21.3) 64(19.6)
Improving the perception level of staff being in change of the
programme 6(3.6) 7(4.4) 13(4.0)
Advertising the programme in the community 5(3.0) 2(1.3) 7(2.1)
Improving the perception level of the programme by traditional public
health doctor 18(10.8) 24(15.0) 42(12.9)
Implementing integrative programme of traditional Korean medicine and
western medicine 19(11.4) 12(7.5) 31(9.5)
(53.8%) (Table 5).
5. 한방공공보건사업 수행의 장애요인에 대한 인식
‘
, , ’
43.8% , ‘
’ 25.0%, ‘ ’
25.0% .
HUB
‘ ’(37.0%)
HUB ‘ , ,
’(61.1%) (Table 6).
6. 한방공공보건사업의 활성화를 위한 지원에 대
한 인식
(3 )
Table 7 .
‘ , ’
‘
’ 22.6% ,
‘ ’ 19.4%, ‘
’ 13.2%, ‘
’ 6.7%, ‘
’ 3.8%, ‘
’ 2.6%
.
HUB ‘
’(24.8%) HUB
‘
’(21.3%) .
고 찰
2003
. HUB 3
HUB (n=54)
not HUB (n=54)
total (n=108) Lack of material resources such as manpower, facility, and
equipment 16(29.6) 33(61.1) 49(45.4)
Lack of health promotion programme or its programme manual 16(29.6) 9(16.7) 25(23.1)
Methods of performance evaluation 20(37.0) 7(13.0) 27(25.0)
Lack of understanding on traditional Korean medicine among
community citizen. 0(0.0) 1(1.9) 1(0.9)
Insufficient cooperation with other departments and organisations 0(0.0) 2(3.7) 2(1.9)
Others 2(3.7) 2(3.7) 4(3.7)
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요약 및 결론
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2005.
7. . 2007 .
2007.
8. , ,
, 2005.
9. ,
, , 2005
10. ,
,
12 ( 98 ),
, 2004.
11. , , HUB
, 2006;10(2):
81-93
12. .
. . 2004;
10(1):107-117
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. . 2002.
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. . 2004.
19. . Infra
. . 2005.
