• Title/Summary/Keyword: 의료보장정책

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The Public Health Welfare Conception of the Beveridge Report and Its Realization via the NHS (베버리지 보고서의 의료보장 구상과 NHS를 통한 구현)

  • Juneyoub Han;Jiyong Park
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.59-104
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    • 2023
  • This essay attempts to analyze the public health welfare conception within the text of the Beveridge Report and its realization via the NHS in Great Britain. Once referring to the influence of the Report to create the foundations of the 20th-century welfare system, the quest to scrutinize the original intentions of the Report and its succession to the NHS is certainly intriguing. Furthermore, when regarding the significance of public health policy for a modern state, the effort to engage in Beveridge's conception and its realization is more than timely. In light of such a premise, this paper indulges in its study by the following methods. First, the historical background of the Report - namely, the role of the spirit of the age and the experience of the Emergency Medical Service are to be analyzed to identify the origins of the welfare policies proposed by Beveridge. Furthermore, the public health welfare conception of the Report conceived from its time is reflected upon by engaging on the goal towards social welfare and public health scheme. Lastly, the aims of the NHS and its management, treatment classification, and rehabilitation program are reviewed for comparative analysis with the Report to survey the realization of Beveridge's design. In this process, this paper not only takes into account the original text of the Report - but also other essential works of law and public policy, including the NHS Constitution for England and the National Health Service Act of 1946. The intentions of this study are not bound by merely coinciding with the Report, but resonate significance via reflecting upon the Beveridgian legacy on the modern welfare state from the current perspective. The structured analysis to research the aims and policies of the Report and to compare them to the reality of the NHS may provide an opportunity to confirm the realization of Beveridge's scheme in British society. In addition, this essay is part of an academic endeavor to critically assess the past and the present of the welfare institution in the public health sector. As such, it is hopeful that the essay sheds light on further studies concerning the constructive remedies of the Korean welfare system as well.

The Study on the Historical Development of Japanese Social Security System in view of the Elderly - From the Concept-Formation Period for Social Secuiry of 1946 to the Implementation of Nursing Care Insurance of 2000 - (고령자 관점에서 본 일본 사회보장제도의 역사적 전개에 관한 연구 - 1945년 사회보장 개념성립부터 2000년 개호보험의 시행까지 -)

  • Lee, Jeong-Nam;Yoon, Cheol-Jae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.3
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    • pp.7-18
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    • 2010
  • The purpose of this study is to derive periodical characteristics of the policy for the elderly in Japan by investigating the changes of social security system. The target period of 1946~2000 in Japan was divided into 3 periods for the understanding of periodical characteristics in the focuses of medical, welfare and pension system for the elderly; establishment of concept for the social security and welfare of Japan(1946,1950), appearance of social security system and the elderly problem(to late 1960's), infra construction for aging society(to late 1980's), development and reappraisal of practical policy for the elderly(to late 1990's). It is expected that this paper could provide basic data for the elderly-related policy making in our country.

Differences in Unmet Healthcare Needs among the Elderly by the Level of Medical Vulnerability: Implications for Securing Essential Healthcare Resources for the Medically Vulnerable Elderly (의료취약성 정도에 따른 노인의 미충족의료 경험 비교: 의료취약계층 노인의 필수적 의료자원 보장을 위한 시사점)

  • Shin, Serah
    • Journal of Family Resource Management and Policy Review
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    • v.26 no.3
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    • pp.49-64
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    • 2022
  • This study aims to investigate unmet healthcare needs due to economic or non-economic difficulties among the elderly aged 65 or older. Using Korea Health Panel Survey (KHPS) data from 2018, the elderly are classified into one of four groups (health insurance subscribers, non-take-up, lower income relief, and medical aid recipients) based on their level of medical vulnerability. For hospital or dental care, the prevalence rates of unmet healthcare needs due to economic and non-economic difficulties are 12.6% and 10.6%, respectively. The prevalence rate of unmet healthcare needs due to economic difficulty in the medically vulnerable group was much higher than that of the non-vulnerable group-that is, health insurance subscribers. After controlling for other influential factors, medical vulnerability has a great impact on the prevalence rates of unmet healthcare needs due to economic difficulties. Compared to health insurance subscribers, the non-take-up, the lower relief, and the medical aid recipients are 1.4 times, 3.3 times, and 2.4 times more likely to experience unmet healthcare needs due to economic difficulty, respectively. The results of this study can provide important policy implications for securing essential healthcare resources for the elderly.

A Study of Methodology Based on Role-Based Serucity Agent Medical Information System Security Architecture Design (보안 에이전트 역할 기반에 기초한 의료정보시스템 소프트웨어 보안아키텍쳐 설계방안)

  • Lee, Dae-Sung;Noh, Si-Choon
    • Convergence Security Journal
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    • v.11 no.4
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    • pp.77-83
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    • 2011
  • In addition to the rapid development of health information technology services for the development of new medical information, a lot of research is underway. Improve health care services for patients are many ways to help them. However, no information about the security, if only the technology advances in health care systems will create an element of risk and threat. Today's issues and access issues are stable over a public network. Ad hocsensor network using secure, non-integrated health information system's security vulnerabilities does not solve the security vulnerabilities. In the development and utilization of health information systems to be subject to greater restrictions. Different security policies in an environment with a medical information system security policy mechanism that can be resolved if people get here are needed. Context-aware and flexible policy of integration and confidential medical information through the resistance should be guaranteed. Other cross-domain access control policy for telecommunications should be protected. In this paper, that the caller's medical information system, diversification, diversification Security agent in the environment, architecture, design, plan, role-based security system are proposed. The proposed system architecture, design work in the field and in the utilization of one model are expected to be.

Effect of Long-term Care Utilization on Health Care Utilization of the Medicaid Elderly (국민기초생활보장수급자의 장기요양 서비스 이용 여부가 의료 이용에 미치는 영향)

  • Jung, Woon-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.11
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    • pp.6746-6755
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    • 2014
  • This study examined the effect of long-term care utilization on the health care utilization of Medicaid elderly. The subjects were 5,834 long-term care insurance with the level 1 Medicaid elders, who received either service or non-service. This study examined the impact of long-term care service on the probability of health care utilization and the costs of health care utilization. The total medical cost and inpatient day between 2009-2007 were significant factors affecting long-term care utilization (${\beta}=.29$, p< .001, ${\beta}=.33$, p< .001 ) and this variable explained 22.6% of the total medical cost and 22.4% of the inpatient day. The results showed that non-service in long-term care was associated with an increase in health care utilization. The current long-term care insurance system should place higher priority and more resource allocation on long-term care utilization to increase the efficiency of the insurance system.

Nature of Competition and Regulation in Health Care Markets : Implications for Public Policy (보건의료분야에서의 경쟁과 규제의 본질 : 공공정책적 함의)

  • 권순만
    • Health Policy and Management
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    • v.6 no.2
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    • pp.14-42
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    • 1996
  • On rationale for government intervention is the failure of competition in the market. Health care markets are characterized by such unique aspects as information asymmetry, prevalence of insurance, and cost-increasing competition based on the adoption of costly medical technology. Therefore, government policy to guarantee a sufficient number of providers in markets may not lead to socially beneficisal outcomes such as higher quantity and lower price. This paper examines the unique nature of health services and its implications for competition, the evidence that competition may not reduce health care ex[enditures, and policy tools that government can use to encourage competition which contributes to supporting a sustainable health care system.

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Security Policy for Safe U-Healthcare Service (안전한 U-Healcare 서비스를 위한 보안정책 방향)

  • Song, Chung-Geun;Lee, Keun-Ho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2013.11a
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    • pp.815-817
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    • 2013
  • U-Healthcare 서비스는 차세대 의료 패러다임으로 많은 이용자에게 편의성을 보장하기 때문에 사회에서 그 중요성이 인식되고 상용화 시도가 이루어지고 있다. 이러한 U-Healthcae 서비스 시장이 안전하게 형성되기 위해서는 정부의 보안정책이 확실하게 정립되어야 한다. 본 고에서는 안전한 U-Healthcare 서비스의 보안위협을 보안의 3대 요소인 기밀성, 무결성, 가용성을 기준으로 분류하고 살펴본 후 이에 대한 보안정책 방향을 제시하고자 한다.

A Study on the Local Governments' Autonomous Laws Regulating Social Insurance Premium for Medical Security (의료보장을 위한 지방정부의 사회보험료 지원 자치법규에 관한 고찰)

  • Kim, Jesun
    • The Korean Society of Law and Medicine
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    • v.20 no.1
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    • pp.203-242
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    • 2019
  • Since 2006, local governments in Korea have been providing premiums for social insurance, such as the National Health Insurance System, for the health care of local residents. The purpose of this study is to analyze the content of self-governing legislation that defines these policies. The method of conducting the research was based on the articles of the ordinance related to the 'public health insurance premium' of the self-governing statutes published on the website of the National Law Information Center. As of May 2019, 201 municipalities have enacted ordinances to support public health insurance premiums. In the case of state local governments, 8 out of 17 were found, and in the case of basic local governments, 193 out of 226. The constitution of the ordinance consisted of purpose, time of enactment, type of social insurance premium, object of social insurance premium, amount of social insurance premium support, method and process of social insurance premium support, time of social insurance premium support. This study analyzed contents of these articles. Finally, this study presented issues that could be controversial from the policy and legal viewpoints and suggestions for improvement.

Blockchain-based Electronic Medical Record Sharing FrameworkUsing Ciphertext Policy Attribute-Based Cryptography for patient's anonymity (환자의 익명성이 보장되는 암호문 정책 속성중심 암호를 활용한 블록체인 기반 전자의무기록 공유 프레임워크)

  • Baek, Seungsoo
    • Convergence Security Journal
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    • v.19 no.1
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    • pp.49-60
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    • 2019
  • Medical record is part of the personal information that values the dignity and value of an individual, and can lead to serious social prejudice and disadvantage to an individual when it is breached illegally. In addition, the medical record has been highly threatened because its value is relatively high, and external threats are continuing. In this paper, we propose a medical record sharing framework that guarantees patient's privacy based on blockchain using ciphertext policy-based attribute based proxy re-encryption scheme. The proposed framework first uses the blockchain technology to ensure the integrity and transparency of medical records, and uses the stealth address to build the unlinkability between physician and patient. Besides, the ciphertext policy attribute-based proxy re-encryption scheme is used to enable fine-grained access control, and it is possible to share information in emergency situations without patient's agreement.

Critical Assessment of Productive Welfare and Several Policy Alternatives (생산적 복지정책의 평가와 향후 정책과제)

  • Cho, Woo Hyun
    • Journal of Labour Economics
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    • v.24 no.2
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    • pp.163-196
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    • 2001
  • This paper is a critical assessment of 'productive welfare policy' of the Kim Dae-jung adminstration and I tried to make several recommendations as alternatives. Quite contrary to concept of 'productive' welfare, which promotes less government intervention and more market-friendly approach, the Kim Dae-jung adminstration seems to have been moving in the opposite direction. As alternatives, I suggested i) work-fare rather than cash assistance, ii ) Employment Insurance Account to cover non-regular workers, iii) Medical Savings Account for minor medical services to reform medical insurance, and iv) enhancement of labor market flexibility by abolishing mandated retirement allowances in Korea I finally proposed the tuition and fellowship support program to the low-income group to enhance their economic status in a knowledge-based society.

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