• 제목/요약/키워드: Administration policy

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보장성 강화정책이 만성질환자 및 중증질환자 보유가구의 과부담 의료비 발생에 미친 영향 (Effects of the benefit extension policy on the burdening of health care expenditure for households with patients of chronic or serious case)

  • 최정규;정형선;신정우;여지영
    • 보건행정학회지
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    • 제21권2호
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    • pp.159-178
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    • 2011
  • Korea ranks high among the OECD member countries with a high out-of-pocket share. In 2006, the government implemented in full scale the policy of extending the health insurance benefit coverage. Included in the policy are lowering the out-of-pocket share of patients of serious case and expanding the medical bill ceiling system to mention just a few. This study proposes to confirm effectiveness of the benefit extension policy by identifying changes in 'out-of-pocket expenditure as a share of the ability to pay' and 'incidence rate of catastrophic health care expenditure' of each individual household as manifested before and after the benefit extension policy was implemented. The 1st and 3rd year data from the Korea Welfare Panel Study (KoWePS), conducted by the Korea Institute for Health and Social Affairs (KIHASA), were used for the analysis, where low-income households and ordinary households are sampled separately. While the absolute amount of 'out-of-pocket expenditure' occurred to the average household increased for the period 2005-2007, the 'out-of-pocket expenditure as a share of the ability to pay' decreased. At the same time, the share decreased in the case of low-income households and households with patients of chronic or serious case as contrasted with ordinary households. 'Incidence rates of catastrophic health care expenditure' of ordinary households for 2007 stood at 14.6%, 5.9% and 2.8% at the threshold of 10%, 20% and 30%, respectively. The rates decreased overall between 2005 and 2007, while those of low-income households with patients of serious case statistically significantly increased. An analysis of this study indicates that it is related with the medical bill ceiling system regardless of incomes introduced in 2007.

국내 보건학 분야 학술활동의 군집화와 '두 문화' 현상 - 보건행정학회지(1991~2006) 게재논문의 공저자 네트워크 분석 - (Co-author.Keyword Network and its Two Culture Appearance in Health Policy Fields in Korea: Analysis of articles in the Korean Journal of Health Policy and Administration, 1991~2006)

  • 정민수;정동준
    • 보건행정학회지
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    • 제18권2호
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    • pp.86-106
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    • 2008
  • This research analyzed. knowledge structure and its effect factor by analysis of co-author and keyword network in Korea's health policy and administration sector. The data was extracted from 339 articles listed in the Korean Journal of Health Policy and Administration, and was transformed into a co-author and keyword matrix. In this matrix the existence of a link was defined by impact factors which were calculated by the weight value of what the role was and the rate of how many authors contributed. We demonstrated that the research achievement was dependent on the author's status and network index. Analysis methods were neighborhood degree, correspondence analysis, multiple regression and the difference of weight distribution by research fields. Co-author networks were developed as closeness centrality as well as degree centrality by a few high productivity researchers. In particular, power law distribution was discovered in impact factor and research productivity. The effect of the author's role was significant in both the impact factor calculated by the participatory rate and the number of listed articles. Especially, this journal shared its major researchers who had a licensed physician with the Journal of Preventive Medicine and Public Health. Therefore, social scientists were likely to be small co-author network differently from natural scientists. It was so called 'two cultures' phenomenon. This study showed how can we verified academic research structure existed in the unit of journal like as citation networks. The co-author networks in the field of health policy and administration had more differentiated and clustered than preventive medicine and epidemiology fields.

중앙-지방 정부간 보건행정기능 및 재원의 효율적 배분방안 (Optimal Distribution of Public Health Administration between Local and Central Government)

  • 양봉민;김진현
    • 보건행정학회지
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    • 제2권2호
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    • pp.33-56
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    • 1992
  • The objectives of this research are (i) to review the functional and financial distribution of public health adminstration between central and local governments, (ii) to find out, based on economic criteria, optimal distribution required to fullfil local need for public health, and finally, (iii) to suggest policy implications in health area in face of the newly arising local autonomy system in Korea. Judging from data on government expenditures and tax revenues, public health administration in Korea is highly concentrated into central government, both functionlally and financially. High dependency of public health on central government has often been critisized that local residents can not participate in the decision making process for local health problems. This study, however, shows that localization of public health administration does not necessarily result in efficient and equitable allocation of resource to satisfy local demand for public health. From this point of view, two eccnomic criteria are suggested, i.e. external effect and economies of scle, as distributive criteria of roles in public health administration between local and central government. In addition, superiority of central concentration of public health administration to localization is emphasized in that public health in a wide sense contains the nature of public good and is part of compulsory socil security system. As a consequence, planned intervention by government is desirable.

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트럼프 행정부의 주요기반시설 사이버보안 정책분석에 관한 연구 (A Study on the Analysis of Trump Administration Cybersecurity Policy: Focusing on Critical Infrastructure)

  • 김근혜
    • 정보보호학회논문지
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    • 제29권4호
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    • pp.907-918
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    • 2019
  • 본 연구는 트럼프 행정부에서 발표한 행정명령, 사이버보안 전략, 법안을 분석함으로써 트럼프 행정부 출범이후 미국의 주요기반시설에 관한 사이버보안 정책을 분석한다. 분석결과, 첫째, 백악관의 역할이 약화되고 국토안보부가 국가 사이버보안 기능을 총괄하게 되었다. 둘째, 트럼프 행정부는 주요기반시설의 정의를 확대함으로써 주요기반시설 사이버보안 분야에서 정부의 역할을 확대하였다. 셋째, 필요시 정부가 민간 주요기반시설의 운영에 관여할 수 있음을 밝히고 있다. 이러한 정책방향은 백악관의 견해보다는 국토안보부와 전문 관료들의 견해가 적극적으로 반영된 것으로 오바마 행정부의 정책을 보완 개선하는 방향으로 진행되었다. 트럼프 행정부의 사이버보안 정책을 분석한 학술연구는 많지 않다. 트럼프 행정부의 주요기반시설의 사이버보안 정책에 대한 분석결과는 한국의 사이버보안 정책에도 시사점을 제공할 수 있을 것이다.

하니문의 동학(動學)과 구조의 정학(靜學): 문재인 정부의 외교정책, 변화와 연속성 (Dynamics of Honeymoon and Statics of Structure: Changes and Continuity of Foreign Policy in the Moon Jae-In Administration)

  • 최진우
    • 의정연구
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    • 제24권2호
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    • pp.5-38
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    • 2018
  • 문재인 정부 출범 후 한반도 외교지형에는 지각변동이 진행되고 있다. 무엇보다도 교착 상태에 빠져 있던 북핵 문제 해결, 그리고 한반도의 적대 상태 종식을 향한 새로운 동력이 생성되고 있다. 이러한 거대한 변화가 진행되고 있는데는 '운전자론'으로 표현되는 문재인 정부의 창의적인 외교정책에 힘입은 바가 크다. 하지만 문재인 정부의 외교정책은 과거 보수정권의 외교정책과의 연속성 또한 보이고 있다. 문재인 정부는 한미동맹의 중요성을 지속적으로 강조하면서 북핵문제 등의 해결에 있어 미국과의 굳건한 공조체제를 유지할 것임을공개적으로 천명하고 있다는 점에서 특히 그러하다. 사실 외교정책의 연속성 유지는 국내적 합의 기반 구축, 대외적 신뢰 제고, 기대-현실 간극의 부작용 완화 등에 기여할 수 있다는 점에서 긍정적인 효과를 수반할 것으로 기대된다.

남북한 공동어업정책의 과제;-EC 공동어업정책을 기초로- (The Issues of South and North Korea′s Common Fisheries Policy;- Based on BC Commn Fisheries Policy -)

  • 김기수;정형찬
    • 수산경영론집
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    • 제24권1호
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    • pp.1-27
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    • 1993
  • The purpose of this paper is to suggest issues of South and North Korea's common fisheries policy that is expected to be realized in the process of economic integration between the two countries. The paper has shown feasible policy alternatives of fisheries cooperation according to the steps of economic integration between the two countries. The paper has examined the possibilities and economic effects of several policy alternatives as follows : South Korea's fishing in North Korea's fishing area with fishing fee, limited reciprocal fishing in the opposite countrie's fishing zone, joint, ventures between two countries, and South and Nort Korea's common fisheries policy.

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