• Title/Summary/Keyword: Health management

Search Result 15,382, Processing Time 0.04 seconds

The Concept and Challenges for Public Health Systems (공중보건체계의 개념과 발전 과제)

  • Bae, Sang Soo
    • Health Policy and Management
    • /
    • v.26 no.4
    • /
    • pp.246-255
    • /
    • 2016
  • The study of public health systems is an important, but very difficult task. The concept and functions of public health systems are influenced by the views, interests, and influence of the various stakeholders belonging to public health systems and broader social, economic, political, and environmental sectors. To define public health system with conceptual clarification, we must take into account the dynamic and complex aspect of the public health system. This paper reviews health systems and public health systems literature to suggest the concept, goals, and functions of public health systems. In addition, this paper recognizes some challenges, such as leadership and management, resource development, economic support, and service delivery to strengthen public health systems for improving health and well-being of population.

Variation in hospital length of stay according to the DRG-based prospective payment system in the voluntarily participating providers (DRG(Diagnosis-Related Group)를 이용한 포괄진료비 지불제도의 선택 참여에 따른 재원일수 변화)

  • Choi, Sook-Ja;Kwon, Soon-Man;Kang, Gil-Won;Moon, Sang-Jun;Lee, Jin-Seok
    • Health Policy and Management
    • /
    • v.20 no.2
    • /
    • pp.17-39
    • /
    • 2010
  • This study explored the impact on the DRG(Diagnosis-Related Groups)-based prospective payment system(PPS) operated by voluntarily participation providers. We analyzed whether the provides in the DRG-based PPS and in traditional fee-for-service(FFS) systems showed different the degree of variation in length of stay(LOS), and the providers' behaviors depending on the differences according to the varied participation periods. The study sample included all data 2,061 institutions participated in DRG-PPS in 2007 and all cases 473 FFS institutions which reported fee-for-service claims were reviewed same diagnosized diseases at least 10cases claims during three months We compared the differences of the LOS among health care institutions according to their type, region, and size. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS and interaction effect participation and hospital types or participation periods. The result provide the evidence that the DRG payment system operated by volunteering health care institutions had impact on resources use, which can reduce the institutions' the length of stay. While some DRGs had no correlation between participation periods and LOS, other DRGs, DRG participation period reversely linear relationship with LOS. That is to say, the longer participation year, the less reducing the LOS. These results support the future expansion of the DRG-based PPS plan to all health care services in Korea.

Review of Qualitative Approaches for the Construction Industry: Designing a Risk Management Toolbox

  • Zalk, David M.;Spee, Ton;Gillen, Matt;Lentz, Thomas J.;Garrod, Andrew;Evans, Paul;Swuste, Paul
    • Safety and Health at Work
    • /
    • v.2 no.2
    • /
    • pp.105-121
    • /
    • 2011
  • Objectives: This paper presents the framework and protocol design for a construction industry risk management toolbox. The construction industry needs a comprehensive, systematic approach to assess and control occupational risks. These risks span several professional health and safety disciplines, emphasized by multiple international occupational research agenda projects including: falls, electrocution, noise, silica, welding fumes, and musculoskeletal disorders. Yet, the International Social Security Association says, "whereas progress has been made in safety and health, the construction industry is still a high risk sector." Methods: Small- and medium-sized enterprises (SMEs) employ about 80% of the world's construction workers. In recent years a strategy for qualitative occupational risk management, known as Control Banding (CB) has gained international attention as a simplified approach for reducing work-related risks. CB groups hazards into stratified risk 'bands', identifying commensurate controls to reduce the level of risk and promote worker health and safety. We review these qualitative solutions-based approaches and identify strengths and weaknesses toward designing a simplified CB 'toolbox' approach for use by SMEs in construction trades. Results: This toolbox design proposal includes international input on multidisciplinary approaches for performing a qualitative risk assessment determining a risk 'band' for a given project. Risk bands are used to identify the appropriate level of training to oversee construction work, leading to commensurate and appropriate control methods to perform the work safely. Conclusion: The Construction Toolbox presents a review-generated format to harness multiple solutions-based national programs and publications for controlling construction-related risks with simplified approaches across the occupational safety, health and hygiene professions.

Causality Analysis for Public and Private Expenditures on Health Using Panel Granger-Causality Test

  • Lee, Su-Dong;Lee, Junghye;Jun, Chi-Hyuck
    • Industrial Engineering and Management Systems
    • /
    • v.14 no.1
    • /
    • pp.104-110
    • /
    • 2015
  • Every year governments spend their national budget on public health in order to reduce financial burden of individuals on health. Although it has been widely believed that the increase of public expenditure on health decreases private health expenditure, it has not been proved by analysis with real data. For better understanding, we conducted an empirical study on the real data of 17 OECD countries-Australia, Austria, Canada, Denmark, Finland, Germany, Iceland, Ireland, Japan, Korea, New Zealand, Norway, Portugal, Spain, Sweden, the United Kingdom, and the United States. The panel Granger-causality test is used to verify the cause-and-effect relationship between the two expenditures. As a result, public expenditure on health has a 3 to 4 year-lagged negative effect on private health expenditure in the cases of the 16 countries except for the United States.

A Study on a Database Management System for Health-friendly Building Materials (건강친화형 건축자재의 DB화 연구 - 실내마감재를 중심으로 -)

  • Kwon, Gi-Deoc;Lee, Dong-Hoon;Kim, Sun-Kuk
    • KIEAE Journal
    • /
    • v.9 no.6
    • /
    • pp.3-11
    • /
    • 2009
  • Building materials have a great impact on the health of a building's occupants. Thus, it is imperative that their health-related properties be taken into during the course of construction project. Unfortunately, no current database system exists that can provide information on the health performance of building materials at each stage of construction project management, from planning and design to building and maintenance. therefore, an inordinate amount of time and effort is required to choose the right health-friendly materials(DBHM). To solve this problem, this study aims at building a database management system for health-friendly building materials. It analyzes the health-related properties and performance of various materials, and proposes a database structure and operation algorithm. The system proposed in this study is expected to contribute to the objective evaluation of health-friendly building materials through the accumulation of relevant data.

Subjective Health, Subjective Oral Health, and EQ-5D Level of Adults According to Health Management and Oral Health Management Behavior (성인들의 건강관리와 구강건강관리행태에 따른 주관적 건강과 구강건강, EQ-5D수준)

  • Chung-Mu Park;Hyun-Seo Yoon
    • Journal of The Korean Society of Integrative Medicine
    • /
    • v.11 no.1
    • /
    • pp.1-12
    • /
    • 2023
  • Purpose : This study examined the relationship between oral health management behavior and subjective health perception by using a tool that measures health-related quality of life named EQ-5D. The findings are expected to provide fundamental data for developing diverse programs, including health- and oral-health-related educational media, to ultimately enhance people's health-related quality of life. Methods : Adults over the age of 20 were extracted from the raw materials of the 8th national health and nutrition examination survey conducted in 2019. Among them, 4034 were finally chosen as the study subjects after checking the response distribution of relevant questions and excluding inadequate samples. Variables included general characteristics, health management behavior, oral health management behavior, subjective health perception, and EQ-5D level. Cross-tabulation test, independent t-test, one-way analysis of variance, and linear regression analysis were conducted using SPSS 25.0. Results : EQ-5D, which measures the level of health-related quality of life, was high when the subjects had a medical check-up experience, no experience of unsatisfactory medical service, and did not get an influenza vaccination (p<.001). The quality of life was higher when the subjects received dental inspections, did not require treatment, and used oral care goods (p<.005). Health-related quality of life was also higher when the subjective health level and subjective oral health level were high. Conclusion : Results indicate that subjective health, oral health perception level, and quality of life together were high when people had a regular check-up, did not neglect treatment, and used oral care goods. Considering the findings of this study, check-up programs that are customized for each age group are necessary. Health-related quality of life could be enhanced through the provision of diverse medical services and active efforts to prevent any medical blind spot.

Lifecycle Health Assessment Model for Sustainable Healthy Buildings

  • Lee, Sungho;Lim, Chaeyeon;Kim, Sunkuk
    • Journal of the Korea Institute of Building Construction
    • /
    • v.14 no.4
    • /
    • pp.369-378
    • /
    • 2014
  • A system to analyze, assess and manage the health performance of resources and spaces throughout the project lifecycle shall be established to ensure sustainable healthy buildings. Decisions made in the planning, design, construction, and operation and management (O&M) phases must help sustain the health performance of buildings at the level specified by clients or the relevant laws. For this reason, it is necessary to develop a model to ensure the consistent management of performance, as such performance varies according to the decisions made by project participants in each phase. The purpose of this research is to develop a Lifecycle Health Assessment Model (LHA) for sustainable healthy buildings. The developed model consists of four different modules: the Health-friendly Resources Database (HRDB) module, which provides health performance data regarding resources and spatial elements; the Lifecycle Health-performance Tree (LHT) module, which analyzes the hierarchy of spatial and health impact factors; the Health Performance Evaluation (HPE) Module; and the Lifecycle Health Management Module, which analyzes and manages changes in health performances throughout the lifecycle. The model helps ensure sustainable health performances of buildings.

Elderly Workers Living in Urban Areas and Their Experiences in Managing Health (도시 지역 노인 근로자의 건강관리 경험)

  • Kweon, Yoo Rim;Kim, Miyoung
    • Korean Journal of Adult Nursing
    • /
    • v.28 no.5
    • /
    • pp.514-524
    • /
    • 2016
  • Purpose: The purpose of this study was to describe the reported experiences of health management among twenty elderly workers living in urban areas. Methods: Corbin and Strauss's grounded theory approach was used to capture the meaning of health management. Theoretical sampling technique was used in the interviews. Using open coding, axial coding, and selective coding, data were collected and analyzed simultaneously. Results: The core category was 'pursuing health to take root in the workplace.' Four stages of the elderly workers' health management were identified as 'awareness of health changes', 'having the will to be healthy', 'utilization of health care resources', and 'reorganization of health habits.' However, when the elderly workers reported limited capacity to manage their health, then two new categories were described: 'awareness of health changes' and 'settlement with current health.' Conclusion: To the elderly workers the concept of working was equated with being healthy. Further, the participants reported having a future oriented view of health and sought health to extend their working lives. The specialized intervention of health management targeting elderly workers in the settlement stage of current health habits should be provided.