• Title/Summary/Keyword: 의료공공성

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Comparative Analysis on Health Care Expenditure and Its Improvement Effect for Social Welfare: An Application of Principal Component Analysis (보건의료비의 사회후생 증대효과 비교분석: 주성분분석을 중심으로)

  • Rhee, Hyun-Jae
    • The Journal of the Korea Contents Association
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    • v.13 no.2
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    • pp.378-389
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    • 2013
  • Health care expenditure might be understood as a core source of social welfare. It is mainly due to the fact that the health care expenditure is closely related to the level of social welfare. And, therefore, the paper is basically designed to investigate the effect of social welfare improvement resulted from an increasing in per capita, private, public, and total health care expenditures during 1995-2009 periods. Empirical evidence reveals that the improvement of social welfare in middle income group reveals the highest improvement in social welfare, and the other income groups maintain a quite similar pattern in improvement of social welfare. As far as category of health care expenditure concerns, the effect of social welfare improvement by per capita health care expenditure is in general lower in all case. And, private sector achieves the highest improvement of social welfare in comparing with public and total health care expenditures. To this end, it could be tentatively concluded that the private health care expenditure has to be substituted for the public sector to induce market-oriented operational system. Accordingly, it would be better to build an institutional basis more elaborately in setting up the market system.

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 Comparison of Productivity Change Gap of Public Hospitals and Private Hospitals in Korea (공공병원과 민간병원의 생산성 격차 비교)

  • Yang, Dong-Hyun
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.203-215
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    • 2013
  • This study calculated meta Malmquist indices and their bootstraped estimates and then decomposed them into technical efficiency change(TEC), technology change(TC), pure technology catch up(PTCU), frontoer catch up(FCU), using annual data set of general hospitals from year 2007 to 2011 collected by Korean Hospital Association and then analyzed productivity change and technology gap of Korean general hospitals. The results and implications were as follows below. First, public general hospitals showed higher meta technical efficiencies than private general hospitals while exhibited lower technology gap ratio which meant a few large private general hospitals led the whole general hospitals. Second, group productivity of private general hospitals increased larger than public general hospitals due to the differences of PTCU rather than FCU. But, there was no statistically significant differences for technical efficiency, productivity change, technology gap. Thus, public general hospitals played the same role as the private general hospitals in terms of the number of patients treated. But, considering financial hardships of public general hospitals, public hospitals needed to share and learn medical and managerial skills of the best practice of private general hospitals.

The Medical Doctors' Opinion of Public Health Center on the Development and Supply of Medical Doctor for Public Health Sector (공공보건분야 의사 인력 양성과 개발에 대한 보건소 근무 의사들의 인식)

  • Lee, Kyeong-Soo;Lee, Jung-Jeung;Kim, Jin-Sam;Hwang, Tae-Yoon;Son, Hyo-Kyung;Kim, Chun-Bae
    • Journal of agricultural medicine and community health
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    • v.34 no.3
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    • pp.303-315
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    • 2009
  • Objectives: This study, as for activating measures for capable medical physicians to penetrate into the public health sector, is to provide a basic informations which are used for the enlargement of human resources of physicians in the public health sector, by investigating the perception of physicians, who are now working in the public health center, on the training and development of physicians in the public health sector. Methods: The subjects of this study were 126 individuals. The data was analyzed by frequency analysis using SPSS ver. 17.0K. Results: According to the investigation of 'how to support physicians in public health sector', the necessity of almost questions is considered to be important. Especially, regarding to investigation on 'obstacles of physicians' entrance to public health sector', 'relatively low salary' and 'lack of promotion chances' were thought to be considerable. The most significant education programs to work for public health sector is to improve the ability of health administration planning and service performance. Conclusions: The important methods to reinforce and easily obtain the human resources of physicians in public health sector are not only to improve the penetration of physicians to public health sector, but also to enhance the ability of present physicians, even though sufficient recruitment of physicians is essential.

GIS-based Database for Development of Disease Prediction Model (질병 예측 모델 개발을 위한 지리정보시스템(GIS)기반 데이터베이스 구축)

  • Jang, Wooyeong;Woo, Changwoo;Song, Harim;Shon, Ho Sun;Ryu, Keun Ho;Kim, YoungGyu
    • Proceedings of the Korea Information Processing Society Conference
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    • 2014.04a
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    • pp.708-711
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    • 2014
  • 국민소득 증가와 고령화 사회에 진입하면서 다양한 의료소비가 의료서비스산업에 영향을 미치고 있으며, 이러한 사회 구조 및 환경변화에 따라 새로운 질병에 대한 대응 또한 절실히 요구되고 있다. 질병 예측을 위한 연구는 기후변화와 질병, 건강행태와 질병, 사회적 위치와 질병 등 질병에 영향을 주는 많은 요인들이 있다. 그러나 이러한 요인들을 통합, 분석 활용하는 데는 해결해야 할 문제들이 많이 있다. '정부3.0 공공데이터 개방 정책' 을 통해 질병에 관련된 자료가 공개 되면서 본 연구에서는 2010년부터 2012년까지의 질병에 영향을 주는 공공데이터를 연도별로 통합하여 지리정보시스템(GIS)기반 데이터베이스를 구축하고 활용 할 수 있게 하였다. 향후 기후변화에 민감한 질병을 찾기 위해 해당기관의 자료를 활용하여 월별로 데이터베이스를 구축하고, 이를 기반으로 의료서비스의 활성화 및 효율성에 기여 할 수 있다.

A Study on Walking Safety Satisfaction according to Vulnerable Pedestrians' Access to Public Facilities (교통약자의 공공시설 접근성에 따른 보행안전 만족도 연구)

  • Kwon, Yeon Hwa;Choi, Yeol
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.41 no.1
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    • pp.65-74
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    • 2021
  • This study empirically analyzes the effect of pedestrians' personal and household characteristics and accessibility to public facilities on a walking safety satisfaction (WSS) level. The aim is to find ways to improve vulnerable pedestrians' WSS level and contribute to the creation of an inclusive urban environment. As a result of the analysis, age and gender variables were important for elderly people, and education was an important factor for disabled people. The WSS level was impacted by the factors of single-person households, income, and residential areas. In the case of accessibility to public facilities, the greater the satisfaction with accessibility to public institutions, urban parks and green areas, and public transport, the greater the WSS for the elderly and the disabled. And, the greater the satisfaction with accessibility to commercial facilities, the greater the WSS was for the elderly's WSS. However, the satisfaction with access to medical facilities was the opposite in the case of the elderly.

Big Data Education Contents for Healthcare Officials (보건의료담당 공무원을 위한 빅데이터 교육콘텐츠)

  • Kim, Yang-Woo
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.236-242
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    • 2020
  • Big data technology has been rising as a leading technology in the healthcare paradigm. As a world-class big data nation including National Health Insurance data, Korea has been focused on health policies and sustainability through database forecasting and policy establishment. So the need for education of big data by public officials in healthcare sector is increasing. However, there has not yet been National Competency Standards(NCS) or education modules, in this study, healthcare big data education module and content have been developed for the public servants with confidence.

Potential Accessibility of Public Healthcare Facilities in Rural Areas (농촌지역 공공보건시설의 잠재적 접근성 측정)

  • Lee, Jun Mo;Cho, Soon Chul;Hwang, Jeong Im
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.2
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    • pp.431-450
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    • 2013
  • The present study aims to evaluate the potential accessibility of public healthcare facilities in rural areas. Population is prepared and analyzed in spatially microscopic level using dasymetric mapping method. According to the analysis on the accessibility to public facilities which is conducted using shortest distance, Gun areas and Eup/Myeon areas are 1,845m and 1,777m from residential areas respectively. Areas in Gangwon-do and Gyeongsangbuk-do have relatively low accessibility while Eup areas tend to have higher accessibility. The present study is meaningful in that it shows the status quo of and regional differences of potential accessibility of rural public facilities in Korea. Furthermore, the findings are also meaningful as they can be utilized as fundamental data to locate the facilities and improve the service delivery of medical facilities.

Development and effect of Simulation-based Educational Program for Communication to Prevent Patients from Safety Accident by Nurses working in the Public Medical Institutions (공공의료기관 간호사의 환자안전사고 대처를 위한 시뮬레이션 기반 의사소통 교육프로그램 개발 및 효과)

  • Mok, Seung Hyun;Kim, Sung Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.115-126
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    • 2020
  • This study focused on the development of a simulation-based educational program for communication, targeted to prevent safety accidents of patients. Application of the program to nurses working in public medical institutions was assessed to identify the effects of the program in terms of communication skill, self-efficacy, critical thinking disposition, and problem solving ability of nurses, before and after completion of the education. Method: A total of 32 nurses, working in hospitals designated as public medical institutions, were selected as subject participants in the present study. Data were collected during the period August 19 to 20, 2019, and analyzed by SPSS 23.0. Results: Results obtained from the present study reveals significant efficacy of the educational program, in respect of improved communication skill, self-efficacy, and problem-solving ability. On completion of the educational program, we observed an increase in the critical thinking disposition of nurses, although it was statistically insignificant. Conclusions: We believe that the educational program developed in the present study can be exploited as a foundation for developing other programs intending to improve the communication skill of nurses employed in clinics of public medical institutions, targeted to prevent occurrence of safety accidents of patients.

Nature of Competition and Regulation in Health Care Markets : Implications for Public Policy (보건의료분야에서의 경쟁과 규제의 본질 : 공공정책적 함의)

  • 권순만
    • Health Policy and Management
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    • v.6 no.2
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    • pp.14-42
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    • 1996
  • On rationale for government intervention is the failure of competition in the market. Health care markets are characterized by such unique aspects as information asymmetry, prevalence of insurance, and cost-increasing competition based on the adoption of costly medical technology. Therefore, government policy to guarantee a sufficient number of providers in markets may not lead to socially beneficisal outcomes such as higher quantity and lower price. This paper examines the unique nature of health services and its implications for competition, the evidence that competition may not reduce health care ex[enditures, and policy tools that government can use to encourage competition which contributes to supporting a sustainable health care system.

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