• Title/Summary/Keyword: 공공의료서비스

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Effects of Public Health Service Impartiality on Subjective Health Happiness: Mediated Effect of Public Health Service Quality (공공의료서비스 제공의 공평성이 주관적 건강행복에 미치는 영향: 공공의료서비스 질의 매개효과)

  • Moon, Seung Min
    • Health Policy and Management
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    • v.29 no.3
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    • pp.323-331
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    • 2019
  • Background: The purpose of this study is to analyze the effect of impartiality in providing public health services on subjective health happiness and the mediated effects of public health service quality. Based on this, this study intends to present policy implications to improve public health services. Methods: The research method is multiple linear regression analysis. The analysis of the mediating effects is performed by Baron & Kenny's test, Sobel-Goodman's test, and Bootstrap. Results: The impartiality of public health services and the quality of public health services are shown to have a statistically significant effect on subjective health happiness. Quality of public health service appears to be mediating the relationship between impartiality in providing public health care and subjective health happiness. Conclusion: To promote people's subjective health happiness, it is necessary to secure impartiality in providing public health services in the first place and improve the quality of public health services.

The Determinants and Medical Care Utilization Behavior of Private Health Insurance (민간의료보험의 가입요인과 의료이용행태)

  • Baek, In-Rib;Park, Hyun-Soo;Byun, Sung-Soo
    • The Journal of the Korea Contents Association
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    • v.12 no.7
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    • pp.295-305
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    • 2012
  • This study analyzes actual conditions of private health insurance empirically by using the decision to join Korea Health Panel data. First, the study investigates how sociodemographic factors influence joining the private health insurance. Next, the relationship between the private health insurance membership and the frequency of medical service utilization is analyzed. The main results of these analyses can be summarized as follows: the socially vulnerable are less likely to join private health insurance relative to the middle and upper classes. The frequency of medical service utilization of private insurance members is relatively higher. This fact contains the possibility that the middle and upper classes are able to receive more medical services through private health insurance membership, while the socially vulnerable have difficulty with obtaining medical services in spite of much need. Therefore, policies are needed which manage the private health insurance more effectively and secure the publicity of health service socially.

Public welfare services and the needs of the Haenyeo and a comparative analysis (해녀의 공공복지서비스 실태와 욕구 비교 분석)

  • Kim, Sang-Mi;Hwang, Kyung-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4557-4563
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    • 2012
  • The purpose of this study is to suggest the criteria to public welfare service support for improving life quality of the haenyeo (female divers) through analyzing public welfare services and desires of the haenyeo in Jeju, Busan, and Tongyeong. Accordingly, research period was set from May 11 to June 21, 2010. The haenyeo in each region of Jeju, Yeongdo-gu (Busan), Tongyeong-si were selected as subjects. Recording of interviewing methods was used to recognize current status of public welfare. We analyzed by comparing desires of the haenyeo to public welfare services by dividing them economically, medically, educationally, and culturally. As a result of researching public welfare services to the haenyeo in each region, supports for protection of diving, growing area, public welfare service for aged diving haenyeo, and medical service were conducted. Tewak protecting net, Seonjinji visiting, and welfare facilities are supported in Busan-si but there is no support in Tongyeong-si. Therefore, desires of the haenyeo to such public welfare services are as followings: First, the desires of the haenyeo in Jeju to economic supports are indicated as supports for haenyeo experience spot, diving suit, and overseas visiting. To educational supports, it is indicated as supports for identity education, diving disease prevention education, and foreign language education. To cultural supports, it is indicated as supports for installation of welfare hall and exchange visit to foreign haenyeo culture. Second, in Busan, there were desires to establish changing room and fishery sales lot and to support diving suit as for economic supports, desires to support diving disease and medical benefits as for medical supports, desires to education of diving skill as for educational supports, and desires to establish welfare hall and haenyeo museum as for cultural supports. Third, in Tongyeong where public welfare services to the haenyeo are very poor, there were desires to support diving suit and to support changing room as for economic supports, as same as in Busan, desires to support diving disease and medical benefits as for medical supports.

An Empirical Study on the Necessity of Ubiquitous Public Service: Focused on Chungju City Public Officials' Recognition (유비쿼터스 공공서비스 도입 우선순위에 대한 실증분석: 공무원의 인식조사를 중심으로)

  • Kang, Min-Gu;Kim, Tae-Jin
    • Spatial Information Research
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    • v.15 no.3
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    • pp.219-236
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    • 2007
  • This study is intended to examine the types of U-public service that can be introduced to the public sector by making an empirical analysis on Chungju City public officials. Specially, to analyze the public officials' recognition of the types of ubiquitous public service that can be introduced to the public sector, this study investigates the utility and necessity of ubiquitous information technology when making use of it in terms of administrative concepts. To achieve study purpose, this study examines what type of U-public service is highly likely to be applied and basically has to be applied when ubiquitous information technology is applied to the current environment of Chungju City in stages.

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MCH SERVICE SYSTEM IN KOREA AND PROBLEMS OF SERVICES IN COMMUNITY (한국의 모자보건사업체계 및 지역사회에서의 서비스 문제)

  • Hong, Moon-Sik;Hwang, Na-Mi
    • Korean Journal of Health Education and Promotion
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    • v.10 no.1
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    • pp.98-105
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    • 1993
  • 최근 경제수준 향상과 소자녀 가치관의 확립, 그리고 전국민 의료보험 실시 등으로 인하여 모자보건 대상자의 대부분은 민간 의료시설의 전문인력으로부터 서비스를 제공받게 되었고, 모자보건 수준도 급격히 향상, 1992년 시설분만율의 경우, 99%에 도달하였다. 이렇듯 의료시설 이용의 증가와 의료기술의 발전에도 불구하고, 영아사망율 및 모성사망율이 최근 몇년동안 같은 수준에 머무르고 있음은, 보다 질적인 관리측면으로 사업의 방향이 전환되어야 함을 의미하는데 이는 곧 공공성을 띠고 있는 모자보건사업을 국가가 관리하여야 할 필요성을 더욱 크게 한다. 공공부문에서는 취약대상을 위하여 민간 전문인력과의 유기적인 연계체계를 마련하여 계속적인 관리를 제공할 수 있도록 하고, 보건교육 강화를 위한 관련 홍보물(모자보건수첩 활용, 모유수유 권장, 제왕절개수술 지양 등)을 제작하며 신경아세포종 검사 등과 같은 새로운 예방사업 개발에 중점을 두어야 할 것이다. 또한 영유아관리는 저체중아 및 장애아에 대한 추구관리서비스까지 확대되어야 할 것이다. 현 우리나라 주산기구급이송체계는 응급의료체계내에서 이루어지고 있다고 볼 수 있는데 주산기관리를 위한 의료여건이 성숙되어 있지 못하고 있는데다(이 시기의 집중관리를 통하여 사망 및 장애아 예방이 가능) 관련 제도마저 취약하여 민간의료부문에서는 영아사망 및 모성사망을 낮추기 위해서는 이 부문에 대한 노력이 집중되어야 할 것이다. 첫째, 주산기학, 신생아학 전문인력의 훈련제도 확립파 주산기 관리시설의 지역적 적정분배(분만 2,000건에 1개 시설마련), 둘째, 집중적인 인력과 고가장비가 투입되는 주산기 의료활동 강화를 위한 관련 의료제도의 수정 및 보완, 세째, 질적관리가 매우 중시되는 고위험 신생아의 집중관리를 위한 '표준 의료관리지침서' 마련, 네째, 동 시설 및 관리에 준하여 주산기 의료시설에 대한 감독 및 감시기능 강화를 위한 제도적 장치가 마련되어야 할 것이다.

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Domestic Market and Economic Impact of the Re-use of PSI(Public Sector Information) (공공정보 민간활용 시장 및 파급효과)

  • Heo, P.S.;Park, G.M.;Park, W.J.;Cho, G.S.;Ryu, W.
    • Electronics and Telecommunications Trends
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    • v.28 no.4
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    • pp.118-131
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    • 2013
  • 최근 과학 및 IT 패러다임은 HW(과거) 및 SW(현재) 중심에서 '데이터 빅뱅'을 활용하여 정치 사회 경제 등 제반 이슈와 연계된 분석 예측으로 진화 중이다. 국가안전 및 위험관리, 의료, 교육, 복지, 환경 등 사회 전반에 걸쳐 공공부문에서의 빅데이터 활용 가능성이 높아지고 있다. 공공정보 자체뿐만 아니라 민간정보와의 통합 분석을 통해 효과적인 맞춤형 정책과 새로운 지식정보 서비스 제공이 가능하기 때문에 주요 선진국은 공공정보의 적극 활용을 위해 다양한 정책을 경쟁적으로 추진해 오고 있다. 공공정보의 민간활용 촉진은 정보 제공자인 공공기관뿐만 아니라, 이를 활용하는 민간 사업자, 관련 서비스 사용자 모두에게 경제적 비경제적 가치를 제공할 수 있다. 따라서, 본 연구를 통해 국내 공공정보 민간활용 산업의 경제적 파급효과를 추정하고, 중요한 전 후방 연결 산업들을 파악하고자 한다.

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A Study on Community Information Services for Elderly People in Public Libraries (고령자를 위한 공공도서관 지역정보서비스에 관한 연구)

  • Kim, Daeun;Cha, Mikyeong
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.27 no.2
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    • pp.213-233
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    • 2016
  • As elderly population increases their use of public libraries also increases, and thus, public library services for older people need to be more developed. The information needs of older population are mostly related to the everyday life, such as health, medical care, social welfare, the main services of public library community information services or information and referral services. Through a literature review, foreign case studies, homepage surveys, site surveys, this study explores types and content of community information for elderly people, and suggests, ways of enhancing community information services for elderly people.

A Strategy for the Improvement of Health Care Inequality in the Southwestern region of Korea - Around the island area (서남권 의료불평등 개선을 위한 방안 -도서 지역을 중심으로-)

  • Moon, Ji Hyun
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.385-392
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    • 2022
  • The purpose of this study was to identify the degree of medical inequality in medical vulnerable areas, especially in the southwestern islands, and to prepare improvements. As a research method, 14 pieces were analyzed by systematic literature review with keywords such as 'medical vulnerability', 'medical inequality', and 'island area', and a focus group or in-depth interview (FGI) was conducted on 9 medical personnel in the public medical delivery system to identify the current status and demand. As a result of the study, medical inequality in the southwest region, especially in island areas, was confirmed, and the lack of professional manpower and administrative support system were confirmed through FGI. As a result of the study, it was confirmed that realistic measures should be prepared to increase the efficiency of public health care as well as active administrative support to improve the vulnerability of island areas.

Comparison of Integrated Health and Welfare Service Provision Projects Centered on Medical Institutions (의료기관 중심 보건의료·복지 통합 서비스 제공 사업 비교)

  • Su-Jin Lee;Jong-Yeon Kim
    • Journal of agricultural medicine and community health
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    • v.49 no.2
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    • pp.132-145
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    • 2024
  • Objectives: This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions. Methods: From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output. Results: All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary. Conclusions: To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.

A Study on The Tax System And Tax Advantage For Medical Institutions (의료기관의 조세체계 및 조세특례 개선방안)

  • Hong, Ki-Yong;Kim, Kwang-Yoon;Jeon, Jang-Sik
    • Korea Journal of Hospital Management
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    • v.8 no.3
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    • pp.1-31
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    • 2003
  • 현대 복지국가에서는 의료와 교육 분야에 대해 지대한 관심을 가지고 있다. 이런 측면에서 유럽 및 미국 등에서는 특히 의료분야에 대해 정부가 직접 운영하는 비율이 높고 또한 각종 조세특례를 통해 민간을 지원하고 있다. 이 점에서 이 논문에서는 우리나라가 의료기관에 대한 조세체계와 조세특례를 어떻게 개선해야 할 것인가에 대해 연구하였다. 이 연구결과 의료기관에 대한 조세체계 및 조세특례제도에 대한 개선방안으로 여러 가지를 제시하고 있으나, 주요골간은 첫째, 우리나라의 경우 의료법인을 의료법에서는 비영리법인으로 보고 있으나 세법에서는 기본적으로 영리사업으로 보아 과세하는 것을 원칙으로 하고 조세특례규정은 아주 제한적으로 인정하고 있어, 의료서비스의 질적 향상에 도움을 주고 있지 못하므로 이를 개선하고, 둘째, 교육과 의료는 중요한 공공재로서 정부가 대등한 입장에서 정책을 수립하여야 함에도 차등 과세되고 있는 점을 개선할 필요가 있으며, 셋째, 같은 의료서비스에 대해서 운영주체에 따라 각종 조세특례를 다르게 규정해서는 안된다는 점을 지적하였다.

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