초록 ▼

Ⅳ. 결론
○ 의료인이나 환자 및 보호자 모두 아토피나 천식질환에 대한 이해도가 낮으며 지속적이고 꾸준한 관리가 되고 있지 않음. 이러한 관 리 미흡은 천식의 경우 입원율과 응급실 방문 건수의 증가로 이어지며, 아토피의 경우는 의료쇼핑의 만연으로 피부염의 2, 3차 감염, 경제 적 부담 증대의 문제가 발생하고 있음.
○ 천식관리의 핵심적인 전략은 일차의료에서 천식관리의 진료지침의 적용확대와 환아나 부모들의 인지도 향상에 있으며, 아토피는 의료 인과 환아 및 학부모에 대한 집중교육 및 상담 이외에 아토피시장의 합리적 규

Ⅳ. 결론
○ 의료인이나 환자 및 보호자 모두 아토피나 천식질환에 대한 이해도가 낮으며 지속적이고 꾸준한 관리가 되고 있지 않음. 이러한 관 리 미흡은 천식의 경우 입원율과 응급실 방문 건수의 증가로 이어지며, 아토피의 경우는 의료쇼핑의 만연으로 피부염의 2, 3차 감염, 경제 적 부담 증대의 문제가 발생하고 있음.
○ 천식관리의 핵심적인 전략은 일차의료에서 천식관리의 진료지침의 적용확대와 환아나 부모들의 인지도 향상에 있으며, 아토피는 의료 인과 환아 및 학부모에 대한 집중교육 및 상담 이외에 아토피시장의 합리적 규제, 기존 패러다임에 대항하는 새로운 패러다임에 대한 적극 적인 소개임.

Abstract ▼

Ⅲ. Results
1. National plan
For patients with asthma, admission rate to hospital and visiting times to emergency room due to asthma attack or its complication should be officially put on the objectives of national in the 4th Korean Health Promotion Plan. With regard to resources allocation, h

Ⅲ. Results
1. National plan
For patients with asthma, admission rate to hospital and visiting times to emergency room due to asthma attack or its complication should be officially put on the objectives of national in the 4th Korean Health Promotion Plan. With regard to resources allocation, higher priority should be given to the child, old people, and persons in low socioeconomic position with asthma. To achieve some ideal objectives effectively, the directives of this policy comprise two things: the improvement of primary health care services for patients with asthma and the enforcement of education to recognize a right self-care for asthma in patients with asthma.
For patients with atopic eczema, the utilization and recognition rates of medical treatment guideline for atopic eczema among primary physicians and recognition and implementation rates of a right self-care among patients with atopic eczema should be officially put on the objectives of national in the 4th Korean Health Promotion Plan. With regard to resources allocation, higher priority should be given to the child, persons in low socioeconomic position with atopic eczema. To achieve some ideal objectives effectively, the directives of this policy comprise four things: the improvement of primary health care services for patients with that, the enforcement of education to recognize a right self-care for patients with that, asthma, a comsumer report including various informations about lots of goods and services for atopic eczema, and introducing the new paradigm such as hygiene theory.
2. Community based plan
For patients with atopic eczema in a community, public health centers should account for the following things: First, they conduct mass media campaign for reducing doctor shopping for caring that. Second, they will run education programs teaching the knowledges and skills about right self care for atopic dermatitis. Third, they make a supportive environment for patients with that in day facilities caring a child, kindergartens, and elementary schools. Fourth, they will do financial
support for medical expenditure loaded by patients in low socioeconomic position.