• Title/Summary/Keyword: System Reform

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Global Economic Governance Reform and the Role of Asia: Opportunities Offered by the G20

  • Cho, Yoon Je
    • East Asian Economic Review
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    • v.16 no.1
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    • pp.3-23
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    • 2012
  • The recent global financial crisis has highlighted the importance of international monetary and financial system reform. The current system is deemed to be no longer adequate to meet the needs of a complex, integrated world economy. With regards to the reform of the international monetary system, there have been various proposals both in demand and supply sides. These include proposals to build a stronger global financial safety net, to diversify the supply of international reserve currency and so on. These proposals face trade-offs between desirability and political feasibility. Given this situation, a practical transition would be to strengthen policy coordination among the major economies and to reform the International Monetary Fund. The success on both fronts depends heavily on global economic governance reform and the role of the G20. Increased status and representation of Asian countries in the G20 give both privileges and responsibilities to Asians. To meet these responsibilities, Asians should put forth greater efforts to develop their intellectual leadership in global economic issues through creating new forum and institutions.

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Achievements and Challenges of 40th Anniversary Health Insurance (건강보험 40년 성과와 과제)

  • Lee, Kyu Sik
    • Health Policy and Management
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    • v.27 no.2
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    • pp.103-113
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    • 2017
  • There have been many achievements for 40 years since the introduction of compulsory health insurance. Despite many achievements, it has many challenges in health insurance. Aging, non-communicable disease, and low growth economy are threatening the sustainability of health insurance, and it is time to reform the health insurance. A long-term reform plan will be an absolute necessity for reform of health insurance and health care system. Health insurance and health care reform should be an extremely revolutionary content that completely changes the framework. This reform should deal with the philosophy of health, approach of medical education and doctor training, changing supply of medical service, the innovation of primary medical care, reform of public health system, the management of medical utilization, the integration of medical cure and care services, enhancing the benefit coverage, prohibition of covered and non-covered services, etc. Therefore, it is urgent to form a consensus on the necessity of reform, to establish the health insurance plan on this consensus, and to make efforts to make health insurance sustainable.

Factors Associated With Failure of Health System Reform: A Systematic Review and Meta-synthesis

  • Mahboubeh Bayat;Tahereh Kashkalani;Mahmoud Khodadost;Azad Shokri;Hamed Fattahi;Faeze Ghasemi Seproo;Fatemeh Younesi;Roghayeh Khalilnezhad
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.2
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    • pp.128-144
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    • 2023
  • Objectives: The health system reform process is highly political and controversial, and in most cases, it fails to realize its intended goals. This study was conducted to synthesize factors underlying the failure of health system reforms. Methods: In this systematic review and meta-synthesis, we searched 9 international and regional databases to identify qualitative and mixed-methods studies published up to December 2019. Using thematic synthesis, we analyzed the data. We utilized the Standards for Reporting Qualitative Research checklist for quality assessment. Results: After application of the inclusion and exclusion criteria, 40 of 1837 articles were included in the content analysis. The identified factors were organized into 7 main themes and 32 sub-themes. The main themes included: (1) reforms initiators' attitudes and knowledge; (2) weakness of political support; (3) lack of interest group support; (4) insufficient comprehensiveness of the reform; (5) problems related to the implementation of the reform; (6) harmful consequences of reform implementation; and (7) the political, economic, cultural, and social conditions of the society in which the reform takes place. Conclusions: Health system reform is a deep and extensive process, and shortcomings and weaknesses in each step have overcome health reform attempts in many countries. Awareness of these failure factors and appropriate responses to these issues can help policymakers properly plan and implement future reform programs and achieve the ultimate goals of reform: to improve the quantity and quality of health services and the health of society.

A Critical Analysis of the Perspectives on Health Care Reform in Korea (의료개혁 논의의 비교분석)

  • 조병희
    • Korean Journal of Health Education and Promotion
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    • v.15 no.2
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    • pp.217-233
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    • 1998
  • This paper analyzed four different perspectives on health care reform in Korea in terms of the basic values, formulated problems and reform plans, implementation methods, and supporting groups. The medical security plan was insisted by social security specialists and social activists focusing on the integration of medical insurance coops in order to enhancing equity and right of the people. However, its perspective was limited to promoting security instead of reforming health care system. The government proposed the health care reform plans in 1994 and in 1997, focusing on promoting efficiency by remedying many problems in health care delivery system. However, its implementation was not successful due to the lack of organizational and financial supporters. Recently, two opposite proposals were issued. The market reform plan paid attention to revitalizing the market function to promoting efficiency by allowing hospitals to treat private patients instead of applying the medical insurance regulation. The government reform plan focused on intensifying governmental planning and intervention in the health care sector in order to removing inefficiency and promoting equity with the supports of social activists and labor unions. Finally, this paper proposed an alternative plan to promote harmonious social relationship between actors in the health care system.

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Exploration on Reform of Railway Transportation Management System Based on Separating Train Operation with Rail Equipment Management

  • Yu, Jie-Min
    • Proceedings of the KOR-KST Conference
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    • 1998.09a
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    • pp.36-42
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    • 1998
  • This article analyzes Chinese railways transportation management system, uses the experiences of other countries' railway transportation management system for reference, as well as discusses the necessity of reform of railway transportation management system based on separating train operation with rail equipment management. Moreover, the article also puts forward an imagination on the reform scheme of railway transportation management system based on separating train operation with rail equipment management.

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An Importance-Performance Analysis of the Healthcare Reform on a Doctor-Designation System - Focused on the Perception of Medical Providers' at Tertiary Hospital in Seoul - (선택진료제도 개편에 대한 중요도-성취도 분석(IPA) - 서울시내 상급종합병원 의료종사자 인식을 중심으로 -)

  • Park, Hye Jin;Kim, Hyo Jeong;Kim, Young Hoon
    • Korea Journal of Hospital Management
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    • v.23 no.1
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    • pp.28-40
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    • 2018
  • Purpose: The purpose is to understand the perception of medical providers at tertiary hospitals in Seoul on the importance-performance of the reform on a doctor-designation system, and to provide the policy suggestion of the perception on such a system. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six tertiary hospitals in Seoul. An importance-performance analysis was utilized for an analysis that showed the perception of the reform on a doctor-designation system. Findings: First, it was identified that those medical providers had the highest perception of the importance about the performance of the reform on a doctor-designation system. Second, according to the result of action grid of an importance-performance analysis (IPA), it can be identified that in the 2nd stage of 'Concentrate here' included are the items as to design and effect of medical care quality and subsidies & patient infection and safety and control fees, effect of income security of the method for compensating for loss established by the government and offering sufficient information on general medical services and doctor-designation medical services. In the 1st stage of 'Keep up the Good Work', and the 2nd stage of 'Concentrate here' included is the item as to the performance of patients of the reform on a doctor designation system. Practical Implications: There could be identified the effect of the reform bill on the perception of medical providers. It is expected that a better environment would be provided for patients to use a hospital and for medical providers to offer medical services, if the goverment makes efforts to improve methods for compensating for loss and continuous monitoring of the performance of patients.

Evaluating the Reform in 2015 and the New Reform Plan of the Government Employees Pension Scheme (2015년 공무원연금 개혁의 평가와 향후 개편방향)

  • Lee, Yong Ha;Kim, Won Sub
    • The Korean Journal of Applied Statistics
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    • v.28 no.4
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    • pp.827-845
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    • 2015
  • This study evaluates and suggests a new reform plan that overcomes the limitations of the Government Employees Pension Scheme (GEPS) reforms in 2015. Research results indicate that the reforms were insufficient in terms of financial sustainability, functional transparency, and equity. Debates on the GEPS reforms will continue until an equitable solution is found. The priority of the next reform plans should lie in the unification of public pension schemes. In contrast to previous reform proposals, this study suggests a reforms plan, which should result in not the parametric change but the structural change in GEPS. The distinctive point of the new reform plan lies in translating a single-tire into a multi-tire pension system. Accordingly, the new GEPS should consist of a 'National Pension Scheme (NPS)', occupational pension (additional pension), and retirement allowance. Newly appointed government employee officials should be enrolled in the NPS. This study stresses that inequality between the public pension systems will be alleviated and a pension system of social solidarity will be established when the NPS develops in to a basic old age income security system for all citizens including civil servants.

A Study on Military Justice System Reform : Focusing on Defense Reform 2.0 (군 사법제도 개혁에 관한 고찰 : 국방개혁 2.0을 중심으로)

  • Jung, Jung Kyun;Park, Cheol;Park, Sang Jae
    • Convergence Security Journal
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    • v.18 no.2
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    • pp.113-121
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    • 2018
  • The The ROK military announced a reform proposal for the National Defense Reform 2.0 in 2018 in order to substantially guarantee the constitutional rights and human rights of the soldiers and to meet the demands of the military judicial reform. In order to establish a fair and independent military judicial system through such reforms, the Supreme Military Court was abolished to eradicate the controversy in the army and to abolish the system of the judges' And professionalism is systematically ensured so that judges can be judged only by law and conscience. This military reform proposal is so dramatic that it has a vocal voice of opposition, but the military should no longer be an exception to democracy and should try not to get caught in the stigma of human rights blindness.

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A Study on the Activation of Used Market of Hanbok and Hanbok Reform Market (중고한복시장 및 한복리폼시장의 활성화 방안 연구)

  • Lee, In Hwa;Son, Mi Young
    • Human Ecology Research
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    • v.59 no.1
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    • pp.59-69
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    • 2021
  • In order to find ways to re-use used Hanbok and activate Hanbok reform, it is necessary to investigate the current status and problems of used Hanbok and Hanbok reform in the domestic Hanbok market. The purpose of this study was to investigate the status and problems of the used Hanbok market and the Hanbok reform market through literature data surveys and in-depth interviews with Hanbok experts, and to study ways to activate used Hanbok and Hanbok reform. Based on the results of this study, as a way to activate the used Hanbok market and the Hanbok reform market, expand opportunities and create a social and cultural atmosphere for wearing Hanbok, and research on design, pattern, size, and materials. It also suggested the establishment of a systematic system for separate collection, reform, sales and management, the establishment of a central institution that manages and operates the re-use of used Hanbok and Hanbok reform, support for education institutions and programs for Hanbok reform, public relations, and changes in Hanbok production methods.

Record management system and Registry System in the Gabo Reform (갑오개혁기 기록관리제도와 등기실체제(Registry System))

  • Lee, Seung-Hwi
    • The Korean Journal of Archival Studies
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    • no.17
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    • pp.85-114
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    • 2008
  • One of the features of record management during the Gabo Reform is that the documents office controled producing and distribution of records. The records completed the operations were sent the record office and classified and arranged. previous researches understood this record management system during Gabo Reform were introduced from Japan. This article clarifies that new record management system settled through Meiji Restoration were introduced from German(Prussian) registry system at the time. However, German registry system managed current records and this system was based on modern record management system which open the records to the public with archives. Japan accepted only registry system, current record management system of German, and didn't established archives at Meiji regime. It is same with Joseon Dynasty during the Gabo Reform regime. Therefore, the record related regulation at the Gabo Reform regime could not be judged to be a modern system. The regulations on records at Gabo Reform regime had no terms about people's right or open the records to the public which decides modern record regulations. The meaning of record system during Gabo Reform regime is that the value of records and name of organizations coincides with record life cycle. The documents office managed current records and record office classified and filed closed records. Concept of "current record=document=documents office, non-current record=record= record office" didn't succeed to today. The term 'record' is used as current record or non-current record without difference.