• Title/Summary/Keyword: 의료보장정책

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On the Determinants of Health Care Utilization of the Physically Disabled (지체장애인의 의료이용에 영향을 미치는 요인)

  • Kim, Keon-Yeop;Lee, Young-Sook;Park, Ki-Soo;Son, Jae-Hee;Kam, Sin;Chun, Byung-Yeol;Park, Jae-Yong;Yeh, Min-Hae
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.2 s.61
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    • pp.323-334
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    • 1998
  • To investigate determinants of health care utilization of the physically disabled over 20 years old in age living in Taegu city, a self-administered questionnaire survey was carried out for 337 disabled persons with chronic illness from April to July, 1997. Health care utilization .ate was 81.9%(69.1% for hospital or clinic and 12.8% for pharmacy). Marital status, job, health concern, and response to illness showed statistically significant relationship with health care utilization(p<0.05). By path analysis, job, economic status, medical security type and response to illness had a significant direct effect on health care utilization(p<0.05), however, health concern and regular source of care had an indirect effect. The reasons of no health utilization were due to economic problem(31.1%), no symptom(18.0%), inconvenience to seek care or no accompanying persons to be helped(14.8%), unseriousness of the severity of the illness(14.8%), too busy to be treated or no free time(8.2%), hopeless prognosis to be treated(6.6%) in order. In conclusion, it is recommended that the program for expanding medicaid, improving socioeconomic status by getting a job and health education to increase the health concern toward physically disabled should be implemented to increase health care utilization rate.

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Economic Inequality in Perceived Oral Health Behavior among Adults in Korea (한국 성인의 경제적 불평등에 따른 구강건강행태)

  • Kim, Mi-Jeong;Lim, Cha-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.439-445
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    • 2018
  • This study was conducted to investigate the status of oral health behavior according to economic inequality in Korea. Raw data for the 3rd year (2015) of the 6th national health and nutrition survey were analyzed. Among surveyed individuals, adults over the age of 19 were designated as research subjects. The results indicated that a smaller 'house income' was associated with a higher supply and demand experience for basic living and a higher DMFT. Additionally, a higher DMFT was associated with a lower 'house income', lower 'education level', and the 'experience of basic living security received'. Oral health behavior inequality was caused by economic inequality. Overall, these results indicate that it is necessary for the oral health service of vulnerable groups to strengthen preventive activities through comprehensive arbitration policies regarding the social decision factors of public health projects.

Analysis of the Needs of Field Experts for the Provision of Rehabilitation Sports Activities Services for the Disabled (장애인 재활운동 및 체육활동 서비스 제공을 위한 현장 전문가 요구도 분석)

  • Kang, Dong-Heon;Park, Ji-Young;Eun, Seon-Deok
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.213-231
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    • 2021
  • Due to the absence of rehabilitation sports service systems linked to post-discharge medical measures and rehabilitation, disabled people cannot participate in physical activities suitable for individual disability types, characteristics, and physical functions. In December 2017, the Act on the Rights of Health for the Disabled) was implemented to provide an institutional basis for disable people to address their needs for rehabilitation sports. Based on related studies conducted in Korea, this study aims to collect the results of a demand survey conducted on experts who are rehabilitation sports service providers and analyze the demand for rehabilitation sports services from a policy perspective. This study extracts the needs of experts presented in the literature and presents the extracted content as an inductive content analysis. The criteria for selecting the literature were selected based on studies related to "adaptive physical activity and exercise," "sports for all for the disabled," and "rehabilitation sports" conducted in the Republic of Korea, including the results of a demand survey on experts. The study results were categorized into seven categories (perception of sports activities, programs, leaders, facilities, accessibility, cost/support/financial resources, and others) of field experts who are rehabilitation sports service providers. In a future study, it will be necessary for people with disability, who are consumers who will provide actual services, to identify problems at the disabled sports site and come up with measures to improve them.

Changes in the Behavior of Healthcare Organizations Following the Introduction of Drug Utilization Review Evaluation Indicators in the Healthcare Quality Evaluation Grant Initiative (의료질평가지원금 제도의 의약품안전사용서비스 평가지표 도입에 따른 의료기관의 행태 변화)

  • Hyeon-Jeong Kim;Ki-Bong Yoo;Young-Joo Won;Han-Sol Jang;Kwang-Soo Lee
    • Health Policy and Management
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    • v.34 no.2
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    • pp.178-184
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    • 2024
  • Background: This study aimed to determine the effectiveness of drug utilization review (DUR) evaluation indicators on safe drug use by comparing the changes in DUR inspection rates and drug duplication prescription prevention rates between the pre- and post-implementation of the DUR evaluation indicators of the Healthcare Quality Evaluation Grant Initiative. Methods: This study used DUR data from the Health Insurance Review and Assessment Service in 2018 (pre-implementation) and the evaluation results of the Healthcare Quality Evaluation Grant Initiative in 2023 (post-implementation). The dependent variables were the DUR evaluation indicators, including DUR inspection rate and drug duplicate prescription prevention rate. The independent variable was the implementation of the DUR evaluation indicators, and the control variables included medical institution characteristics such as type, establishment classification, location, DUR billing software company, and number of beds. Results: The results of the analysis of the difference in the prevention rate of drug duplicate prescriptions between the pre- and post-implementation of the DUR evaluation indicators of the Healthcare Quality Evaluation Grant Initiative showed that the prevention rate of drug duplicate prescriptions increased statistically significantly after the implementation of the DUR evaluation indicators. Conclusion: The policy implications of this study are as follows: First, ongoing evaluation of DUR systems is needed. Second, it is necessary to establish a collaborative partnership between healthcare organizations that utilize DUR system information and the organizations that manage it.

Depression as a Mediator in the relation between The Socioeconomic Deprivation Life Satisfaction in Older Adults (노인의 사회경제적 박탈과 삶의 만족도의 관계연구: 우울의 매개효과 중심으로)

  • Kim, Hong-Cheol
    • The Journal of the Korea Contents Association
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    • v.19 no.2
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    • pp.231-247
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    • 2019
  • This research aims to examine whether depression has mediating effects in the effects of socioeconomic deprivation, especially of lower variables of socioeconomic deprivation on life satisfaction of the elderly. For this purpose, the 12th year(2017) data of the Korea Welfare Panel Study were used. The mediated effect analysis method of Baron and Kenny(1986) were used, and mediating effect of depression was validated through Sobel Test. The results of this research are as follows. Firstly, the lower variables of socioeconomic deprivation of the elderly -deprivation of housing, deprivation of dietary life, social deprivation, deprivation of employment, and deprivation of healthcare- had partial mediating effects of depression in life satisfaction. It was verified that as the elderly experienced deprivation of housing, deprivation of dietary life, social deprivation, deprivation of employment and deprivation of healthcare, depression increased and life satisfaction was lowered. Therefore, it was suggested that to enhance the living satisfactions of the elderly, policies and services reflecting the personal characteristics of socioeconomic deprivation and depression must be made, and that criteria to identify the multidimensional poverty and deprivation experienced in everyday life must be prepared in addition to poverty focusing on income.

Prenatal Care Utilization Pattern and Its Determinants in Rural Korea (농촌지역 모성의 산전관리서비스 이용양상과 그 결정요인)

  • Kim, Jang-Rak;Park, Jung-Han;Lee, Jae-Kyong;Seo, Sang-Hong;Bang, Joon-Yong
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.4 s.44
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    • pp.599-613
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    • 1993
  • To study the pattern of prenatal care utilization and its determinants in rural Korea, 976 mothers (65.5%) out of 1,489 living mothers in Chinyang, Sachon and Hapchon Counties in Kyongsangnam Province who had delivered a baby between July 1, 1990 and June 30, 1991 were interviewed by the Myon health workers from January 3 through February 15, 1992. The Anderson's behavioral model for health service utilization was applied to develop the frames for analysis. The dependent variable was a number of prenatal care visits. And the independent variables included In the model were the variables pertaining to the predisposing, enabling, medical need and other components. The proportion of mother who had ever received the prenatal care service for the index pregnancy was 97.3%. However, the proportion of mothers who had made more than 10 visits was only 20.6%, which indicated that majority of mothers had paid far less visits than recommended $10{\sim}12$ visits for each normal pregnancy. The low utilization of prenatal care services (none or less than 4 visits) was related to mother's low educational level, the high birth order, beneficiary of the medical aid, the absence of clinic in the community, no diagnosed disease of mother during pregnancy, and mothers engaged in farming. Inequity of access seemed to exist because social structure variables and the variables of enabling component were important predictors. And there seemed to be high mutability in equalizing the distribution of prenatal care services because the variables of enabling component such as type of medical security and whether there was a clinic or not in the community were substantially important.

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Measurement of Quality of Life related to Health by demographic characteristics of adult patients with cancer using EQ-5D Index -Focused on the Korea Health & Nutrition Examination Survey- (EQ-5D Index 이용 성인 암 환자의 인구사회학적 특성별 건강관련 삶의 질 측정 -국민건강영양조사를 중심으로-)

  • Kim, Jong-Geu;Kwon, Lee-Seung
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.281-291
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    • 2013
  • This study is the secondary statistical analysis calculating the quality of life of patients with cancer by giving the integrative weight based on National Health and Nutrition Examination Survey data of the Centers for Disease Control for five years from 2007 to 2011 for the first time in Korea. The results of measurement showed that the number of cancer patients was 201, which accounted for about 0.8 % of 26,260 subjects. The quality of life of cancer patients was higher when they had lower age(p<0.0001), more professional occupations(p<0.0001), and higher educational history(p=0.0002). When they lived in apartment(p<0.0001), got unmarried(p<0.0001), the quality of life was higher. In particular, the measurement of quality of life of cancer patients based on type of health insurance was the result of new study for the first time in Korea.

Current State and Characteristics of Military Survey in Developed Countries: Focused on the Surveys of United States, Australia, and Canada (주요 선진국의 군 건강관련 조사 실태 및 특성: 미국, 호주, 캐나다를 중심으로)

  • Kim, Mi-Sun;Sohn, Minsung;Choi, Mankyu
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.537-549
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    • 2013
  • This study examines implications for the Korean military health survey from literature review on foreign military health surveys. The authors discuss backgrounds, objectives, participants, methods, contents, organizations involved, and cycles of foreign military health surveys from literature review from peer-reviewed journals as well as reports and documents collected from web-sites of governmental organizations. Common and distinguishing characteristics were found from foreign military health surveys. First, the military health surveys have evolved in phases in the direction of reducing health risk factors. Second, the importance of mental health is being emphasized. Third, cooperations and collaborations of governments, universities, and professional agencies are important in order to ensure anonymity and expertise on data collection and analysis. Finally, health surveys are conducted on a regular basis through institutionalization. To monitor and to promote health of military personnel, it is critical for Korea to establish the legal and institutional environment and to recognize the importance as well as the need of military health surveys at the national level.

The Pharmaceuticals Regime in the KORUS FTA and the TPP Agreement: A Comparative Analysis (한미FTA와 TPP협정의 비교분석을 통한 의약품 분야 국제통상규범에 대한 연구)

  • Yun, Mikyung
    • International Commerce and Information Review
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    • v.18 no.4
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    • pp.165-193
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    • 2016
  • This paper conducts a comparative analysis of the KORUS FTA and the TPP Agreement to assess the current state of affairs in international trade rules for the pharmaceutical industry. Intellectual property rights as well as public health related regulations have evolved to strengthen the position of innovator drug companies. In particular, the TPP Agreement which adopted data exclusivity for biologics for the first time, will set the standard for the future. Apart from this however, the TPP Agreement has not gone further than the KORUS FTA and in some respects, even contains greater policy flexibilities and provisions for market access than the KORUS FTA. Korea should take advantage of such differences when and if she must engage in negotiations to join the TPP Agreement or a renegotiation of the KORUS FTA.

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Feature Extraction using Dynamic Time-warped Algorithms based on Discrete Wavelet Transform in Wireless Sensor Networks for Barbed Wire Entanglements Surveillance (철조망 감시를 위한 무선 센서 네트워크에서 이산 웨이블릿 변환 기반의 동적 시간 정합 알고리즘을 이용한 특징 추출)

  • Lee, Tae-Young;Cha, Dae-Hyun;Hong, Jin-Keun;Han, Kun-Hui;Hwang, Chan-Sik
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.185-189
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    • 2009
  • 무선 센서 네트워크는 화산 감시, 전장 감시, 동물 서식지 감시, 건축물의 감시, 농장 관리, 의료분야등 다양한 분야에서 연구되고 있다. 국내에서도 국가 정책 사업으로 교량 및 건축물의 균열 감시, 표적의 침입 탐지 및 식별을 위한 무선 센서 네트워크 연구가 활발히 진행 중이다. 특히, 무선 센서 네트워크의 다양한 분야의 연구 중에서 철조망을 이용한 표적의 침입 탐지 및 식별에 관한 연구는 산업 시설, 보안지역, 교도소, 군사지역, 공항 등 다양한 분야에서 사용된다. 현재 철조망 감시는 대부분 유선 센서 노드를 통한 유선 센서 네트워크 환경에서 이루어지고 있다. 기존의 유선 센서 네트워크는 높은 데이터 전송률을 통해 수신되는 높은 정보의 신호를 이용하여 고속 푸리에 변환에 의한 신호의 주파수 분석 기법을 사용해 왔다. 하지만, 유선 센서 네트워크의 높은 데이터 전송률과 비교하여 무선 센서 네트워크의 센서 노드는 유선 센서 네트워크에 비해 매우 낮은 데이터 전송률을 가진다. 따라서 무선 센서 네트워크에서 수신되는 신호의 정보가 매우 낮고, 유선 센서 네트워크에서 사용된 고속 푸리에 변환에 의한 신호의 주파수 분석에 따른 주파수별 특징 추출을 할 수 없다. 따라서 본 논문에서는 철조망 감시를 위한 높은 데이터 전송률을 보장하는 유선 센서 네트워크에 비해 제한된 통신자원과 센서 노드의 낮은 데이터 전송률로 인해 수신되는 한정적인 신호의 정보를 이용한 무선 센서 네트 워크에서 철조망의 표적 침입 탐지 및 식별을 위한 특징 추출 알고리즘을 제안한다.

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