• Title/Summary/Keyword: National health plan

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Agenda and Alternatives of Home Health Care Nursing Policy based on Health Care Law and Regulations (가정간호사업을 위한 의료법 제정의 의미와 과제)

  • Ryu, Ho-Sihn
    • Journal of Home Health Care Nursing
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    • v.7 no.1
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    • pp.15-25
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    • 2000
  • This article was trying to suggest an agenda and alternatives of home health care policy for the future home care growth and development and examine the significance of new health care law and regulations. In addition. It was to analyze and drive the home care system problems. of which was made an announcement on the 11th of April. that home health care project must be centered from the nationwide general hospital. As we have learned from the developed countries, the home health care have been closely related health care policy among the field of nursing area. Therefore. we need to understand our national health care policy and need to predict the future direction and goal of our home health care policy in order to enhance the growth and activation of health care system. Additionally. we also need to have a vision and ability to develop under our own health care policy with systematic and rational home care business escaping from past perspective and standpoint. We must create a master plan of home care system to fulfill one part of system of the function and an important role in order to pursue an advanced health care plan under our system. For instance. in the 21th century as we establish a master plan for the growth of our country home care plan with improving plan systematically and also we need to produce many highly qualified researching and good personal who can develop and maintain the system efficiently. Specially. based on the unique characteristics of our health care system and the direction of development of plan, we need to find and correct the problems which we have faced the present time, so that we can provide and reach the goal of advanced health care system which our government want to pursue. Finally. we have to strive our best effort to make our home health care system can be positioned and stand the right direction to have the benefit for every individual citizen in our country.

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Factors Influencing Health Promoting Behaviors of University Students using Pender's Model (Pender 모형을 활용한 대학생의 건강증진 행위와 영향요인)

  • Kim, Hee-Kyung
    • Women's Health Nursing
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    • v.12 no.2
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    • pp.132-141
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    • 2006
  • Purpose: The purpose of this study was to supply basic data for a health promoting program and to elevate the level of it by examining whether university students' health promoting behaviors were related to health perception, health concept, self- esteem, perceived benefits of action, perceived barriers of action, perceived self-efficacy, activity-related affect, social support, preference, prior related behavior, and a plan for action. Method: Subjects were 192 university students in K city. Data collection method was a structured questionnaire. Data was analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. Result: The most powerful predictor was previous related behavior (36%). Altogether previous related behavior, health status, a plan for action, perceived self-efficacy and number of admissions were proven to account for 57% of health promoting behaviors. Conclusion: It suggested that prior related behavior, health status, a plan for action, perceived self-efficacy, and number of admissions should be considered when developing a students' health promoting program.

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What Else Is Needed in the Korean Government's Master Plan for People With Developmental Disabilities?

  • Lee, Jin Yong;Yun, Jieun
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.3
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    • pp.200-204
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    • 2019
  • On September 12, 2018, President Jae-In Moon announced the Comprehensive Plan for Lifelong Care for People with Developmental Disabilities, with representatives from the associated government branches (Ministry of Health and Welfare, Ministry of Education, and Ministry of Employment and Labor) in attendance. The goals of this plan are to provide health, medical, rehabilitative, special education, and social welfare services according to the life-stages of the affected individuals; to reduce parental pressure; to promote social interventions; and to enhance community-level participation in order to create a 'welfare society in harmony.' However, in order for the plan to succeed, additional efforts must be made in the following areas. First, an epidemiological survey is needed to understand the scale, prevalence, and incidence of developmental disabilities and to establish an evidence base to support policy development. Second, accurate definitions of developmental disabilities must be established in order to avoid policy discrimination based on impairment type and age. Third, personal evaluations to assess disabled individuals' unmet needs and customized service designs to deliver those needs are required. Fourth, the plan must fulfill the goals of accessibility and fairness that the government intends to provide. Fifth, the government should consider an integrated financial support system and to propose a detailed plan for monetary distributions. Finally, an integrated system that links health, medical, employment, educational, and welfare services must be constructed.

Achievement of Health Promotion Program in Korea (국민건강증진사업 10년의 성과)

  • Lee Kyu-Sik
    • Korean Journal of Health Education and Promotion
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    • v.23 no.1
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    • pp.143-171
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    • 2006
  • There has been 10 years since the Health Promotion Act was legislated. The government began to establish a health promotion fund on the basis of Health Promotion Act in 1995, and to manage and operate the fund from 1998. It is evaluated that health promotion program have had various outcomes in many aspects. First, there has been growing awareness of the impotance of health promotion through the establishment of Health Plan 2010 and the effort to actualize the Plan. Second, the importance of securing health equity and identifying health determinants have been recognized during the planning process of Health Plan 2010. Third, the health promotion program have mainly focused on improving healthy life style of the population. As a result, desirable health behavior change of the population could be expected from the result of 2005 National Health and Nutrition Survey. Fourth, public health centers began to play a crucial role in implementing health promotion programs, and began to build infrastructure for health promotion programs. Fifth, management efficiency of private health related organizations have been improved. Finally, training for health promotion personnel and their participation in the program could be the foundation for the higher level of outcome achievement from the health promotion programs. Important challenges for future health promotion would be identification of the determinants and risk factors of health, formulating plan of regional health promotion programs, building infrastructure for health promotion, creation of specific action model by public health center, development of health promotion program for the elderly, conducting research for evidence concerning major factors reducing the need for health care through prevention disease activities, and establishment of evaluation and feed back system for health promotion programs.

Consideration of Dyslipidemia Examination Cycle Change in Korea National Health Checkup Program (일반건강검진의 이상지질혈증 검진주기 변경에 대한 문제점 고찰)

  • Lee, June-Hee;Lee, Kyung-Jae
    • Health Policy and Management
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    • v.31 no.3
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    • pp.255-260
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    • 2021
  • Background: Korea National Health Checkup Programs are aimed at the prevention and early detection of cardiovascular disease in adults. To establish a countermeasure for this tendency, The current Korea National Health Checkup Programs have been providing Health Risk Appraisal (HRA) since 2009, thereby focusing on individual lifestyle correction. However, from 2018, the dyslipidemia screening exam cycle has been changed from 2 to 4 years. Methods: In this study, we try to investigate whether policy decisions are valid based on domestic reports that have influenced policy decisions. First, considering the epidemiology of the domestic cardiovascular disease, dyslipidemia, and metabolic syndrome, the change of the 4-year cycle is appropriate or not. Second, whether the research method that applies came to make policy decisions appropriate or not. Third, our study also investigates whether the direction of policy decision was suitable for the second comprehensive national examination plan. Results: The data that are used in the previous study were that of 10 years ago and there also was a problem in selecting the data, especially the use of one of the research methods to calculate the signal to noise ratio that was aimed at improving health had some problems. This is a research method that does not match with the aim itself. Conclusion: Changing the screening cycle for dyslipidemia does not match the recent trend of general screening to effectively prevent cardiovascular disease in improving individual lifestyles in the national health checkup plan. Studying the relationship with metabolic syndrome, which can be an intermediate stage of cardiovascular disease, could be a policy direction that is more suitable for the national health examination comprehensive plan.

Impact of District Medical Insurance Plan on Number of Hospital Patients: Using Box-Jenkins Time Series Analysis (Box-Jenkins 시계열 분석을 이용한 지역의료보험 실시가 병원 환자 수에 미친 영향)

  • Kim, Yong-Jun;Chun, Ki-Hong
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.2 s.26
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    • pp.189-196
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    • 1989
  • In January 1988, district medical insurance plan was executed on a national scale in Korea. We conducted an evaluation of the impact of execution of district medical insurance plan on number of hospital patients: number of outpatients; and occupancy rate. This study was carried out by Box-Jenkins time series analysis. We tested the statistical significance with intervention component added to ARIMA model. Results of our time series analysis showed that district medical insurance plan had a significant effect on the number of outpatients and occupancy rate. Due to this plan the number of outpatients had increased by 925 patients every month which is equivalent to 8.3 percents of average monthly insurance outpatients in 1987, and occupancy rate had also increased by 0.12 which is equivalent to 16 percents of that in 1987.

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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.

The analysis of compatibility between the leading indicators and health promotion programs of community health centers in Seoul (핵심 건강지표와 서울시 보건소 건강증진사업 내용의 일치성 분석)

  • Rhee, Yong Joo;Lee, Ju Yul;Song, Sun Woo
    • Korean Journal of Health Education and Promotion
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    • v.32 no.2
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    • pp.75-84
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    • 2015
  • Objectives: This study examines that the compatibilities between the health promotion programs in community health center and the leading health indicators in National Health Plan. Methods: We analyzed health promotion programs associated with three health indicators; smoking(smoking rate in male), alcohol use(alcohol use rate in adults), obesity(obesity rate) in twenty five community health centers in Seoul. First, we classified three groups(excellent, fair and poor groups) using average scores of Seoul, that of Korea and National Health Plan2010 goals in three health indicators. Afterwards, we examined the compatibility between contents of health promotion programs regarding leading health indicators and the specific program activities. Results: The compatibility levels between health indicators and contents of health promotion programs was 80 % for smoking among fair and poor groups while fair and poor for smoking reported 60% and 70%, respectively. For obesity, excellent group reported 80% and fair group had 91%. Conclusion: In conclusion, although all districts were able to access available data for health indicators and health statistics every year, it seems that they did not only utilize these data enough in conjunction with health promotion programs but also did not integrate specific activities according to National Health Plan systematically.

Research on the Integrated Management System of Environmental Health Information (환경보건정보 통합관리체계에 관한 연구)

  • Kim, Dae-Seon;Wee, Seong-Seung;Yu, Seung-Do;Park, Choong-Hee;Chung, Young-Hee
    • Journal of Environmental Health Sciences
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    • v.33 no.4
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    • pp.235-241
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    • 2007
  • The National Institute of Environmental Research(NIER) launched a research about Framework of Environmental Health Information System for Industrial Complex in 2001, with the goal of finding out measures to establish an integrated management system(IMS) for environmental health information. Based on the research results, NIER started to build integrated information system. The process will continue from 2006 to 2008. As the first step, in 2006, NIER outsourced the job of setting up the specific plan. In 2007, based on the plan created in the previous year, computerization work began. During 2008, the $3^{rd}$ year of the process, the integrated system will be compatible to conventional GIS system and statistics analysis system to deliver funker efficient and useful services. In this vein, the objective of the study is to identify data collection procedure, data utilization, and overall goal of the system. In addition, It will illustrate digitalization process and recommendation about how to utilize the system.

An Analysis of Relationships among Quality, Satisfaction and Utilization Perceived by Family Caregivers in Standard LTC Utilization Plan (가족수발자가 인지하는 표준장기요양이용계획서의 질과 만족도, 활용도 간의 관계분석)

  • Lee, Jung-Suk;Han, Eun-Jeong;Kwon, Jinhee
    • 한국노년학
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    • v.31 no.4
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    • pp.871-884
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    • 2011
  • Standard Long-term care(LTC) Utilization Plan is a kind of care plan, which aims to help beneficiaries and their family choose services to meet their care needs. The objective of this study is to determine the relationships among family caregivers' perceived quality, overall satisfaction and utilization in Standard LTC Utilization Plan. Data were gathered from family caregivers with beneficiaries who have used community service in long-term care insurance system. A national cross-sectional descriptive survey was conducted in December 2008, using proportionate quota sampling. Finally, 351 family caregivers completed questionnaires which included demographic characteristics, perceived quality(9 items), overall satisfaction(1 item) and utilization(2 items). Path analysis was conducted to find a causal relationship. This study shows firstly, the quality of Standard LTC Utilization Plan was categorized into three dimensions, that is, assessment of care needs, recommended care plan, and management of monthly benefits. Secondly, reliability and validity of quality items were satisfied. Finally, in the effect of perceived quality and satisfaction for utilization, assessment of care needs(indirect effect, path coefficients=0.077) and overall satisfaction(total effect, path coefficients=0.324) were statistically significant. The findings of this study would be helpful in developing the strategies, which is needed to improve the role of Standard LTC Utilization Plan.