• 제목/요약/키워드: Health equity

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의료서비스에 대한 접근성의 형평 분석 (Equity of Access to Health Services under National Health Insurance System in Korea)

  • 장동민;문옥륜
    • 보건행정학회지
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    • 제6권1호
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    • pp.110-143
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    • 1996
  • The purpose of this study is to assess the extent of inequality in health outcomes and the distribution of health services according to health need under National Health Insurance System in Korea. For the empirical analysis, data were collected through an interview survey during one month of October, 1994. Interview were conducted with a total of 10, 875 of the employees and the self-employed selected through cluster, systematic sampling. The major findings of this research are as follows: 1. The analysis of the differentials in morbidity rates by socio-economic group showed that health inequality in the pro-higher groups existed in all self-reported morbidity indicators. 2. The findings of the conventional use measures showed that the lower socio-economic groups had more ambulatory and inpatient services than the higher groups. In contrast to the level of the medical care utilization, however, the higher socio-economic groups were more likely to use the high-quality source of care in terms of their treatment place compared to the lower groups. 3. By using the need-based use measures, the results were different from each use-disability ration indicator. Using the use-disability ration measured by physician visits per 100 restricted-activity days in the population, it was found that there was no evidence favoring the higher socio-economic groups. In contrast, the use-disability ration based on physician visits per a chronic patient in one year displayed that there was remarkable relative difference by income group as well as the evidence of the pro-higher income groups. 4. The results of logistic regression analysis and two-stage estimation method indicated that although the utilization is significantly affected by type and duration of insurance coverage, the use or nonuse of service and the volume of physician care consumed is determined by health need and demographic characteristics rater than economic status. In sum, these findings suggest that physician service is equitably distributed according to health need under national health insurance system in Korea. As there were some evidences of inequality including the differential in physician visits of chronic patients by income group, however, the government should strengthen the activities to guarantee the equity of health services utilization.

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법정관리기업의 회계이익과 자기자본 장부가치에 대한 상대적 주가배수 분석 (Relative Pricing Multiple on Book Value of Equity and Earnings of Bankrupt Firms)

  • 신현대
    • 정보학연구
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    • 제8권3호
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    • pp.35-49
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    • 2005
  • This study examines that pricing multiple on and incremental explanatory power of equity book value(earnings) increase(decrease) as financial health decrease. Test using a sample of 75 bankrupt firms and test using a cross-sectional, pooled sample both yield inference consistent with predictions. It is thus hypothesized that the more bankrupt time we, the higher(lower) pricing multiple book value of equity(earnings) obtained. Findings are robust to inclusion of for debt/assets ratio, ROA, and ROIC. Overall, the results is the hypothesis.

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글로벌 건강교육 교과과정에 관한 연구 (A Study on the Curriculum of Global Health Education)

  • 최경숙;김학선;이소영;;;전명희
    • 한국간호교육학회지
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    • 제22권2호
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    • pp.220-227
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    • 2016
  • Purpose: This study aimed to understand current global health education and suggest its future direction for Korean undergraduate nursing students. Methods: After reviewing literature to identify key concepts applicable to global health nursing curricula, the authors analyzed global health curricula from 98 nursing colleges by using a framework that was developed for this study. Results: Among the 201 nursing colleges, 98 (48.8%) schools offered one or more global health-related courses. The titles of these courses were divided into two categories: Multiculturalism and international nursing. Multicultural courses were offered mainly for freshmen (40.5%) or sophomore students (40.5%), whereas international nursing courses were offered mainly for senior students (35.9%). These courses trained nursing students to be culturally competent in providing nursing care for immigrants or foreign travelers living in South Korea. Conclusions: It is evident that interest in global health education is growing in South Korea. However, the scope and content of global health education needs to be broadened beyond multiculturalism and international nursing so that it can prepare nursing students to promote global health equity, reduce global health disparities, and work competently with globally-focused organizations.

의료기관 브랜드 자산이 가격 프리미엄에 미치는 영향 - 신뢰와 브랜드 충성도를 매개변수로 - (The Effects of a Medical Institution's Brand Equity on Price Premium)

  • 오창석
    • 보건의료산업학회지
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    • 제5권2호
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    • pp.23-33
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    • 2011
  • The purpose of this study was to investigate the effects of a medical institution's brand equity on the users' trust and brand loyalty and further on price premium with trust and brand loyalty as the parameters. For that purpose, a survey was taken among 448 people that used service at university hospitals, general hospitals, and hospital in Busan. The results show that such brand equity components as the associated image of the brand and perceived quality had significant influences on relationships with trust with the latter having the greatest influences. Brand recognition, associated image of the brand, and perceived quality all had significant impacts on brand loyalty. The associated image of the brand had the biggest impacts, being followed by perceived quality and brand recognition in the order. Trust had positive impacts on brand loyalty according to the survey results about the quality of relationships with consumers, which suggests that medical institutions can increase their users' brand loyalty and intention for re-use by promoting their trust in them. While brand loyalty turned out to have statistical significance on the users' price premium, trust did not.

Suicide in the Australian Mining Industry: Assessment of Rates among Male Workers Using 19 Years of Coronial Data

  • Tania King;Humaira Maheen;Yamna Taouk;Anthony D. LaMontagne
    • Safety and Health at Work
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    • 제14권2호
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    • pp.193-200
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    • 2023
  • Background: International evidence shows that mining workers are at greater risk of suicide than other workers; however, it is not known whether this applies to the Australian mining sector. Methods: Using data from the National Coronial Information System, rates of suicide among male mining workers were compared to those of three comparators: construction workers, mining and construction workers combined, and all other workers. Age-standardized suicide rates were calculated for 2001-2019 and across three intervals '2001-2006', '2007-2011', and '2012-2019'. Incidence rate ratios for suicide were calculated to compare incidence rates for mining workers, to those of the three comparative groups. Results: The suicide rate for male mining workers in Australia was estimated to be between 11 and 25 per 100,000 (likely closer to 25 per 100,000) over the period of 2001-2019. There was also evidence that the suicide rate among mining workers is increasing, and the suicide rate among mining workers for the period 2012-2019 was significantly higher than the other worker group. Conclusions: Based on available data, we tentatively deduce that suicide mortality among male mining workers is of concern. More information is needed on both industry and occupation of suicide decedents in order to better assess whether, and the extent to which, mining workers (and other industries and occupations) are at increased risk of suicide.

청소년의 건강 형평성과 주관적 건강상태와의 관계 연구 (A Study on the Relationship between Health Equity and Subjective Health Status of Adolescents )

  • 백경신
    • 한국응용과학기술학회지
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    • 제39권6호
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    • pp.864-873
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    • 2022
  • 청소년기의 주관적 건강상태는 개인의 전반적인 사회·정서적 기능을 반영하는 것으로 이 시기 건강관련 삶의 질을 결정하는 중요한 요인이다. 본 연구는 청소년의 주관적 건강상태와 건강형평성의 관계를 파악하고자 하였다. 제16차 청소년건강행태온라인조사(2020) 자료를 이용하여 39,987명의 청소년을 분석하였다. 건강형평성은 거주 지역, 학생들이 인식하는 경제적 여건, 가구의 풍요도, 가족형태, 부모 교육수준 등을 지표로 사용하였다. 주관적 건강상태는 "평소 자신의 건강이 어떠하다고 생각하는가?" 라는 질문에 건강군("매우 건강하다", "건강하다")과 불 건강군("보통이다", "건강하지 않다", "매우 건강하지 않다")으로 분류하였다. 수집된 자료는 SPSS/Win 22.0을 이용하여 복합표본분석을 실시하였다. 대상자의 주관적 건강상태와 관련된 유의한 요인은 거주 지역(OR=0.865, p=.031), 경제 수준(OR=1.338-2.095, p<.001), 가족 형태(OR=1.245, p=.033)로 나타났다. 청소년이 지각한 경제수준은 청소년의 주관적 건강상태와 관련된 가장 중요한 요인이었으며, 다문화가정 청소년은 일반가정 청소년에 비해 자신의 건강상태를 건강하지 못하다고 인식하는 경우가 많았다. 따라서 경제수준이 낮은 청소년과 다문화가정 청소년에 대한 지속적인 관심과 건강상태를 향상시킬 수 있는 구체적인 전략이 요구된다.

의료에 대한 이념과 정책 (Ideology and Reality in Health Policy)

  • 이규식
    • 보건행정학회지
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    • 제17권3호
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    • pp.106-128
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    • 2007
  • The Korean health care system is under great controversy. Over the last 30 years, main goal of health policies was to pursue equal access of health care services. However, another goal of health policies laid on efficiency and Quality of care, it had lower priorities. Superficially, controversy stems from priority setting among goals of health care system, equity, efficiency and quality. At a deeper level, arguments arise from disagreement and confusion about the values of Korean health care system. One of the value spectrums believes that health care is the basic right of human beings, therefore it should be produced and distributed on need approach, and needs are known to be decided by professionals. If we accept need approach, health care is a pubic good. Another value of spectrums considers that health care should be distributed on demand approach. Demand approach means that health care is a consumption good on the positive economics, while normative judgement believes that health care is a public good. In equity aspect, health care is considered as a public good. Over the last several years, some of scholars proposed health care reform based on the principle of competition which is based on demand approach. Others argue that the competition principle based on demand approach is not appropriate for the reform proposal, because health care has to be approached on need base. If we do not make explicit values we should adopt, consensus building for reform is nearly impossible. From this perspective, this article will review an ideology and reality in health policies in Korea.

일부 국가의 국민 건강증진 종합계획에 관한 고찰 (A Review on the National Health Promotion Plans in some countries)

  • 윤병준
    • 한국학교ㆍ지역보건교육학회지
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    • 제14권2호
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    • pp.59-73
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    • 2013
  • Objectives: Health promotion policies have been developed and implemented in most developed countries. The purpose of this study is to compare the national health promotion plans among Korea, Japan and USA. Methods: Data were collected and involved overview of health promotion plans, formulation of policy, evaluation, monitoring and research, implementation in each countries. I got the some literatures over the governmental websites related to the health promotion. The data from each country were analyzed for comparison. Results: The goals of Healthy People 2020 are to attain high-quality, longer lives, to achieve health equity, to create social and physical environments, to promote quality of life across all life stages. Those of Healthy Japan 21 are increasing the year of healthy life and reducing health disparities. and Those of Health Plan 2020 are prolonging of healthy age and improvement of healthy equity. The number of topic areas and objectives of health promotion in each countries were different. Healthy People 2020 lacks participation of community people and stakeholders in the process of planning, impletation, evaluation. Conclusion: The planning models of health promotion were different among countries. But they reflect the social determinants of health. The health plan goals of Korea were similar to Japan. but were different from USA. The implementation and evaluation systems of USA and Japan were systematic and performed well than those of Korea.

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