• Title/Summary/Keyword: National Health

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Effects of Private Health Insurance on Health Care Utilization and Expenditures in Korean Cancer Patients: Focused on 5 Major Cancers in One Cancer Center (민간의료보험이 암 환자의 의료이용과 의료비에 미치는 영향: 일개 암전문의료기관의 우리나라 주요 암종을 중심으로)

  • Lim, Jin-Hwa;Choi, Kui-Son;Kim, Sung-Gyeong;Park, Eun-Cheol;Park, Jae-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.4
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    • pp.329-335
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    • 2007
  • Objectives : To identify the effects of supplemental private health insurance on health care utilization and expenditure under the mandatory National Health Insurance(NHI) system in Korea. Methods : The data were collected by the National Cancer Center in Korea. Cancer patients who were newly diagnosed with stomach (ICD code, C16), lung(C33-C34), liver (C22), colorectal cancer(C18-C20) or breast(C50) cancer were included as study subjects. Data were gathered using a structured questionnaire from face-to-face interviews, the hospital Order Communication System (OCS) and medical records. Clinical, socio-demographic and private health insurance related factors were also gathered. The differences of health care utilization and expenditure were compared between those who have private health insurance and those who do not using t-test and multivariable regression analysis. Results : Individuals with private health insurance spent larger inpatient costs than those without, but no differences were found in utilization in other service such as hospital admissions, hospital days and physician visits. Conclusions : We found that private health insurance exerts a significant effect on the health care expenditure in inpatient service. These study results can provide a rational basis to plan a national health policy regarding private health insurance. Further studies are needed to investigate the impacts of private health insurance on cancer patients' outcomes and survival rates.

The Determinants of private health insurance purchasing decisions under national health insurance system in Korea : The expanding of private health insurance market, for the better or worse (민간의료보험의 선택에 영향을 미치는 요인 : 민간의료보험 활성화에 대한 함의)

  • Yoon Tae-Ho;Hwang In-Kyung;Sohn Hae-Sook;Koh Kwang-Wook;Jeong Baek-Geun
    • Health Policy and Management
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    • v.15 no.4
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    • pp.161-175
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    • 2005
  • Since the introduction of mandatory health insurance in In, the Korean national health insurance(KNHI) has grown rapidly. In 2004, about $96.9\%$ of the total population are covered by the KNHI and the remaining $3.1\%$ by the Medical Aid program. Despite national health insurance system in Korea, private health insurance market has grown rapidly. In 2004, the size of the private health insurance market was estimated at 6,568 billion won. The purpose of this study Is to identify the factors that determine the purchasing decisions of supplementary private health insurance under mandatory national health insurance system in Korea. The data from n04 Busan Health Survey were analysed for the Purpose. The variables in this study are demographic factors, health status and health behavioral factors, health care systemic factors, and socioeconomic factors. For statistical analyse, we used logistic regression. The Findings show that female, economically active age group(especially 35-49 years), persons with better health status or experience of health screening test are more likely to purchase private health insurance. And higher household income and expenditure, higher education level are more associated with the increased probabilities of private health insurance purchases. This results imply that the expanding of private health insurance market could widen the gap between the have and have-not in terms of equal health care accessibility.

PROTECTION EFFECT OF GINSENG EXTRACT AGAINST APOPTOTIC CELL DEATH INDUCED BY 2,2,5,5-TETRACHLOROBIPHENYL IN NEURONAL SK-N-MC CELLS

  • Lee, Ji-Young;Kim, Jae-Won;Song, Ji-Eun;Kim, Soo-Jung;Chung, Weon-Gu;Kim, Yong-Hoon;Lee, Bo-Ram;Kim, Jin-Hee;Choi, Young-Keun;Joo, Woo-Hong;Cho, Yong-Kweon;Moon, Ja-Young
    • Proceedings of the Korean Society of Toxicology Conference
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    • 2001.10a
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    • pp.112-112
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    • 2001
  • Oxidative stress plays an important role in the pathological process of neurodegenerative diseases. Polychlorinated biphenyls (PCBs) are ubiquitous environmental contaminants, some of which may be neurotoxic. Our previous studies showed that 2,2',5,5'-TetracWorobiphenyl (PCB 52) induced apoptotic death in human neuronal SK-N-MC cells, which was demonstrated on gel electrophoresis by visualization of the proteolytic cleavages of $\beta$-catenin and poly (ADP-ribose) polymerase (PARP) and of the production of characteristic ladder patterns of DNA fragmentation.

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Operation Status and Improvement Plan of Continuing Hospitalization Judgement System in Mental Health Review Board (정신보건심판위원회 계속입원치료 심사제도 운영현황 및 개선방안)

  • Park, Sun Joo;Nam, Yoon Young;Hwang, Tae Yeon;Joe, Keun Ho;Yong, Jun Jin;Kim, Eun Jin;Kim, Chul Eung
    • Health Policy and Management
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    • v.27 no.4
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    • pp.347-358
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    • 2017
  • Background: The recent revision of South Korea's Mental Health Law emphasizes the role of the Mental Health Review Board. For this study, we examined the current status of continuing hospitalization judgement in Mental Health Review Board at the national level and aimed to determine the directions of improvement. Methods: Using a qualitative case study as the research method, we interviewed 30 Mental Health Review Board members and analyzed the results. Results: Each municipality had very different continuing hospitalization judgement methods. In our systematic review, which consisted of document inspection, we identified reliability problems due to limitations in Mental Health Review Board's operating systems, discharge orders, etc. Additionally, continuing hospitalization judgement needs to improve the objectivity, fairness, and effectiveness of their screening examinations. Conclusion: Based on the results of this study, we suggest policy proposals to improve these systems, such as standardizing examination processes, strengthening on-site inspections, increasing the independence and neutrality of judgment in Mental Health Review Board, building community mental health infrastructures, and establishing integrated management systems.

THE MICROSOMAL EPOXIDE HYDROLASE(MEPHXS) POLYMORPHISMS AND THE ASSOCIATION OF MICRONUCLEI(MN) IN THE BENZENE-EXPOSED WORKERS

  • Kim, Tae-Yon;Kwon, Seul-A;Kim, Jin-Sik;Kim, Su-Young;Lee, Young-Jun;Chung, Eun-Jung;Paek, Do-Myung;Park, Jung-Keun;Chung, Hai-Won
    • Proceedings of the Korean Society of Toxicology Conference
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    • 2002.05a
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    • pp.134-134
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    • 2002
  • In order to investigate whether genetic polymorphisms in the mEH exon3 (Tyr139His), exon4 (His113Arg) interact with the formation of MN in benzene exposed workers, the PCR-RFLP based genotyping of 76 exposed and 115 controls were performed and cytokinesis-block micronucleus (CBMN) analysis of 56 exposed and 53 controls was employed.(omitted)

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Study of the Flying Height of Culicidae Species

  • Lee, Hee-Il;Seo, Bo-Yeoul;Kim, Hyun-Woo;Shin, E-Hyun;Shin, Young-Hack;Lee, Won-Ja;Lee, Yoon-Sik;Kim, Jong-Wha;Jang, Hyun-Jung
    • Proceedings of the Korean Society of Applied Entomolohy Conference
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    • 2002.11a
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    • pp.71-71
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    • 2002
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