• Title/Summary/Keyword: Financial Access

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Roles of Cancer Registries in Enhancing Oncology Drug Access in the Asia-Pacific Region

  • Soon, Swee-Sung;Lim, Hwee-Yong;Lopes, Gilberto;Ahn, Jeonghoon;Hu, Min;Ibrahim, Hishamshah Mohd;Jha, Anand;Ko, Bor-Sheng;Lee, Pak Wai;MacDonell, Diana;Sirachainan, Ekaphop;Wee, Hwee-Lin
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2159-2165
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    • 2013
  • Cancer registries help to establish and maintain cancer incidence reporting system, serve as a resource for investigation of cancer and its causes, and provide information for planning and evaluation of preventive and control programs. However, their wider role in directly enhancing oncology drug access has not been fully explored. We examined the value of cancer registries in oncology drug access in the Asia-Pacific region on three levels: (1) specific registry variable types; (2) macroscopic strategies on the national level; and (3) a regional cancer registry network. Using literature search and proceedings from an expert forum, this paper covers recent cancer registry developments in eight economies in the Asia-Pacific region - Australia, China, Hong Kong, Malaysia, Singapore, South Korea, Taiwan, and Thailand - and the ways they can contribute to oncology drug access. Specific registry variables relating to demographics, tumor characteristics, initial treatment plans, prognostic markers, risk factors, and mortality help to anticipate drug needs, identify high-priority research area and design access programs. On a national level, linking registry data with clinical, drug safety, financial, or drug utilization databases allows analyses of associations between utilization and outcomes. Concurrent efforts should also be channeled into developing and implementing data integrity and stewardship policies, and providing clear avenues to make data available. Less mature registry systems can employ modeling techniques and ad-hoc surveys while increasing coverage. Beyond local settings, a cancer registry network for the Asia-Pacific region would offer cross-learning and research opportunities that can exert leverage through the experiences and capabilities of a highly diverse region.

Prevalence and Risk Factors of Unmet Healthcare Needs among Korean Adults with Hypertension (한국인 고혈압 환자의 의료접근성 및 미 충족 의료실태와 위험요인 분석)

  • Oh, Heeyoung;Gil, Eunha
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.22-31
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    • 2017
  • Purpose: The purposes of this secondary analysis study was to examine prevalence, risk factors and unmet healthcare needs among adults with hypertension. Methods: A sample of 3,386 adults over the age of 40 with hypertension were drawn from the Korea Health Panel Study (2013). Using SPSS 22.0 version, descriptive statistics including frequency, percentage, chi-square and logistic regression were performed. Results: Results showed that 18.9% of the sample reported unmet healthcare needs with the most frequently cited one was financial burdens (43.2%). The reported experiences of unmet healthcare needs differed by gender, marital status, vision or hearing impairment, memory problem, impaired mobility, subjective health status, total family income, depressive episode and the difficulty in making decisions. The sample participants were more likely to report unmet healthcare if they had vision impairment, low income and perception that their health status as moderate to poor. Those without vision impairment were less likely to report unmet healthcare needs. Conclusion: The identified risk factors of unmet healthcare needs should be addressed which would enhance access both to health care and to resolution of unmet healthcare needs. Since visual ability seems to impact perception of unmet healthcare needs, it may be useful to find ways to address this factor.

T-Tree Index Structures Utilizing Prefetch Methods (프리패치 기법을 적용한 T.트리 인덱스 구조)

  • Lee, Ig-Hoon;Shim, Jun-Ho
    • The Journal of Society for e-Business Studies
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    • v.14 no.4
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    • pp.119-131
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    • 2009
  • During a decade, e-Commerce environments supporting real-time transaction processing have been getting larger. In telecommunication and financial environments, research and building for main memory database systems have been doing to support real-time transaction processing. A research on indexing for fast transaction support focuses on reducing cache misses or reducing memory access latency when cache misses happen. In the paper, we propose a prefetch method for tree index structures to reduce memory access latency. We present a prefetch-efficient pCST-tree and show superiority of the proposed tree by experiments.

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Information Sources and Use of the UN Specialized Agencies (국제연합 전문기구의 정보원과 이용에 관한 연구)

  • Lee, Sook-Hee
    • Journal of the Korean Society for Library and Information Science
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    • v.38 no.2
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    • pp.5-27
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    • 2004
  • The purpose of this study is to enhance the access and the use of international information sources by analyzing the types and the characteristics of information services and resources of the UN specialized agencies. A brief review of the goals and activities of the 16 specialized agencies involving every aspects of international affairs, such as agriculture, food standards, alleviating poverty, financial stability, labor conditions and health care, are presented with the discussions of the useful documents and publications available at the each agency's WWW page as well as access tools for the resources and information services of the agencies. Finally, some suggestions for more effective international information services are made.

Review of Programs for Improving Patient's Access to Medicines (의약품 접근성 향상을 위한 방안 고찰)

  • Kim, EuGene;Kim, Younhee
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.1
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    • pp.40-50
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    • 2018
  • Objective: This study presented the analysis period, the complexity of combined therapy and comparator choice as the key limitations in the economic evaluation of new drugs, and discussed programs for coping with these limitations. Methods: This study evaluated the post-evaluation, risk-sharing agreement, extra funding program, and flexible incremental cost-effectiveness ratio (ICER) threshold as actions or programs that would increase accessibility to costly new drugs. The study also presented the cases of other countries. The application of the post-evaluation was considered to deal with high uncertainty regarding new drugs. Results: The risk-sharing agreement was introduced in European countries as well as South Korea and has been responsible for the shift from using the financial schemes to outcome-based schemes. The drug funding program has had troubled in securing stable extra funds. The application of higher ICER in the economic evaluation of expensive and innovative oncology drugs was criticized because of the inequity between oncology patients and patients with other diseases. Conclusion: Therefore, introducing and applying actions that would increase the accessibility to costly new drugs in South Korea have been deemed necessary after careful reviews and discussions with various stakeholders (insurer, policy makers, pharmaceutical companies and patients).

대학도서관 문헌제공봉사의 현황분석과 강화방안

  • 윤희윤
    • Journal of Korean Library and Information Science Society
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    • v.29
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    • pp.27-63
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    • 1998
  • The purpose of this study is to analyze the document delivery service(DDS) of the academic libraries and suggest its improvement model in Korea. DDS means providing copies of information requests in any format and from any source. And DDS is gaining in importance as libraries turn to 'just-in-time' access rather than 'just-in-case' collection to meet user information needs. By good fortune, rising journal subscription prices, declining financial resources, canceling some of journal subscriptions, electronic transmission technologies, and the rise of commercial document delivery services have allowed libraries to begin to deliver articles to users in a much more rapid and acceptable time frame. Therefore, the library paradigm for the 2000s must be the creation of new document delivery structures which capitalize on the access tolls and structures created by librarians during the past generations. First of all, library-based document service requires a close review of existing library-to-library delivery mechanisms, application of technology to transfer of facsimiles of materials and facilitated use of existing fee-based document sources. The ideal document delivery system would feature a transparent, seamless electronic service incorporating searching and browsing identification and marking of desired items, and transmission and fulfillment of requests. And requested items would be supplied from library collection, commercial suppliers, or other sources. But the future of DDS will succeed when physical resources, policies, personnel, and practices are organized to provide timely information delivery to users.

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Design of the ACCESS (Address Certification Co-opErating SyStem) in Financial Institution (금융기관의 주소인증공동이용시스템 설계)

  • Park, Min-Gab;Jeon, Min-Ho;Yang, Hae-Sool
    • Proceedings of the Korea Information Processing Society Conference
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    • 2005.05a
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    • pp.663-666
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    • 2005
  • 은행, 저축은행, 신용정보회사 등 금융기관에서는 채권관리 및 회수, 각종 우편물 발송 등의 업무처리를 위해 채무자 또는 고객의 최종 주소의 파악이 필요하다. 주소 파악을 위한 업무프로세스는 금융기관 직원이 채무자와 사실 관계를 증명하는 서류를 작성하고, 행정기관에 직접 방문하여 민원서류를 발급 받는 등 Off-line으로 이루어지고 있다. 이러한 민원서류 발급 업무량은 경제상황의 악화와 그에 따른 신용불량자의 대거 발생 등으로 인해 지속적으로 증대되고 있다. 따라서 행정전산망과 금융전산망을 서로 연결하여 신속하게 정보를 파악할 수 있도록 하는 주소 인증공동이용시스템(ACCESS, Address Certification Co-opErating SyStem)을 구축하는 것이 필요한 실정이다. 이에 본 연구에서는 ACCESS를 구축을 위한 설계를 통하여, 행정기관 민원서류 발급업무 담당자, 금융기관 해당업무 종사자 등의 업무를 대폭 줄임으로서 산업생산성을 제고 하는 방안을 제시하고자 한다. 또한 향후 행정전산망과 금융전산망의 연결체계에서 새롭게 구축될 다양한 정보서비스의 유형을 처리 할 수 있는 기반을 마련하여, 효율적인 정보의 공유와 유통 및 이를 통한 시너지효과를 창출하고, 정보자원의 활용 및 가치를 극대화하고자 한다.

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Key Factors to be Considered for Making Union Digital Centers (UDCs) Sustainable in Bangladesh

  • Kumar, Asim Sarker;Kim, Yun Seon
    • Asia Pacific Journal of Business Review
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    • v.1 no.2
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    • pp.89-105
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    • 2017
  • In this era of information and communication technology (ICT), efficient and cost effective public services delivery had become highly expected by the citizen in every country. In developed countries, digitally enabled public services were established in recent years while the developing countries like Bangladesh were trying to establish this advancement. The UNDP, USAID and the Government of Bangladesh launched the Access to Information (A2I) programme to improve the services delivery to reach at the doorsteps of citizen. Under this umbrella, Union Digital Centers (UDCs) were launched in 2009 at every Union of Bangladesh to reduce the "Digital Divide" in public service delivery. Thus, it had become the concern nowadays to make this initiative sustainable for a long run, this study focused to find out some key factor to be considered for making them sustainable in Bangladesh. It explored the previous researches related to these centers and same categories of institutions in other countries where the researchers argued about some issues in different aspects. Based on their findings and discussions, this study tried to analyze the key issues influencing the sustainability factors. To analyze the factors for sustainability, it addressed the financial, investment, business development and publicity, competencies of entrepreneurs, community acceptance and gender issues, institutionalization and physical infrastructure concerned with UDCs. The Government agencies, policy makers, researchers could be consider those recommendations for developing the strategies for sustaining the operations of UDCs in Bangladesh.

The Problems of Housing: The Case of the Marginalized in the City of Bangalore, India

  • Gowda, Krishne;Sridhara, M.V.
    • Land and Housing Review
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    • v.4 no.2
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    • pp.153-165
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    • 2013
  • Deficiency in access to housing is a major manifestation of poverty. In the city of Bangalore, the poor and the marginalized constitute nearly 30 percent of the 8.47 million population (2011 Census) and are living in the nearly 640 slums in addition to squatter settlements and pavements. The city sprawls over an area of 741 sq. kms (2007 estimates) and the poor have very little access to personal living space. According to the Integrated Housing and Slum Development Program guidelines, each household with four average members should have 25 sq. meters of living space. In the case of poor of Bangalore, the attainment of even this minimum is a far cry. In recognition of this acuteness with regard to the problem of housing, the government has introduced schemes like the Jawaharlal Nehru National Urban Renewal Mission and the Rajiv Awas Yojana. And these schemes have witnessed only a limited success. Whenever the problem of housing for the urban poor is considered, the state and location of slums get into focus. The people living in slums are a crucial and inevitable support to the city economy. Relocation of slum people is fraught with loss of productivity and strain on the transport system and on the incomes of the poor. Their needs like housing, schooling, health centers, creches, hospices etc. have to be provided for. Financial support to the poor with regard to their housing needs will have to be imaginatively provided by banks and related institutions.

The Singular Economy: End of the Digital/Physical Divide

  • Meceda, Ann M.;Vonortas, Nicholas S.
    • STI Policy Review
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    • v.9 no.1
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    • pp.133-157
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    • 2018
  • The divide between the "digital" economy and the traditional "physical" economy is outdated. In fact, we are in a transition to a singular economy. This paper classifies economic objects (including actors) as either physical or virtual and argues that due to emerging technologies, these objects are interacting with each other in both physical and increasingly digital spheres in tandem. This paper recognizes the elemental difference between atoms and bytes but argues that physical and digital economic activities are becoming inseparably intertwined. Furthermore, arbitrarily dividing the economy into two categories - one "physical" and the other "digital" - distorts the overall view of the actual execution of economic activity. A wide range of innovations emerging concurrently is fueling the transition to a singular economy. Often referred to as the elements of the Fourth Industrial Revolution (4IR), four emerging technological areas are reviewed here: distributed ledger technology, artificial intelligence/machine learning/data sciences, biometrics and remote sensor technologies, and access infrastructure (universal internet access/electricity/cloud computing). The financial services sector is presented as a case study for the potential impact of these 4IR technologies and the blurring physical/digital line. To reach the potential of these innovations and a truly singular economy, it requires the concurrent development of social, organizational, and regulatory innovations, though they lag in terms of technological progress thus far.