• Title/Summary/Keyword: 보건정책 평가

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The Determinants of the Length of Stay in Hospital for Schizophrenic Patients: Using from the Health Insurance Claim Data of Inpatients (조현병 환자의 재원일수 결정요인 : 건강보험 입원환자데이터셋 자료를 이용하여)

  • Jeon, Yun-Hee;Jung, Mi-Yeong
    • Journal of Digital Convergence
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    • v.18 no.1
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    • pp.257-263
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    • 2020
  • This study was conducted to improve the quality of National Health Policy by analysing the effects of sociodemographic characteristics, Medical institutions characteristics and characteristics of Admission-Discharge on the length of stay in hospital for schizophrenic patients from the data of Health Insurance Review & Assessment Service. The subjects were 4,692 patients who were diagnosed with schizophrenia as main diagnosis from the data records of HIRA-NIS 2016. Regression analysis was performed to evaluate the effect on the length of stay. Sociodemographic characteristics, hospital characteristics and characteristics of Admission-Discharge were used as explanatory variables and length of stay in hospital was used as a dependent variable. The result of study showed that female, age, medical aid, the kind of hospital, gangweon-do and with mental disease were found to be the factors that affect the length of stay. The significance of this study is to use the public data for evaluating factors that affect the length of stay in hospital for schizophrenic patients. But this study did not consider disease severity, so further study is needed for evaluation of the effects of factors on the length of stay according to disease severity.

Identification of Priority Pollutants in Shihwa-Banwol Techno Valley Area for Management of Environmental Health (시화.반월산업단지 인근지역의 환경보건 관리를 위한 우선관리대상 오염물질 선정에 관한 연구)

  • Kim, Jung-Kon;Park, Yoon-Suk;Paek, Do-Myung;Choi, Kyung-Ho
    • Journal of Environmental Policy
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    • v.6 no.3
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    • pp.33-56
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    • 2007
  • Use of chemicals has greatly increased along with development of human civilization. Concerns about potential effects of chemicals on human health and environment have also grown accordingly. Due to the enormous number of chemicals being used, however, it is neither practical nor feasible to regulate all the chemicals. Therefore, it is necessary to identify chemicals that deserve more immediate attention, based on the effects on receptors to be protected. This study was initiated by the need for developing management policies for Shihwa-Banwol Techno Valley and its vicinities of korea, where complaints and concerns on environmental contamination have been raised for long time. This study to identifies major chemicals that deserve most immediate attention in environmental health management in this area. For this purpose, the study employed CHEMS-1(Chemical Hazard Evaluation for Management Strategies), and used chemical data from Toxics Release Inventory(TRI) and environmental contamination data from the environmental pollution monitoring network. Top priority pollutants identified in Shihwa-Banwol Techno Valley area were metals and volatile organic compounds, such as dichloromethane, trichloroethylene, diazinon, tetrachloroethylene, chromium compounds, tin compounds, chloroacetic acid, ethyl acetate, and zinc compounds, in an order of decreasing importance. An evaluation of physicochemical properties of the priority chemicals and the environmental pollution monitoring network database in Shihwa-Banwol Techno Valley suggested that the media that are of potential concern would be the atmosphere and aquatic environment.

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The Relationships Between Low Vision and Socioeconomic Status in Korean Adults (저시력과 사회경제적 상태와의 관계)

  • Park, Jee-Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.3
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    • pp.319-325
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    • 2011
  • Purpose: The relativity of factors between low vision and socioeconomic status were investigated. This study represented the preliminary data for establishment of public eye health policy. Further, this report would encourage people to change the social attitudes about the eye health equity of the nation. Methods: The number of people (2,514 people) who have been tested the forced visual activity were examined as it was referred the Korea National Health and Nutrition Examination Survey (KNHNE) of 2009-year data. The prevalence rate of low vision of subjects which are related with house income, education level and occupations were conducted with ttest and chi square test. Besides, the Binominal Logistic Regression was conducted to measure the odds ratio of the subjects. Results: In outline, the prevalence rate of low vision was high with low house income, low education level and low function. The odds ratio represented that 2.77(95% CI, 1.72-4.47) at low house income group and 4.02(95% CI, 1.75-9.23) at the case of below primary school education level. Moreover, the results of unemployed group showed 3.65(1.14-11.68) from the odds ratio measurement. Conclusions: The eye health policy need be instituted which is broad and meticulous support to ease the eye health equity of low eye sight patients. For instance, the education about eye health, examination business of eye disease, and education of assistant units which are useful for low eye sight would suggest practical solution.

The Evaluation of Effectiveness of Green Management Accreditation for Hospitals (의료기관의 녹색경영인증기준에 대한 유효성 평가)

  • Kim, Jang-Mook;Kang, Jung-Kyu
    • Journal of Digital Convergence
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    • v.12 no.9
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    • pp.265-274
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    • 2014
  • We sought to derive an overall strategy for green business certification of medical institutions and to propose the improvement directions for green management evaluation systems through applying the criteria to medical institutions. A self-assessment survey was conducted at 44 targeted hospitals across the country, and the 2012 green management evaluation criteria for healthcare services were used as assessment tools. As a result, only 11 of the 44 hospitals were eligible for green business certification. By type, hospitals with more than 400 beds, hospitals in Seoul and the Gyeonggi area (${\geq}$ 400 beds) and private hospitals (${\geq}$ 400 beds) received relatively high scores. In an analysis of the mean score, only the difference between the hospitals with ${\geq}$ 400 beds and < 400 beds was statistically significant. When we analyzed the interviews of the hospitals with lower scores, it is important to change the awareness of executives and employees, to establish vision/strategy/objective, to promote relatively small-scale activities, and to establish long-term plans. To improve green management evaluation systems, it is necessary to reset the assessment area, to control scoring and weights, to create certification grades, and to adjust additional points.

The Impact of Population Aging on Energy Use and Carbon Emissions in Korea (인구 고령화가 에너지 사용과 탄소 배출에 미치는 영향)

  • Kim, Dong Koo;Park, Sunyoung
    • Journal of Environmental Policy
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    • v.13 no.2
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    • pp.99-129
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    • 2014
  • This research estimates the impact of population aging on energy use and carbon emissions by energy sources and by industrial sectors in Korea until 2035. For the estimation, the structural change in household consumption expenditure identified by the age-specific consumption pattern was analyzed in conjunction with energy and environment input-output tables. The estimation result presents that, despite the population aging, energy use and carbon emissions induced by household consumption continue to increase until 2026, and then that elevated levels of energy use and carbon emissions will be maintained for a considerable period of time. According to the estimation by energy sources, the use of natural gas will show substantial increase while the use of crude oil will switch to a downturn at a relatively early period. According to the estimation by industrial sectors, carbon emissions in the sectors with relatively high consumption share of old households such as medical health, dwelling, lighting, heating, air-conditioning, and food will have substantial increase, whereas those in the sectors associated with education, transport, catering, and accommodation services will turn downward relatively early. In addition, the study analyzes through policy simulation the impact of aging-related policy similar to the basic pension system, which is recently being discussed for legislation, on energy use and carbon emissions.

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Current Status and Future Directions of the Dream Start Program in Korea (드림스타트, 지난 10년의 성장과 향후 10년을 위한 과제)

  • Lee, Sang-Gyun
    • Journal of the Korean Society of Child Welfare
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    • no.59
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    • pp.115-150
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    • 2017
  • The purpose of this study was to examine the current status of the Dream Start program from the perspective of social investment strategy, and as well as to suggest future directions. The program has become a major government welfare program in korea since it was introduced in 2007 as a demonstration project, following research evidence and a sound rationale about the extensive success of Head Start in the U.S. and Sure Start Programme in the UK. The aim of Dream Start is to provide integrated services for the vulnerable children, aged 0 to 12, and their families who are identified using a national administration data record of disadvantaged families with children. In order to promote the vulnerable child's well-being, to overcome inequalities, and to give every child the best start in life, Dream Start adopted a local, "whole family" approach. Case management services form an essential part of the Dream Start to customize and integrate comprehensive services such as counseling, health care, parenting advice and education, academic tutoring, and after-school activities. Although there has been a general improvement in key factors since its inception, Dream Start has not yet sufficiently shown the strong and hoped-for impact. In the meantime, Dream Start must be given financial expansion and extensive policy supports to get the chance of realizing and evaluating long-term gains for children and their families. More work need to be done to overcome inequalities and to make Dream Start service more accessible for the most disadvantaged families with children in Korea. Practical and policy suggestions for future directions of the Dream Start programs were discussed.

A Study on the Factors Affecting Suicidal Ideation in People with Mental Disabilities (정신장애인 자살생각에 영향을 미치는 요인에 관한 연구)

  • Song, Seung-Yeon;Lee, Yong-Pyo
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.765-775
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    • 2021
  • The purpose of this study is to investigate factors that affect the suicidal ideation of the people with mental disabilities. To this end, the independent variables were analyzed by categorizing them into individual psychological factors, social factors, and demographic characteristics. The analysis data include 969 people with mental disabilities who participated in the 2017 Ministry of Health and Welfare's Research, 'Survey on the Current Status of Mental Disabilities in Community'. The analysis method was frequency analysis, descriptive statistics, and hierarchical multiple regression analysis with SPSS 23.0. As a result of the study, in terms of individual psychological factors, the higher the depression and the lower the mental health confidence, the more suicidal ideation increase. In terms of social factors, the more unregistered disabled groups, the more exposure to violence and discrimination, and the more they live in large cities, the higher their ideation of suicidal. The regression model explained 26.9% of suicidal ideation. The practical and policy implications for the prevention of suicide of the people with mental disabilities based on these results are as follows: First, social factors should be evaluated and considered together, rather than focusing only on individual psychological factors, in seeking policies and intervention programs that reduce suicidal ideation in the people with mental disabilities. Second, in seeking suicide prevention policies for the people with mental disabilities, Protection & Advocacy services should be provided to reduce violence and discrimination experiences. Third, in order to reduce the suicidal ideation of the people with mental disabilities, the mental disability registration system should be reorganized, and policy alternatives should be devised so that those experiencing mental distress can be included into the system.

The effect of policy on Korean personal assistance service for persons with disabilities of labor market participation (장애인활동지원서비스제도의 노동시장 참여에 대한 정책효과)

  • Kim, Song Sook;Kim, Yoo-Min;Na, Ga-Yeon;Baek, Seung-Hee;Lee, Kun-Chul
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.267-274
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    • 2021
  • This study used data from the 6rd and 12th year of the Korean Welfare Panel to evaluate the effects of the Personal Assistance Service(PAS) system on the labor market of PAS users' participation. For the purpose of this study, 64 program groups using the Korean PAS and 344 control groups not using the Korean PAS were selected using Caliper matching among the propensity score matching. A chi-square test was used for the difference in characteristics between groups, and a simple difference-in-differences (DID) model and a double-difference multiple regression analysis of DID were performed to estimate the effect of thepolicy before and after the Korean PAS. As a result of the study, it was found that statistically, PAS had no significant effect on the labor market. This is due to the low number of system users, resulting in low post-hoc power, incomplete matching and limited availability of PAS Assistants for Disabled People. Therefore, In order to demonstrate the effectiveness of the Personal Assistance Service(PAS) system, specialized services and systems that meet the needs of the disabled and household members should be implemented.

An Estimation on the Economic Value of Emergency Medical Facilities (응급의료시설의 경제적 가치 추정)

  • Lee, Hojun;Hong, Sok Chul
    • KDI Journal of Economic Policy
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    • v.36 no.4
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    • pp.103-133
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    • 2014
  • We consider the economic value of emergency medical facilities. An emergency medical facility affects the medical environments in a community, and thus the social demand on the facility increases as the demand of qualified public health service increases. Regarding the increased demand and the limited resources of fiscal budget, it is important to scientifically evaluate the social benefit of the public investment on emergency medical facilities, as the results of evaluation can help make better budgetary decision on each public investment project of emergency medical facilities. In this paper, we try to estimate the economic value of emergency medical facilities based upon the estimated changes in preventable death rate by the facility and the statistical value of life. We hope the results contribute to improve the budgetary decision making on the emergency medical facility projects, thus the public health policies.

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The effect of Attributes of Exercise/Fitness Apps on App Usage: A Convergence Perspective Based on the Self-Determination Theory (운동/피트니스앱 속성이 앱 활용에 미치는 영향: 자기결정성 이론을 기반으로 한 융복합적 관점에서의 탐구)

  • Choi, Joung-Hwa;Park, Dong-Jin;Noh, Ghee-Young
    • Journal of Digital Convergence
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    • v.13 no.6
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    • pp.327-339
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    • 2015
  • The present study explored how 1) individuals' perception about attributes of exercise/fitness apps and 2) their motivation for exercise/fitness behaviors influence perceived usefulness and usage of the apps. A survey of 323 males and females in their 20's and 30's revealed that attributes of apps that satisfy their basic psychological needs are crucial in promoting perceived usefulness and usage of the apps. Participants were more likely to perceive exercise/fitness apps useful as they perceive them having more attributes related to autonomy and competence. The perception regarding relatedness attributes did not have the main effect on perceived usefulness but showed an interaction effect with relative autonomous motivation. This convergence study which examined health apps from the perspectives of psychology and public health provides practical implications to development and evaluation of health apps.