• Title/Summary/Keyword: Health Management

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International Comparison of the Non-benefits Management Policies for Public and Private Health Insurance (공공 및 민영의료보험의 비급여 관리정책에 대한 국가별 비교)

  • Kim, Ha Yun;Chang, Chong Won
    • Health Policy and Management
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    • v.32 no.2
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    • pp.137-153
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    • 2022
  • In the process of promoting policies to strengthen health insurance coverage, the relationship between public health insurance and private health insurance, along with the management of non-benefit, is also emphasized as a policy issue. First, the concept and scope of non-benefit were comparatively analyzed by country. Second, the interaction between the public and private health insurance was classified as 'large or small,' and the government's regulation and management policy on private health insurance was classified as 'strong or weak.' Korea has relatively smaller benefits covered by public health insurance, higher copayment expenses, and more areas and scope of non-benefits. In countries where the interaction between public and private health insurance is small, private health insurance-related policies are weak. And in countries with large interactions had public-private partnerships and the government's management policies were also strong. On the other hand, Korea has a large interaction, but the actual structure of cooperation between public and private insurance and management policies were weak. Because the non-benefit sector in Korea is relatively wide, it is difficult to manage compared to other countries where the concept of non-benefit is limited. In addition, the health authorities rarely perform the role of supervision over private health insurance, and they have so few linkages and cooperation for public-private insurance. Therefore, practical policy enforcement is necessary to achieve the easing of the burden of national medical expenses through linkage and cooperation of public-private health insurance with reference to relevant other countries' cases.

Occupational Health Care Management Model in Small Scale Enterprises (소규모 사업장 보건관리 모델개발에 관한 연구)

  • Yun, Soon-Nyung;Jung, Hye-Sun
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.647-660
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    • 2001
  • Forming health care management model in small-scale enterprises was the purpose of this study. For the purpose, we tried to investigate the characteristics of small-scale enterprises and analyzed the pattern of their health care management. The results are as follow: 1. The strength of health managing agency and technical supporting program lies in team approach by specialized manpower. However, if the liaison between each part of the organization is not smooth, the overall management will be very difficult. 2. Small scale enterprises are characterized by their short life after the establishment, use of rental building, lack of welfare facilities, weakness in sanitary management and aggregation of factories of similar type of industry. Because of these characteristics, it is very difficult to solve problem basically, such as improvement of working environment. Therefore, it is important to focus on health education and community based approach. 3. Many workers in small-scale factories are in middle and old age. They have health problems mainly related to personal habits. Implementation of an appropriate health promotion program is needed. 4. The number of workplaces, which should be managed by health managing agent. is increasing rapidly. But the number of health managing agent is limited. In the aspect of the requirement of manpower and equipment, training personal agent is more urgent than founding institutional agent. 5. The uniform method of health management hampers the choice of employer and workers. The types of provision of health management should be diversified. 6. For an efficient management, a frequent visit of personal agent and the following referral to a specialist should be done. The specialists in charge of secondary management are from the field of occupational medicine, occupational hygiene, ergonomics, etc. 7. The health management of small-scale facilities should have six components. They are community-based approach, multi-disciplinary cooperative system, program based on the need of recipient, forming partnership of employer and worker, change of lifestyle, and evidence-based program.

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Special Issue for the 30th Anniversary of the Korean Academy of Health Policy and Management (한국보건행정학회 30주년 기념 특별호)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.28 no.3
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    • pp.195-196
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    • 2018
  • The Korean Academy of Health Policy and Management (KAHPM) has shown remarkable achievements in the field of health policy and management in Korea for the last 30 years. The KAHPM consists of experts in various fields of health policy and management, and has been the leading academic discussion forum for health policy agendas of interest to the public. Health Policy and Management (HPM), the official journal of the KAHPM, published the first issue of volume 1 in October, 1991 and is publishing the second issue of volume 28 as of 2018. Currently, it is one of Korea' main journals in the field of health policy and management. HPM has published a special issue in commemoration of the 30th anniversary of the KAHPM. The HPM invited authors, including former presidents of the KAHPM and current board members, to write about main issues in health policy and management. Although the HPM tried to set up an invited author on all subjects in the health policy and management field, 19 papers are published, that completed the peer review process by August, 2018. The authors of the special issue of the 30th anniversary of the KAHPM include six former presidents, a senior professor, and 12 board members. The subjects of this issue are reform of the healthcare delivery system, health insurance and medical policy, reform of health system governance, the role of National Health Insurance Service (NHIS), the Korea Institute for Health and Social Affairs (KIHASA) and the National Evidence-based healthcare Collaborating Agency (NECA), ethical aspects of health policy change, regional disparities of healthcare, healthcare accreditation, new healthcare technology evaluation system, globalization of the healthcare industry, the epidemiological investigator system, the quarantine system, safety and disaster, and official development assistance. There are some remaining topics to deal with for the KAHPM: aged society, anti-smoking, non-infectious disease, suicide, healthcare resources, emergency medical care, out-of-pocket money, medical fee payment system, medical aid system, long-term care insurance, industrial accident compensation insurance, community-centered health welfare system, and central government and local government of health. The HPM will continue to publish review articles on the main topics in health policy and management. This is because the KAHPM, which has been the leading academic society of Korea's health policy and management for the last 30 years, feels responsible for continuing its mission for the next 30 years.

Effect of Occupational Safety and Health-related Communication in Manufacturing Industry on Safety and Health Management Level - The Number of Supervisors as Mediating Factor - (제조업의 산업안전보건 관련 의사소통이 안전보건경영 수준에 미치는 영향 - 관리감독자 인원의 매개효과를 중심으로 -)

  • Kim, You-ri;Lee, Si-young;Chen, Mee-hye;Park, Ji-young;Lim, Mi sun;Lee, Jin-a;Jung, Hye-sun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.31 no.4
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    • pp.494-502
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    • 2021
  • Objectives: The purpose of this study is to identify the general characteristics of manufacturing workplaces and the characteristics of safety and health organizations, and to determine the impact of safety and health-related communication within these organizations mediated by supervisory safety and health management personnel. Methods: This study is based on the Korea Occupational Safety and Health Agency's 2018 Occupational Safety and Health data targeting 1,486 manufacturing sites. Data were analyzed using descriptive statistics, t-test and ANOVA, and mediator variable regression analysis using SPSS 25.0. Results: The average score on communication levels related to safety and health was 11.20 out of 15. The average score of the safety and health management level was 31.04 out of 40. As a result of mediation regression analysis, it was found that safety and health-related communication had an effect on the safety and health management level (𝛽=0.434), and the number of safety and health supervisors was found to mediate the effect of this variable (𝛽=0.069). Conclusions: The level of safety and health-related communication affects the level of health and safety management, and the number of supervisors mediates this influence. Therefore, the role of the supervisor is important in safety and health communication. It is expected that the level of safety and health management can be improved through management and supervisors.

The Effect of Follow-up Management Service on Health Promotion for Obesity Population Classified in Health Screening of National Health Insurance Corporation (국민건강보험공단 건강검진 결과 비만으로 판정된 사람들을 대상으로 한 사후관리사업의 효과)

  • Lee, Ae-Kyoung;Lee, Sang-Yi;Yoon, Tae-Ho;Jeong, Baek-Geun
    • Korean Journal of Health Education and Promotion
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    • v.26 no.3
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    • pp.75-83
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    • 2009
  • Objectives: This study aims to examine if the follow-up management service by National Health Insurance (NHI) for obesity persons leads to significant modification of the lifestyle and change of health status. Methods: Of persons who underwent health screening and were classified as obesity after periodic health screening by NHI in 2004, persons who took the follow-up management service were selected as case group and persons who took no service were selected as control group. The DW database of NHI was used to explore the effect of the follow-up management service on the modification of lifestyle and health status. Chi-square tests and t-tests, pairs t-tests were conducted with SAS 9.1 to examine the differences of health promotion effect between case vs. control group. Results: It was shows that of lifestyle behaviors, only exercise is significantly improved for case group compared with control group as the effect of the follow-up management service by NHI (2.11%p) (p=0.0435). Further, morbidity rate for control group was 2.05% higher than that of case group (p=0.0002). These results indicate that persons who received the follow-up management service better maintained their health significantly than persons who did not. Conclusion: The present study shows that the appropriate follow-up management services need to be provided for maximaizing potential effect of periodic health screening by NHI.

Development and Effects of a Child Health Management Program Based on Cooperative Learning for Mothers of Preschool Children (학령전기 아동 어머니를 위한 협동학습 기반 아동건강관리 프로그램 개발 및 효과)

  • Lee, Dong-Won;Kwon, In-Soo;Jeong, Eun
    • Child Health Nursing Research
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    • v.23 no.1
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    • pp.48-60
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    • 2017
  • Purpose: This study was conducted to develop and test effects of a child health management program based on cooperative learning for mothers of preschool children. Methods: For this quasi-experimental study, a nonequivalent control group pretest-posttest design was used. Outcome measures were level of child health management self-efficacy, child health management practices, child's health behavior. Participants were 55 mothers (experimental group 28, control group 27). The program was composed of 6 categories of home health management for preschool children, and provided for three 120-minute sessions. Data were collected from September to October, 2015, at 3 times: baseline, 3 and 6 weeks after beginning the intervention. Data were analyzed using SPSS/WIN 21.0 program. Results: After 3 and 6 weeks, there were significant differences between the two groups in child health management self-efficacy (F=18.33, p<.001), child health management practices (F=8.91, p<.001), and child's health behavior (F=9.91, p<.001). Conclusion: Study findings indicate that this child health management program based on cooperative learning is effective and can be recommended as an intervention for mothers of preschool children. It will contribute to enhanced child health management self-efficacy and health management practices and improved child's health behavior.

A Study of the Status of Occupational Health Management in Small-Scale Enterprises- Kwang-ju City and Chonnam Province - (소규모사업장 보건관리실태 연구 - 광주·전남 -)

  • Kim, Eun-Me;Park, In-Hye
    • Korean Journal of Occupational Health Nursing
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    • v.10 no.1
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    • pp.55-65
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    • 2001
  • The purpose of this study was to find out the status of occupational health management and the degree of recognition about the occupational health management of employees 248 small-scale enterprises which have been managed by the small-scale enterprises health care management support institution in 1999, were selected for study, in Kwang-Ju City. 98 employees were selected in 116 industries of them to grasp recognition of employees about the occupational health management. ► The Status of Occupational Health Management 1. Of the sample industries, 62.1 percent employed eleven to twenty-nine workers. Of the sample workers, 72.1 percent occupied workers who were engaged in the production line. 2. Environment evaluation was made on 82.7 percent of the sample industries and general exam made on 66.5 percent and specific health exam done on 73.4 percent. 3. The harmful factors in the sample industries were found to lie noise, dust, solvent, heavy metal, etc. 4. In general health exam 1,774 workers were participated and 148 workers got the result of above grade C and were diagnosed as having the problems with digestive system (63.6%), circulatory system(20.6%). etc. ► The Degree of Recognition about The Occupational Health Management of Employees. 1. Respondents were mainly in the twenties (42.9%), males(69.1%), duration of working period of five to ten years(24.0%), office workers(51.0%), monthly income under one million(55.7%). 2. Recognition of employees about the occupational health management consists of workplace environmental evaluation, health education, health exam and protector management. Their recognition on health education showed high score (mean 3.1), but generally the score was low(mean 2.9).

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The Research on the Relationship of Cosmetologists' Health Characteristics with Demographic, Health Management, and Working Environment Characteristics (미용사의 건강특성과 인구통계학적 특성, 건강관리 특성, 근무환경 특성과의 관계에 관한 연구)

  • An, Hyeonkyeong
    • Journal of Fashion Business
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    • v.18 no.5
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    • pp.99-115
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    • 2014
  • This thesis aimed examine the relationship between the health characteristics (musculoskeletal, respiratory, skin, digestive, nervous mental system) of cosmetologists and their demographic, health management, and working environment characteristics to help cosmetologists maintain a healthy work life while solving health problems. These research was carried out via survey and statistics analysis. A total of 279 cosmetologists living in Seoul, Kyeongkido, and Choongchungdo from 8 July to 30 August, 2014 were surveyed. Frequency, mean, factor, and regression analysis were carried out on the data with SPSS(V. 14). The results were as follows; (1) a relationship between health & the demographic characteristics of gender was found;- (2) health and the health management characteristics of interest in health problem prevention, active exterior health support, muscular exercise, interior health support, and stress management were found to be related;- (3) health and working the environment characteristics of working time per day, and work days per week were related.

The Study on the Difference of Management Performance in Public Health Care Institution (공공의료기관의 경영성과 차이에 관한 분석)

  • Cho, Duk-Young
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.133-140
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    • 2012
  • This research analyzes on the difference of the management performance in public health care institution, especially between provincial medical center and national university hospital. The meaningful results of this study as follow. First of all, management performance was showed the loss in both of provincial medical center and national university hospital. but national university hospital is superior to provincial medical center in management performance. Secondly, It is noteworthy that social working expenses have influence on national university hospital. Finally, It shows that personnel expenses are the most important factor in the management performance in public health care institution. We hope that these results will be useful in the performance management of public health care institution.