• Title/Summary/Keyword: public consultation

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Implementation of a care coordination system for chronic diseases

  • Lee, Jung Jeung;Bae, Sang Geun
    • Journal of Yeungnam Medical Science
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    • v.36 no.1
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    • pp.1-7
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    • 2019
  • The number of people with chronic diseases has been increasing steadily but the indicators for the management of chronic diseases have not improved significantly. To improve the existing chronic disease management system, a new policy will be introduced, which includes the establishment of care plans for hypertension and diabetes patients by primary care physicians and the provision of care coordination services based on these plans. Care coordination refers to a series of activities to assist patients and their families and it has been known to be effective in reducing medical costs and avoiding the unnecessary use of the hospital system by individuals. To offer well-coordinated and high-quality care services, it is necessary to develop a service quality assurance plan, track and manage patients, provide patient support, agree on patient referral and transition, and develop an effective information system. Local governance should be established for chronic disease management, and long-term plans and continuous quality improvement are necessary.

A Study of Recent Trend and Revision Draft of the Chinese Arbitration Law (중국의 2021년중재법 개정안과 그 시사점)

  • Li, Yang;Kim, Yongkil
    • Journal of Arbitration Studies
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    • v.31 no.4
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    • pp.29-49
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    • 2021
  • The Chinese Arbitration Law came into force in 1995 and has been implemented for 26 years. As a party to the New York Convention, there are many contradictions and conflicts between the Chinese Arbitration Law and the New York Convention on the issue of ad hoc arbitration, and this institutional disconnection can bring about problems such as misalignment of arbitration powers. On July 30, 2021, China's Ministry of Justice published a draft of the revised Arbitration Law for public consultation, and the draft has generated a lively debate among the public. This article explores the reasonable and inadequate points of the draft of Arbitration Law in light of the recent trends in the use of commercial arbitration in China, the COVID-19, the Free Trade Zone, and the relationship between the Civil Code and the Arbitration Law.

A Comparative Study on the Sustainability of Public Pension System: Using Fuzzy-set Analysis (공적연금제도의 지속가능성에 대한 비교연구: 퍼지셋 분석을 중심으로)

  • Yuiryong Jung
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.1
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    • pp.369-378
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    • 2024
  • The aim of this study is to conduct a comparative study on the sustainability of the public pension. While the mainstream view on the sustainability of the public pension presupposes financial sustainability, the original purpose of guaranteeing retirement income has been overlooked. The sustainability of the public pension needs to consider not only financial sustainability, but also various factors such as demographic structure, labor productivity, industrial structure, life cycle of working households, government spending on public pensions, economic growth, and social consensus. With this awareness of the problem, this study conducted a fuzzy set qualitative comparative study in 44 countries, including Korea. As a result of the analysis, it was found that Korea had high financial sustainability for a single year, but relatively low integration related to social consultation and public pension operation, and adequacy such as the degree of guarantee and linkage with other pension systems was also relatively low. The sustainability of the broader public pension should be emphasized not only for financial sustainability, but also for adequacy and integration.

A Study on the Space Composition for Department of Kidney Dialysis in Regional Public Hospital(1) (지역거점 공공병원의 인공신장부 공간구성에 관한 연구(1))

  • Chai, Choul Gyun;Park, Kyeong Hyeon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.2
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    • pp.31-38
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    • 2022
  • Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.

Analysis of Coastal Area Utilization by Consultation of Marine Environmental Impact Assessment Related-Systems (해양환경영향평가 관련 협의에 의한 연안이용분석)

  • Lee, Dae-In;Eom, Ki-Hyuk;Kwon, Kee-Young;Kim, Gui-Young;Yoon, Sung-Soon;Jang, Ju-Hyoung
    • Journal of Environmental Impact Assessment
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    • v.17 no.2
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    • pp.97-103
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    • 2008
  • This study presented politic proposals and diverse utilization-type in coastal areas by analyzing results of reviewed related-statements of marine environment during the one year period of 2007 by Marine Environmental Impact Assessment Center. Total of 358 cases were reviewed, which was a significant increase from 270 in 2006. Consultation on the utilization of sea areas (CUSA) accounted for the largest number of 165 (46.1%) and it was followed by 104 cases of environmental impact assessment (EIA) (29.0%) and 89 cases of prior environmental review (PER) (24.9%). As such, evaluation statements (EIA+PER) related to consultations of the Ministry of Environment accounted for approximately 54% of the entire cases reviewed. To analyze the overall results of reviewing marine-related evaluation statements, utilization and planning were conducted by 47.9%, 38.4% and 13.7% in the South Sea, West Sea and East Sea of Korea, respectively. In evaluation statements (EIA+PER), port construction, industrial complex construction, urban management plan and road construction took up most of the part by 40.9%, 20.2%, 10.4% and 7.3%, respectively. In terms of CUSA-statement, it was evaluated that consultations were mostly carried out on use and reclamation of public water surface in coastal areas and on sea aggregate extraction process in EEZ. The largest number of plans for coastal use were established for Jeollanam-do, followed by Gyeongsangnam-do, Chungcheongnam-do, Gyeongsangbuk-do and Gyeonggi-do. In particular, development plans were concentrated on Jeollanam-do and Gyeongsangnam-do with stable marine environment and outstanding view of the nature. In most cases, these regions are adjacent to the areas designated as a sea area for environmental management and fisheries resources protection zone. Therefore, conflicts exist between development and preservation. Also, rather than random development, more detailed marine environmental impact assessment, gathering of public opinions and politic harmony are essentially required. For efficient coastal management and environmentally sound and sustainable development, fulfilling consistent and transparent coastal policies as well as active and reliable decision making to center on coastal environment by management bodies will be important.

Methodological Status and Improvement of Additional Evaluation of Health Impact Items in Environmental Impact Assessment (환경영향평가서 내 건강영향 항목 추가·평가의 방법론적 현황과 개선)

  • Ha, Jongsik
    • Journal of Environmental Impact Assessment
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    • v.29 no.6
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    • pp.453-466
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    • 2020
  • The addition and evaluation of health impact items in Environmental Impact Assessment document are written in hygiene and public health items only for specific development projects and are being reviewed. However, after the publication of the evaluation manual on the addition and evaluation of health impact items in 2011, there is a demand for continuous methodology and improvement plans despite partial improvement. Therefore, in order to propose a methodological improvement of the evaluation manual, this technical paper identified detailed improvement requirements based on the consultation opinions on hygiene and public health items, and investigated and suggested ways to solve this problem by reviewing the contents of the research so far. As for the improvement requirements, the contents related to mitigation plan, post management, effect prediction, assessment, and present-condition investigation were presented in Environmental Impact Assessment documents for the entire development project at a frequency of 93%, 85%, 80%, 74%, and 67%, respectively. Particularly, the detailed improvement requirements related to mitigation plan consisted of an establishment direction and a management of development project. Considering the current evaluation manual and the frequency of improvement requirements, this paper proposed concrete methods or improvement plans for major methodologies for each classification of hygiene and public health items. Furthermore, a comprehensive evaluation methodology related to whether a project is implemented was proposed, which is not provided in the current assessment manual.

Application of the Public Buildings for the Korean-style houses in the availability of R&D technologies - Focused on Drawings of Agricultural Education and Experience Center in Na-Ju, Korea

  • Kim, Young-Hoon;Peck, Yoo-Jung;Park, Joon-Young;Chun, Kuk-Chun
    • KIEAE Journal
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    • v.16 no.3
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    • pp.13-23
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    • 2016
  • Purpose: In this paper, based on the design drawings of Naju Agricultural Technology Learning Center by focusing on features of New-Hanok applied technology in the design and construction process of New-Hanok Type Public buildings by looking at the characteristics of the whole building is planned to be presented in the future development direction and value of public architecture applied to public buildings. Method: we first review the Phase 1 study results of technology development and application technology to look at the type and characteristics of the technologies applied in Naju Hanok Experience Agriculture Learning Center. As construction designs through the consultation suggestions reflect changes were seven times. By analyzing the changes in the basic design and conduct design in the process were organized for the new technologies applied and whether the application of existing technology hanok. Result: (1) Complements the shortcomings of technology and R & D to offer an alternative to the reinforcement was omitted modify the construction method or irrational process. (2) Implementation of a technique aiming to apply new-hanok workability and economic efficiency is based on a combination of the modern construction techniques and materials. (3) The use of modern materials to the extent that can assist in the purpose and function of the building are to be accommodated. (4) There is sufficient historical study and design plan for establishing identity is necessary in order to reflect the history and tradition of new-hanok public buildings.

A systems thinking approach to explore the structure of urban walking and health promotion in Seoul (서울시민의 보행과 건강증진에 관한 시스템 사고 기반의 구조 탐색)

  • Kim, Dong Ha;Chung, Chang-Kwon;Lee, Jihyun;Kim, Kwang Kee;JeKarl, Jung;Yoo, Seunghyun
    • Korean Journal of Health Education and Promotion
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    • v.35 no.5
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    • pp.1-16
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    • 2018
  • Objectives: This study aimed to examine systems behavior of urban walking by analyzing a dynamic structure in Seoul, South Korea. Methods: As a systems thinking approach to urban walking and health promotion, we developed a Casual Loop Diagram based on literature review and expert consultation. The reviewed literature included: 1) qualitative studies that explores the experiences of urban walkers in Seoul; 2) a systematic review study on the built environmental factors related to walking; 3) policy research reports related to urban walking in Seoul. Results: The feedback structure for urban walking was related to the three urban environments (safety & walking environment, socioeconomic environment, and public transportation environment), and was characterized by a trade-off consisting of eight reinforcing loops and four balancing loops. Conclusions: The policies for a walkable city require multi-sectoral cooperation in order to change the causal loop structure related to the decline of walking. Therefore, it is necessary to establish legal and institutional conditions so that multi-sectoral and multidisciplinary approaches are possible.

Is Caffeine Intake Associated With Urinary Incontinence in Japanese Adults?

  • Hirayama, Fumi;Lee, Andy H.
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.3
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    • pp.204-208
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    • 2012
  • Objectives: To investigate whether caffeine intake is associated with urinary incontinence (UI) among Japanese adults. Methods: A total of 683 men and 298 women aged 40 to 75 years were recruited from the community in middle and southern Japan. A validated food frequency questionnaire was administered face-to-face to obtain information on dietary intake and habitual beverage consumption. Urinary incontinence status was ascertained using the International Consultation on Incontinence Questionnaire-Short Form. Results: Mean daily caffeine intake was found to be similar between incontinent subjects (men 120 mg, women 94 mg) and others without the condition (men 106 mg, women 103 mg), $p$=0.33 for men and $p$=0.44 for women. The slight increases in risk of UI at the highest level of caffeine intake were not significant after adjusting for confounding factors. The adjusted odds ratios (95% confidence interval) were 1.36 (0.65 to 2.88) and 1.12 (0.57 to 2.22) for men and women, respectively. Conclusions: No association was evident between caffeine intake and UI in middle-aged and older Japanese adults. Further studies are required to confirm the effect of caffeine in the prevention of UI.

A study on the construction of the planning process Green Stormwater Infrastructure (GSI) in the public building in Gyeongsangnam-do (경상남도 공공청사형 그린빗물인프라(GSI) 조성 체계 구축)

  • Lee, Hyojung;Shin, Hyunsuk
    • Journal of Korea Water Resources Association
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    • v.56 no.4
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    • pp.301-310
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    • 2023
  • Since 2013, the Ministry of Environment has been promoting the 'Green Stormwater Infrastructure (GSI) application project', a small-scale distributed stormwater management method, and supporting installation costs. So, the number of local governments that want to apply for 'GSI applied projects' is increasing every year. However, with the exception of Seoul, which introduced the 「Low Impact Development Prior Consultation System」, each local government has difficulties because there is no guideline or implement systems. Therefore, in this study, the application scope and priority setting of public buildings in Gyeongsangnam-do, the review of the GSI application effect in the pilot study area, and the establishment of an integrated implement system will be proposed as a result of the study.