• Title/Summary/Keyword: Evidence-based Policy-making

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Comparative Study of Health Care System in Three Central Asian Countries: Kazakhstan, Kyrgyzstan, Uzbekistan

  • Dronina, Yuliya;Nam, Eun Woo
    • Health Policy and Management
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    • v.29 no.3
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    • pp.342-356
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    • 2019
  • Background: The objectives of the study are to find out the effect of the implementing reform in three Central Asian countries, identify its impact on health status and health care delivery systems. This study address to identify strong and weak points of the health systems and provide a recommendation for further health care organization. Methods: A comparative analysis was conducted to evaluate the effects of implemented policy on health care system efficiency and equity. Secondary data were collected on selected health indicators using information from the World Health Organization Global Health Expenditure Database, European Health Information Platform, and World Bank Open Data. Results: In terms of population status, countries achieved relatively good results. Infant mortality and under-5 mortality rate decreased in all countries; also, life expectancy increased, and it was more than 70 years. Regulations of the health systems are still highly centralized, and the Ministry of Health is the main organ responsible for national health policy developing and implementation. Among the three countries, only Kyrgyzstan was successful in introducing a national health system. Distribution of health expenditure between public expenditure and out-of-pocket payments was decreased, and out-of-pocket payments were less the 50% of total health expenditure in all countries, in 2014. Conclusion: After independent, all three countries implemented a certain number of the policy reform, mostly it was directed to move away from the old the Soviet system. Subsequent reform should be focused on evidence-based decision making and strengthening of primary health care in terms of new public health concepts.

A Study on the Participatory Government's Presidential Archives : Focusing on the Labor and Employment Policy Secretary's Office (참여정부 대통령기록 연구 노동·고용정책비서관실을 중심으로)

  • Kwak, Kun Hong
    • The Korean Journal of Archival Studies
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    • no.63
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    • pp.37-70
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    • 2020
  • This paper attempted to analyze the presidential archives of the participatory government in the labor and employment policy secretary's office. This approach is meaningful in that it provides basic data for evaluating presidential records and facilitating their use. Furthermore, evaluation of participatory government labor policies can help create a research environment based on archives. This paper also focused on the evidence value of document management cards that can confirm the entire decision-making process. This is an eloquence of the quality of the participatory government presidential archives.

Developmental procedures for the clinical practice guidelines for conscious sedation in dentistry for the Korean Academy of Dental Sciences

  • An, So-Youn;Seo, Kwang-Suk;Kim, Seungoh;Kim, Jongbin;Lee, Deok-Won;Hwang, Kyung-Gyun;Kim, Hyun Jeong
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.4
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    • pp.253-261
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    • 2016
  • Background: Evidence-based clinical practice guidelines (CPGs) are defined as "statements that are scientifically reviewed about evidence and systematically developed to assist in the doctors' and patients' decision making in certain clinical situations." This recommendation aims to promote good clinical practice for the provision of safe and effective practices of conscious sedation in dentistry. Method: The development of this clinical practice guideline was conducted by performing a systematic search of the literature for evidence-based CPGs. Existing guidelines, relevant systematic reviews, policy documents, legislation, or other recommendations were reviewed and appraised. To supplement this information, key questions were formulated by the Guideline Development Group and used as the basis for designing systematic literature search strategies to identify literature that may address these questions. Guideline documents were evaluated through a review of domestic and international databases for the development of a renewing of existing conscious sedation guidelines for dentistry. Clinical practice guidelines were critically appraised for their methodologies using Appraisal of guidelines for research and evaluation (AGREE) II. Results: A total of 12 existing CPGs were included and 13 recommendations were made in a range of general, adult, and pediatric areas. Conclusion: The clinical practice guidelines for conscious sedation will be reviewed in 5 years' time for further updates to reflect significant changes in the field.

Speech and language disorders in children (소아에서 말 언어장애)

  • Chung, Hee Jung
    • Clinical and Experimental Pediatrics
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    • v.51 no.9
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    • pp.922-934
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    • 2008
  • Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.

An overview of the national immunization policy making process: the role of the Korea expert committee on immunization practices

  • Cho, Hee-Yeon
    • Clinical and Experimental Pediatrics
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    • v.55 no.1
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    • pp.1-5
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    • 2012
  • The need for evidence-based decision making in immunization programs has increased due to the presence of multiple health priorities, limited human resources, expensive vaccines, and limited funds. Countries should establish a group of national experts to advise their Ministries of Health. So far, many nations have formed their own National Immunization Technical Advisory Groups (NITAGs). In the Republic of Korea, the Korea Expert Committee on Immunization Practices (KECIP), established by law in the early 1990s, has made many important technical recommendations to contribute to the decline in vaccine preventable diseases and currently functions as a NITAG. It includes 13 core members and 2 non-core members, including a chairperson. Core members usually come from affiliated organizations in internal medicine, pediatrics, obstetrics, microbiology, preventive medicine, nursing and a representative from a consumer group, all of whom serve two year terms. Non-core members comprise two government officials belonging to the Korea Centers for Disease Control and Prevention (KCDC) and the Korea Food and Drug Administration. Meetings are held as needed, but at least twice a year, and sub-committees are formed as a resource for gathering, analyzing, and preparing information for the KECIP meetings. Once the sub-committees or the KCDC review the available data, the KECIP members discuss each issue in depth and develop recommendations, usually by a consensus in the meeting. The KECIP publishes national guidelines and immunization schedules that are updated regularly. KECIP's role is essentially consultative and the implementation of their recommendations may depend on the budget or current laws.

Text Based Explainable AI for Monitoring National Innovations (텍스트 기반 Explainable AI를 적용한 국가연구개발혁신 모니터링)

  • Jung Sun Lim;Seoung Hun Bae
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.45 no.4
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    • pp.1-7
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    • 2022
  • Explainable AI (XAI) is an approach that leverages artificial intelligence to support human decision-making. Recently, governments of several countries including Korea are attempting objective evidence-based analyses of R&D investments with returns by analyzing quantitative data. Over the past decade, governments have invested in relevant researches, allowing government officials to gain insights to help them evaluate past performances and discuss future policy directions. Compared to the size that has not been used yet, the utilization of the text information (accumulated in national DBs) so far is low level. The current study utilizes a text mining strategy for monitoring innovations along with a case study of smart-farms in the Honam region.

A Study on the Numerical Approach for Industrial Life Cycle: Empirical Evidence from Korea

  • LEE, Kangsun;CHOI, Kyujin;CHO, Daemyeong
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.5
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    • pp.667-678
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    • 2021
  • The industrial life cycle theory was extended to the product life cycle theory and the corporate life cycle theory, but a conceptual life cycle was presented, and quantitative empirical evidence for this was insufficient. It is intended to improve appropriate resource planning and resource allocation by quantitatively predicting the industrial cycle and its position (age) in the cycle. Human resources, tangible assets, and industrial output analysis were conducted based on 28 years of actual data of 39 industries in Korea by applying the Gompertz model, which is a population ecology prediction model. By predicting with the Gompertz model, the coefficient of determination R2 value was 97% or more, confirming the high suitability with the actual cumulative sales value of the industry. A numerical model for calculating the life cycle of each industry, calculating the saturation of input resources for each industry, and diagnosing the financial stability of the industry was presented. These results will contribute to the decision-making of industrial policy officers for budget planning appropriately for each stage of industry development. Future research will apply the numerical model of this study to foreign national industries, complete an inter-industry convergence diagnostic model (e.g. ease of convergence, suitability of convergence, etc.) for renewal of fading industries.

Analysis of the Policy Network for the “Feed-in Tariff Law” in Japan: Evidence from the GEPON Survey

  • Okura, Sae;Tkach-Kawasaki, Leslie;Kobashi, Yohei;Hartwig, Manuela;Tsujinaka, Yutaka
    • Journal of Contemporary Eastern Asia
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    • v.15 no.1
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    • pp.41-63
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    • 2016
  • Energy policy is known to have higher path dependency among policy fields (Kuper and van Soest, 2003; OECD, 2012; Kikkawa, 2013) and is a critical component of the infrastructure development undertaken in the early stages of nation building. Actor roles, such as those played by interest groups, are firmly formed, making it unlikely that institutional change can be implemented. In resource-challenged Japan, energy policy is an especially critical policy area for the Japanese government. In comparing energy policy making in Japan and Germany, Japan’s policy community is relatively firm (Hartwig et al., 2015), and it is improbable that institutional change can occur. The Japanese government’s approach to energy policy has shifted incrementally in the past half century, with the most recent being the 2012 implementation of the “Feed-In Tariff Law” (Act on Special Measures Concerning Procurement of Renewable Electric Energy by Operators of Electric Utilities), which encourages new investment in renewable electricity generation and promotes the use of renewable energy. Yet, who were the actors involved and the factors that influenced the establishment of this new law? This study attempts to assess the factors associated with implementing the law as well as the roles of the relevant major actors. In answering this question, we focus on identifying the policy networks among government, political parties, and interest groups, which suggests that success in persuading key economic groups could be a factor in promoting the law. Our data is based on the “Global Environmental Policy Network Survey 2012-2013 (GEPON2)” which was conducted immediately after the March 11, 2011 Great East Japan Earthquake with respondents including political parties, the government, interest groups, and civil society organizations. Our results suggest that the Feed in Tariff (FIT) Law’s network structure is similar to the information network and support network, and that the actors at the center of the network support the FIT Law. The strength of our research lays in our focus on political networks and their contributing mechanism to the law’s implementation through analysis of the political process. From an academic perspective, identifying the key actors and factors may be significant in explaining institutional change in policy areas with high path dependency. Close examination of this issue also has implications for a society that can promote renewable and sustainable energy resources.

Development and Policy Applications of Integrated Information System for Climate Change Adaptation (기후변화 적응 정보 통합지원 체계구축 및 정책적 활용방안)

  • Kim, Geunhan;Lee, Moung-Jin;Jeon, Seong-Woo;Park, Songmi;Lee, Eunjin
    • Journal of Environmental Policy
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    • v.12 no.3
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    • pp.3-20
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    • 2013
  • Recently, impacts and damages of extreme climate change have already affected on worldwide. Thus adaptation and action plan are essential concepts in minimizing the impacts of climate change. In order to introduce climate change adaptation decision-making measure, the need for high-quality and integrated information system within adaptation policy has increased enormously. However, most of adaptation information is based on different sources and various backgrounds. Currently, domestic climate change information is disseminated from about 132 internet sites and most of them are limited to general information of climate change, rather than information that are based on scientific evidence. Also, there are some difficulties in updating new resources. Reliable climate change information is provided from different agencies, which makes users difficult to locate right information they need. As a progress to overcome the limitations of these problems, we carried out a feasibility research on integrated information system for climate change adaptation. For the objectives, our solutions are as follows. First, we analyzed definition of climate change adaptation and climate change adaptation information. Second, we suggested integrating the information system for adaptation and phased implementation plan for establishing integrated information system for climate change. Finally, we verified the establishment of integrated support system based on policy applications of integrated information system. This system will provide an integrated climate change information and be a very useful tool to support the decision making process of effective climate change adaptation policies.

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Home Care Nursing: An Economic Analysis (가정간호의 경제성 평가에 관한 문헌분석)

  • Lim, Ji Young;Kim, Ji Young
    • Journal of Home Health Care Nursing
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    • v.20 no.2
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    • pp.141-151
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    • 2013
  • Purpose: The purpose of this study was to examine the economic effectiveness of by conducting a literature review of published articles, masters theses, and doctoral dissertations. Method: Prior to the literature review, inclusion-exclusion criteria were established. We then reviewed 1,029 CINAHL, MEDLINE, and Cochrane DB papers, and 153 RISS papers collected between Results: A total of 12 studies met the inclusion-exclusion criteria.-effectiveness: 6 cost-effectiveness studies, 1 cost-utility studies, and 5 cost-benefit studies. Each of the 12 reviewed studies concluded that home care nursing had greater economic benefits than other compared healthcare services. Conclusion: Home care nursing has significant economic benefits in multi health care service settings and for various patient groups. Therefore these results will be used a critical evidence for the development of economically effective home based health care systems for future policy making.

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