• Health Policy and Management
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• v.4 no.2
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• pp.77-110
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• 1994

This study is an empiriacl analysis of effects of government intervention on the health care delivery system in Korea. The purposes of this study are to find out the effects of government intervention on the per capita national health expenditure(per capita NHE), crude mortality rate(CMR), and institutional efficiency. Here, the institutional efficiency is defined as a formula shown below: log$\frac{100-curde mortality rate }{per capita NHE}$$\times$100. The formula indicates that the instiutional efficiency increases if the CMR and/or per capita NHE goes down. In the meantime the government intervention is measured by six independent variables: I) the degree of social developments, ii) the numberr of physicians per 100, 000 population, iii) the proportion of specialists among the total physicians, iv) the proportion of public expenditure among the NHE, v) the proportion of public beds to the total number of beds, vi) the proportion of physicians working at the public sector to the total number of physicians. In the above six independent variables iv), v) and vi) are the ones that reflect the degree of government intervention. In actual calculation, the two independent variables v) and vi) are integrated into a new variable based on one to one correspondence. The materials used are the time-series data from 1970 through 1990 in Korea. A path analysis and the time-series regression analysis were adopted to estimate and examine the causal relationship between variables involved. And decomposition of the effect of causal relationship is made to find net effect, direct and indirect effect. The major findings are as follows; 1. The effect of public expenditure, number of physicians per 100, 000 population, the proportion of specialists among the total physicians and social development shows a positive relationship with per capita NHE. Only if the government intervention would be counted, the effects of the number of physicians and the proportion of specialists succeed in containing per capita NHE. 2. In additionn to the above four variables, one additional variable, per capita NHE, was also responsible for the reduction of CMR. The factor of social development found to be the most potent predictor of the CMR reduction. However, the CMR reduction due to government intervention was negligible. 3. Meanwhile, the above four variables were found to was have negative effects on the institutional efficiency. The reverse is true when the government intervention is counted. For example, the number of physicians and the proportion of specialists have played a positive role in raising institutional efficiency via goverment intervention. This comes from the factual effect that the increment of institutional efficiency via the reduction of per capita NHE is bigger than via the reduction of CMR.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.22
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• pp.9679-9685
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• 2014

Background: When evaluating health-economics for cervical cancer prevention policies in Japan, it is important to use Japanese value settings. This study aimed to obtain preference-based measures (preference measures) for hypothesized health states among healthy Japanese women, and to examine differences between the EuroQol-5D (EQ-5D) and standard gamble (SG) instruments. Materials and Methods: The investigation was performed among female students at a nursing university. We used written hypothetical scenarios describing three grades of cervical intraepithelial neoplasia (CIN) and eight stages of cervical cancer, both at diagnosis and after medical intervention. Preference measures were evaluated using both EQ-5D and SG. Results: We received responses from 136 women. The mean number of respondents per stage was 24.6 (SD: 2.7). At diagnosis, average EQ-5D scores for CIN1, CIN2, CIN3, IA1, IA2, IB1, IB2, IIA, IIB, III, and IV stages were 0.84 (0.14), 0.78 (0.12), 0.73 (0.10), 0.78 (0.12), 0.72 (0.12), 0.63 (0.13), 0.64 (0.12), 0.68 (0.08), 0.62 (0.13), 0.55 (0.21), and 0.18 (0.24), respectively. Using one-way analysis of variance with the Tukey-Kramer method for multiple comparisons (each stage vs. CIN1), we found significant differences for IB1 and more advanced stages (p<0.05). After medical intervention, corresponding EQ-5D scores were 0.84 (0.12), 0.81 (0.12), 0.84 (0.12), 0.80 (0.15), 0.78 (0.11), 0.64 (0.15), 0.63 (0.15), 0.71 (0.15), 0.50 (0.17), 0.52 (0.17), 0.21 (0.28). The multiple comparisons identified significant differences for IB1 and more advanced stages, excepting IIA (p<0.05). SG evaluations were more variable and relatively higher than EQ-5D evaluations. Conclusions: We obtained preference measures for three grades of CIN1-3 and eight stages of cervical cancer. In combination with appropriate sensitivity analyses, these preference measures will provide a basis for an economic evaluation of cervical cancer prevention in Japan. We suggest that EQ-5D is appropriate for cost-utility analysis of this topic.

• Journal of Digital Convergence
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• v.16 no.6
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• pp.283-295
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• 2018

This study is to establish the direction of special education curriculum by linking the demands of the health industry and the university curriculum. For this, we conducted a questionnaire survey for 4 months from 18 January to 9 May, 2017. Cronbach alpha coefficient was used for the reliability of the study, frequency analysis was used mainly for the contents of the study, and chi-square test, variance analysis and T test were applied to the study. Cronbach's alpha coefficient was 0.891. Variance analysis, T test and chi-square test show some significant differences. The results of this study are as follows: 35% of practitioners and 22% of convergent intellectuals are desirable in institutions. Practical needs of practitioners are creative practicality, medical policy (58%). It will be necessary to conduct a nationwide survey in the future.

• The Journal of the Korea Contents Association
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• v.13 no.11
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• pp.187-197
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• 2013

Objectives : The purpose of this study was to analyze the effect of outpatient cost sharing reduction on health care utilization of children under 6 years old. Methods : The data in this analysis was the health insurance claims data between August 2006 and July 2008. The study group was divided into two age groups, namely 0-5 years old and 6-10 years old. This study evaluated the impact of policy change on office visits per person and expenditure per visit. In order to do so, the double difference analysis is used. Results: The results showed that outpatient cost-sharing reduction has never really had a huge impact on office visits per person and expenditure per visit. Conclusions: This study showed that the outpatient cost sharing reduction for children under 6 years old policy is not working. Therefore, cost sharing of National Health Insurance by income class is needed.

• Korean Journal of Childcare and Education
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• v.10 no.2
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• pp.237-260
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• 2014

This research aims to find out what pre-service teachers are seriously concerned about and what they contemplated during the process of discovering the meanings of teaching, and to reveal the meanings compiled by the pre-service teachers. Furthermore, this research intends to identify the elements considered to help the pre-service teachers continue to construct the meanings of teaching in the education for pre-service daycare teachers by reviewing the process of contemplation. To do so, this study selected a target group of 29 seniors of M University who took the class of 'Teaching Method for Young children' given in the first semester of 2012 and 'Child Care and teaching Practice' given in the second semester of 2012. Research data collection was done based on the paper materials on participant observation, interview, student journals and professor feedbacks and small group discussion. According to the research, the pre-service teachers created the meanings of teaching as they experience confusion between one extreme to another of power and looking easy, having children focused and being focused, just giving and leaving and discrimination and equality. They considered teaching as a process of continuous reconstruction by choosing the best place between the opposites within the context of teaching and understood that teaching is to respect the right of learning for children and at the same time to make efforts to develop inner-self. In addition, to support the pre-service daycare teachers in their efforts to find the nature of teaching in the education program, it is required to review the teaching process from a variety of aspects in the atmosphere where they are not afraid of confusion, and to provide time to meditate alone and share ideas with others.

• Korean Journal of Social Welfare
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• v.58 no.3
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• pp.341-370
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• 2006

The purpose of this paper is to classify and compare 21 OECD countries in regard to the level of support in parents' childcare and work. Several meaningful conclusions were suggested. First, examining the level of support in parents' childcare and work, 21 OECD countries can be classified into clusters different from the mainstream welfare state typology. Second, the level of parents' childcare and work support was high in socio-democratic countries such as Denmark, Finland, Norway and Sweden. Third, the level of parents' childcare right support is not necessarily positively related to that of parents' work in the labor market. As we have seen in the cases of France and Austria, although both countries have relatively high level of parents' childcare and work support, the level of work support in the labor market is low. These results have important implications for Korean family policy in that Korean society has to support both the parents' childcare right and the work right in the labor market.

• Journal of the Korea Society of Computer and Information
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• v.21 no.6
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• pp.97-106
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• 2016

This study tries to seek the is the realistic improvements and legislative measures about current medical advertising which was in the Court on 12 May 2015 by presenting and discussion the understanding, problems and its alternative direction of pre-deliberation on the existing law which is the decision on the constitutionality of health care advertising regulated health care advertising General commercial advertising has the right which have to be protected as the terms of the protection of know and freedom of expression and advertiser's there are sure to be in a value to be protected. Medical advertising is also a person in addition to the absolute value that includes both Due to the particularity of medical advertising in terms of life and the right to health Until now, this has been the target of strong regulations are changing the policy of gradual deregulation in our country, including the country. Medical advertising on the current medical law had been to be checked by pre-deliberation of the executive power. However, due to unconstitutional, in the circumstances which a false hype is flooding and increasing, it has been realized that the fair competition of medical community, life and health rights of the people are threatened by in reverse. In this regard, the abolition of the pre-deliberation system of medical advertising can be welcomed by abolition of the old system which is the legal and institutional censorship. Since its abolition, the alternative policy direction is insufficient also it is not clear. Therefore we need to study this. Therefore, in this paper, we try to find general theoretical background and problem of pre-deliberation system of medical advertising. Also, as trying to find feasibility or ambiguity of regulation and issues about medical advertising on medical law, we argued the provision of special measures of the medical advertising for introduction of integrated medical advertising deliberation committee which can ensure the independence and autonomy, strengthening of the monitoring on the internet advertising, legal resolving through amendments, strengthening of penalties, and establish special measures of medical advertising for the medical privatization and demand for the foreign medical tourist, etc. Empirical study about practical regulatory measures of medical advertising which converged the various opinions of consumer groups, government and academia, and medical community, and we expect hope to see the more realistic alternative provision.

• The Journal of the Korea Contents Association
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• v.22 no.6
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• pp.712-728
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• 2022

World-widely, there has never been a greater need for people to access high-quality expertise about the effective and safe use of medications. Therefore, the profession of pharmacy should meet these needs of the times, as the demographic shifts have led to a situation where older adults now outnumber children, and polypharmacy is also a commonplace. However, the reimbursement system covered by the National Health Insurance (NHI) in Korea is still limited to the traditional dispensing and compounding role of pharmacist. To provide a take-home message to Korean pharmacy reimbursement system, we aimed to review and analyze the international trends in pharmacy remuneration systems. This is a comparative study between Korea, Japan, the United Kingdom, and the United States. Comparison was conducted by reviewing each country's policy and enforcement programs, as well as the related literature. Japan, the UK and the US systems remunerate diverse patient-centered pharmaceutical care services. The Korean pharmacy service fee is, however, narrowly focused on the traditional product-oriented pharmacy services. This study discussed the future direction of improving pharmacist reimbursement systems in Korea, by expanding professional pharmacy service coverage and diversifying fee schedule.

• Journal of Industrial Convergence
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• v.21 no.4
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• pp.157-164
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• 2023

The purpose of this study was to examine the mediating effect of self-esteem in the effect of nursing caregivers' job enthusiasm on job satisfaction. For research analysis, 160 nursing caregivers' engaged in 2 institutions located in Gyeonggi-do, 3 institutions located in Seoul, 5 institutions located in Chungcheongnam-do, and 9 institutions located in Chungcheongbuk-do were surveyed from April 1 to September 2022. Data were collected non-face-to-face using Google links until the 30th. From the collected data of 140 people, 118 copies were used for the final analysis, excluding 22 incomplete responses. First, the effect of positive(+) effect on self-esteem of nursing care workers was confirmed. Second, it was confirmed that caregivers' job enthusiasm had a positive(+) effect on job satisfaction. Third, in the effect of caregiver's job enthusiasm on job satisfaction, it was confirmed as a partial mediating effect of self-esteem. In addition, the Sobel Test was conducted to confirm the significance of the mediating effect, and the significance of the mediating effect was also confirmed. This study has significance in that it suggests social welfare practices and policy interventions necessary to increase job enthusiasm and self-esteem for job satisfaction of nursing care workers, who are the main agents of caring for the elderly.

• Health Policy and Management
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• v.33 no.3
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• pp.355-362
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• 2023

Background: Financial efficiency in monetary units and operational efficiency in non-monetary units are separately classified and evaluated. This is done to prevent the duplication of monetary units and non-monetary units in inputs and outputs. In addition, analyses are conducted to determine the factors that affect each aspect of efficiency. To prevent duplication of monetary and non-monetary units in inputs and outputs, financial efficiency, consisting of monetary units, and operational efficiency, comprising non-monetary units, are separately classified and evaluated. Furthermore, an analysis is conducted to identify the factors that affect each aspect of efficiency. Methods: This study conducted a panel analysis of 34 regional public hospitals and influencing factors on efficiency for 5 years from 2015 to 2019. Financial efficiency and operational efficiency were calculated through data envelopment analysis. Moreover, multiple regression analysis was conducted to identify the factors that influence both financial efficiency and operational efficiency. Results: The factors that affect financial efficiency include the number of medical institutions within the treatment area and the ratio of patients receiving medical care. Additionally, operational efficiency is influenced by the type of medical institution, the number of medical institutions within the treatment area, and the number of nursing positions per 100 beds. Conclusion: In order for regional public hospitals to faithfully fulfill their functions and roles as regional base public hospitals, several measures are necessary. Firstly, continuous monitoring and reasonable support are required to ensure efficient operation and performance. Secondly, a financial support plan tailored to the characteristics of local medical centers is needed. Additionally, local medical centers should strive to enhance their own efficiency.