Background: Bankrupted households have recently been increased due to excessive medical expenditure in Korea. They have not been protected from economic risk when household's member has severe diseases that need a lot of money for treatment. Purpose of this study examines policy effect by comparing unmet needs' change of policy object households and non-object groups. Methods: We used Korea Health panel 2nd 4th data collected by Korea Institute for Health and Social Affairs and National Health Insurance Service. Analysis subjects were 381 households (pre-policy) and 393 households (post-policy) that had cancer and cardiovascular and cerebrovascular diseases. Since it was major concern that estimates benefit strengthening policy started by certain time, we setup comparing households which had diabetes, hypertension disease. Comparison subjects were 393,247 households, respectively and we evaluated policy effect using difference in difference (DID) model. Results: Although unmet needs of policy object households were higher than non-object groups, policy execution variable affected negative direction. But interaction-term which shows pure effect of policy was not statistically significant. We utilized multi-DID model to examine factors affecting unmet needs causes. Copayment assistance policy did not significantly affect households that responded to 'economic reason,' and 'no have time to visit' for unmet needs causes. Conclusion: The second copayment assistance policy did not significantly give positive effect to beneficiary households than non-beneficiary groups. When we consider that primary purpose of public insurance guarantee high medical expenditure occurred by unexpected events, it needs to deliberate on switch of benefit strengthening policy that can assist vulnerable people. Also, we suggest that government forward a policy covering non-reimbursable medical expenses as well as switch of benefit strengthening direction because benefit policy do not affect non-covered medical cost which accounts for quarter of total health expenditure.
United Nations Development Programme (UNDP) introduced the Adaptation Policy Framework (APF) to support the developing countries in order to help to make adaptation policy and strategy to climate change. This study provides the summary of the APF and will help for preparing policy regarding the impact of climate change and its adaptation. APF consists of five basic and two cross-cutting steps. Five basic steps are made of (a) defining project scope and design, (b) assessing current vulnerability and adaptation, (c) assessing future climate-related risks, (d) developing an adaptation strategy, and (e) continuing the adaptation process. Cross-cutting steps consist of engaging stakeholder and enhancing adaptive capacity. The project scope and design process includes four major tasks: scope the project and define its objectives, establish the project team, review and synthesize existing information on vulnerability and adaptation, and design the APF project. The main purpose of assessing current vulnerability and adaptation is to understand the characteristics of current climate-related vulnerability in priority systems and the scope of adaptive responses. Future climate-related risks are assessed in order to characterize future climate-related risks, so that adaptation policies and measures can be designed to reduce the system's exposure to future climate hazard. In developing an adaptation strategy, all of the preceding APF-related work is synthesized into a well-considered strategy that can direct real adaptation action. Continuing the adaptation process is in order to implement and sustain the APF-strategy, polices, and measure. The purpose of involvement of stakeholders is to communicate between individuals and groups about projects. Finally, enhancing adaptive capacity provides guidance on how adaptive capacity can be assessed and enhanced.
Background: The purpose of this study is to investigate family caregivers' opinions about out-of-pocket payment for long-term care (LTC) facilities, and find the differences in the opinions for family caregivers of all different levels of income. Methods: We used the data of the study on out-of-pocket payment in national long-term care insurance, including 1,552 family caregivers with the elderly in long-term care facilities. Results: The average out-of-pocket payment per month was 511,635 Korean won and distributed from 230,750 to 1,365,570 Korean won. The amount of out-of-pocket payment might be affected by not co-payment but the cost of non-covered service. There were differences in them for family caregivers of all different levels of income. Opinions were surveyed about 5 issues. By levels of income, there were differences in their opinions about 3 issues, the financial burden on LTC, the necessity of reducing out-of-pocket payments, and to be willing to pay more for a high quality service. But there were not different opinions about the interruption of LTC service and staying with LTC facilities. Conclusion: These findings suggest that the range of out-of-pocket payment for LTC facility is wide and it can be a burden to lower income group. It should be to prepare the policies to ease the financial burden and support the appropriate LTC use.
Kim, Hanul;Kim, Changwon;Koo, Nampyong;Yi, Junhyeok;Yi, Eunhee;Kim, Dongsu
Journal of Society of Preventive Korean Medicine
/
v.24
no.2
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pp.1-15
/
2020
Objectives : The objectives of this study were to investigate why and how China used traditional Chinese medicine as a response to COVID-19 and how its performance was achieved, and to explore ways to utilize traditional Korean medicine in Korea. Methods : We examined the information through government data and media articles. China's COVID-19 progress and policy response were reviewed and compared with Korea. Based on this, the characteristics of traditional Chinese medicine response in China were identified. Results : Based on legal basis, China makes the overall use of traditional Chinese medicines to respond to COVID-19. Traditional Chinese medicine has been applied to health insurance, the licensing regulations have been eased, and traditional Chinese medical specialists were dispatched. The medical care guidelines were developed and R&D were carried out. In addition, policies related to traditional Chinese medicine included policies for preventive treatment, the combination of Chinese and Western medicine, and telemedicine. Conclusions : Traditional Chinese medicine response to COVID-19 was included within the overall national quarantine policy, providing medical services for the mild stage. In addition, R&D was conducted to establish a basis for the utilization of traditional Chinese medicines. Traditional Korean medicine also needs to be prepared so that it can be used as a complement to the response of communicable diseases.
To vitalize the link program of Korean long-term care insurance system to community-based services for non-eligible people, we analysed the claim data from the Korean National Health Insurance Corporation (NHIC), and conducted a questionnaire survey to charging employees of elderly service department at local governments. The subjects were all 81,377 people, 57,454 of them were arranged to community-based services. The link program was more necessary among the missed subjects rather than the arranged people due to the need for physical or psychological assistance. By the result of the survey to the local government employees, 59.5% of subjects responded their proportion of link service was over 10% and under 20%, and 54.3% of them responded their job boundary are not clear. Major type of linking was notification the subject list to local government, 91.4%; proportion of periodical notification on the status of their service link were 57.1%, only 7.1% were followed to manage after the link. Difficult factors at the link process were pointed out the overload by other side work, deficiency of resources, rigidity of priority of link, and so on. Considering these results, to vitalize the community-based services to the non-eligible people, it may be essential the active participation of the subjects, construction of parts working in coordination among the institutions including NHIC, local governments, and service providers; development of various services for maintenance or promotion of the non-eligible peoples' health and functional status; and active participation of institutions from the third sector, and so on.
Background and objective: Due to the recent crisis of extinction in local areas, the mountain village promotion policy is recognized as an important task. This study examined the priorities of major policy projects in the forest sector that affect mountain village promotion. Methods: For research methods, literature search, expert advisory meetings, and a survey were conducted. The survey was conducted on 42 policy stakeholders from June 1 to August 13, 2021. The literature search was based on policy projects in the forest sector by 8 upper-level local governments including mountain villages. For questionnaire items, 173 forest policy projects were classified into 27 types through expert review, and the importance and performance of each type were rated on a 5-point Likert scale. Paired t-test, IPA, Locus for Focus model, and Borich needs assessment were used as the analysis methods, and the statistical program SPSS 21.0 was used as the analytical tool. Results: The results showed that 'creating forest-related jobs' and 'supporting cultivation of professional forestry workers' both showed high importance and performance, implying that they would show an effect in mountain village promotion. 'Creating forests for environmental improvement', 'discovering forest cultural assets' 'establishing and boosting forest tourism', 'providing forest therapy services', 'creating forest-related jobs', 'supporting community revitalization', and 'urban-rural exchanges' were found to be the types that needed improvement and concentration for mountain village promotion. In particular, 'creating forests for environmental improvement' and 'discovering forest cultural assets' were derived as priority considerations for mountain village promotion policies. Conclusion: In summary, it was found that in order to promote mountain villages, various content projects must be improved and carried out to enhance the physical environment and revitalize mountain villages.
Purpose - This study proposes the impact of the US and Korean economic policy uncertainty on macroeconomy, and its effect on Korea. The economic policy uncertainty index of the US and Korea is used to represent the economic policy uncertainty on Korean economy. Research design, data, and methodology - In this paper, we collect the eight variables to find out the interrelationship among the US and Korean economic policy uncertainty index of the US and macroeconomic indicators during 1990 to 2016, and use Vector Error Correction Model. Result - The distribution industry stock index in Korea is influenced by the economic policy uncertainty index of the US rather than of Korea. All variables are related negatively to the economic policy uncertainty index of the US and Korea from Vector Error Correction Model. This study shows that the economic policy uncertainty index of the US and Korea has the dynamic relationships on the Korean economy. Conclusions - A higher economic policy uncertainty shows a greater economy recession of a country. Finally, the economic policy uncertainty of the Korea has an intensive impact on Korea economy. Particularly, the economic policy uncertainty of the US has a strong impact on distribution industry stock market in Korea.
The goal of community health nursing courses is to prepare student nurses so that they become able to perform a variety of nursing roles in community. To achieve this goal, programs for community health nursing must develop students' abilities to function independently as community health nurses. This study evaluated the effectiveness of Problem-based Learning(PBL) as a teaching method in programs for community health nursing at four-year colleges of nursing. The subjects of this study were senior students at Y University. The study was designed as a descriptive & comparative survey. To determine the effectiveness of PBL, the author analyzed the process and results of teaching. The PBL teaching method was found to be significantly effective in building critical thinking abilities and increasing knowledge. The results also showed that the 43 students who were taught by both PBL and lecture teaching methods got a significantly higher' knowledge score than the other 28 students who were taught only by lectures. As for the future direction of community health nursing courses, a teaching strategy involving both PBL and lectures is recommended.
Since the Korean privacy policy was legalized in 2011, the related academical researches have been lasted in various fields. Upcoming so-called 3 data laws would be implemented, it is meaningful to review privacy policy studies for exploring future research direction. For this purpose, the total of 146 journals from 2011 to 2019 were reviewed by the content analysis following as research subjects, methodologies and constructions of studies. As results, the numbers of the researches have been conducted on protection policies themselves for improvement, comparing with other countries' policies and also digital finance information protection were deeply discussed. Some of technology based protection applications were experimented and suggested. The major research characteristics was mainly focused on case analysis and criminal laws and policies were developed as protection contingencies. However, most research objects were focused on the protection regulations, not deregulation, therefore, researchers in future study need to explore more digital industry-centric tasks which are practically applied in safer ways. Further, social agreement in using private information will be an essential to prevent indiscriminate use.
Kim, Shin Young;Kim, Chang Ki;Kang, Yong Heack;Yun, Chang Yeol;Jang, Gil Soo;Kim, Hyun-Goo
Journal of the Korean Solar Energy Society
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v.39
no.3
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pp.67-79
/
2019
The reliable Typical Meteorological Year (TMY) data, sometimes called Test Reference Year (TRY) data, are necessary in the feasibility study of renewable energy installation as well as zero energy building. In Korea, there are available TMY data; TMY from Korea Institute of Energy Research (KIER), TRY from the Korean Solar Energy Society (KSES) and TRY from Passive House Institute Korea (PHIKO). This study aims at examining their characteristics by using Principle Component Analysis (PCA) at six ground observing stations. First step is to investigate the annual averages of meteorological elements from TMY data and their standard deviations. Then, PCA is done to find which principle components are derived from different TMY data. Temperature and solar irradiance are determined as the main principle component of TMY data produced by KIER and KSES at all stations whereas TRY data from PHIKO does not show similar result from those by KIER and KSES.
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