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

本研究的目的是从预防保健活动的角度，探讨一种在当代社会利用家访进行健康指导的有效方法。本研究的特点是将家访重点放在市政府和医疗保险机构。调查一(定量调查)：本次调查的目的是从卫生部的年度报告中定量地了解直辖市利用家访进行健康指导的实际情况。调查二(定性调查)：本调查的目的是定性地了解重点医保机构中医保人利用家访进行健康指导的实际情况。调查三(个案研究)：本次调查的目的是找出在预防保健中利用家访进行有效的健康指导活动的特点。调查四(文献调查)：本文献调查的目的是找出国外特别是国外利用家访进行预防的效果特点。结论：有效的家访健康指导方法在预防保健工作中的作用确定为：(1)在有计划、系统、连续的系统中发挥家访健康指导的作用；(2)在卫生保健活动的实施过程中，有有效地使家访健康指导的特点的策略。

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.