• Health Policy and Management
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• v.6 no.2
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• pp.14-42
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• 1996

On rationale for government intervention is the failure of competition in the market. Health care markets are characterized by such unique aspects as information asymmetry, prevalence of insurance, and cost-increasing competition based on the adoption of costly medical technology. Therefore, government policy to guarantee a sufficient number of providers in markets may not lead to socially beneficisal outcomes such as higher quantity and lower price. This paper examines the unique nature of health services and its implications for competition, the evidence that competition may not reduce health care ex[enditures, and policy tools that government can use to encourage competition which contributes to supporting a sustainable health care system.

• Journal of Preventive Medicine and Public Health
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• v.40 no.6
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• pp.447-453
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• 2007

Although the New National Health Promotion Plan 2010 target to reduce health inequalities, whether the program will be effective for reducing the health inequalities in Korea remains quite unclear. More and more developed countries have been started to concentrate on comprehensive policies for reducing health inequalities. The health policies of the UK, Netherlands, and Sweden are the most wellknown. I propose that a comprehensive blueprint for tackling health inequalities in Korea should be made and that it must contain five domains: a target, structure and process, life-course approach, area-based approach, and reorganization of health care resources. The target should be based on determinants of health and more attention should be paid to socioeconmic factors. The structure and process require changes from the national health care policy based on medical services to the national health policy that involves the establishment of a Social Deputy?Prime Minister and the strengthening multidisciplinary action. A life-course approach especially focused on the early childhood years. Area-based approach such as the establishment of healthy communities, healthy schools, or healthy work-places which are focused on deprived areas or places is also required. Finally, health care resources should be a greater investment on public resources and strengthening primary care to reduce health inequalities. The policy or intervention studies for tackling health inequalities should be implemented much more in Korea. In addition, it is essential to have political will to encoruage policy action.

• Journal of the Korean Geographical Society
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• v.51 no.1
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• pp.41-56
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• 2016

This study investigates the employment and spatial mismatch as a significant acting factor of deepening urban poverty and analyses the placeness of regional labor market that the more efficient place-based labor market intervention needs to take into account. The change of unemployment rate as a regional labor market outcome in metropolitan cities is determined by the dynamic interaction between disequilibrium of labor supply and demand and employment mismatch according to various labor market conditions and its process is certainly differentiated across the metropolitan regional labor markets. In addition, it is analyzed that during the employment suburbanization the spatial mismatch puts differentiated impacts on different labor groups through human capital requirements and industry-selective job opportunities. As a result, because this whole process works with its unique process within individual regional labor markets, in order to link between urban poverty and employment mismatch and to promote problem-solving labor market intervention, we need to develop place-based policy based on the placeness of regional labor marekt.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.2
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• pp.609-614
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• 2016

Background: Although breast cancer is the most common cancer in women, economic evaluation of breast cancer screening is not fully addressed in developing countries. The main objective of the present study was to analyze the cost-effectiveness of breast cancer screening using mammography in 35-69 year old women in an Iranian setting. Materials and Methods: This was an economic evaluation study assessing the cost-effectiveness of a population-based screening program in 35-69 year old women residing in rural areas of South east Iran. The study was conducted from the perspective of policy-makers of insurance. The study population consisted of 35- to 69-year old women in rural areas of Kerman with a population of about 19,651 in 2013. The decision tree modeling and economic evaluation software were used for cost-effectiveness and sensitivity analyses of the interventions. Results: The total cost of the screening program was 7,067.69 US$ and the total effectiveness for screening and no-screening interventions was 0.06171 and 0.00864 disability adjusted life years averted, respectively. The average cost-effectiveness ratio DALY averted US$ for screening intervention was 7,7082.5 US$ per DALY averted and 589,027 US $ for no-screening intervention. The incremental cost-effectiveness ratio DALY averted was 6,264 US$ per DALY averted for screening intervention compared with no-screening intervention. Conclusions: Although the screening intervention is more cost-effective than the alternative (noscreening) strategy, it seems that including breast cancer screening program in health insurance package may not be recommended as long as the target group has a low participation rate.

• Journal of Korean Academy of Nursing
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• v.37 no.3
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• pp.414-421
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• 2007

Background: Nursing intervention studies often suffer from a selection bias introduced by failure of random assignment. Evaluation with selection bias could under or over-estimate any intervention's effects. PS matching (PSM) can reduce a selection bias through matching similar Propensity Scores (PS). PS is defined as the conditional probability of being treated given the individual's covariates and it can be reused to balance the covariates of two groups. Purpose: This study was done to assess the significance of PSM as an alternative evaluation method of nursing interventions. Method: An intervention study for patients with some baseline individual characteristic differences between two groups was used for this demonstration. The result of a t-test with PSM was compared with a t-test without matching. Results: The level of HbA1c at 12 months after baseline was different between the two groups in terms of matching or not. Conclusion: This study demonstrated the effects of a quasi-random assignment. Evaluation using PSM can reduce a selection bias impact that affects the result of the nursing intervention. Analyzing nursing research more objectively to reduce selection bias using PSM is needed.

• Journal of Digital Convergence
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• v.18 no.2
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• pp.323-331
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• 2020

This study was to perform a systematic review to examine pressure ulcer preventive intervention and risk factors. PRISMA flow diagram in accordance with the selection process of this research was done. The literatures were retrieved from domestic and international study from 2010 to June, 2019. A total of 30 literatures were selected according to the selection criteria of this study. The literatures were searched electronically using the search engine with the key words of 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention', 'prevention'. The results of this study suggest that mediation with position change and pressure reduction device reduced the incidence of pressure sores and was important for prevention. Based on the results of this study, we provide basic data for preventive intervention of pressure ulcers that are appropriate for each medical institution.

• Journal of Digital Convergence
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• v.14 no.12
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• pp.245-256
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• 2016

The purpose of this study was to determine the trends of health related intervention researches for married immigrant women in order to develop health promotion programs for married immigrant women. Among ninety six health related research papers published between 2000 and 2015, nine intervention researches were reviewed and analyzed. Among these researches, three were related to pregnancy and delivery and one was related to the prevention of infections in children and women's diseases respectively. Four researches provided information pertaining to the intervention and handling of mental and social or physical health issues, two researches pertained to only mental health and three researches covered only physical health. The researches related to physical health for married immigrant women needed to take into consideration various issues related to life span including child birth and child rearing. Also, researches that focused on social and mental health issues required additional planning to enhance relationships with others in addition to personal coping skills.

• Journal of Digital Convergence
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• v.13 no.9
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• pp.541-551
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• 2015

This research was a review and analysis of published articles and theses in Korea on Intervention Programs for patients with Diabetes Mellitus. A comprehensive search of databases was undertaken(Korean studies, Riss4u). using research terms such as"diabetes", "diabetes and education" "diabetes and exercise", "diabetes and intervention", "diabetes and education or exercise." 53 studies were analyzed focusing on type, application method, dependant variable and effect using descriptive statistics. 8 intervention type and 113 dependant variables were used. The most frequently used applied education and counseling and glycometabolism, self-care, self-efficacy the most frequently used dependant variable. The effects of dependant variables no effect or were different effects. Further reserarch in the digital convergence should requires the consideration of Structured content and exercise and the effect of the measurement variables, including the psychological variable effect.

• Journal of Digital Convergence
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• v.19 no.12
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• pp.661-673
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• 2021

This study is a descriptive study to understand the effect on the health behavior compliance of men who got coronary intervention, focusing on the elapsed period. The subjects of this study were 249 men who underwent coronary intervention at a university hospital, and the collected data were analyzed using Stepwise multiple regression. As a result of the study, the influencing factors the implementation of healthy behaviors were self-regulation(β=0.35, p<.001), risk factors among educational request(β=-0.26, p<.001), and the elapsed period(β=0.19, p<.001), marital status(β=0.15, p=.001), educational level(β=-0.12, p=.035), and the total explanatory power was 29.1%. IIn order to increase the health behavior performance of male patients who underwent coronary intervention, it is necessary to develop a program that can strengthen the autonomous motivation of subjects with high severity and elapsed time of less than 1 year and more than 1 year.

• Journal of Digital Convergence
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• v.16 no.12
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• pp.197-206
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• 2018

The harmful effects of online malicious comments are continuously increasing. Many previous studies have confirmed that neutralization of malicious comments is a key predictor. Neutralization is theoretically composed of seven multidimensional concepts, and the significance of neutralization factors varies depending on the type of deviant behavior. This study focuses on the fact that the malicious comment researches have considered the neutralization techniques in a single dimension as opposed to demonstrating the multidimensional neutralization techniques in the deviant behavior research. On the other hand, the role of arbitrator in deviant behavior can contribute to restraining deviant behavior, but the research of intervention intention is relatively lacking in malicious comments research. This study, composed of two complementary studies, tried to find out the related factors of malicious comments and intervention intention. As a result of study, This study revealed that malicious commentator uses the neutralization techniques of condemn the condemners and denial of responsibility. In addition, we found that affective empathy has a significant effect on the intervention intention in malicious comments.