• 제목/요약/키워드: 보건 행정학

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치료 가능한 사망으로 측정한 우리나라 지역 간 건강수준의 격차 (Regional Gaps in Health Status Estimated by Amenable Mortality Rate in Korea)

  • 백세종;김희년;이다호;정형선
    • 보건행정학회지
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    • 제31권1호
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    • pp.100-113
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    • 2021
  • Background: This study aims to figure out the gaps in health status by estimating amenable mortality rate by region, reflecting the characteristics of Korea, and estimating the years of life lost (YLL) per capita by disease. Methods: People who died from amenable diseases between 2008 and 2018 were extracted from the cause of death statistics provided by Statistics Korea. The age-standardized amenable mortality rates were estimated to compare the health status of 229 regions. YLL per capita was calculated to compute the burden of diseases caused by treatable deaths by region. The YLL per capita by region was calculated to identify the burden of disease caused by amenable deaths. Results: First, while the annual amenable mortality rate in Korea is on a steady decline, but there is still a considerable gap between urban and rural areas when comparing the mortality rates of 229 areas. Second, YLL per capita due to the amenable deaths is approximately 14 person-years during the analysis period (2008-2018). Conclusion: Although the health status of Koreans has continuously improved, there is still a gap in health status region by region in terms of amenable mortality rates. Amenable death accounts for a loss of life equivalent to 14 person-years per year. Since the amenable mortality rate is an indicator that can measure the performance of the health care system, efforts at each local area are required to lower it.

자살예방을 위한 통합적 접근의 필요성 (The Need of Integrated Approach for Suicide Prevention)

  • 박은철
    • 보건행정학회지
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    • 제29권1호
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    • pp.1-3
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    • 2019
  • Suicide is a major problem in Korean health care and a serious social problem. In Korea, 12,463 people (24.3 per 100,000) lost their lives due to suicide in 2017. Although the government has established three National Comprehensive Plan of Suicide Prevention (2004, 2009, 2016), and National Action Plan of Suicide Prevention (2018), the suicide rate is still high. The suicide rate of the elderly is especially high. This is due to the economic vulnerability of the elderly in Korea. Therefore, in order to prevent suicide in Korea, mental health care approach and social welfare approach should be integrated. The intervention of preventing suicide of suicide attempters should include social welfare services as well as mental health program and should be based on community. There are many health problems, including prevention of suicide, which can not be solved only by the efforts of health care. Many health problems are social problems and the integrated approach is needed to solve them. In order to solve many health care problems and improve health, integrated approach of health, social science, and humanities is needed.

위드코로나 시대, 어떻게 준비할 것인가? (Coexisting with the Coronavirus, How to Prepare for It)

  • 이선희
    • 보건행정학회지
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    • 제31권3호
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    • pp.241-243
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    • 2021
  • With the increase in vaccinations worldwide, the world is facing the era of coexisting with coronavirus disease 2019 (COVID-19). The government announced that it will change its focus of public health emergency response system, gradually toward daily recovery from November. Hence, this article reviews an overview of policy tasks to prepare for the era of coexistence with COVID-19. The three key policies that should be considered are as follow: (1) vaccination should be administered promptly to improve the immunity of the target population; (2) the government should advance the medical capability for critically ill patients and reorganize the patient delivery system; and (3) epidemiological surveillance system should be reformed in a direction to raise the social capacity.

연구윤리 환경 변화와 연구윤리 정책동향 (Changing Policy Trends in Research Ethics)

  • 이선희
    • 보건행정학회지
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    • 제31권2호
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    • pp.145-147
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    • 2021
  • The ethical environment in academic research is rapidly changing at a global level. Further, social expectations and public interest toward research ethics are also escalating in Korea. Understanding and applying ethical issues in academic research has become increasingly important. To conform to such changes in the ethical environment, the official journal of the Korean Academy of Health Policy and Management has been consistently establishing and modifying rules and principles regarding research ethics. For instance, we amended the submission guidelines to further address the policies for gendered innovations. For this editorial of the current issue, we would like to organize and share several ethical concerns, which recently gained considerable attention. We hope this review provides scholars with practical guidelines to comprehend and incorporate critical ethical issues into academic research.

지속 가능한 의료시스템 재건이 필요하다 (Sustainable Healthcare System Needs to be Rebuilt)

  • 이선희
    • 보건행정학회지
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    • 제32권3호
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    • pp.245-246
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    • 2022
  • Concerns about a global economic recession are rising following the coronavirus disease 2019 (COVID-19) pandemic. Accordingly, government entities, which are committed to overcome two barriers to severe inflation and economic recession, are showing high interest in spending management so as not to undermine fiscal soundness. Since the health care sector especially accounts for a large proportion of fiscal expenditure, it should be managed in a manner that the expense is appropriately spent. The National Health Insurance System and Healthcare System have secured international competitiveness and reliability by effectively responding to the COVID-19 pandemic. Likewise, considerable efforts should be made to reorganize the welfare and healthcare systems so that they can be sustainable during the post-COVID-19 era and the recession.

의사인력정책, 근거 중심으로 접근하자 (How to Integrate the Fourth Industrial Revolution in the Healthcare Industry?)

  • 이선희
    • 보건행정학회지
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    • 제33권2호
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    • pp.115-117
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    • 2023
  • The issue of increasing the number of physicians is emerging. Because the physician workforce is a critical component of the health care system, and substantial costs are involved in training personnel, a cautious approach is required. The demand to increase the number of physicians is based on the contention that there are difficulties in accessing essential health services and the need to prepare for future demands such as fostering physician-scientists. However, simply increasing the number of physicians is not an appropriate approach to address these demands, especially considering that the effects of such an increase will appear 10 years later. Moreover, it is concerned that the current argument for increasing the physician workforce is intertwined with political interests. When considering the impact on the health care system, decisions regarding the expansion of the physician workforce should be based on evidence. Additionally, rather than temporarily responding to social issues, it is expected that a governance system will be established to continuously discuss and decide on fostering medical personnel.

바이오헬스정책, 거버넌스 구축이 최우선 과제이다 (Establishing an Effective Governance System Is the Top Priority in Securing Competitiveness in the Biohealth Industry)

  • 이선희
    • 보건행정학회지
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    • 제33권4호
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    • pp.377-378
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    • 2023
  • The Yoon Suk Yeol administration is promoting the "Global Leap of the Biohealth Industry" as one of its 120 key national policies. Recently, the administration has been showing its commitment by establishing various strategies and presenting blueprints for policy implementation. However, the results felt on the ground are still not sufficient. The biohealth industry is a difficult field to generate policy effects because the related regulations are intricately intertwined and the diverse administrative tasks are scattered in various government departments, where inter-departmental interests differ. To solve this problem, an innovative governance system should be established. In order for the government's recent approach to establish a government-wide control tower to be effective, it should demonstrate a proactive policy commitment and be given practical power to coordinate the interests between departments.

대통령 선거와 보건의료정책 (Presidential Election and Health Policy)

  • 박은철
    • 보건행정학회지
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    • 제27권2호
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    • pp.95-96
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    • 2017
  • The new president was elected unusually within short period, because of the president's impeachment. As the result, policy window as the president's election was rarely opened in healthcare sector. The new government has to overcome the era of aged society, low birth rate, and low economic growth rate and to prepare the unification of nation. The new government should set the priority of healthcare policies through a holistic and systematic approach. And the new government must implement a balanced healthcare policy with equity and efficiency, regulation and support, consumers and suppliers, in-kind benefits and cash benefits, and so on.

보건정책에 있어 학술지의 역할 (The Role of Academic Journal in Health Policy)

  • 박은철
    • 보건행정학회지
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    • 제27권1호
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    • pp.1-2
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    • 2017
  • Health policy is the governmental decision contained with the objectives to achieve the desirable health and the tools to achieve them. The academic journal in health policy could be involved in all stages of the health policy process-agenda setting, policy making, policy implementing, and policy evaluating. 'Health Policy and Management' has been undertaking the role of an academic society in health policy. 'Health Policy and Management' will strengthen its role in health policy.