• Title/Summary/Keyword: Health equity

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Comparing the Status of Chronic Diseases between Immigrants and Korean (이주민과 내국인의 만성질환 관리 지표 비교)

  • Seong-Woo Choi;Seong-Eun Kim;Yu-Il Kim;Kyung-Hak Kim;Bong-Kyu Sun;Jin-Hyeong Kim;Jun-Hwi Cho;Sun-Seog Kweon
    • Journal of agricultural medicine and community health
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    • v.49 no.2
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    • pp.93-101
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    • 2024
  • Objective: This study compared the status of chronic diseases among immigrants and the Korean population. Methods: This study was conducted on 153 immigrants living in Gwangju Metropolitan City in 2022. For comparison, 459 Koreans were selected using the 2021 Korea National Health and Nutrition Examination Survey (KNHANES). A survey was conducted on the management status of hypertension, diabetes, and hyperlipidemia using a questionnaire. Results: Immigrants were significantly more likely to have hypertension (50.3% vs. 24.2%, p<0.001) and diabetes (19.0% vs. 11.5%, p=0.002) than Koreans. In awareness, immigrants had significantly lower rates of hypertension (57.1% vs. 73.0%, p=0.031) and hyperlipidemia (immigrants 25.4% vs. 44.5%, p=0.006). In treatment rates, immigrants had significantly lower rates of hypertension (40.3% vs. 69.4%, <0.001) and hyperlipidemia (17.9% vs. 39.6%, p=0.003). In control rates, immigrants had significantly lower rates of hypertension (18.2% vs. 62.2%, <0.001) than Koreans. Conclusions: Chronic diseases are common among immigrants, but awareness, treatment, and control rates are low, so education and prevention policies are critical to improving immigrants' access to medical care and raising awareness.

The National Pension and Restructuring of Intergenerational Contracts (국민연금과 세대간 계약의 재구성)

  • Jung, Haesik;Joo, Eunsun
    • The Korean Journal of Applied Statistics
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    • v.28 no.4
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    • pp.807-826
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    • 2015
  • Generational contracts are specified into public pensions based on generational solidarity. The Korean National Pension has been reformed with a focus on generational equity with a narrow meaning related to contribution rate and benefit level. As a result, the Korean National Pension has only emphasized generational equity and not contributed to generational solidarity. We investigate changes in the content of the generational contract and propose to reconstruct generational contract to contribute to solidarity with a more comprehensive perspective. A new social contract by reformed pension system should not concentrate on narrowed generational equity. It should be reconstructed in the direction of enhancing efficacy and the stability of generational solidarity with an emphasis on social sustainability. Investment into the next generation would be one of many policy measures to decrease conflicts around intergenerational redistribution and improve the financial stability of the public pension by creating population structure and labor market changes.

International Health Cooperation and Challenges for Official Development Assistance (보건의료의 공적개발원조 방향과 과제)

  • Nam, Eun Woo
    • Health Policy and Management
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    • v.28 no.3
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    • pp.320-326
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    • 2018
  • As the United Nations announced Sustainable Development Goals (SDGs) in 2015, the world changed its development goals from focusing on efficiency to equity. As a result, in the health sector, universal health coverage (UHC) has become one of the main issues. This paper reviews and discusses on future direction and issue of official development assistance program for developing countries. Korea International Cooperation Agency under the Ministry of Foreign Affairs published on Korea International Cooperation Agency's mid-term health strategy 2016-2020 developed on participation program with stakeholder including governments, civil society partner organizations, and educational institutions. The SDGs expands non-communicable diseases, UHC, and global health security from the existing Millenium Development Goals health sector. Progress toward UHC underpins the achievement of all other targets under SDG Goal 3. Progress in reducing health inequality across the life course is drawing on overall data and from specific target. In order to achieve SDG 3, a multi-disciplinary approach, convergence between IT and u-health of this development, is desirable.

How-to of MB Government's Health Care Policy: Private Health Insurance and For-Profit Hospitals (신(MB) 정부의 보건의료정책과 의미: 민영건강보험의 활성화와 영리병원의 허용)

  • Kim, Won-Shik
    • Health Policy and Management
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    • v.18 no.4
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    • pp.185-206
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    • 2008
  • The National Health Insurance (NHI) has been the main body of health care system in Korea for the last 30 years since the NHI was founded. However, the inefficient management and strong regulations of the NHI have hindered the development of health care industry. The establishment of the MB government, whose interest lies on economic growth rather than equity, is expected to help the health care services gain a momentum. The essential measures that can step up public health care services overall are the following: the introduction of competition within NHI, the activation of private health care insurance, and the allowance of for-profit hospital. The private-public mix with market mechanism would level up the health care service for the public.

Why Do Health Inequalities Matter? (왜 건강불평등인가?)

  • Shin, Young-Jeon;Kim, Myoung-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.6
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    • pp.419-421
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    • 2007
  • Objectives : The aim of this study was to introduce the concept of health inequalities, and to discuss the underlying assumptions and ethical backgrounds associated with the issue, as well as the theoretical and practical implications of health inequalities. Methods : Based on a review of the literature, we summarize the concepts of health inequalities and inequities and discuss the underlying assumptions and ethical backgrounds associated with these issues from the view of social justice theory. We then discuss the theoretical and practical implications of health inequalities. Results : Health inequality involves ethical considerations, such as judgments on fairness, and it could provide a sensitive barometer to reflect the fairness of social arrangements. Discussion on health inequalities could deepen our understanding of the social etiology of health and provide a basis for the development of comprehensive and integrative social policies. Conclusions : Health equity is not a social goal in and of itself, but should be considered as a part of a broader effort to seek social justice.

A Review on Gender and Health for Gender-Sensitive Health Policy (젠더와 건강 : 성인지적 보건정책을 위한 시론)

  • Chun, Hee-Ran;Chung, Jin-Joo
    • Health Policy and Management
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    • v.18 no.2
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    • pp.130-156
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    • 2008
  • This review paper is to provide theoretical background and empirical evidence for gender sensitive health policy in Korea. We explore how sex and gender are implicated in health disparities. After reviewing major concepts regarding sex, gender, and health, the study moves on to describe the ways in which gender interacts with other social determinants (socioeconomic position, workplace, stress, social support, and violation) to show disparate health outcomes. Next, suggested health models considering gender and social process are introduced. The article concludes by suggesting the necessity of gender sensitive policy consorted with social programs in tackling health equity.

A Study on the Relationship of Gender Equity within Family and Second Birth (둘째 출산 계획의 결정요인과 가족내 성 형평성)

  • Park, Soo-Mi
    • Korea journal of population studies
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    • v.31 no.1
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    • pp.55-73
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    • 2008
  • This research explores the relationship between gender equity within family and second birth in Korea. For a factor analysis on the intention of having additional children for women with one child, I have used the data from the 2005 National Survey on Marriage and Fertility Trend" of the Korea Institute for Health and Social Affairs. Among 516 samples(year of 20-44), women planning to have second birth are 54.7%, and others have answered that they have no intention to have second birth. As a result, main causes affecting progressing to second birth seemed to be family planning on family cycle, such as controlling age gaps between first and second child, composing children genders as they wish etc. The variable of "gender equity between couples" in progressing to second birth are of significant only with married working women group. In case of married working women, more the husband's houseworking hours increase, the more prone to progress to second birth. However, in case of housewives, gender equity level, such as husband's housework hours or share of housework are not of significant influence in progressing to second birth. Not only working mothers but also housewives need the realization of gender equity within the family and the expansion of social support system for work-family life balance.

Public Policy for Hospitals in the United States (미국의 병원정책)

  • Kwon, Soon-Man
    • Korea Journal of Hospital Management
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    • v.3 no.1
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    • pp.238-260
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    • 1998
  • This article describes the theoretical foundations of government policy for hospitals in terms of correcting market failure and enhancing equity. It then discusses the characteristics that desirable payment systems should have, and the effects of the DRG-based prospective payment system on hospital behavior, its financial performance, hospital industry, and health care expenditure. The rationales and impacts of other public policies for hospitals such as antitrust and fair trade regulation, dissemination of practice guidelines and hospital mortality information, regulation of hospital capital investment, and tax policy are also discussed.

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Behavioral Intention of Health Tourists for developing the product - Based on Internet Information (상품 개발을 위한 의료관광객의 선택 의도 분석 - 인터넷 정보 원천 기반)

  • Kim, Mincheol;Boo, Chang-San
    • Journal of Digital Convergence
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    • v.11 no.5
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    • pp.385-394
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    • 2013
  • Recently, as the healthcare market is globalized, the importance of the information on the Internet has been recognized. In this study, the analysis by research model with hypothesis that benefit sought factors of health tourism have a positive effect on behavioral intention of destination selection through tourism brand equity by internet information was carried out. As a result of analysis, benefit sought factors like as health and beauty did not have a positive effect on brand cognition and perceived quality but benefit sought factors like as service and nature had a positive effect on brand cognition and perceived quality. However, benefit sought like as experience did not have a positive effect on brand cognition and perceived quality. And brand equity like as brand cognition and perceived quality had a positive effect on behavioral intention. Thus, according to the results of these hypotheses, policies that foster health tourism in Jeju region will be followed based on product development that considering the importance of the existing service and cognition.