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“동평화시장 상인 건강증진프로그램” 2. 실시배경 및 필요성우리나라 ‘국민건강증진종합계획 2010(이하 HP2010)’의 두 가지 목표는 건강수명의 연장과 건강형평성의 제고로 국민의 건상상태를 대표할 수 있는 금연, 절주, 운동, 영양, 암 관리, 만성질환 관리, 전염병 관리, 정신보건, 구강보건, 영유아보건, 모성보건, 노인보건과 같은 12가지 지표를 선정하여 중점적 증진·개선하고자 한다(강은정·조영태·신호성·김나연,2008;국민건강증진종합계획). 여기서 말하는 건강수명의 연장과 건강형평성의 제고가 무슨 의미인지 살펴보면 먼저, 건강수명의 연장에서 건강수명이란 건강한 상태로 살 수 있는 수명을 의미한다고 볼 수 있다. 이는 급성 전염병 등으로 사망하던 과거와 달리 만성질환이 주요 사망의 원인이 된 오늘날의 현실과 무관하지 않다. 의료기술 등의 발달로 기대여명이 점점 늘어나는 것과 비례해 만성질환으로 인한 상병상태의 기간도 증가하고 있어 건강한 상태의 삶을 누리는 것 즉, 건강수명의 연장이 인간에게 있어 중요한 과제가 되었다. 한편, HP2010의 또 다른 목표인 건강형평성의 제고란, 전 세계적으로 사회경제적 계층이 낮은 집단이 기대여명, 사망률의 증가, 낮은 건강수명을 보이는 경향성을 가지는데 이러한 추세를 개선해 사회경제적 계층별 건강수명의 격차를 줄이고자 하는 것이다(강은정 외). 건강수명의 연장과 건강형평성의 개선의 맥락에서 국민개개인의 건강향상과 건강보장의 기회가 제공되어야 한다. 비단 이것은 건강훼손이후 치료의 기회뿐 아니라, 건강상태를 유지하고 관리할 수 있는 예방적 차원의 기회, 정보제공도 포괄한다. 이를 위해 본 지역사회복지실천에서는 지역사회의 건강과 건강역량을 증진하는 것을 목적으로 예방적 차원에서 건강행동과 건강교육에 대한 기회를 제공하고자 한다. 3. 관련 지역사회복지실천 사례만성질환으로 인한 사망증가는 건강, 질병, 그리고 건강행동에 관한 연구를 촉진하는 요인이 되었다. McGinnis와 Foege(1993)는 흡연과 식이, 성행동, 그리고 예방 가능한 부상과 같은 인간행동이 사망에 주된 영향을 미치는 요인이 되었음을 꼽는다. 특히 1970년대와 80년에 미국과 캐나다를 중심으로 발간된 건강교육과 증진에 관한 보고서에서는 국민건강증진과 질병 예방의 목표로 건강행동교육의 중요성을 꼽는다(Glanz, Rimer, and Lewis, 2002). 이러한 흐름 속에서 건강관련 정책과 다양한 지역사회복지실천이 이루어졌는데 본 절에서는 미국과 한국의 사례를 각각 소개하고자 한다.목차
1. 프로그램명 ···········································································································p.022. 실시배경 및 필요성 ····························································································p.02
3. 관련 지역사회복지실천 사례 ··············································································p.02
3.1. 텐더로인 노인 조직화 프로젝트(Tenderloin Senior Organization Project)
3.2. 안산 의료 생협 가족주치의사업 ··············································································p.02
4. 동평화시장 사전조사·····························································································p.03
4.1. 동평화 시장에 대한 평가··························································································p.03
4.1.1. 동평화 시장 개황 ·······························································································p.03
4.1.2. 동평화 시장의 강점과 취약점················································································p.05
4.2. 동평화 시장 상인에 대한 평가 ·················································································p.06
4.2.1. 동평화 시장 상인 개황·························································································p.06
4.2.2. 동평화 시장 상인의 문제와 욕구 ··········································································p.07
5. 목적 및 목표···········································································································p.08
5.1 목적 ·······················································································································p.08
5.2 목표 ·······················································································································p.08
5.2.1 하위목표(1)··········································································································p.08
5.2.2 하위목표(2)··········································································································p.08
6. 사업내용··················································································································p.08
6.1 사업일시 및 진행일정································································································p.08
6.1.1 진행일시··············································································································p.08
6.1.2 사업내용··············································································································p.08
6.1.3 진행세부일정········································································································p.08
6.2 세부계획··················································································································p.09
6.3 수행인력 및 업무분장································································································p.11
6.4 홍보 및 네트워크······································································································p.11
7. 예산·························································································································p.11
8. 평가계획··················································································································p.12
8.1 과정평가··················································································································p.12
8.2 성과평가··················································································································p.12
8.2.1 성과평가 지표 분석·······························································································p.13
8.3 이용자 만족도 검사지································································································p.18
9. 기대효과··················································································································p.19
본문내용
2. 실시배경 및 필요성우리나라 ‘국민건강증진종합계획 2010(이하 HP2010)’의 두 가지 목표는 건강수명의 연장과 건강형평성의 제고로 국민의 건상상태를 대표할 수 있는 금연, 절주, 운동, 영양, 암 관리, 만성질환 관리, 전염병 관리, 정신보건, 구강보건, 영유아보건, 모성보건, 노인보건과 같은 12가지 지표를 선정하여 중점적 증진·개선하고자 한다(강은정·조영태·신호성·김나연,2008;국민건강증진종합계획). 여기서 말하는 건강수명의 연장과 건강형평성의 제고가 무슨 의미인지 살펴보면 먼저, 건강수명의 연장에서 건강수명이란 건강한 상태로 살 수 있는 수명을 의미한다고 볼 수 있다. 이는 급성 전염병 등으로 사망하던 과거와 달리 만성질환이 주요 사망의 원인이 된 오늘날의 현실과 무관하지 않다. 의료기술 등의 발달로 기대여명이 점점 늘어나는 것과 비례해 만성질환으로 인한 상병상태의 기간도 증가하고 있어 건강한 상태의 삶을 누리는 것 즉, 건강수명의 연장이 인간에게 있어 중요한 과제가 되었다. 한편, HP2010의 또 다른 목표인 건강형평성의 제고란, 전 세계적으로 사회경제적 계층이 낮은 집단이 기대여명, 사망률의 증가, 낮은 건강수명을 보이는 경향성을 가지는데 이러한 추세를 개선해 사회경제적 계층별 건강수명의 격차를 줄이고자 하는 것이다(강은정 외).
건강수명의 연장과 건강형평성의 개선의 맥락에서 국민개개인의 건강향상과 건강보장의 기회가 제공되어야 한다. 비단 이것은 건강훼손이후 치료의 기회뿐 아니라, 건강상태를 유지하고 관리할 수 있는 예방적 차원의 기회, 정보제공도 포괄한다. 이를 위해 본 지역사회복지실천에서는 지역사회의 건강과 건강역량을 증진하는 것을 목적으로 예방적 차원에서 건강행동과 건강교육에 대한 기회를 제공하고자 한다.
참고 자료
조은정·조영태·신호성·김나연(2008). 건강수명의 사회계층간 형평성과 정책과제, 한국보건사회연구 원.Glanz, Rimer, and Lewis(2002), 유태균·유혜라 공역(2009), 건강행동과 건강교육, 군자출판사.
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강남세브란스병원 홈페이지, http://gs.iseverance.com/
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2010-04-05 16:05, (http://biz.heraldm.com/common/Detail.jsp?newsMLId=20070710000164)
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2010/01/25 23:02:42, (http://news.hankooki.com/lpage/society/201001/h2010012523024284110.html)
최윤정 기자, “동대문시장 상인들 뭉쳤다”, 연합뉴스, 2005-11-24 10:12,
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박종일 기자, ‘동평화 패션타운’ 30년 고충 해결!, 아시아경제, 2010.01.26 09:09,
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네이버 건강, 대사증후군 검색결과
http://health.naver.com/medical/disease/detail.nhn?diseaseSymptomCode=AA000261&diseaseSymptomTypeCode=AA&selectedTab=detail#con)
네이버 건강, 당부하검사 검색결과
http://health.naver.com/medical/testAndTreat/detail.nhn?checkupTreatmentMethodCode=BA000066&checkupTreatmentMethodTypeCode=BA&selectedTab=detail#con)
