• Title/Summary/Keyword: Moral Care

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Determinants of the National Health Expenditures: Panel Study (국민의료비 결정요인분석)

  • 최병호;남상호;신윤정
    • Health Policy and Management
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    • v.14 no.2
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    • pp.99-116
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    • 2004
  • This study estimates the determinants of national health expenditures of OECD countries using panel regression method. The data used are OECD Health Data(2003) covering 33 countries and from 1970 to 2001. This study shows several important different results compared to the previous studies. Further this study estimates the determinants of Korean case using data from 1m to 2000, and compare with the results of OECD panel. The main findings are as follows. The income elasticity of health expenditures is estimated below 1.0, but is shown above 1.0 when the different health systems of each country are controlled. The women's labor participation influences strongly positive effect on the health expenditures. The diffusion of new technologies is positively related with the increasing expense. The increasing government expenditures have a tendency not to contain health expenses, but to increase expenses. The expansion of public health insurance holders is containing the expenses, and the increasing number of doctors is pushing expenditures. This implies the health expenditures are influenced more by the induced demand of providers rather than the moral hazard of patients. However, the above result is opposite in Korean case. The existence of primary care doctors affects slightly up warding rather than containing expenditures. Finally the determinants are seriously depending upon which factors are included in the model and which statistical model is chosen. Therefore it must be cautious to interpret the results of statistical model.

A Study on Comparison of Yangsaeng-Doyin Therapy and Modern Exercise Therapy (양생도인법(養生導引法)과 현대운동요법(現代運動療法)의 비교(比較) 고찰(考察))

  • Choe, Hui-Seok;Lee, Gi-Nam
    • Journal of Korean Medical Ki-Gong Academy
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    • v.2 no.1
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    • pp.55-88
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    • 1998
  • Today the interest about maintenance and improvement of health has been increasing more and more. Realizing the necessity of study about exercise remedy, by consideration of the exercise remedy in the Occident and the Orient, I come to conculsions as follows : First, both Modern Exercise therapy and Yangsaeng-Doyin therapy(養生導引法) are preserve methods founded on breathing principle and are used efficiently in disease treatment and health maintenance. Second, compared with Yangsaeng-Doyin therapy(養生導引法), Modern Exercise therapy concentrates on physical training which emphasize momentum, Yangsaeng-Doyin therapy(養生導引法), however, focuses on discipline at once in mind and body based on the care of moral culture. Third, Modern Exercise therapy has been develope in view of Cure medicine, but Yangsaeng-Doyin therapy(養生導引法) to Psychosomatic preserving therapy including preserving health, treating a diseade and longevity in the light of comprehensive Priventive medicine. Fourth, while Modern Exercise therapy in the field of Clinical medicine is organized systematically and practically, Yangsaeng-Doyin therapy(養生導引法) is not sufficient to practical study in real clinic despite the abundance of content.

MUHAMMAD IQBAL AND ENVIRONMENTAL ETHICS

  • OZDEMIR, IBRAHIM
    • Acta Via Serica
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    • v.2 no.2
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    • pp.89-112
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    • 2017
  • Today, we face many problems at the planetary, national, local, and personal level. What is interesting and important is the fact that the environmental crisis that we have been facing since the 1960s is seen by many environmentalists as a crisis of Western civilization, a slow collective suicide, and "the defining challenge of our age." This fact has encouraged many environmentalists, thinkers, and activists to turn to the wisdom of the East for a better and deeper understanding of nature and humanity for a sustainable future. Moreover, environmental, social, and economic threats are aimed at everyone without discrimination, be they Christian, Jew, Muslim, or Buddhist. Therefore, the very nature of the environmental crisis and challenge requires a cooperative, global response. In this context, this study suggests that Eastern societies may re-discover the richness of their own traditions in the light of pressing environmental problems and offer new insights to respond to these problems. This paper will explore the possibility and relevance of Sir Muhammad Iqbal's (1877-1938) ideas for an attitude of reverence and care for nature. It will suggest that his ideas could enlarge and enrich our perspective of ourselves vis $\grave{a}$ vis nature, and raise our "ecological consciousness" and moral responsibility to take action for the environment. It will be argued that Iqbal, as a great and towering son of the Silk Road and a bridge between East and West, is still relevant for us.

Early Childhood Teacher's Professional Ethics: The Code of Ethical Conduct (영유아교사의 교직윤리: 윤리강령을 중심으로)

  • Cho, Eun-Jin;Han, Sae-Young;Shin, Hye Eun
    • Korean Journal of Child Studies
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    • v.37 no.6
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    • pp.185-200
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    • 2016
  • Objective: This study examined the code of ethics, which offers guidelines for early childhood teachers' ethical decisions and practices. Results and Conclusion: In the second section of this paper, the meaning of the code of ethics is reviewed. The issues of the code of ethics are also investigated to resolve moral and ethical dilemmas and to maintain high standards of professional conduct in early childhood care and education. In the third section of this paper, a comparison of the ethical codes in South Korea, Japan, the United Kingdom, and the United States is conducted. Based on the results raised in relation to the code of ethics principles and the results of comparing domestic and international ethics codes, the fourth section of this paper focuses on three topics in the current and future direction of the Korean code of ethics: (a) concreteness and clarity, (b) switching from the viewpoint of least harm to the viewpoint of maximum benefit, and (c) the range of benefits of the code of ethics. Then, including the existence of the last two codes of ethics, we discuss the direction of future difficulties currently associated with the situation in Korea.

A Study on Dongjungseo(董仲舒)'s Yin-Yang theory - Yang Central Idea - (동중서(董仲舒)의 양(陽) 중심 사상에 대한 고찰 -"황제내경(黃帝內經)"과의 비교(比較)를 통하여-)

  • Kim, Sung-Ji;Kim, Su-Jung
    • Journal of Korean Medical classics
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    • v.22 no.3
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    • pp.145-160
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    • 2009
  • The most famous thought of Dongjungseo's must be 'the Sky-Earth Response Theory.' The theory includes the Same 'Gi' Correspondence(the Same Category Homology) and explains the relationship between the nature and the men based on Yin-Yang. This theory, commonly studied by the scholars of the political science, however, has been constituting the foundation of the oriental medicine. Also, he insists many other theories related to Yin-Yang including the natural calamity, the treatise of human nature, the name and reality, and the national school of Confucianism, etc. This paper covers the Yin-Yang theory, particularly with regard to ethics. politics, human nature of Dongjungseo, and the comparison of his Yin-Yang and that of the Emperor Inner Cannon. Dongjungseo insists on the harmony of Yin-Yang just only in the area of health care, excluding other areas such as state and family governance. However, in contrast, he asserts the Yang central idea for what he defined as the order of a family, a society and a state. This presents his contradiction and logicality. In the last part of this paper, his logical flaws would be discussed and analysed. However, he is a lucky scholar, because his Yang central idea has been successfully governing peoples for a long time, despite such imperfection and contradiction in his studies.

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A Study on the Improvement of Sex Education in Middle and High School Girls -Gyeong Nam Area- (중등학교의 성교육 개선방안을 위한 연구 -경남지역 여학생을 중심으로-)

  • 구자옥;박정희;이남기
    • Journal of Korean Home Economics Education Association
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    • v.9 no.2
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    • pp.131-142
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    • 1997
  • The purpose of this study was to collect fundamental data for sex education by investigating the actual conditions of sex education, concerns about sex, knowledge of sex and consciousness about sex. The subjects were 212 middle school girls and 219 high school girls in Ggyeong Nam. The results were as follows 1. There was no significant difference between middle school girls in knowledge of sex. 2. The most frequently experienced problem concering other sex was about dating and the many consultants were friends. 3. The stimulation of sexual desire was brought by film$.$TV$.$VTR, and advertisement, and sex information was acquired from friends or magazines in both schools students. 4. The reason of high school students for needing sex education was to solve moral problems and the reason of middle school students was to solve the anxiety in adolescence. 5. The students wanted their sex educator to be the expert in the field of sex education, home economist and nurse teacher, in order. 6. The contents of sex education desired by students were; physiological differences of a man and woman, etiquette and matter with other sex, a sexual problem of teenager and pregnancy$.$delivery$.$child care.

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The Formation of the Historical Identity of Korean Doctors (한국 의사의 역사적 정체성 형성)

  • Yeo, In-sok
    • Korean Medical Education Review
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    • v.23 no.2
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    • pp.75-79
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    • 2021
  • In modern society, doctors are a representative example of professionals-that is, doctors are members of an occupation with high barriers to entry. For doctors, long-term education, training, and licensing are factors that make it difficult to enter medical practice. These external characteristics, which have mainly arisen in the modern era, play an important part in the professional identity of doctors. Nonetheless, the core of the doctor's identity is the identity of the healer. In today's Korean society, the universal identity of doctors as healers results from a combination of the special historical identity of professionals with high entry barriers. Korean society currently demands a high level of ethical awareness from doctors. These demands are partly derived from the nature of the practice of medical care, but they also reflect demands for strong social responsibility as professionals. It is difficult to cultivate professional ethics simply by imposing legitimate virtues, presenting an ideal model, or emphasizing moral education that is not fully realistic. A deep-rooted sense of professional ethics stems from a clear awareness of professional identity. Education plays an important role in the formation and awareness of doctors' professional identity, and various types of content and methods can be used in education. However, since the identity of an entity is formed through the process of historical experience, it is thought that the historical process of the formation of doctors as a profession should be included as an important part of education.

A Bioethical Study of the Informed Consent for Organ Donor (장기공여를 위한 사전동의의 생의윤리학적 고찰)

  • Um, Young-Rhan;Han, Sung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.2
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    • pp.475-487
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    • 1998
  • This is a study to search for the ethical basis for valid informed consent of organ donors. It is an admirable action that a person give his own body part or organ as a gift to another person. The organ for transplantation can be removed only when the donor consents voluntarily to donation. It is recently proposed as the need for organ transplantation is increased that organs can be harvested although the consent of deceased cannot be obtained. This may raise many moral issues because human beings all have an unalienable right to control their own bodies. The principle of autonomy is usually regarded as an ethical basis for informed consent. However, some people criticize that the principle of autonomy requires a person and his decision to be autonomous (but there are many patients who aren't autonomous due to their confusion or unconscious condition in a clinical situation). or this principle can foster indifference to patients needing help: thus respect for principles of care and beneficence is necessary. When we consider the complexity of making a decision about organ donation. the principle of autonomy should be replaced by the principle of respect for individual autonomy. as expressed by Childress (1990). This principle requires the care givers to respect the client's individual decisions. The elements of informed consent are threshold elements: competence to understand and decide. voluntariness in deciding: information elements: disclosure of material information. recommendation of a plan. understanding of disclosure and recommendation: and consent elements: decision in favor of a plan. authorization of the chosen plan. In cases of living donors. the elements of competence and voluntariness are more important than the others. So only an adult can give a recipient his own body part. but it should be forbidden to harvest from minors or protected adults (i.e. developmentally disabled person However. when organs are removed from a cadaver donor. we ought to respect the donor's decision. So we ought to try to seek donor cards or any documents expressing the donor's opinion about organ transplant. All health care givers ought to disclose donor information about organ transplantation clearly enough for the donor to understand it and to be able to weigh the harms and benefits. We are going to propose 'the subjective standard' as the ethical standard of disclosure. This standard will assure that patients have enough information to be able to decide autonomously from their own position. Care givers have to consider the method of disclosure because donors can be influenced by it positively or negatively, Establishment of the Hospital Committee is recommended. because medical professionals will have a chance to discuss the procedure of decision and the validity of harvesting a organ from a person.

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Stakeholders' Opinion on the Desired Characteristics of Nursing School Graduates and Factors Concerning Nursing Curriculum Development in Thailand

  • Kittiboonthawal, Prapai;Siriwanij, Wareewan;Ubolwan, Kanyarat;Maneechot, Munthana
    • Asian Journal for Public Opinion Research
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    • v.5 no.4
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    • pp.319-345
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    • 2018
  • Effective higher educational management in undergraduate nursing programs is an important issue from the viewpoint of stakeholders. This qualitative research aimed to examine the characteristics of nursing students and curriculum development of undergraduate nursing education from the opinions of Boromarajonani College of Nursing Saraburi, Thailand stakeholders. The population included 4 groups: 1) the alumni who have graduated within the past 5 years and currently work in primary, secondary, and tertiary care units, 2) the supervisors and colleagues of the alumni, 3) nursing lecturers, and 4) the current nursing students. The respondents who are the alumni, nursing lecturers, and current nursing student were selected using a purposive sampling, for the supervisors and colleagues were selected using snowball techniques. Semi-structured interview questions were used for data collection. Group discussions were conducted until saturation on 55 key informants. The qualitative data was analyzed using content analysis. Results showed the viewpoints of stakeholders on the characteristics of future nurse graduates were comprised of four elements: knowledge that meets standards; essential skills for self-development and lifelong learning process; good morals and professional ethics in providing nursing care; and nurse competencies in teamwork, communication, language, research, management, IT, life skills, and global literacy. The viewpoints on the development of the nursing curriculum focus on four elements: the learner, teaching and learning, course content, and instructor tasks. For learners, the admission criteria should include a minimum not only of knowledge, but also positive attitude, science, and art skills, since the nursing profession is both a science and the art of caring. Teaching and learning elements should be authentic, including exposure to real situations, an integrated network, and activities that improve nursing care. Course content was comprised of an updated curriculum, humanized nursing care, student center, theory and practice with moral integration, case-based study, critical thinking, multidisciplinary work, and love for the nursing profession. Instructor tasks are to elicit student ideas, provide opportunities to learn, support infrastructure, support technology use, and extra-curricular activities to develop the competencies of nursing students. Recommendations were that the curriculum administration should review the selection process of student candidates and instructional management to achieve expected outcomes of nursing characteristics in the future. The nurse lecturer should provide authentic and integrated instruction, decrease lecturing, cultivate a lifelong learning process, and sustain the nursing characteristics.

The Possibility of Expanding Pay-for-Performance Program as a Provider Payment System (성과연동지불제도의 확대 가능성 고찰)

  • Tchoe, Byongho;Lee, Suehyung
    • Health Policy and Management
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    • v.23 no.1
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    • pp.3-18
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    • 2013
  • This paper investigates the possibility of expanding pay-for-performance (P4P) program as a provider payment system, in terms of financial, economical, and political sustainability. In order to expand the sustainable P4P, P4P should have usefulness in terms of economic value as well as efficiency in the financial aspects of health care. More importantly, the P4P would be politically sustainable only when both providers and consumers can accept. Korea's healthcare system seems to have logical ground for the P4P program financially and economically. However, how well the P4P can work remains to be proven in its implementation. After 43 tertiary hospitals applied the P4P program for acute myocardial infarction (AMI) and C-section in 2007, the number of hospitals adopting the P4P program for AMI and C-section has increased to 316 in 2011, and an incentive for hospitals applying the P4P has risen to 2% from 1% of health insurance benefits. This shows that the P4P program introduced by Health Insurance Review and Assessment Service is quite successful. In addition, people are aware of the need for improved P4P program and policy alternatives have been already made. Therefore, it is very important to come up with politically supportable strategies that can make providers and consumers accept the P4P program while maintaining the governance of the existing health insurance policy. To this end, there are some tasks to be considered. First, the expansion of the P4P program should be placed on the agenda of the Health Insurance Policy Review Committee, the highest decision-making body, and a separate agency for P4P planning should be established. Second, for more efficient P4P program, the processes of review and assessment, currently carried out separately, should be integrated into a single process. Third, infrastructure to measure the quality of medical services should be sharply expanded. Fourth, the current paradigm for the assessment should be changed. Lastly, a P4P program for consumers should be considered. Given that the consumers in Korea can use medical services freely, the National Health Insurance Corporation could initiate the P4P program for consumers as a means of controlling excessive use of medical services and adjusting consumer's moral hazard.