Development of supporting activity model to municipalities for prevention of life-style related disease-Empowerment Model of Public Health Nurses

我们对公共卫生中心的活动进行了参与性观察，以帮助市政PHN采取预防生活方式疾病的措施。我们还采访了市政PHN，并报告了结果，并与公共卫生中心PHN进行了讨论。此外，我们还开展了培训方案，并提供了有关有助于预防生活方式疾病的活动的信息，公共卫生中心的PHN了解了预防措施和健康指导，并了解了如何处理区域健康问题。此外，他们还与国家健康保险工作人员和市卫生部门合作，促进信息交流。市政府公共卫生网考虑的与医疗检查和健康指导有关的主要措施是查明社区的健康问题，发展有效的诊断系统，协调市政府行政组织，以及管理与医院和康复中心的关系。 ...更多信息 身份证公共卫生中心PHN负责协调市政府的组织，但没有为查明社区的健康问题、有效的诊断系统以及与医院和居民的关系管理提供支助服务。根据访谈结果，我们向医生协会提供了关于医疗检查判断标准的信息。本研究的结果认为，提取该地区的健康问题，理解政策平台，考虑医疗保健活动，提高医疗保健技能，市政府组织中的协调系统对于市政府公共卫生网络的活动是必要的。得出的结论是，确定健康问题，信息交流，公共卫生中心的有效措施是广泛开展预防活动的教育和在PHN培训中使用技术，应提高公共卫生中心对该地区健康问题的敏感性，并认为有必要建立有效的组织结构来处理这些问题。此外，还认为必须建立一个采取预防行动的区域系统。少

We conducted participatory observations of public health centre activities to help municipality PHNs adopt preventive measures for lifestyle diseases. We also interviewed municipality PHNs and reported on results and held discussions with public health centre PHNs. Moreover, we conducted training programs and provided information on activities that help prevent lifestyle diseases.The public health centre PHNs became aware of preventive measures and health guidance and understood how to approach the regional health problems. Furthermore, they collaborated with the national health insurance staff and the municipality's hygiene department to promote information exchanges. The primary measures related to medical checkups and health guidance considered by the municipality PHNs were identification of the community's health problems, development of an effective diagnostic system, coordination of the municipality' administrative organizations, and relationship management with hospitals and res … More idents. The public health centre PHN coordinated the municipality' organizations, but did not cause a support service for an identification of the community's health problems, effective diagnostic system and relationship management with hospitals and residents. Based on the interviews, we offered the doctors' association information on the standards by which medical check-ups are judged.Result of this study, it was deems that extraction of the region's health problems, comprehending the policy platform, consideration of health care activities, improvement of health care skills, and coordinated system in the municipality's organizations are necessary for the municipality PHNs' activities.It was concluded that an identification of health problems, information exchanges, widespread education on preventive activities, and use of technology in PHNs training were effective measures for public health centres.The public health centres' sensitivity to the region's health problems should be improved, and an efficient organizational structure is considered necessary for treating the problems. Further, the establishment of a regional system to take preventive actions was deemed essential. Less