Nam, Eun-Woo
(Healthy City Research Center, Institute of Health and Welfare, Yonsei University Wonju campus)
,
Moon, Ji-Young
(Healthy City Research Center, Institute of Health and Welfare, Yonsei University Wonu campus, Korea and Department of Preventive Medicine, Kangwon National University Hospital)
,
Lee, Albert
(School of Public Health and Primary Care, The Chinese University of Hong Kong)
본 연구의 목적은 원주 건강도시사업을 평가하여 문제점을 확인하고 건강도시사업의 원칙과 전략에 근거하여 사업을 발전시키고자 하는데 있다. 연구를 위하여 건강도시연맹에서 개발한 과정평가 도구인 SPIRIT Checklist를 사용하였다. 평가팀은 39개의 관련문서를 분석, 평가하고 건강도시사업 담당자, 관련부서 담당자, 자문위원과의 회의를 통해 평가 결과에 대한 의견수렴을 실시하였고 최종적으로는 AFHC의 SPIRIT평가 전문가와의 연석회의를 통하여 분석 결과를 검증하였다. 원주시의 건강도시사업을 평가한 결과 강력한 정치적 지원에 근거하여 지속적인 건강도시사업을 가능하게 하는 자원, 중기사업계획, 인프라, 협력적 조직, 건강도시네트워크 등이 갖추어져 있는 것을 확인하였고, 건강증진 전략을 적용한 사업의 보완 및 개선이 필요한 것으로 나타났다. 건강도시사업의 과정평가를 위해 개발된 SPIRIT 체크리스트는 질적 평가도구로서, 향후 건강도시간의 비교를 위하여 질적 평가방법에 기초한 양적 평가 지표를 추가할 필요가 있다.
본 연구의 목적은 원주 건강도시사업을 평가하여 문제점을 확인하고 건강도시사업의 원칙과 전략에 근거하여 사업을 발전시키고자 하는데 있다. 연구를 위하여 건강도시연맹에서 개발한 과정평가 도구인 SPIRIT Checklist를 사용하였다. 평가팀은 39개의 관련문서를 분석, 평가하고 건강도시사업 담당자, 관련부서 담당자, 자문위원과의 회의를 통해 평가 결과에 대한 의견수렴을 실시하였고 최종적으로는 AFHC의 SPIRIT평가 전문가와의 연석회의를 통하여 분석 결과를 검증하였다. 원주시의 건강도시사업을 평가한 결과 강력한 정치적 지원에 근거하여 지속적인 건강도시사업을 가능하게 하는 자원, 중기사업계획, 인프라, 협력적 조직, 건강도시네트워크 등이 갖추어져 있는 것을 확인하였고, 건강증진 전략을 적용한 사업의 보완 및 개선이 필요한 것으로 나타났다. 건강도시사업의 과정평가를 위해 개발된 SPIRIT 체크리스트는 질적 평가도구로서, 향후 건강도시간의 비교를 위하여 질적 평가방법에 기초한 양적 평가 지표를 추가할 필요가 있다.
Objectives: The objectives of this study was to evaluate Wonju Healthy City project and identify its problems, and seeking a way for its improvement based on the Healthy City project philosophy and strategies. Methods: We used the SPIRIT Checklist that was a process evaluation tool and developed by ...
Objectives: The objectives of this study was to evaluate Wonju Healthy City project and identify its problems, and seeking a way for its improvement based on the Healthy City project philosophy and strategies. Methods: We used the SPIRIT Checklist that was a process evaluation tool and developed by Alliance for Healthy Cities for the study. We analyzed 39 related materials and gathered opinions on the evaluation result with Healthy City Team staffs, related department staffs and the advisory committee. Finally, a joint meeting with AFHC SPIRIT evaluation expert verified the result of the analysis. Results: The evaluation of Wonju Healthy City project confirmed that Wonju city is equipped with the resources, such as mid-term plan, infrastructure, cooperative organizations, and the Healthy City network to enable the consistent implementation of the Healthy City project based on strong political commitment. However, the necessity of additional complementary processes as well as the application of further improvements to assist health promotion strategies was evident. Conclusion: It is required to improve Wonju Healthy City project that activation of health promotion programs based on the political support and cooperation with public health center and Healthy City project departments in city hall.
Objectives: The objectives of this study was to evaluate Wonju Healthy City project and identify its problems, and seeking a way for its improvement based on the Healthy City project philosophy and strategies. Methods: We used the SPIRIT Checklist that was a process evaluation tool and developed by Alliance for Healthy Cities for the study. We analyzed 39 related materials and gathered opinions on the evaluation result with Healthy City Team staffs, related department staffs and the advisory committee. Finally, a joint meeting with AFHC SPIRIT evaluation expert verified the result of the analysis. Results: The evaluation of Wonju Healthy City project confirmed that Wonju city is equipped with the resources, such as mid-term plan, infrastructure, cooperative organizations, and the Healthy City network to enable the consistent implementation of the Healthy City project based on strong political commitment. However, the necessity of additional complementary processes as well as the application of further improvements to assist health promotion strategies was evident. Conclusion: It is required to improve Wonju Healthy City project that activation of health promotion programs based on the political support and cooperation with public health center and Healthy City project departments in city hall.
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제안 방법
For the improvement of Wonju Healthy City project, the SPIRIT, developed by AFHC, evaluated Healthy City project processes.
The Best Wonju Academy programs were provided as educational programs to promote the health of public employees in non-health sectors. For the program, experts were invited to offer education on health management twice a month. As for the training for public employees in charge of the Healthy City project, since 2008, the public service workers participated in a basic course and have been participating in an expert course workshop for strengthening the capabilities of Healthy Cities offered by Korea Healthy Cities Partnership.
The team collected all related materials with the cooperation of each department's project staff to conduct case studies most appropriate to each evaluation area. In order to make a process evaluation on Wonju Healthy City project, the evaluation team analyzed 39 documents and conducted an interview with the person in charge of the Healthy City team, in accordance with the SPIRIT. The analyzed materials are composed of 20 reports, 6 publicities, 4 membership lists, 5 public letters, 2 minutes, and 2 CDs (Table 1).
In Noarlunga, Australia, the methods used in the evaluation of the Healthy Cities pilot project are face-to-face interviews, self-completion questionnaire surveys, community awareness surveys, and questionnaire surveys for committees, carried out among key informants. These methods were conducted, and an evaluation was produced by all participants in the project, which produced both quantitative and qualitative evaluation methods. (Baum & Cooke, 1992).
The implementation of the Wonju Healthy City project based on the Five-year plan required mid-term evaluation because it has been planed by the Five-year plan. This research evaluated the implementation of the Healthy City project in Wonju, and was conducted for the purpose of evaluating whether the Healthy City project was being undertaken based on its principles, with conclusions applied to the remaining two years of the Five-year plan.
대상 데이터
Students from the Department of Health Administration, Yonsei University at Wonju with an individual in charge of the health promotion program in Wonju public health center, ran a ‘moderation in drink’ program at Yonsei University for five months, from July to November in 2007 and 2008, and 2,800 persons participated in the program (2007 Yonsei Moderation in Drink Club, 2007; 2008 Yonsei Moderation in Drink Club, 2008).
Albert Lee (The Chinese University of Hong Kong). The acronym SPIRIT was created from the evaluation criteria which consist of a total of 41 items across 11 evaluation areas(Appendix 1).
In order to make a process evaluation on Wonju Healthy City project, the evaluation team analyzed 39 documents and conducted an interview with the person in charge of the Healthy City team, in accordance with the SPIRIT. The analyzed materials are composed of 20 reports, 6 publicities, 4 membership lists, 5 public letters, 2 minutes, and 2 CDs (Table 1).
Also, Wonju Healthy City project, making up an important part of Wonju policy, is evaluated at this time. The project evaluation of the year 2007 carried out the evaluation of 289 programs of 67 departments, including the Healthy City team by the expert in the University, for 12 days from January 25 to February 5, 2008. According to the finding, the Healthy City team, which is the department in charge of coordinating and organizing the Healthy City project, was awarded the cash reward of $862 for being selected as an excellent department.
The subject of this study is Wonju city with a population of 304,620 persons as of June 2008, and the size of 867 km2. Wonju has the Five-year plan for the Healthy City project, which was started in 2006.
Instead of changing the name of an existing team in the organization, the local government established a new team under the division of Health and Sports in the bureau of Resident Living Aid. The team is composed of four members (a manager, an assistant manager, and two employees) who are in charge of Healthy City.
Wonju Healthy City project evaluation team consists of five people: two project staffs, two expert advisors from the university, and an AFHC SPIRIT evaluation expert. The team collected all related materials with the cooperation of each department's project staff to conduct case studies most appropriate to each evaluation area.
성능/효과
, 2008). Results of the research showed that at 48%, the primary cause of greenhouse gas emission was transportation, 24% greenhouse gas was exhausted from residential and commercial buildings, followed by industry (20%), and personal, misc. 8%.
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