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Research on effective health guidance method using home visiting in preventive health care activity

预防保健活动中家访有效健康指导方法的研究

基本信息

批准号：
16592196
负责人：
MIYAZAKI Misako
金额：
$ 1.73万
依托单位：
Chiba University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2006
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16592196/
关键词：
health guidance home visiting health care activity effective method preventive meaning municipality

项目摘要

The purpose of this research is to clarify an effective health guidance method using home visiting in the contemporary society from the viewpoint of preventive health care activity.The characteristic of this research is focusing the home visiting by municipality and also the medical insurance agency. The following four investigations were done.Investigation 1 (the quantitative survey) :The purpose of this investigation is to find the actual conditions quantitatively of health guidance using home visiting by municipality from the annual report of Ministry of Health, Labor and Welfare.Investigation 2 (the qualitative survey) :The purpose of this investigation is to find the actual conditions qualitatively of health guidance using home visiting by medical insurance person in focusing National Health Insurance (NHI) agency.Investigation 3 (the case study) :The purpose of this investigation is to find the characteristic of the effective health guidance activities using home visiting in preventive health care.Investigation 4 (document investigation) :The purpose of this document investigation is to find the characteristic of outcomes of prevention with home visiting especially done in foreign countries.Conclusion :Effective health guidance method using home visiting were identified as follows : (1) making to function the health guidance using home visiting in a planned systematic system with continuous view and (2) having the strategy that effectively makes the feature of the health guidance using home visiting in the process of implementing the health care activities.

本研究的目的是从预防保健活动的角度阐明当代社会有效的家访健康指导方法。本研究的特点是重点关注市政府和医疗保险机构的家访。进行了以下四项调查。调查1（定量调查）：本调查的目的是从厚生劳动省的年度报告中定量地了解市区町村利用上门健康指导的实际情况。调查2（定性调查）：本调查的目的是为了定性地了解以国民健康保险（NHI）为中心的医疗保险人员利用上门健康指导的实际情况。调查3（案例研究）：本次调查的目的是找出预防保健中利用家访进行的有效健康指导活动的特点。调查4（文献调查）：本次文献调查的目的是找出家访预防效果的特点，特别是在国外进行的。结论：利用家访进行的有效健康指导方法确定如下：（1）使利用家访进行的健康指导在国外发挥作用。具有连续性、有计划的系统体系；（2）在实施保健活动过程中，有有效发挥家访健康指导特色的策略。