• Title/Summary/Keyword: Drug policy

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Public Participation in Healthcare Decision Making : Experience of Citizen Council for Health Insurance (보건의료 정책 의사결정과 시민참여 : 『건강보험 보장성 시민위원회』의 사례)

  • Kwon, Soonman;You, Myoungsoon;Oh, Juhwan;Kim, Soojung;Jeon, Boyoung
    • Health Policy and Management
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    • v.22 no.4
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    • pp.467-496
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    • 2012
  • Public participation in the decision making for scarce health resources is important because health policy requires trust based consensus, which can be achieved by public's understanding and involvement of related policies. In the past, opportunities for interaction between health policy decision makers and lay public were rare in Korea. As political impulses towards public participation in health policy have increased, a few of deliberation methods were attempted. However, there is little research, reporting such cases with a critical examination of relevant theories and previous studies. We first critically review the literature on public participation within theories of democracy, governance, and empowerment. Next, we report a case of a citizen council experiment, which was held to examine public's preferences among different benefit options regarding new drugs and medical technologies. Specifically, in an one-day long citizen council with a total of 28 lay public, twelve questions of whether a drug or a technology should be included in the benefit package of health insurance were asked. Pre- and post-surveys investigated participants' perception of public engagement in health policy. Although it was experimental, the citizen council ensured that lay public could be careful enough to rationally compare the costs and benefits of different options and collectively make decisions. Further, results from pre- and post-survey showed a strong willingness of members to be involved in health care decision making. In the conclusion, we emphasize that better theories and methods need to be developed for more cases of citizen participation in health care policy and management.

Selection of Representative Foods and 'Best-fit' Mapping of Other Foods for Estimation of a Comprehensive Exposure to Food Contaminants in a Korean Total Diet Study (한국인의 유해물질 식이 노출량 평가를 위한 대표식품 선정과 mapping)

  • Koh, Eun-Mi;Shin, Hye-Hyung;Yon, Mi-Yong;Nam, Eun-Jeong;Lee, Yoon-Na;Kim, Do-Hee;Lee, Jee-Yeon;Kim, Mee-Hye;Park, Sung-Kug;Choi, Hoon;Kim, Cho-Il
    • Korean Journal of Food Science and Technology
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    • v.43 no.6
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    • pp.773-782
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    • 2011
  • A food list representing the typical diet of Koreans was developed for a total diet study based on the 687 food items which appeared in the dietary intake data collected during the 2008 & 2009 Korea National Health & Nutrition Examination Survey. Food items included in 90% of the cumulative intake, items with a consumption frequency of 5% or higher and items contributing to 80% of cumulative fat intake were considered first. From the resulting 165 food items, 15 items were removed to avoid similar foods, while 10 distinct items were added to increase the efficiency of 'best-fit' mapping. Consequently, 160 items were selected as representative foods, which cover 90.93% of intake amount, 91.36% of energy intake and 89.05% of fat intake. Given that every food consumed by Koreans can't be analyzed for contaminants of interest, mapping other foods to the previously mentioned representative 160 foods is warranted because it enables a more comprehensive dietary exposure assessment that is close to reality.

Monitoring and Exposure Assessment of Pesticide Residues in Domestic Agricultural Products (국내 유통 다소비 농산물의 잔류농약 모니터링 및 노출평가)

  • Kang, Namsuk;Kim, Seongcheol;Kang, Yoonjung;Kim, Dohyeong;Jang, Jinwook;Won, Sera;Hyun, Jaehee;Kim, Dongeon;Jeong, Il-Yong;Rhee, Gyuseek;Shin, Yeongmin;Joung, Dong Yun;Kim, Sang Yub;Park, Juyoung;Kwon, Kisung;Ji, Youngae
    • The Korean Journal of Pesticide Science
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    • v.19 no.1
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    • pp.32-40
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    • 2015
  • This study was implemented to evaluate food safety on residual pesticides in agricultural products of Korea and to use as a data base for the establishment of food policy. A total of 196 pesticide upon these products were analyzed using multi class pesticide multiresidue methods of Korean Food Code, and 232 samples of 15 agricultural products collected from 9 regions were supplied for this study. In the results, 64 kinds of pesticides were detected in 53 samples, chlorpyrifos and procymidone of them were shown a high frequency of detection in the analyzed pesticides. Among them, two samples (chlorpyrifos in perilla leaves and picoxystrobin in peach) were detected over Maximum Residue Limits (MRLs). The levels of the detected pesticide residues were within safe levels. Also, the intake assessment for pesticide residues including chlorpyrifos at multi pesticide residue monitoring were carried out. The result showed that the ratio of EDI (estimated daily intake) to ADI (acceptable daily intake) was 0.001~0.902% which means that the detected pesticide residues were in a safe range so that residual pesticides in the agricultural products in Korea are properly controlled.

The effect of a low-sodium label on acceptability and perceived saltiness intensity of a dipping sauce for fried pork cutlets (저염 표시가 포크커틀릿 소스의 짠맛 인식과 기호도에 미치는 영향)

  • Kim, Min-Ji;Kang, Baeg-Won;Kim, Jong-Wook;Lee, Mi-Young;Chung, Seo-Jin;Hong, Jae-Hee
    • Korean Journal of Food Science and Technology
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    • v.49 no.1
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    • pp.72-79
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    • 2017
  • This study was conducted to investigate the effects of a low-sodium label on acceptability and sensory attributes of a dipping sauce for fried pork cutlets. Two sauce samples, CON (normal sodium level) and LOW-Na (50% sodium level), were evaluated. Consumers (n=77) rated expectations and actual perception of overall liking, purchase intent, and intensities of saltiness, sweetness, sourness, fruit flavor, and degree of flavor balance without and with a carrier (fried pork cutlet) in blind and informed settings. In the informed test, CON labeled as Low-Na (PLACEBO) was additionally tested to examine the placebo effect of information. The low-sodium labeling significantly increased the expected liking and purchase intent, but decreased the expected saltiness. However, the label did not influence actual liking or purchase intent. A significant decrease in actual saltiness was observed only in Low-Na, not in PLACEBO, indicating the label is influential only when actual perception matched the expectation.

The use Frequency and Amount of Food Sources of Sodium and Knowledge Requirement, and Job Satisfaction of Dietitians and Nutrition Teachers according to the School Types in Busan (부산지역 학교유형별 영양(교)사의 지식요구도, 직무만족도 및 나트륨 급원재료 사용량)

  • Yeon, Jee-Young;Lee, Soon-Kyu;Kang, Baeg-Won
    • Korean Journal of Community Nutrition
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    • v.19 no.2
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    • pp.198-211
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    • 2014
  • Objectives: To investigate the use frequency and amount of food sources of sodium and knowledge requirement, and job satisfaction with school food services according to the school types in Busan. Methods: A total of 98 schools were surveyed and knowledge requirement and job satisfaction were assessed using a questionnaire. In addition, the use frequency and amount of food sources of sodium for 10 school days were examined. Results: The response rate of the most difficult area among dietitians' tasks was significantly high in 'nutrition education and counseling' for elementary schools and 'hygiene management' for high schools (p < .05). The response rate of the factors to be considered in meal planning was significantly high in 'energy and nutrients requirement' for elementary schools and 'menu/taste preference of students' for middle and high schools (p < .05). The response rate of whether school food services affect health and eating habits of students or not was significant high in 'very helpful' for elementary schools (p < .001). The average sodium contents in the meals of elementary, middle and high schools was 1981.4 mg/meal/person/day, 1867.3 mg/meal/person/day and 1,329.9 mg/meal/person/day, respectively. For foods in highest sodium, Kimchi, Oribulgogi, and Kare rice were ranked 1st, 2nd and 3rd respectively. The main reason for not providing the fruits was 'price' among all groups. The knowledge requirement such as 'nutrition and menu management', 'nutrition education', and 'nutrition counseling' was significantly higher in elementary school compared with middle and high school (p < .001, p < .01, and p < .01 respectively). The dietitians and nutrition teachers of elementary schools have a higher job satisfaction compared with those of middle schools (p < .01). The job satisfaction was positively correlated with knowledge requirement of dietitians and nutrition teachers of elementary and middle schools. Conclusions: The results suggest that developing dietitians' education program about knowledge requirement contribute to increasing the school food service and job satisfaction in elementary and middle schools.

Influencing Factors on the Dietary supplements Consumption among Children in Korea (우리나라 어린이 및 청소년의 식이보충제 섭취에 영향을 미치는 요인)

  • Lee, Jee-Yeon;Kim, Do-Hee;Lee, Yoon-Na;Koh, Eun-Mi;Jang, Young-Soo;Lee, Hye-Young;Jang, Young-Ae;Kim, Cho-Il
    • Korean Journal of Community Nutrition
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    • v.16 no.6
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    • pp.740-750
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    • 2011
  • With a recent increase in dietary supplements (DS) consumption among children in Korea, this study was performed to examine the influencing factors on children's DS consumption. A nationwide survey was conducted employing 3 representative samples of children for summer & fall of 2008 and spring of 2009 by stratified multistage sampling of 120 survey sites per season based on the 2005 census population. Approximately 30 households from each survey site were screened for residing children of 0-19 years and about 1,700 households remained as eligible samples per season. Trained dietitians visited households to perform face-to-face interview to children and/or parents regarding DS consumption including health functional foods (HFF), vitamins/minerals (V/M) supplements and other food supplements during 1 month prior to interview. Out of 5,328 children responded, 18.7% reported DS consumption. Consumption rate was higher in boys (19.9% vs. 17.3% in girls, P < 0.05) and youngsters (22.8% compared to 15.0% in adolescents, P < 0.001). Children from higher income family (P < 0.001), those living in apartments (P < 0.001), those residing in metropolitan area (P < 0.001), and those of mothers with higher education (P < 0.001) were more likely to take DS. Also, mother's employment status and occupation were significantly associated with children's DS consumption. The most popular DS was HFF (72.1%), which was consumed more in children of higher income family. It is revealed that socioeconomic factors affect children's DS consumption significantly. Also it is necessary to estimate children's V/M intake from DS and foods together especially because there are tolerable upper limits set for V/M for safety purposes.

Development Trends and Use Cases of Medical Service Robots: Focused on Logistics, Guidance, and Drug Processing Robots (의료서비스 로봇의 개발 동향 및 활용 사례: 물류, 안내, 약제처리 로봇을 중심으로)

  • Kim, Seon Hee;Cho, Yong Jin
    • Journal of Digital Convergence
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    • v.19 no.2
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    • pp.523-529
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    • 2021
  • Medical service robots are variously defined and classified by researchers and related government departments, but surgical robots and rehabilitation robots are commonly included in medical service robots, and except for these, the robots are classified as other medical service robots. In this study, domestic and foreign development trends and use cases were considered, focusing on logistics, guidance, and drug processing robots among other medical service robots. Logistics and guidance robots were developed quite a lot in Korea and completed a pilot project, or are being commercialized in hospitals, and exported. However, although the drug prcocessing robots was developed in Korea, the robot being use in the hospital was an imported. In order to expand and activate the robot market, systematic follow-up studies such as demand prediction studies are needed.