• Title/Summary/Keyword: Korean Academy of Health Policy and Management

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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.

The Need of Integrated Approach for Suicide Prevention (자살예방을 위한 통합적 접근의 필요성)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.29 no.1
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    • pp.1-3
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    • 2019
  • Suicide is a major problem in Korean health care and a serious social problem. In Korea, 12,463 people (24.3 per 100,000) lost their lives due to suicide in 2017. Although the government has established three National Comprehensive Plan of Suicide Prevention (2004, 2009, 2016), and National Action Plan of Suicide Prevention (2018), the suicide rate is still high. The suicide rate of the elderly is especially high. This is due to the economic vulnerability of the elderly in Korea. Therefore, in order to prevent suicide in Korea, mental health care approach and social welfare approach should be integrated. The intervention of preventing suicide of suicide attempters should include social welfare services as well as mental health program and should be based on community. There are many health problems, including prevention of suicide, which can not be solved only by the efforts of health care. Many health problems are social problems and the integrated approach is needed to solve them. In order to solve many health care problems and improve health, integrated approach of health, social science, and humanities is needed.

Research on Geographic Variations in Health Services Utilization in the United States: A Critical Review and Implications (미국의 지역간 의료이용의 변이 연구: 비판적 검토와 함의)

  • Do, Young-Kyung
    • Health Policy and Management
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    • v.17 no.1
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    • pp.94-124
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    • 2007
  • This paper critically reviews three decades of research on geographic variations. in health services utilization in the United States, thereby drawing policy and research implications for Korea. The recent renewed interest in variations research in the United States, precipitated by studies on regional variations in Medicare expenditures, stems mainly from the policy implication that a substantial amount of Medicare expenditures could be saved without compromising quality and access. From the research perspective, this policy implication was made tenable by integrating micro- and macro-level analysis of variations in health services utilization. Still, theoretical limitations inherent in the research pose great challenges to developing effective strategies at the health system level. Variations research in the United States can serve as a case study as to how health services research has responded to efficiency and quality issues in an ever expanding health system Considering the current health policy and research environment in Korea, the following implications can be drawn. Variations research will help formulate a national policy agenda for health care quality and also advance the framework of approaches to health policy issues. For such purposes, both relevant descriptive and hypothesis-testing studies are needed. Further advancement in variations research will require interdisciplinary explorations and methodological sophistication. To the extent that Korean health policies will strive to achieve complex goals, variations research will increasingly prove to be useful.

Establishing research priorities of FDG PET in oncology indications using Delphi technique (델파이법을 활용한 종양분야 FDG PET의 경제성 평가 연구 우선순위 선정)

  • Do Young Kyung;Lee Jin Yong;Kim Young-Ik;Kwon Young Hoon;Lee Sang-Il;Kim Chang-Yup
    • Health Policy and Management
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    • v.14 no.3
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    • pp.45-65
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    • 2004
  • The rapid increase in PET devices and its utilization in Korea necessitates relevant health insurance policies based on scientific evidence, including economic evaluation of PET in clinical conditions. However, there is very little amount of evidence regarding PET, and the first step would be to establish research priorities to give a momentum for research and assure efficient use of research capacities. To this end, we conducted a two-round Delphi study, which produced stable consensus on about top 10 oncology indications for research, which included lymphoma staging, colorectal cancer recurrence/restaging, lung cancer staging, and other conditions. The results were largely consistent with current U.S. Medicare reimbursement indications and are expected to lead to relevant researches and evidence-based health policies on PET reimbursement and regulation.

How to Integrate the Fourth Industrial Revolution in the Healthcare Industry? (보건의료분야에서 4차산업혁명, 어떻게 대처할 것인가?)

  • Sun-Hee Lee
    • Health Policy and Management
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    • v.33 no.1
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    • pp.1-2
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    • 2023
  • As the industrial paradigm shift, often condensed as the "4th Industrial Revolution," gains momentum, there is a growing need to actively introduce digital healthcare into the medical field. The new administration announced its commitment to become a global leader in the biohealth and digital healthcare sector. To fulfill this pledge, preemptive policy leadership and attention from the government are required. The recent issue of legislating non-face-to-face medical care suggests that introducing digital healthcare goes beyond simply adopting new technologies. Incorporating digital healthcare involves changing the existing healthcare delivery process and coordinating the roles of stakeholders. To successfully change the structure of the medical industry, a mid- to long-term roadmap should be meticulously organized and promoted. Policy efforts are needed to resolve conflicts and lead to compromises through continuous communication with interest groups.

Analysis of the Effects of Demographic Variables on Health Care Services Using the Spline Regression (의료이용도에 대한 인구학적 변수의 효과분석의 방법)

  • 김병익;이영조;권순호;한달선
    • Health Policy and Management
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    • v.1 no.1
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    • pp.19-26
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    • 1991
  • Demographic variables have a great deal of impact on the utilization of health services. In this paper, the use of segmented polinomials is shown to be superior to the simple use of dummy variables and simple polinomials in explaining differences in health care utilization with respect to sex and age differences.

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The 9th Global Conference for Health Promotion and Shanghai Declaration (제9차 건강증진 국제회의와 상하이 선언)

  • Park, Yoon Hyung
    • Health Policy and Management
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    • v.26 no.4
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    • pp.243-245
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    • 2016
  • The 9th Global Conference for Health Promotion has been held in Shanghai after 30 years of the first Global Conference for Health Promotion in Ottawa, Canada. In the conference, the delegated members of the countries declared 'Shanghai Declaration on promoting health in the 2030 Agenda for Sustainable Development.' In the declaration, the delegated members of country had agreed that health is one of the 'most effective markers' of any city's successful sustainable development and contributes to make cities inclusive, safe, and resilient for the whole population and 'health literacy' empowers individual citizens and enables their engagement in collective health promotion action. And in a parallel session 'Mayors Forum,' they had consensus for health city and they adopted 'Shanghai Consensus on Healthy Cities.' They recognized their political responsibility to create the conditions for every resident of every city to lead more healthy, safe, and fulfilling lives and to support the full realization of human potential and capabilities at all ages in the city environment.

Analysis of Experts' Views on Health Care: A Survey (보건의료체계에 대한 전문가 인식 분석)

  • Jung, Young-Ho;Ko, Suk-Ja
    • Health Policy and Management
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    • v.16 no.4
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    • pp.86-111
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    • 2006
  • Either ways of understanding health care as a commodity or public work are at opposite ends of health care spectrum. These two rival conceptions reflected by viewpoint(ideology) would lead to different directions in policy-making for health care reform. The purpose of this study is to access the value differences of experts' policy views about health care issues by analyzing the extent of consensus among experts in the field of health care. Using primary data obtained through a mail survey of 558 experts in the field of health care, we analyzed the differences of experts' opinions about characteristics of health care market, policy issues and values Gdeology). The study represents from 50-50 split analysis, entropy index, and factor analysis that the wide spread disagreements over health policy, which is a major barriers to effective policy-making, could be caused by the ideological perception differences among experts. This implies that, if values play an important role in policy-making, we should identify the differences in value and seek ways to balance among the diverse values such as efficiency, equity, freedom, and security. For this, the policy issues debated on differences in values should be reconciled for narrowing gaps of experts' perceptions through various ways.

The Urgent Need to Establish the Plan for Development of Health and Medical Services (보건의료발전계획 수립의 시급한 필요성)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.29 no.3
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    • pp.245-247
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    • 2019
  • Although 19 years have passed since the enforcement of the Framework Act on Health and Medical Services, the Plans for Development of Health and Medical Services has not been established. This Plan is a 5-year basic long-term plan that covers the whole of health and medical services. This Plan should point to the direction of 30 long-term plans of healthcare, and this Plan should serve as a combination and coordination of 30 long-term plans and 22 related laws. The United States, the United Kingdom, and Japan have established long-term healthcare plans (4-, 10-, and 20-year plans, respectively). The long-term health plan of the United States has been approached bottom-up, those of the United Kingdom and Japan have been approached top-down. The rapid environmental changes that Korea is and will be experiencing emphasize urgently the need for establishing the Plan for Development of Health and Medical Services.