• Title/Summary/Keyword: Health care systems

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Health Care Reform in OECD Countries : A Comparative Policy Analysis (OECD 국가의 보건의료개혁 : 역사적 전망과 정책적 과제)

  • 이종찬
    • Health Policy and Management
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    • v.6 no.1
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    • pp.1-28
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    • 1996
  • The paper analyzes OECD health systems from the perspective of historical institutionalism. Criticizing the dependence of Korea's national health program on Pacific countries such as Japan and the U.S., it suggests that European experiences of national health programs can be a model of the Korean health system in the future. Based on an inquiry into Italian and British cases of national health systems, the author emphasizes (1) the role of local governemts in national health programs, and (2) the integration of a national health program with public health programs.

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A Study on the Trend of Healthcare Device Technology by Biometric Signal (생체신호를 통한 헬스케어 디바이스 기술 동향 연구)

  • Choi, Kyoung-Ho;Yang, Eun-Seok
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.165-176
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    • 2020
  • Customized medical care and services timely providing effective prevention and treatment by collecting and using individuals' biomedical data are recently possible and utilized for users' health care. They are developed as the real-time health care services and information is provided to individuals by using smart phones, PC, tablet, etc. Interactive communication is supported by informing managers of analysis data and results, through collected data. It is therefore the time for constructing health care. This study attempts to prepare for patent applications of technical development at this time, by analyzing the tendency of smart wearable health care technologies, including biological signal-based health care devices and real-time health care system. Patents regarding smart wearable health care technologies were reported to have the relatively higher concentration of research development. Korea focuses on patent activities for real-time health care systems across the intervals of analysis, while U.S and European countries actively make efforts for patent activities regarding health care devices Japan conduct patent activities across health care devices and systems, based on bio-technologies. Korea has recently dominated the market of patents for bio-technologies-based health care devices and real-time health care devices and also appears to secure patents for the technologies and the market, so entry barriers to the market of smart wearable health care technologies are determined to be higher in Korea. It is important to establish the portfolios of patents, by securing patent rights for the figures of products, manufacturing methods and other related technical systems, if technologies are planned to be commercialized.

Primary Health Care and Desirable Policy Directions in Korea (1차보건의료와 바람직한 정책방향)

  • 박형종;김공현
    • Health Policy and Management
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    • v.1 no.1
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    • pp.95-108
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    • 1991
  • The World Health Organization and its member states, in 1978, declared that primary health care is a key to attain the goal of Health for All by the goal of Health for All by the yeas 2000. As a member state of WHO, the Republic of Korea has participated in the declaration of ALMA-ATA and committed to put national efforts for devedoping and implementing primary health care approach with the spirit and content of this Declaration. Since 1978, to translate the spirit of the Declaration into realization, Korean goverment has developed a new category of health manpower such as Community Health Practitioners serving people living in remote rural areas and Village Health Workers serving voluntarily their own village, strengthened the function of Health Centers and Health Subcenters through their reorientation and improved the infrastructure by their new construction or renovation. While primary health care is viewed as an essential health care in Korea, there are some circles who follow a narrow definition in referring to the health care at the periphey of a health system, which is erroneous. Considering the PHC is accepted as the best alternative approach to health care to solve problems that modern health systems are facing, we propose the followings as desirable health policy directions that modern health systems are facing, we propose the followings as desirable health policy directions which might translate the persopective into action at the national level after reviewing past and current PHC approach in Korea : 1. To improve the equity through the reduction of gaps between those who have access to health care and those who have not. 2. To reinforce multisectoral approach and intersectoral coordination through the re- establishment of the National Health Council or establishment of equivalent organization at the central level. 3. To stengthen community participation through lacal people's empowerment by leadership training, changing planning process from the top-down approach to bottom-up and giving the priority to human resources rater than technology, 4. To reinforce the Ministries of Health and Social Affairs through upgrading its role and function to Coordinate Ministries which involve human welfare policies, and creating a Division which is in charge of PHC in the Ministry.

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The review of Health Care System (보건의료체계에 대한 소고)

  • 정영일;강성홍
    • Korean Journal of Health Education and Promotion
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    • v.9 no.2
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    • pp.89-102
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    • 1992
  • This study is aimed both to define a conception of Health Care Systems and to suggest Desirable Reorganization Directions in Korea. The Desirable Reorganization Directions of Health Care System in Korea is as follows ; 1. The Health Care System of Free Market System has to reorganize step by step for the Directions of National Health System. 2. The Health Care System has to reorganize with local socite as the center of local community. Especially, Health Sub-Center should be reorganized to provide Compresensive Health Care, so that the Sub-Center consist at least 15 members of health workers including a chief of governmental office. 3. The Health Care System has to reorganize for the Directions responding problems of the Elder, New Medical Technology Development, and Health Information System.

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Management of Food Service and Health Care in Long-Term Care in Korea - Food Service and Health Care - (노인복지시설의 급식관리 및 영양 건강 증진에 관한 연구 - 급식과 건강관리 -)

  • Kim, Wha-Young;Yang, Eun-Ju;Won, Hye-Suk
    • Journal of the Korean Society of Food Culture
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    • v.12 no.3
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    • pp.331-339
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    • 1997
  • With increases in senior citizens and changes in family structure, the need for long-term care system for elderly is increasing, however, the capacity and environment of Korean facilities are very limited. Health and nutritional status of long-term care residents are worse than free-living elderly. In this study, general food service management and health care practices in long-term care systems were investigated. Questionnaire were sent to the directors of all 162 long-term care facilities in Korea and 81 returned the complete answers. The results showed 1) There are slow but steady increase in long-term care systems in Korea, however, the capacity is far from adequate. Less than 10,000 elderly were resided in the facilities. Most of the systems were free-nursing homes and supported by the goverment. Staffing structure revealed that most of the facilities had a director, a secretary, nurses, but only 21% of the systerm hired a dietitian. It showed the shortage of nurses, physical therapists, and dietitians. Therefore, food purchasing, menu planning, food delivery, and the other food service management processes are handled by non-professionals, such as director, secretary, or cooks. Modified fool frequency questionnaire were used to get the frequencies of each food items used in menu and a menu-analysis was made on the one-day menu provided by the facilities. The results showed relatively satisfactory in nutrients content and food frequencies., however, this was about what was used in menu, not what was eaten by the residents. Therefore this results did not tell that the food intake status of individuals. In most facilities general health checkup was done on a regular basis, and had residents with various chronic degenerative diseases, such as hypertension, neuralgia, stroke, arthritis, diabetes. But the items checked on health checkup included weight, height, blood and urine tests, X-ray test, which suggested that the checkup lists should be revised to accomodate the health problem of the aged today.

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The Impact of Health Care Coverage on Changes in Self-Rated Health: Comparison between the Near Poor and the Upper Middle Class (의료보장성이 주관적 건강상태의 변화에 미치는 영향: 차상위계층과 상위중산층 비교)

  • Kim, Jinhyun
    • Health Policy and Management
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    • v.26 no.4
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    • pp.390-398
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    • 2016
  • Background: This study aims to analyze the impact of levels of health care coverage on the trajectory of self-rated health, comparing the near-poor which tends to be excluded in traditional health care systems with the upper middle class. Methods: The study participants were 3,687 people who sincerely responded questions regarding health care expenditures, unmet medical needs, and self-rated health in the Korea Health Panel data in 2009-2012. Results: The higher health care expenditures and the presence of unmet medical needs were significantly associated with the lower level of self-rated health. However, both factors did not significantly predict the steeper decline in the self-rated health. The results from multiple group analyses showed that health care expenditures and unmet medical needs had greater impact on the near-poor compared to their higher income counterparts. Conclusion: Public health care coverages need to be enhanced as well as reducing health care expenditures and unmet medical needs.

Health Care Optimization by Maximizing the Air-Ambulance Operation Time

  • Melhim, Loai Kayed B.
    • International Journal of Computer Science & Network Security
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    • v.22 no.2
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    • pp.357-361
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    • 2022
  • Employing the available technologies and utilizing the advanced means to improve the level of health care provided to citizens in their various locations. Citizens have the right to get a proper health care services despite the location of their residency or the distance from the health care delivery centers, a goal that can be achieved by utilizing air ambulance systems. In such systems, aircrafts and their life spans are the essential component, the flight duration of the aircraft during its life span is determined by the maintenance schedule. This research, enhances the air ambulance systems by presenting a proposal that maximizes the aircraft flight duration during its life span. The enhancement will be reached by developing a set of algorithms that handles the aircraft maintenance problem. The objective of these algorithms is to minimize the maximum completion time of all maintenance tasks, thus increasing the aircraft operation time. Practical experiments performed to these algorithms showed the ability of these algorithms to achieve the desired goal. The developed algorithms will manage the maintenance scheduling problem to maximize the uptime of the air ambulance which can be achieved by maximizing the minimum life of spare parts. The developed algorithms showed good performance measures during experimental tests. The 3LSL algorithm showed a higher performance compared to other algorithms during all performed experiments.

Role based access control of healthcare information system for Mobile environments (모바일 환경에 적합한 헬스 케어 정보 시스템에서의 역할기반 접근제어)

  • Lee You-Ri;Park Dong-Gue
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.3 s.35
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    • pp.119-132
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    • 2005
  • The health care system revolutionized by the use of information and communication technologies. Computer information processing and electronic communication technologies play an increasingly important role in the area of health care. We propose a new role based access control model for pervasive health care systems, which changed location, time, environment information. Also our model can be solved the occurrence of an reduction authority problem to pervasive health care system at emergency environment. We propose a new role based access control model for pervasive health care systems, which combines role-to-role delegations, negative permission, context concept and dynamic context aware access control. With out approach we aim to preserver the advantages of RBAC and offer groat flexibility and fine-grained access control in pervasive healthcare information systems.

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Duties of Nurse Practitioners in the Community and Management of Primary Health Care Posts (보건진료원의 업무 및 보건진료소 운영에 관한 고찰)

  • Kim, Chun-Mi
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.1
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    • pp.41-50
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    • 2009
  • By the rural area health care special law in 1980, Primary health care posts were established in rural areas as fundamental elements of the national health system. Nurses have been deployed to the posts after taking an education course mandated by the special law. However, health care posts have confronted environmental changes over the past 30 years such as an aging and decreasing rural population and advanced traffic systems, which make it necessary to reshape their form and role. Therefore, some guidelines are suggested for future role enlargement of health care posts by analyzing their current management and duties. The guidelines are as follows: 1) enlarging the portion of prevention and management of chronic degenerative diseases, 2) development and practice of diverse health promotion programs, 3) extension of primary health care for the increasing older population, 4) development of health programs for married immigrants, 5) practice of timely maternal child health programs, 6) development of adequate health care posts for low-income people in rapidly urbanizing rural areas and in poor areas in big cities, and 7) revision of laws and institutional arrangements for the role enlargement of health care posts to match social changes and customer needs.

An Analysis of Health Care Services for the Elderly in Rural Areas: Its Demand in Projection and Policy Implications (우리나라 농촌지역(시.군 통합모형)의 노인보건의료 자원 수급계획에 관한 연구)

  • 정영일;정문호;강성홍;이창은
    • Korean Journal of Health Education and Promotion
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    • v.12 no.1
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    • pp.22-46
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    • 1995
  • This is an effort to project health care resources in need for the elderly in the future when advanced transportation systems would greatly reduce geographical accessibility to health care services for the rural elderly. Two areas, Kimhae and Chuncheon, were selected for the study. Projection of health professionals and health care institutions for the elderly were made based on the analysis for the morbidity and illness behavior reported to two data sources, National Survey for the Elderly in 1992 by Korea Institute for Health and Social Affairs and beneficiary data by Korea Medical Insurance Cooperation for those living in the study areas in 1992. Projected number of health professionals and health care institutions were estimated for each area under study in years of 2010 and 2030, with those in a Japanese being used as a standard. Policy implications were discussed.

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