• Health Policy and Management
• /
• v.12 no.4
• /
• pp.91-113
• /
• 2002

We report and analyze the Korean physicians' recent general strike over the implementation of the Separation of Prescribing and Dispensing Practice (SPDP) in which more than 18,000 private clinics and 280 hospitals participated. Utilizing game-theoretic models of bargaining we explain why the Korean physicians were so successful in organizing intense collective action against the government and securing very favorable policy outcomes. In particular, we highlight the role of distributional conflict among social actors in shaping the details of institutional reform. The introduction of the SPDP was a necessary first step in the overall reform of health care system in Korea. However, the SPDP was perceived to be a serious threat to the economic viability of their profession by the vast majority of Korean physicians who had long been relied on the profits from selling medicines to compensate for the loss of income due to the low service fee under the previous health care system. The strong political coalition among heterogeneous physicians enabled them to organize an intense form of collective action, the general strike. Thus, physicians were successful not only in dragging the government to a bargaining table, but also winning in the bargaining and securing an outcome vastly favorable to them. On the other hand, the lack of an overall reform plan in the health care policy area, especially the finance of the National Health Insurance and the need for maintaining an image as a successful reform initiator, motivated the government to reach a quick resolution with the striking physicians.

• Korea Journal of Hospital Management
• /
• v.7 no.4
• /
• pp.1-23
• /
• 2002

This study examined the influence of the separation of prescribing and dispensing roles(SPD) policy implemented in Korea in July 2000, especially on the change in the net profit of medical institutions. Using the data set from the Korea's National Health Insurance and the previous research, this study elicited the following main results. First, tertiary care institutions was estimated to lose about 631 billion won after the SPD policy. Second, general hospitals and hospitals gained about 557 billion and 564 billion won, respectively. Third, it is shown that clinics also gained 389-659 billion won. Finally, however, the change in net profit of medical institutions after the SPD policy largely depends on different estimation models. Moreover, it also varies from the assumptions on the price differential of a reimbursable drug which worked as cross-subsidy to insufficient physician's fee before the SPD policy. Despite such limitations as lack of data outside of the National Health Insurance's coverage, this study differs from others. This is the first research to explore the effect of the SPD policy on different types of medical institutions and to attempt to purely focus on the SPD policy. In this study, we can draw the policy implication that preparing for a policy change, the government should set up the policy evaluation system to collect the concerned data and develop the methodologies in advance to the policy implementation.

• Journal of Society of Preventive Korean Medicine
• /
• v.22 no.3
• /
• pp.31-44
• /
• 2018

Objectives : The aim of this study was to investigate the Korean medicine doctor's perception of the extension and activation of herbal medicine preparations insurance benefits. Methods : The sample of Korean medicine doctors' panel pool which is extracted by examining the square root quota of city location of Korean medicine clinics was used. In case of a vacancy in some participants, the number of Korean medicine doctors were supplemented and placed for investigation. Results : It has 54.0% awareness of the separation of prescribing and dispensing herbal preparations, 87.0% agreed on the need to be insured, but the separation as a necessary condition for being insured was only 60.3% agreed. When a large number of herbal preparations are being insured, it was expected that 30% to 50% of patients(30.3%) will be prescribed herbal preparations and the number of new patients will increase by 5 to 15 for the purpose of prescriptions only(49.3%). Increase amount of medical expense(?3,000) as a result of the separation of prescribing and dispensing herbal preparations are insufficient(54.3%). Conclusions : From the results of this study, extension of national health insurance to cover herbal preparations must be needed to activate herbal medicine preparations and improve Korean medical services.

• Journal of Advanced Marine Engineering and Technology
• /
• v.30 no.1
• /
• pp.109-115
• /
• 2006

An overview of 30 feet sailing yacht design is presented. with an emphasis on the factors contributing to start-up Popularization . After prescribing the configurations of the purposed yacht. the design of the hull form with a rudder and a keel, are schematically described. Also the determinations of the dimensions of the sail and rig are performed.

• 대한예방의학회:학술대회논문집
• /
• 2002.10a
• /
• pp.226-226
• /
• 2002

• 제어로봇시스템학회:학술대회논문집
• /
• 1991.10a
• /
• pp.945-950
• /
• 1991

A method to design a robust servomechanism by continuously variable structure control is proposed. The state and control signal of this servomechanism do notchatter since a continuous control scheme is used. The input-output relation of this servomechanism is determined by prescribing a hyperplane in a state space of which the neighborhood is asymptotically attractive everywhere. This control mechanism was applied to a single rod cylinder servomechanism which has the nonlinerities due to their nonsymmetrical structure and its excellency was verified.

• Proceedings of the Korean Society of Marine Engineers Conference
• /
• 2005.06a
• /
• pp.818-823
• /
• 2005

An overview of 30 feet sailing yacht design is presented, with an emphasis on the factors contributing to start-up popularization. After prescribing the configurations of the purposed yacht, the design of the hull form with a rudder and a keel, are schematically described. Also the determinations of the dimensions of the sail and rig are performed.

• 대한예방의학회:학술대회논문집
• /
• 1998.10b
• /
• pp.254-255
• /
• 1998

• Education of Primary School Mathematics
• /
• v.3 no.2
• /
• pp.115-131
• /
• 1999

The purpose of this study is to examine meaning, factors, and diagnostic method of underachievers in mathematics and to propose the idea of the individualized teaching method for underachievers. For the first purpose, previous literatures on underachievers are reviewed. For the second purpose, this study described the procedure of developing the individualized instructional program, and the method of diagnosing and prescribing errors in mathematics. In the future, individualized instructional program need to be developed based on correct diagnosis of factors effecting under achievement for the effective teaching of underachievers.

• Proceedings of the PSK Conference
• /
• 2003.10b
• /
• pp.71.2-72
• /
• 2003

This presentation is to enhance the pharmacist's role in Over-The-Counter(OTC) drug selection and patient counseling for diversification of pharmacy management after the separation of prescribing and dispensing practice in Korea. Self-medication by OTC drugs may be viewed as one element of the broader self-care treatment. The patient may use a OTC drug to manage a minor ailment, a process that may be supported by counseling from a pharmacist. Pharmacists involved in self-medication decisions have a greater involvement with patients and an enhanced professional role. (omitted)