• Title/Summary/Keyword: 의약분업

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A Study on the Introduction of Pharmacy Information Systems After Medical Reform (의약분업이후 약국의 전산시스템 도입에 관한 연구)

  • 정희진
    • Journal of the Korea Society of Computer and Information
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    • v.6 no.2
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    • pp.143-151
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    • 2001
  • The purpose of this study is to present the model for introduction of pharmacy information systems after medical reform. AHP(analytic hierarchy process) method is used to compute preference over factors which are included in the introduction of information systems. The fuzzified mu1ti-objective programming model is given to consider the aspects of resource and to accommodate the aspiration level and satisfaction level of decision makers. Numerical examples illustrating interpolated model are presented to accommodate the uncertainty of priority and the implications of this model is discussed.

The Conflict over the Separation of Prescribing and Dispensing Practice (SPDP) in Korea: A Bargaining Perspective (의약분업을 둘러싼 갈등 : 협상론의 관점에서)

  • Lee, Kyung-Won;Kim, Joung-Hwa;T. K. Ahn
    • Health Policy and Management
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    • v.12 no.4
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    • pp.91-113
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    • 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.

의료서비스와 건강보험 : 무엇이 왜 문제인가?

  • Choe, Gwang
    • Journal of the Korean hospital association
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    • v.31 no.3 s.277
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    • pp.14-19
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    • 2002
  • 우리 국민의 의료서비스에 대한 불만은 매우 높다. 더더욱 최근 건강보험의 통합과 관련한 정치권과 행정부의 정책혼선과 의약분업 정책에 의해 야기된 불안과 불만은 정권자체의 불신을 초래하는 단계에까지 이르고 있다. 혼선과 불만이 야기된 근본적 원인은 정책담당자들의 무지, 일부 학자들의 잘못된 이념적 선동, 그리고 일반국민의 허황된 기대에서 찾아진다. 이 과정에서 얻는 중요한 교훈은 어떠한 정책이든 뜨거운 가슴으로 되지 않으며 무엇보다도 냉철한 머리가 정책의 중심을 차지하여야 한다는 것이다.

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