• Title/Summary/Keyword: public health policy

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Japan's Policy and Implications for Expansion of Doctoral Manpower (일본의 의사인력 확충 정책과 시사점)

  • Kwon, Ju-Young
    • Journal of the Korea Convergence Society
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    • v.11 no.11
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    • pp.345-352
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    • 2020
  • Under "Emergency Doctor Security Act of 2007", Japanese government focuses on relocating doctors in medically underserved areas and matching supply and demand of manpower in order to resolve the ubiquity of specific treatment departments. Particularly, there are two alternatives to secure the number of local physicians and avoid the regional shortage of doctors in the short term. Firstly, the government attracts existing physicians to the region. Secondly, the government increases the capability of regional clinical training system to prevent the influx of doctors to the larger cities. Also, it seeks solutions from various perspectives, such as cultivating manpower to work in vulnerable areas through the regional frame system and autonomous medical college. This study introduces the case of Japan as a benchmark and suggests that policymakers should focus on the recent conflict between the government and the medical consultation. More specifically, this study provides policy implications on the alternative measures for securing the manpower of regional doctors.

Moving Patterns of Patients and Its Implication for Regional Unbalance in Health Resources (환자이동현황을 고려한 병상공급 방향)

  • Yun, Heesuk
    • KDI Journal of Economic Policy
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    • v.29 no.1
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    • pp.41-78
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    • 2007
  • Due to the concern of regional unbalance relating to healthcare resources, the government has set up a plan to expand public healthcare services and a policy to manage the supply of hospital beds. However, it is not clear what standards are needed to measure the degree of unbalance, and to what extent the gap needs to be narrowed. Unlike the previous methodology comparing the proportions of patients who move out from their administrative district to receive medical services, this study examines the inconvenience gap patients experience when they have to move out from their actual living area. The logit and multinomial logit models are employed. The regional unbalance decreases when the degree of movement is measured based on the living area. This result implies that essential standard for achieving regional balance relating to medical services need to be based not on the even distribution of medical resources, but the complications of regional people that require proper medical services.

Predictors of Tobacco Use among Youth in India: GATS 2009-2010 Survey

  • Sharma, Shailja;Singh, Mitasha;Lal, Pranay;Goel, Sonu
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7535-7540
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    • 2015
  • Background: Early initiation of smoking and chewing of diverse forms of tobacco among youth in India is a significant driver for tobacco epidemic in India. Several socio-demographic factors are predictors of tobacco use in populations, especially among youth. Interventions which address these socio-demographic factors can help policy makers to curb new initiations and avert morbidity and mortality due to tobacco use. Objective: To study the various sociodemographic variables associated with tobacco use among youth in India. Materials and Methods: Secondary analysis of data from the Global Adult Tobacco Survey-India 2009-10 for the age group of 15-24 years was performed and predictors of smoking and smokeless tobacco were analyzed using data on occupation, education, and other sociodemographic factors. Results: In India there are a total of 51.3 million (22.1%) youth (15-24 years) tobacco users. Of these 35.1 million consumes chewable tobacco (15.1%), 16.2 million smoke (7%) and 1.6 million are dual users (3.1%). Males, urban, less educated, un-employed and those belonging to middle class preferred smoking over chewing; whereas, females, rural, students and those belonging to low socio-economic class are predictors of smokeless tobacco use. The major determinants of dual users are male sex, poor socio-economic strata and student class. The overall tobacco use was higher among males, rural populations, lower socioeconomic strata and un-employed class. Conclusions: India's youth is more susceptible to the tobacco addiction, especially of smokeless tobacco. Youth from rural India especially students, girls and those from poor socio-economic strata prefer to use smokeless tobacco products whereas urban, male and those less educated prefer smoking tobacco products. More population-based and region-focused research is needed to understand initiation patterns into tobacco use among youth so as to inform policymakers to devise new policy measures to curb the growing epidemic.

Analysis of Changes in Household Food Consumption and Expenditure in Korea (우리나라 가구의 식품소비 및 지출 변화 분석)

  • Heo, Seong-Yoon;Lee, Kyei-Im;Kim, Sang-Hyo
    • Journal of Distribution Science
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    • v.16 no.9
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    • pp.79-99
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    • 2018
  • Purpose - Food consumption in Korea has changed in paradigm as it has grown qualitatively in the past in quantitative shortages. Consumer food consumption patterns are rapidly changing due to changes in economic, social and population conditions, scientific and technological development, climate change, and market opening. At the same time, there is a need to actively respond to these changes in terms of the food industry, market, and government policy. The purpose of this study is to examine the changes and characteristics of food consumption expenditure of Korean consumers in-depth and depth in order to provide implications for agriculture, food market and policymakers. Research design, data, and methodology - We analyzed various food consumption changes from the 1980s to 2015 through Household Income and Expenditure Survey raw data from MDIS(Microdata Integrated Service) of Statistics Korea. and conducted the age effect, generation effect, and year effect by cohort analysis. We also conducted comparisons with OECD countries on several indicators. Results - Food consumption spending was slow, and there was no significant change in home consumption, while eating out consumption increased about 20 times in 2015 compared to 1980. Income, age, residential area, number of household members showed significant changes in food consumption. According to the cohort analysis, the changes in the food consumption structure are largely due to age effect, and the year, age, and generation effects are different for each food item. Conclusions - Food consumption has a significant impact on not only the nutritional status of consumers but ultimately the public health. Therefore, they should be regarded as a strategic policy area of central government rather than a matter of size and change of food consumption expenditure.

Factors Affecting Baby Boomer's Life Satisfaction: Focusing on Gender Difference (베이비부머의 삶의 만족도에 영향을 미치는 요인: 성별 차이를 중심으로)

  • Lee, Seong Gyu
    • Journal of Digital Convergence
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    • v.12 no.10
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    • pp.73-86
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    • 2014
  • The purpose of this study is to investigate factors affecting Korean Baby Boomers' life satisfaction. Using data from Demographic Profiles and Welfare Needs of Middle Aged Persons(2010), this study focuses on whether there is a gender difference in predictors of life satisfaction. Analysis results show that there is a significant variability in predictors of life satisfaction by gender. Couple satisfaction, self-rated health status, and expectations for the standard of living after 10 years were significant for both male and female models. It was noticeable to report that internet use level and monthly household income were unique predictors for male model; spouse parent care burden and parent-child satisfaction were unique predictors for female model. These findings suggest that it is vital for policy planners to take gender differences into account when designing and formulating public policies for Korean Baby Boomer.

Factors Influencing Poverty of the Elderly : Utilizing the Panel Data Model (노인 빈곤에 영향을 미치는 요인에 대한 연구: 패널자료를 활용한 분석)

  • Choi, Ok-Geum
    • Korean Journal of Social Welfare
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    • v.59 no.1
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    • pp.5-25
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    • 2007
  • The purpose of this study is to explore factors influencing the poverty of the elderly in Korea. In spite the fact that poverty of the elderly is more serious than any other demographic group, this important issue is rarely studied. Using the 7-year accumulated data from the KLIPS(Korean Labor and Income Study), I combined the work history of the elders, their demographic characteristics and residence to estimate pooled data analysis of the elderly after reaching age 55 and who are also only living by themselves(only the elders). The results of this study are as followed: first of all, age, education, marital status, wealth, residence and work history are shown to be significant predictors for the poverty of elderly. Second, the results show that factors influencing the poverty is different depending on the elder's (demographic) characteristics. For example, age and marital status is a more important predictor in female than in male, and wealth and health status is a more important predictor in elders who do not have a spouse than in elders who do. Such results suggest that the policy of the poverty of the elderly which is only focused on elder's characteristic is limited. Therefore we can suggest that a policy which workable people can earn decent income and saving wealth for their elderly in job is needed. Especially, policies on the 'Working Poor' and reconstruct the current public pension system is very much needed.

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Essay on the Calculation of Appropriate Working Environment Measurement Fees (적정 작업환경측정수수료 산정을 위한 소고)

  • Park, Ji-Yeon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.31 no.3
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    • pp.274-285
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    • 2021
  • Objectives: The question of whether the level of fees paid to working environment measurement agencies is appropriate has long been a matter of concern to the government. In addition, measurement institutions express dissatisfaction with their level of compensation, which has a great influence on the evaluation of a subject's policy. This study is intended to find a way to appropriately calculate working environment measurement fees. Methods: We looked at the principle of fee determination as a basic theory of fee calculation used in fee calculation, the legal and academic aspects of the general method of fee calculation, and government cost calculation standards. Furthermore, we reviewed the research methods applied so far to derive a method of calculating fees appropriate for this environment. Results: The working environment measurement environment is different from other commission calculation environments. The other environment is to appropriately calculate the service price provided by a monopoly public enterprise, while the situation is to appropriately calculate the fees provided by competitive private enterprises. Therefore, the service delivery environment and the delivery entity are different. In this case, the appropriate method of calculating service fees would be competitive pricing. There have also been many problems under the method of calculation by service cost. Conclusions: First, the working environment measurement fee requires an accounting correction of endogenous variables. Second, the theory of calculating fees appropriate for this situation is appropriate for competitive pricing that applies to private competitors. Third, the government should make efforts to make the service supply market a fully competitive market while ensuring that the service fee level is determined at the marginal cost level. Fourth, economically, research on marginal cost levels is needed.

Examining the Factors Affecting Prisoner's Decision-Making for Medical Treatment of Mental Illness after Release from Prison (출소 후 정신질환 치료결정에 영향을 주는 요인에 관한 연구)

  • Hong, Moon-Ki;Park, Jongsun
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.15-23
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    • 2022
  • There is little research about medical treatment after prison. The purpose of this study is to examine factors influencing mentally-ill prisoner's decision making for medical treatment on release from prison. With the data collected from prisoners in 2019, binary logistic regression was used to analyze the effect of variables on the mentally-ill prisoner's decision making. In result, bipolar disorder, depression, anxiety disorder, and panic disorder decreased the likelihood of answering that I will have no medical treatment plan after prison, whereas lack of experience in receiving medical care increased the likelihood of answering as such. Bipolar disorder, anxiety disorder, counseling, medical treatment, and education had a positive effect on selecting mental hospital in the answer. Depression enhanced the likelihood of choosing mental health center for treatment. Policy implications and directions for future research are discussed.

Economic Effects of Welfare Policy: An Analysis of 2003 Korean Social Accounting Matrix (정부의 복지지출이 경제부문별 소득분배에 미치는 효과 분석)

  • Noh, Yong-hwan
    • Korean Journal of Social Welfare Studies
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    • v.40 no.1
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    • pp.261-296
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    • 2009
  • I constructed the 2003 Korean 'social accounting matrix'(SAM) to analyze the multipliers of total demand for each economic activity. I find that the relative magnitude of the influence of the welfare policy to the national economy measured by input-output production multipliers tends to be underestimated compared to SAM multipliers. This is because the total demand multipliers of SAM include the private sector effects, which is not considered in the input-output model. The result also support that income inflows in public service areas including education, health and social work, generate gains in the relative income of households.

A Study on the Health Status of Korean Vietnam Veterans' Children - A Result of Questionnaire Survey on Vietnam Veterans of Pusan Area Who Diagnosed as Cases by Korean Veteran's Hospital Diagnostic Criteria - (베트남전 참전자 2세의 건강상태에 관한 조사 - 부산지역 고엽제 위해증 환자를 대상으로 한 설문조사 결과 -)

  • Kim, Hak-Joon;Sohn, Hae-Sook;Urm, Sang-Hwa;Park, Soo-Kyung;Yu, Byung-Chul;Lee, Jong-Tae;Chun, Jin-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.1
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    • pp.17-24
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    • 2000
  • Objectives : To propose the referential data to evaluate the health impacts of Vietnam veterans' children whose father were exposed to herbicides in Vietnam War. Methods : Vietnam veterans who visited to Pusan Veteran Hospital for medical care were recruited from April to October, 1998. They were 71 and asked about their own combat history, symptoms and illness, and health status of their 182 children. The informations were collected by direct and phone interview. Exposure estimation was also performed as exposure score depending on year and unit of participation, and personal episodes related to exposure to herbicide in the war. It classified into three groups; lower(<18.0), moderate(18-53), high$(\geq53)$ exposure group. Results : The mean age and the period into the combat of the veterans were 52.8 years and 15.0 months. The mean exposure score was $18.1{\pm}9.9$, and mainly distributed in lower (46.5%) and moderate(52.1%) exposure group. Most(90.1%) of them were diagnosed as sequelae(21 cases) and suspected sequelae(43 cases) of the herbicides by Korean veteran's hospital diagnostic criteria. The major sequelae was peripheral neuropathy 13 cases, chloracne 5 cases, and the major suspected sequelae was hypertension 20 cases, diabetes mellitus 18 cases, liver disease 12 cases, central neuropathy 11 cases, etc. About birth, 42.2% and 16.9% experienced spontaneous abortion and stillbirth, respectively. The mean exposure score was higher in stillbirth experience group(p<0.05). About half of the children(90 cases, 49.5%) hold the abnormal health status: those were skin pigmentation 38 cases, rash 23 cases, congenital anomaly 15 cases, general weakness 12 cases, purpura 8 cases, visual disturbance 8 cases, etc. These health problems had no association with father's exposure level(p>0.05). Conclusions : These results were depend on their own answers, and expectation for compensation did not excluded, therefore, this study may have limitations: inaccuracy of informations due to recall bias and response bias. Nevertheless, through this study, we could image the fundamental aspect for health impacts of Vietnam veterans' children for preparing the national control program and policy. A large scale epidemiologic study with valid exposure assessment on the health impacts of Vietnam veterans' children is recommneded.

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