• Title/Summary/Keyword: policy measure

Search Result 1,175, Processing Time 0.031 seconds

Comparative Study of the Health Status of Two Koreas (남북한 주민의 건강수준 비교연구)

  • 김영치
    • Health Policy and Management
    • /
    • v.7 no.1
    • /
    • pp.155-182
    • /
    • 1997
  • Objectives : This study was designed to compare North Korea and South Korea in measures of the quality of life (physical quality of life index and human development index) and to investigate the impact of selected medical and socioeconomic factors on PQL variables. Data and Methods : The World Bank, the United Nations Development Programme, and Population Reference Bureau were the principal sources of statistical data of 121 countries. Variables included infant mortality, life expectancy at birth, literacy rate, secondary school enrollment (male and female), GNP per capita, population per doctor, daily calorie supply per capita, and a composite PQL index. The Ordinary Least Square model was employed for cross-countries analysis. Findings : Both countries under quite different political and economic systems saw big improvememts in the quality of life, reducing mortality and prolonging life expectancy during the past three decades. In recent decad, however, North Korea has experienced abrupt exacerbation in the quality of life. Significant improvements in infant mortality of the population wer attributable mainly to GNP per capita and the secondary school enrollemt of female. The principal predictors of life expectancy at birth were population per doctor, infant mortality, and literacy rate. The secondary school enrollment of female and population per doctor were significantly associated with improvements in the physical quality of life index (PQLI). Conclusion : The results of this study confirmed a point illustrated by other studies : The association between quality of life as a measure of health status and socioeconomic factors was strong and positive. The important contribution of educational attainment in general, female education level in particular to improvements in the quality of life deserves good news for building an integrated health care system in the reunified Korea, taking into account the high level of education two koreas are enjoying. Meanwhile, when a sharp drop in the quality of life has been observed in North Korea under serious economic difficulties and food shortage in recent decade, the significant contribution of economic development to improvements in the quality of life poses bad nows for reunifying Korean health care in economic terms.

  • PDF

The Effects of Patient and Facility Characteristics On the Resource Use by the Elderly in Long-term Care Services (환자 및 시설 특성이 장기요양서비스 이용 노인의 자원소모량에 미치는 영향)

  • 권순만;김홍수;김선민
    • Health Policy and Management
    • /
    • v.12 no.1
    • /
    • pp.21-53
    • /
    • 2002
  • The purpose of this study is to measure the resource use of the elderly in long-term care services and to examine the effects of patient and facility characteristics on their use of resources. The data were collected from 510 old people over sixty years of age, residing in five long-term care hospitals and two skilled nursing homes during the period between December 1, 2000 and February 28, 2001. For a full sample, when the first level of RUG(Resource Use Group)-III categories were employed as the proxy of patient severity, facility characteristics, such as location, size and ownership, have large effects on the resource use measured by service intensity, whereas patient characteristics such as severity have little or no effect. The resource use is significantly high if the facility: (1) is located in rural areas (gun): (2) has mare than 200 beds; (3) is a long-term care hospital; (4) is private; and (5) has a low percentage of medical aid patients. The analysis of the resource use in each RUG-III categories, for which ADL(Ability of Daily Living) were employed as the prosy of patient severity, shows a similar result. The loose relationship between the needs of residents and the resource use seems to be closely associated with the ineffective reimbursement system for providers. The current reimbursement system has no provision for quality improvement and reimburses facilities simply according to their types: fee-for-service for long-term care hospitals, and monthly-flat-rate or full-coverage-national-aid for skilled nursing facilities. It will be necessary to develop a more reasonable reimbursement system that takes patient's severity into account and gives incentives for long-term care providers to offer cost-effective services.

항공안전규제를 위한 제도개선 방안에 관한 연구

  • Yu, Gwang-Ui;Kim, Ung-Lee
    • The Korean Journal of Air & Space Law and Policy
    • /
    • v.12
    • /
    • pp.210-245
    • /
    • 2000
  • This study is to review the problem concerned with aviation safety in Korea and suggest the solution to secure the aviation safety, in respect of regulation. At first, the definition and characteristics of aviation safety are studied, and then the endeavor for the aviation safety of ICAO and FAA are reviewed. All the fields of aviation safety area are included in the scope of this study; airworthiness in aircraft production and maintenance, flight operation, airport operation and air traffic control. The level of safety can be estimated by the frequency of accidents and seriousness. The causes of air accidents can be summarized as five factors; human factor, traffic environment. aircraft, weather, and unexpected incident. The activities to protect accidents are also can be summarized as five areas; man, machine, medium, mission and management. ICAO established the standards and recommends for the aviation safety, and adopted strategic action plan for 21st century. Federal Aviation Administration of USA also contributes for the aviation safety of world wide. Nowadays, ICAO and FAA tries to coordinate each other to set up efficient and effective ways for the aviation safety. ICAO developed safety oversight manual and FAA developed model regulations, individually. However, there has been trials to merge the results of each institute's studies. The direction of this endeavor is to meet the new environment related to globalization of air transport industry. It is necessary for our government to improve the aviation safety regulation system to address the new wave of aviation safety system pursued by international organization. A systematic and comprehensive measure should be devised by cooperation of all the related field and area.

  • PDF

Economic Length of Stay and Opportunity Income of Appendectomy and Pneumonia Using Activity-based Costing (활동기준원가를 이용한 충수절제술과 폐렴의 경제적 재원일과 재원일 단축에 따른 기회이익)

  • Kim, Sang Mi;Lee, Hae Jong;Shin, Dong Gyo
    • Health Policy and Management
    • /
    • v.23 no.2
    • /
    • pp.124-131
    • /
    • 2013
  • Background: This study aimed to measure the opportunity income by identifying the economic length of stay (ELOS) which is the intersection point of daily revenue and cost on appendectomy and pneumonia cases. Methods: The research subjects were 460 patients of appendectomy and 606 patients of pneumonia, discharged from a general hospital between July 1, 2009 and June 30, 2010. ELOS calculated with both of total revenue on diagnosis-related group (DRG) and fee-for service (FFS). The cost is calculated by activity-based costing system of the hospital. Results: Average length of stay (ALOS) of appendectomy was 4.48 days and its average revenue per case were 1,710,215 (1,989,105) won by DRG (FFS). The variable cost was 491,262 won which was 28.7% (24.7%) of DRG (FFS) total revenue. And 97.2% of the total variable cost was incurred within 2 days from admission. The ELOS was 4 (5) days in DRG (FFS). Shortening three days (two days) would increase opportunity income 52.0% (82.2%) in DRG (FFS). ALOS of pneumonia case was 4.86 days and its average revenue per case were 489,448 (761,426) won by DRG (FFS). The variable cost was 27,230 won which was 5.6% (3.6%) of DRG (FFS) total revenue. Thirty-eight point nine percent of the daily variable cost was incurred in discharge date. The ELOS was 2 (4) days in DRS (FFS). Shortening three days (one day) would increase opportunity income 27.6% (37.2%) in DRG (FFS). Conclusion: The ELOS would be used by strategic index for achieving minimum profit and developing the ways to get there. But we also should not pass over that the opportunity income obtained by the reducing ALOS may cause some problem of quality.

A Case Study on the Management Models and the Management Mechanism of the Land Storage System of China (중국의 토지비축제도 운영 메커니즘과 운영모델 사례연구)

  • Kim, Chang-Kyoung
    • Land and Housing Review
    • /
    • v.9 no.1
    • /
    • pp.19-28
    • /
    • 2018
  • The purpose of this study is to explore an implication for new perspectives and concrete approaches to Korean Land Banking by analyzing the role of the Land Bank and the Land Storage System in the formation of Chinese Land Market, Land Management, and City Management. Time scope of this research focused on Chinese reform and opening since 1978, when study of land bank began to be actively performed in China. Research targets were Land Bank and Land Storage System related to Chinese Land System, and this research targeted Chinese Land Storage System as research object, which seem to have similar tendency to Korean Land Banking System, after examining the concept of Land Bank and Land Storage System. As the research method, this research arranged the contents and changes of policy based on discussed research documents over Chinese Land Bank and Land Storage System till today since the foundation of the nation. Later, this research investigated the realistic reflection and in-depth investigation of the problems through the operational mechanism and concrete case study of Chinese Land Storage System, a similar policy to Korean land bank, the researchers will look into the reality reflected and will carry out a in-depth study of the problems. China has established its characteristic socialistic market economy system, partly adopting the concept of capitalism, supporting socialism. This way, the researcher considers that such socialistic economic factors with strong welfare aspects can be adopted also in Korea, where capitalistic market economy system is maintained, and be utilized as a new measure for development strategy.

Development of Water Policy Indicators : Water Use Indicators (이수분야 수자원 정책지표 개발)

  • Choi, Dong-Jin;Park, Doo-Ho;Kim, Shang-Moon
    • Journal of Wetlands Research
    • /
    • v.11 no.3
    • /
    • pp.153-160
    • /
    • 2009
  • OECD countries are using the indicators to manage water resources. The cares about the water deficiency is more growing because of the climate change, but we have no exact indicators to know how much water to need and where to need. So, we made a national water resource indicators. We analyzed water management indicators of foreign countries and selected proper those for our countries. During the process, we asked the expert's consults to certificate it's qualification. The condition to select the indicators are as follows. First, it must be easy for every one to understand those. Second, the indicators should be able to measure. Third, the results should be able to present a comparison between nations. The last, the indicators should be set up from the view point of long-term purpose. As a result, we selected 8 core indicators. But those are not perfect because the data and information are not sufficient. So we need to cooperate and organize the indicators with government.

  • PDF

Equity in the Delivery of Health care in the Republic of Korea (의료이용의 형평성에 관한 실증적 연구 -공.교 의료보험 피부양자를 대상으로-)

  • 명지영;문옥륜
    • Health Policy and Management
    • /
    • v.5 no.2
    • /
    • pp.155-172
    • /
    • 1995
  • This study is an empirical analysis on the equity in the delivery of heatlh care under the Korean Medical Insurance Corporation System. The purposes of this study are to find out effects of income on the health care utiliztion and measure the income-related inequity in the distribution of health care. This study was carried out based on the fact that the health insurance program has been organized to achieve the equity objective, "equal treatment for equal needs". Of 41, 828 insured persons who had been diagnosed in the 1993 Health Screening Test and utilifzation data from 1, January 1993 through 31, December 1993 were derived from the Benefit Managment File. Inequity was measured by means of I) share approach, ii) standardization concentration curve approach, iii) inequity index, iv) test for inequity. The major findings were as follows : 1. The expenditure shares of the top two quintile groups exceeded their morbidity shares, whereas the opposite was true of the bottom three quintile groups, Which showed a positive HI$_{LG}$ inequity index, suggesting the presence of some inequity favoring the rich group. 2. Compared with other residential areas, the rural area showed the highest positive HI$_{LG}$ irrespective of need indicatior applied. 3. Standardized expenditure concentration indices adjusted by age, gender and need structure were also found to be positive, and therefore still indicated that there has been inequity favoring the rich after the standardization. 4. The Loglikelihood Ratio (LR) test for the statistical significance of income-related inequity of medical care utilization was carried out using the logistic regression model. The resulting loglikelihood ratio test statistic value was 176, which did exceed the 0.5 percent critical value of the chi-square distribution with 28 degrees of freedom, which is 50.993. Therefore, the null hypothesis of no income-related inequity of medical care utilization was rejected at the 99.5 percent confidence level. 5. The Regression based F-test has been carried out for analyzing the income-related inequity of medical expenditure in terms of age, gender, morbidity indicators as explanary variables. The hypothesis of the absence of income-relate inequity was rejected for all need indicators at the 95% confidence level.nce level.

  • PDF

Multi-Programmed Simulation of a Shared Memory Multiprocessor System (공유메모리 다중프로세서 시스템의 다중 프로그래밍 모의실험 기법)

  • 최효진;전주식
    • Journal of KIISE:Computer Systems and Theory
    • /
    • v.30 no.3_4
    • /
    • pp.194-204
    • /
    • 2003
  • The performance of a shared memory multiprocessor system is dependent on the system software such as scheduling policy as well as hardware system. Most of existing simulators, however, do not support simulation for multi-programmed environment because they can execute only a single benchmark application at a time. We propose a multi-programmed simulation method on a program-driven simulator, which enables the concurrent executions of multiple parallel workloads contending for limited system resources. Using the proposed method, system developers can measure and analyze detailed effects of resource conflicts among the concurrent applications as well as the effects of scheduling policies on a program-driven simulator. As a result, the proposed multi-programmed simulation provides more accurate and realistic performance projection to design a multiprocessor system.

A Study on Policy for cost estimate of Security Sustainable Service in Information Security Solutions (정보보안솔루션 보안성 지속 서비스 대가 산정 정책 연구)

  • Jo, Yeon-ho;Lee, Yong-pil;Lim, Jong-in;Lee, Kyoung-ho
    • Journal of the Korea Institute of Information Security & Cryptology
    • /
    • v.25 no.4
    • /
    • pp.905-914
    • /
    • 2015
  • Once information security solution is implemented, it requires many services other than just general user management, such as malicious code analysis and security updated for consistent security against external threats or attacks, analysis of threat and attack, effectivity management of obtained security assurance, and advisory activities of security technical professionals. However, even if information security solutions provide those extra services, they are not properly treated in real market. Thus, for the security sustainable services, this study analyzes the service status of domestic information security, and suggest policy measure of price which could reflected the characteristics of information security solutions.

Trend Analysis of Apartments Demand based on Big Data (빅데이터 기반의 아파트 수요 트렌드 분석에 관한 연구)

  • Kim, Tae-Kyeong;Kim, Han Soo
    • Korean Journal of Construction Engineering and Management
    • /
    • v.18 no.6
    • /
    • pp.13-25
    • /
    • 2017
  • Apartments are a major type of residence and their number has continuously increased. Apartments have multiple meanings in that for public they are not only for residence purpose but for investment, a major commodity for construction firms and a critical policy measure of public well-fare for the government. Therefore, it is critical to understand and analyze trends in apartments demand for pro-active actions. The objective of the study is to analyze and identify key trends in apartments demand based on big data drawn from articles of major daily newspapers. The study identifies 17 major trends from seven themes including development, trade, sale in lots, location requirements, policy, residential environment, and investment and profit. The research methods in the study can be usefully applied to further studies for various issues in relation to the construction industry.