Characteristics of the Population Approach to the Health of Community Residents

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  • 地域住民を対象にしたポピュレーションアプローチの展開方法の特徴 : 保健師の実践報告事例の分析
  • チイキ ジュウミン オ タイショウ ニ シタ ポピュレーションアプローチ ノ テンカイ ホウホウ ノ トクチョウ ホケンシ ノ ジッセン ホウコク ジレイ ノ ブンセキ

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Purpose : To establish a hypothetical-inductive framework of the characteristics of the population approach based on an analysis of cases in which public health nurses are involved in planning, conducting and evaluating activities for community residents. Methods : We extracted the thought processes and methods used by public health nurses in providing health support to community residents, based on eight cases, and analyzed the characteristics of the methods used. Specifically, we analyzed characteristic patterns for the population approach with focus on the purposes of activities, ways of combining two or more methods, and reactions of community residents to activities. Results : The characteristic patterns of the population approach included: (1) a pattern for spreading activities among all community residents by promoting the participation of residents with determinants through group activities conducted by residents who are interested in health, (2) a pattern for spreading activities among all community residents by working with both residents with determinants and residents without determinants at approximately the same time by specific residents to make residents with determinants in cooperation with residents without determinants. Two other patterns were also identified. Conclusion : The characteristics of the population approach were clarified in consideration of the purposes of activities. The characteristic patterns of the population approach suggest possible applications to the practice of public health nurses.

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