이 연구는 아르헨티나 의료정책에서 건강에 대한 인식의 변화를 살펴 보고 이주민 건강에 대한 함의를 탐색하는 것이다. 아르헨티나 의료정책 의 변화는 건강의 개념이 구성적임을 보여준다. 아르헨티나 의료정책에 서 건강은 노동 생산성과 연결되었다가 정치화되었다. 또한 신자유주의 흐름에서 건강은 자본이자 상품이 되었다. 하지만 건강이 항상 시장 논 리로만 설명할 수 있는 것은 아니며 교육과 함께 정부와 대중 사이의 중 요한 연결고리 역할을 하며 매력적인 정치 도구가 된다. 아르헨티나에서 이주민은 아르헨티나의 경제 상황에 따라 이주 정책에 포함과 배제를 넘 나들었다. 정부는 2003년 이주민의 건강권을 보호하기 위해 법률과 제도 를 마련했지만, 의료현장에는 이주민의 신체, 문화 등에 대한 '일상화된 편견'이 지속되고 있었다. 이주민들은 정책적으로 아르헨티나의 ‘안보’를 위태롭게 하는 존재가 되어 ‘통제’를 받기도 하며, 아르헨티나인의 건강 을 위협하는 의료 문제의 주범으로도 간주 된다. 이러한 상황은 이주민 들의 건강권도 위협하고 있으며 이주민의 건강이 제도적 기반 외에도 사 회적 변화가 필요함을 시사한다.
Purpose: This review study analyzes the impact of the Korean Society for Customized Visiting Health Care on the development of Home Visiting Care in public health centers since its inception in 2007. It also suggests potential future directions for both the Korean Society for Customized Visiting Health Care and Home Visiting Care in public health centers. Methods: The investigation scrutinized various sources including the white paper detailing the activities of the Korean Society for Customized Visiting Health Care, academic conference materials, minutes from general meetings, research papers from the Ministry of Health and Welfare, and the Korea Health Promotion Institute. Results: The Korean Society for Customized Visiting Health Care has been actively involved in advancing and assessing home-visiting health care services. The society has been focused on developing and evaluating the effectiveness of home visit health care services offered by public health centers. Conclusions: The Korean Society for Customized Visiting Health Care has achieved progress by continuous interaction with field staff, rigorous personnel training, technical assistance, field research, and policy recommendations. In 2024, the home visit health care sector could be advanced and improved using AI technology.
In Korea, reliable and affordable individual health information is obtained through national health examinations, which can be actively utilized in community health services based on examination data. The purpose of this study is to analyze national health examination data in order to identify the health behavior and health status of the elderly, and to incorporate the examination results into home visiting healthcare services provided at health centers. Methods: This study is a cross-sectional survey that analyzed the national health examination data of 2018 using the National Health Insurance Service-National Health Information Database. Data analysis was conducted using the SAS program. The overall results of the health examinations were presented in terms of frequency and percentage. Results: The national health examination rate was 72.6%, and 97% of the examinees had health needs such as improving health behavior and managing diseases. It was found that 52.2% of patients had high blood pressure, followed by diabetes and dyslipidemia. The health data generated from the national health examination includes information relevant to home visiting healthcare services. Conclusion: By utilizing health data generated from national health examinations, the process of collecting data in home visiting healthcare services can be simplified. By focusing on providing customized services, it will be possible to increase the efficiency of home visiting healthcare services.