• Title/Summary/Keyword: care policy

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The Social Support for Work-Family Balance compared with that of Chosun Dynasty (일-가정 양립 실태와 사회적 지원의 방향성 비교: 가족친화적이었던 조선시대를 중심으로)

  • Kim, Sung-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.13 no.4
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    • pp.1-16
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    • 2009
  • purpose of this study was to compare the direction of work-family balance policy with the family support of Chosun Dynasty by reviewing the literature of the period, including diaries of "Soemilok" and "Miamilki" and letters written by Yangban. The major findings drawn from the literature were as follows: The husbands in Chosen, especially as public officials, were under strong obligation to support their family like working wives in modern society. They were able to care for and support their families and maintain their careers due to flexibility in their office hours. They had dual burdens of home management and outside labor but their requests for the necessities of life were resolved promptly in public offices. From this result, it was argued that the policy for dual burden for women would benefit from a consideration for flexibility and reduction of working hours. Especially it was emphasized that the border between home and work place should be more open and the relationship of family should be supported by work-family balance policy.

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The Determinants of Population Health in OECD countries (OECD 국가들의 건강수준 결정요인)

  • Tchoe, Byong-Ho;Nam, Sang-Ho
    • Health Policy and Management
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    • v.20 no.1
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    • pp.1-18
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    • 2010
  • This article examines social determinants of population health in OECD countries, where life years, infant mortality, and PYLL are used as proxy variables of health. The unit of analysis is a country which is the OECD affiliate. A panel regression estimation is chosen as a method, using OECD Health Data. The results are: the increasing national health expenditure affected positively to improve population health. Education was rather a significant determinant of health than income level. The government direct investment for public health did not contribute positively to enhance population health. The expansion of health care coverage was working positively for improving health, but with a time lag. The supply of doctors was a most influential determinant of health. In case of Korea, the coverage expansion of health care was the most important determinant of health. The supply of doctors was, however, not a positive factor for better health, which is different result with the case of OECD countries.

The Influence of Hearing Ability of Ordinary People on the Quality of Life (일반인의 청력이 삶의 질에 미치는 영향)

  • Kim, Seok-Hwan;Oh, Ji-Young
    • Health Policy and Management
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    • v.28 no.2
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    • pp.162-167
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    • 2018
  • Background: In this research, we conducted an analysis to grasp the relationship between hearing and quality of life and to prepare effective troubleshooting. Methods: In this study, we analyzed using the data of the 6th term of the National Health and Nutrition Survey of the Disease Management Headquarters. And, out of 7,380 people, 3,598 adults over the age of 40 years who participated in the hearing test were selected as final research subjects and analyzed. Results: It was confirmed that the result of the analysis affects the quality of life based on hearing. The quality of life associated with hearing loss was unpleasant, motor ability, anxiety/depression, and everyday life affected in order of self management. And factors having an effect on the quality of life of the study subjects were found to be gender, elderly, unmarried, low hearing, low household income, absence of economic activity, and low teaching standards. Conclusion: The conclusion is that strengthening education for realistic management and prevention rather than treatment for unconditional hearing impairment will overcome low self esteem and loneliness and alleviate any uncomfortable life that people with hearing loss give. It is expected to be possible.

Impact of Regional Emergency Medical Access on Patients' Prognosis and Emergency Medical Expenditure (지역별 응급의료 접근성이 환자의 예후 및 응급의료비 지출에 미치는 영향)

  • Kim, Yeonjin;Lee, Tae-Jin
    • Health Policy and Management
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    • v.30 no.3
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    • pp.399-408
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    • 2020
  • Background: The purpose of this study was to examine the impact of the regional characteristics on the accessibility of emergency care and the impact of emergency medical accessibility on the patients' prognosis and the emergency medical expenditure. Methods: This study used the 13th beta version 1.6 annual data of Korea Health Panel and the statistics from the Korean Statistical Information Service. The sample included 8,119 patients who visited the emergency centers between year 2013 and 2017. The arrival time, which indicated medical access, was used as dependent variable for multi-level analysis. For ordinal logistic regression and multiple regression, the arrival time was used as independent variable while patients' prognosis and emergency medical expenditure were used as dependent variables. Results: The results for the multi-level analysis in both the individual and regional variables showed that as the number of emergency medical institutions per 100 km2 area increased, the time required to reach emergency centers significantly decreased. Ordinal logistic regression and multiple regression results showed that as the arrival time increased, the patients' prognosis significantly worsened and the emergency medical expenses significantly increased. Conclusion: In conclusion, the access to emergency care was affected by regional characteristics and affected patient outcomes and emergency medical expenditure.

Women's Unpaid Work as a Factor of Gender Inequality: A Case of Kazakhstan

  • OLGA, Yanovskaya;POTLURI, Rajasekhara Mouly;GULFIYA, Nazyrova;AIZHAN, Salimzhanova
    • Asian Journal of Business Environment
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    • v.10 no.2
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    • pp.17-21
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    • 2020
  • Purpose: This paper explores diverse issues related to the problem of women's unpaid domestic care work, and as a factor of gender inequality in their professional practice. Research Design: This article concentrated only on the analysis of secondary data available on the topic along with observation of facts in Kazakhstan based on diverse sources. In current conditions, the problem of women's unpaid domestic care work, and consequently, the lack of enough time and energy for professional employment. Distinguish domestic work vs. job/career/occupation, self-fulfillment, education, and leisure has a significant impact on women's life satisfaction. Data, and Methodology: This article focuses only on secondary data available in different sources from which the researchers procures comprehensive data and information. Results and conclusion: A family policy that aims to promote combining maternity, and domestic work with paid employment is an effective way to increase the proportion of working mothers/women. It is crucial to not only proportionally distribute the household responsibilities in the family but also to form an effective mechanism of state support for women through the development of the social services sector, as well as the adoption of a system-wide approach to gender equality.

A study on the factors of the Obstetrics & Gynecology healthcare consumers' selection of Hospitals by lifestyle segmentation (의료소비자의 라이프스타일에 따른 병원선택 요인 - 산부인과 병원을 중심으로 -)

  • Jeong Hyen Ja;Jung Myun Sook
    • Health Policy and Management
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    • v.14 no.3
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    • pp.1-19
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    • 2004
  • The purposes of this study were to investigate factors of the Obstetrics & Gynecology healthcare consumers' selection of hospitals by lifestyle segmentation and to propose managerial suggestions in health care marketing. Out of total 400 Questionnaires, 351 were considered to be valid for final analysis. The Questionnaire consisted of 81 Questions. 11 demographic Questions, 15 factors for selecting hospitals, 55 lifestyle. The collected data were analyzed with SPSS/pc+ Version 10.0. The subjects were divided into four groups in terms of their lifestyles: 'health active group', 'health conscious group', 'health indifferent group', 'health inactive group'. The analysis of factors related to the selection of hospitals shows that there were four factors: 'accessability', 'medical trust', 'cost and convenience', 'facilities'. Conclusion: As a results of this study, 4 types of healthcare consumers' lifestyle were defined. Each life style has specific characteristics. 'Health active group' pursue 'accessability', 'medical trust', 'cost and convenience' and Health conscious group' depended on 'medical trust', 'cost and convenience'. and 'facilities'. 'Health indifferent group' didn't show any special interest in the selection of hospitals and that 'Health inactive group' relied on 'medical trust', and 'facilities'.

An Analysis of the Diseases Specific Medical Service Organization Selection Factors of Patients (주요 상병 별 환자의 의료기관 선택성향 분석)

  • Youn, Kyung-Il;Doh, Sei-Rok
    • Korea Journal of Hospital Management
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    • v.12 no.4
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    • pp.1-21
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    • 2007
  • The relaxation of the regulation in selection of medical institution allows patients to use their own judgement in choosing proper institution for their diseases. Since the change of the regulation, there should have been many changes in medical institution selection behavior. The analysis of the change in disease specific selection pattern is critical because there be an optimal selection criteria that ensure the efficient and effective utilization of medical resources. This study analysis the institution selection factors by comparing the choice among the cases of acute diseases, the cases of chronic diseases, inpatient services, outpatient services, and emergency medical service. The comparisons performed in terms of size, class and other characteristics of medical institutions. For the study the nationally surveyed database was used and the data were analyzed using logistic regression procedure. The results indicates that the primary care facilities were not properly utilized. This study speculates that the reason for the undesirable pattern of utilization is that the roles of primary care facilities in the healthcare delivery system was not clearly defined. Based on the results, the medical policy implications are discussed.

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Towards Sustainable Agriculture in Korea : Theoretical Backgrounds and Practical Challenges (지속가능한 농업으로의 전환: 실천을 위한 이론과 과제)

  • Rhew, Chan-Hee;Kim, Soo-Suk;Cho, Won-Joo
    • Korean Journal of Organic Agriculture
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    • v.28 no.1
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    • pp.1-30
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    • 2020
  • This study argues that expanding the multifunctionality of agriculture (MFA) may mitigate existing agricultural problems. To do that this study redefines the concept and scope of the MFA and presents practical tasks to achieve it. Theorizing the MFA begins with the theory of sustainability and first identifies the link between sustainability and MFA. Later, considering the limitations of the existing sustainability theories, we examined where the false linkages leading to the destruction of environmental and social relations originated, and employed the (Re)productivity [(Re)produktivitat] theory in order to obtain alternatives. Research shows that welfare effects of the MFA on humans and the environment are not less than those derived from the agricultural products supplied to the real market, but the values are not recognized. The absence of proper care and compensation is the basis of agricultural problems in Korea. Therefore, this study acknowledges that the MFA is as much worthy as real agricultural production, and insists that appropriate compensation and care should be given to humans (farmers) and nature (agricultural ecosystem) in order to maintain and expand the MFA. In other words, a virtuous cycle between sustainability and the MFA means that the process spreads sustainable farming methods to expand the MFA, forms social consensus on it, and pays fair remuneration for agriculture from the public sector. Transition to such a virtuous cycle requires re-establishing the definition and scope of the MFA, implementing targeting policy, motivating policy targets, strengthening human capacity, and arranging maturity time.

Factors Related to the Output of Health Centers (보건소의 사업성과에 관련된 요인)

  • 차병준;박재용
    • Health Policy and Management
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    • v.6 no.1
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    • pp.29-58
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    • 1996
  • This study was conducted to identify the factors that affect the output of health conters. An analystical model employed in this study was developed by modifying 'input-output model' and 'organizational behavior model'. Data were collected form two source; the 1995 report of thealth center which was submitted to the Ministry of Health and Welfare and a mail survey questionary of officers at health center, including 66 directors and 1,768 staffs of the health centers in southern region. The major findings are as follows: That analysis has identified the factors associated with dependent variables: medical services provided by the health center and health program performance(HPP). The number of primary medical facilities was negatively associated with health center performance while the number of staffs, job satisfaction, and professional background of health center directors were positively associated. These independent variables accounted for 40.1% of the variance of dependent variables. The variance of HPP was significantly explained by the number of health subcenter and primary health post, priority level of public health program by hief executive officers(CEOs) and legislator. A significant relationship was found between leadership types of health center directors and the performance of maternal and child health program. Considering these results, the authors suggested that the role in medical care service of health center in the should be rearranged at local level because medical care service of the health center is competing with primary medical facilities in the same region. It is also suggested that educational efforts be made to improve leadership of the health center directors and concern with public health program by the CEOs and legislators of local governments.

Are the nurses overpaid or underpaid\ulcorner (간호사 임금수준의 상대적 적정성 연구)

  • 김철환;송미숙
    • Health Policy and Management
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    • v.6 no.1
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    • pp.59-84
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    • 1996
  • It is generally believed that the medical profession in Korea is an well-paid field along with legal profession. In this vein, the nursing is regarded one of well-paid profession. The actual data, however, reveals that nurses belong to low income bracket. We carefully compare the nurse's earnings with those of other professions. We selected 58 professions, which are similar in vocational characteristics and education background to nurses and conduct a regression analysis to estimate earning functions. Using the estimated coefficients, we project an optimum salary level for nurse, and compare it with the actual salary level. The estimated results show that the nurses are underpaid : their actual salary is less than the optimum level. We provide several explanations for this phenomenon : a tradition based on Confucian value, wage discrimination for women, and wage inequality among hospitals. Undercompensation will result either ratard professional development, or block the motivation for high quality of nursing care. If the current underpaying situation is not improved, a shortage of nurses along with an noticeable decline in the quality of medical services are expected. Therefore an adequate compensation for nurses must be properly assessed and addresed not only be health care authorities but also by legislators. Further research is needed to explain why there is such as wide salary inequality among nurses, and to find what cause it.

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