• Title/Summary/Keyword: 보건정책 평가

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The Improvement Proposal of Control System for Supply and Demand of Korean Optometrist (안경사 인력 수급 및 관리제도 개선방안)

  • Kim, Sang-Hyun;Lim, Yongmoo
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.4
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    • pp.9-14
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    • 2007
  • We have studied the problems associated with increasing number of ophthalmic optics students every year. The main problems are surplus supply of the optometrist and poor working condition. Thus all parties concerned who aim to solve the numerical unbalance of optometrist must have the common policy in sight. And we have to make a long-term plan and permanent organization for medical technician to establish supply and demand of medical technician with exact policy. To solve this unbalance of optometrist numbers, we have to establish an exact job category, reform the specialized education course, estimate the practical technique of national licensing examination for Korean optometrist, and innovate the contents and methods of reeducation.

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Nutrient Intake Patterns of Koreans by Economic status (한국인의 경제수준별 영양소 섭취 현황)

  • 문현경;김유진
    • Proceedings of the KSCN Conference
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    • 2003.05a
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    • pp.126-127
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    • 2003
  • 본 연구는 1998년 국민영양조사자료를 이용하여 경제수준별로 한국인의 영양섭취현황과 질적인 평가를 통하여 이에 적합한 경제수준별 국민영양정책방안을 제시하고자 한다. 조사대상자들을 경제수준별로 분류하기 위하여 1998년 최저생계비를 기준으로 한 수준균형방식에 의한 빈곤선을 이용하였다(김미곤 외, 1999년 최저생계비 계측조사연구, 한국보건사회연구원, 1999). (중략)

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성인병 뉴스 제320호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.320
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    • pp.1-17
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    • 2007
  • 전국 지자체 보건사업 종합평가/"생활습관병 퇴치 정책도입 필요"/고혈압.당뇨병환자 직접 등록관리/'방문건강관리'로 고혈압 관리율 향상/세계폐암학회, 담배 판매 금지 촉구/"폐암 진단 기준 세분화된다"/세계폐암학회 2007년 담배규제선언문/서울대병원, 브랜드 경쟁력 1위/세브란스병원 국제적으로 인증/충남도청 이전지에 '건양대학병원' 설립/55세 이상 남성... 5%가 전립선암/"순한 담배가 선암성 폐암 일으킨다"/골다공증 척추골절, 직접성형 96% 만족/건강투자전략의이해/"살기 좋은 웰빙 도봉"-도봉구보건소/"생각이 바뀌면 운명이 달라진다"

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초대석 - '우문현답'의 자세로 산업안전.고용노동 분야 현안 해결

  • Im, Dong-Hui
    • The Safety technology
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    • no.174
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    • pp.12-13
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    • 2012
  • 고용노동부 이채필 장관이 취임 1년을 맞았다. 이 장관의 취임 후 산업안전보건 분야는 산업재해자의 감소, 산재율 감소 등의 많은 성과를 이루어냈다. 산재감소를 위한 각계의 노력을 한데 모아나갔던 것이 이렇게 큰 성과로 나타난 것이다. 이외에도 이 장관은 근로 시간 줄이기 등 다양한 고용노동정책을 추진하면서 산업현장의 불합리한 짐을 고치려 많이 노력해왔다는 평가를 받고 있다. 이 장관과 우리나라 산업안전 분야의 산적한 문제점들을 해결하기 위한 고용노동부의 계획 등에 관해 이야기를 나눠봤다.

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Improving Priority-setting procedures for NHI benefit package (건강보험보장성 정책결정과정의 평가와 재설계)

  • Yun, Hee-Suk;Kwon, Soon-Man;Kwon, Yong-Jin
    • Health Policy and Management
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    • v.20 no.2
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    • pp.53-68
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    • 2010
  • In health care, the process of resource allocation becomes a controversial process of rationing, as scarce resources are allocated between the numerous health care interventions. Especially for the last few years, decisions to define and expand the benefit package of National Health Insurance have always become the object of fierce criticism. It is partly because we have not reached a collective agreement as to what the most important criteria for spending priorities are. This paper considers the procedures and the principles which could be used to determine rationing in health care, and emphasizes the need to have explicit principles which determine patient access to care and to have an evidence base to inform rationing decisions. Also, the need to set up a public committee is suggested to take rationing decisions on behalf of government and NHS and to present them as evidence-based decisions.

Development of evaluation components and criteria for the Korean Healthy Diet and assessment of the adherence status among Korean adults (한국인을 위한 건강식단 평가 항목 및 기준 개발과 준수 현황)

  • Soo Hyun Kim;Hyojee Joung
    • Journal of Nutrition and Health
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    • v.57 no.4
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    • pp.435-450
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    • 2024
  • Purpose: This study developed the evaluation components and criteria for the Korean Healthy Diet (KHD) and assessed the current compliance of Koreans. Methods: The study reviewed domestic and international dietary guidelines and literature and conducted an online survey of 514 Korean adults to understand their nutritional perceptions, specifically the perceived importance of health and incorporation into usual diet. Data from the Korea National Health and Nutrition Examination Survey (KNHANES) were used to investigate food and nutrient intake patterns and examine the relationship between intake and metabolic syndrome (MetS). Based on these data, the components and criteria for a KHD were established by sex and age, and adherence was assessed. Results: The KHD evaluation included 13 dietary components: carbohydrates, sugar, fiber, protein, total fat, saturated fat, sodium, calcium, mixed grains, meat·fish·eggs·beans, vegetables, fruits, and dairy products. Applying the selected components and criteria to data from the KNHANES (2019-2021), the average KHD adherence score for Korean adults was 5.465 ± 0.023 out of a maximum score of 13. The score significantly increased with age (4.766 ± 0.044 for 19-29 years; 5.276±0.032 for 30-49 years; 6.109 ± 0.033 for 50-64 years), and women (5.642 ± 0.028) had higher scores than men (5.284 ± 0.030) (p < 0.05). Furthermore, the total score significantly differed between those with MetS (5.518 ± 0.045) and those without (5.568 ± 0.026) after adjusted for sex and age (p < 0.05). When scoring the dietary components, sugar (0.852 ± 0.004) and proteins (0.881 ± 0.004) scored relatively higher in the association with MetS, whereas calcium (0.148 ± 0.004) and mixed grains (0.225 ± 0.005) scored relatively lower. Conclusions: The KHD evaluation criteria could be used as a tool for screening and monitoring the overall diet quality of Koreans.

New Approaches to Assessing the Effects of Environmental Noise arid Vibration on Human (환경 소음ㆍ진동의 인체영향 평가에 대한 새로운 접근)

  • 정완섭;김용태
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.05a
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    • pp.768-771
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    • 2002
  • 국외 환경 소음과 진동은 이미 세계보건기구(WHO)와 UN산하 환경기관에서 선언한 바와 같이 “전세계인의 문제”(“global issues”)로 분류 인식하고 있으며, 이들 문제점들에 대한 접근은 선진국들의 국민 복지정책의 가장 핵심적 요소로 관리하고 있다. 예를 들어, WHO가 출판한 공중소음에 대한 지침서[1], 그리고 유럽공동체의 전문가 그룹이 작성한 보고서[2]들은 최근의 환경소음에 대한 새로운 접근의 필요성, 새로운 측정 및 평가 방법, 그리고 인체에 미치는 복합적 영향들의 새로운 평가 기법 개발, 그리고 환경 개선을 위한 장기적 계획과 실천 방안들을 구체적으로 제시하고 있다.(중략)

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Changes in the Behavior of Healthcare Organizations Following the Introduction of Drug Utilization Review Evaluation Indicators in the Healthcare Quality Evaluation Grant Initiative (의료질평가지원금 제도의 의약품안전사용서비스 평가지표 도입에 따른 의료기관의 행태 변화)

  • Hyeon-Jeong Kim;Ki-Bong Yoo;Young-Joo Won;Han-Sol Jang;Kwang-Soo Lee
    • Health Policy and Management
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    • v.34 no.2
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    • pp.178-184
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    • 2024
  • Background: This study aimed to determine the effectiveness of drug utilization review (DUR) evaluation indicators on safe drug use by comparing the changes in DUR inspection rates and drug duplication prescription prevention rates between the pre- and post-implementation of the DUR evaluation indicators of the Healthcare Quality Evaluation Grant Initiative. Methods: This study used DUR data from the Health Insurance Review and Assessment Service in 2018 (pre-implementation) and the evaluation results of the Healthcare Quality Evaluation Grant Initiative in 2023 (post-implementation). The dependent variables were the DUR evaluation indicators, including DUR inspection rate and drug duplicate prescription prevention rate. The independent variable was the implementation of the DUR evaluation indicators, and the control variables included medical institution characteristics such as type, establishment classification, location, DUR billing software company, and number of beds. Results: The results of the analysis of the difference in the prevention rate of drug duplicate prescriptions between the pre- and post-implementation of the DUR evaluation indicators of the Healthcare Quality Evaluation Grant Initiative showed that the prevention rate of drug duplicate prescriptions increased statistically significantly after the implementation of the DUR evaluation indicators. Conclusion: The policy implications of this study are as follows: First, ongoing evaluation of DUR systems is needed. Second, it is necessary to establish a collaborative partnership between healthcare organizations that utilize DUR system information and the organizations that manage it.

An Analysis of the Disagreement in Disease Coding in South Korean Medical Institutions: Focusing on the Health Insurance Claim Data of Outpatients (우리나라 의료기관의 질병 코딩 불일치성 분석 : 외래환자 건강보험 청구 자료를 중심으로)

  • Jeon, Yun-Hee;Kang, Gil-Won
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.533-540
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    • 2018
  • The purpose of this study was to use the data from the Health Insurance Review and Assessment Service to analyze the disagreement in disease coding given by different medical institutions on the same disease of the same patient and provide basic data that could help improve the quality of national public health statistics. 9,976,826 patients' data records from the Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS) of 2014 were analyzed. The disagreement in disease coding differed by movement paths for medical institutions; the disagreement rate tended to increase when moving from a medical institution other than public health centers to a public health center and decrease remarkably when moving from a specialized general hospital to another. Therefore, this analysis of disagreement in disease coding among medical institutions suggests the need to supplement the system so that domestic medical institutions can realize consistent disease coding.

A Study on the Spatiotemporal Characteristics of a Hazard-based Index using the Pollutant Release and Transfer Register Data (화학물질 배출·이동량 자료를 이용한 유해기반 지수의 시공간 특성 연구)

  • Kim, Shijin;Lim, Yu-ra;Bae, Hyun-Joo
    • Journal of Environmental Health Sciences
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    • v.47 no.2
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    • pp.144-154
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    • 2021
  • Objectives: This study was intended to identify hazard contribution by region, media, and chemical by calculating a hazard-based index using pollutant release and transfer register (PRTR) data. Methods: PRTR data for the period 2011 to 2016 was analyzed to examine the regional trends in toxic releases in terms of quantity and to create a corresponding hazard-based index. For the hazard-based index, the Risk-Screening Environmental Indicators (RSEI) Model was used. Results: The results of the trend analysis show that total releases decreased slightly, but health hazard levels increased consistently. According to the outcome of regional contribution analysis of the hazard-based index, Chungcheongnam-do, Jeollabuk-do and Gyeonggi-do Provinces showed a high ratio in the index for air and water release pollutants, while Gyeongsangbuk-do and Gyeongsangnam-do Provinces showed a high ratio in the index of soil release and waste transfer pollutants. Also, as a result of the analysis of the top ranked substances in the hazard-based index, it was found that chromium, cobalt and its compounds, and ethylene oxide contributed greatly to air release substances, while chromium, benzene, and lead and its compounds contributed greatly to water release substances. Conclusion: These results showed considerable disparities between total release and health hazard levels, especially in the analysis of contribution by regions and by chemical substance. Therefore, the hazard-based index should be used both to support a more comprehensive and robust approach to screening of chemicals for environmental health policy and for management.