• Title/Summary/Keyword: Medical reform

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A Look into the Changes in Medical Activities during the Late Chosun Dynasty Period through Hajae's Diary (『하재일기』를 통해 본 구한말 의약생활의 변화)

  • Lee, Jeong-Hyeon
    • Journal of Korean Medical classics
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    • v.27 no.4
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    • pp.39-53
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    • 2014
  • Objectives : Hajae's Diary(荷齋日記) is a personal diary written by Gyu-Sik Ji(池圭植) between 1891 and 1911. He had a strong interest in medicine and maintained the belief that diseases could be cured by medicine. He recorded in significant detail the subject individuals, symptoms, name of prescription, price, the date of exchange and place of purchase in his diary. Methods : His study classifies the era during which Western medicine was introduced to the general public and became popularized in the late Chosun dynasty period based on articles related to medicine in Hajae's Diary. Results : It could be identified that, as of the Gabo Reform(甲午更張) in 1894, Western medicine was introduced into the traditional medicine life and, starting from the Eulsa Treaty(乙巳條約) of 1905, Western medicine became popularized. Conclusions : During the "traditional medicine period", traditional medicine was used for all medicinal activities. However, during the "Western medicine introduction period", Western medicine was used for only specific diseases. In the period during which Western medicine became popular, traditional medicine continued to be used. However, Western medicine was widely used for various diseases.

Current Situation and Reform Scheme for Personal Care Attendants(PCAs) in Workers' Accident Medical Corporation (산재의료원 간병인 관리현황 및 개선방안)

  • Oh, Jin Joo;Lee, Hyun Joo;Choi, Jeong Myung;Kim, Chun Mi
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.2
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    • pp.222-231
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    • 2007
  • Purpose: This study aims to suggest political alternatives for nursing care costs for PCAs to provide qualitative medical benefit for patients with occupational disease by investigating present situation and problems of the nursing care cost system of Korea's Industrial Accident Compensation Insurance. Methods: Data was collected from 6 workers' accident medical corporation and 275 nurses affiliated with Korea labor welfare corporation using self reported questionnaire. Result: Research results were as follows; Character of nursing care cost of the Korea's Industrial accident Compensation Insurance changed as if it aims to support for living expenses for the family; As possible problems which could be caused under current system, administrative problems, decrease of service quality were made as objects of criticism. Some patients did not make every effort in rehabilitation to be beneficiaries continuously. Some patients were supplied with whole one PCA or all-night PCA even though they did not need as much caring as such. Conclusion: The research suggested that PCAs payment system improvement is necessary, and the presented nurses' opinion for the improvement method could be applied for policy making.

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Prioritizing the Preferences of Iranian Cancer Patients Regarding Acquisition of Health Information: Strategy for Patient Education

  • Zadeh, Jamileh Mahdi;Fard, Farahnaz Ghahreman;Madani, Raihaneh;Iravani, Homa;Kahouei, Mehdi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.6
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    • pp.2983-2988
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    • 2016
  • Recognizing cancer patients' preferences to obtain health information can help improve and reform the methods of communicating and providing proper services and consequently lead to effective patient education. The present cross-sectional study to prioritize the preferences of cancer patients regarding the acquisition of health informationwas conducted on cancer patients referred to hospitals affiliated to Semnan University of Medical Sciences in 2015. An anonymous self-administered questionnaire was developed. In the field of side effects of medications, 50 (46.7%) reported knowing about weight change, in the area of achieving relative health, 62(57.9%) announced awareness about diet, and 45 (42.1%) reported physical complications as a first regarding information needs. In the area of obtaining information, 50 (46.7%) tended to take their information through means outside of the hospital setting. These results can help with design of clinical information systems, as they inform the most relevant and useful coverage designed for cancer patients. Providing useful information through healthcare providers, the media and clinical information systems can act as a major source of social support for cancer patients.

A Study on the Operation Activation for Specialized High Schools in Chungcheongbuk-do (충청북도 전문계 고등학교 운영 활성화 방안 연구)

  • Lee, Sang-Hyuk;Jee, Soon-Duk
    • 대한공업교육학회지
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    • v.32 no.2
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    • pp.47-68
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    • 2007
  • The purpose of this research was on the operation activation for specialized high schools in Chungcheongbuk-do, and conducted a survey of chief teachers of Practical Art Subject and heads of each subjects in 32 specialized high schools in district about the system reform of vocational high school, promotion of characterization for each subject, modification of curriculum, reinforcement of direction guide, of which results were analyzed. Also, another survey of small and middle businesses was conducted to investigate the demand for human resources for industrial businesses in Chungcheongbuk-do and specialized abilities required by companies. Through the study, the reform of operation activation for specialized high schools in Chungcheongbuk-do were suggested as follows. First, Specialized high schools should more focus on educating application of a computer and the basic abilities in foreign language at the request of industry. Second, If more than 80% of vocational high school graduates go to junior colleges or universities, specialized high schools should reform their operation like general high schools. Third, Specialized high schools should expand the operation of customized curriculum for neighboring industry to raise employment rate. Fourth, Specialized high schools in Chungcheongbuk-do should reform their courses which can provide students with fundamental knowledge to work in industry related to BT and IT, as Osong medical complex and Ochang IT industrial complex are expanding gradually. Fifth, Employees in companies should be applied as guest teachers, and the principal should have a right to autonomy to operate their own curriculum. Sixth, 5 years rotation system for public schools should be revised to more than 10 years rotation system for special subjects in specialized high schools. Therefore, teachers will have ownership of the school by the revised system.

Medical Geography: Its Conceptual History and Historical Vision (의료지리학: 개념적 역사와 역사적 전망)

  • Lee, Jong-Chan
    • Journal of the Korean Geographical Society
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    • v.48 no.2
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    • pp.218-238
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    • 2013
  • The objective of my paper is to investigate historical change in concepts of medical geography and to present its historical vision. Modern medical geography was established in the name of medical topography in Europe where it had to control tropical diseases in the course of exploration and voyages for colonial interests. England developed medical geography in the name of sanitary reform, France did so for civilizing mission, and geomedicine prevailed in Germany. The twentieth century witnessed two traditions of medical geography, with focus on disease ecology and medical care system, respectively. In addition, the paper emphasizes the significance of cartography of disease as knowledge as power. As the identity of place becomes increasingly important in relation to health at the around of the twenty-first century, geography of health has emerged as a new promising discipline independently of medical and public health geography.

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Professional Socialization of Medical Students (의대생의 전문직 사회화 과정에 대한 고찰)

  • Han, Dal-Sun;Cho, Byung-Hee;Bae, Sang-Soo;Kim, Chang-Yup;Lee, Sang-Il;Lee, Young-Jo
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.265-278
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    • 1996
  • This paper concerns professional socialization of medical students. Professional socialization, in the context of this paper, means the process through which a layperson becomes a doctor equipped with professional identity and values. While medical education does not include such process in the curriculum, medical students obtain certain values and identity informally. The dependent variables were professional values and professionalism. The former means the desirable attributes required to conducting professional works such as humane attitudes, science-oriented mind, capability for organizational management. The latter means socio-political reasoning with which doctors can rationalize their privileges such as autonomy. A specially designed questionnaire was developed. The data were collected from five medical schools for 1,318 students in 1994. A total of 1,070 cases were finally included in the statistical analysis. The students emphasized the human factor in the professional values. Their attitude did not change with the grade. Other independent variables such as motives for entering a medical school, socioeconomic status, satisfaction with medical education, etc. also did not influence professinal values. It implies that professional values were not consolidated among the students. However, the factors of professionalism change significantly with the grade. It implies that the students paid more attention to socio-political issues related to doctor's interests as the grade went up. And the factor scores for professionalism were higher for those students who had more positive attitude towards doing medical practice for profit, expected higher income, and were more conservative about social reform. Other independent variables did not influence professionalism. It seems that the students also give emphasis on professionalism, like current medical doctors, mainly because of their concern with recent unfavorable changes in economic conditions of medical care providers.

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Issues Facing the National Health Insurance System in Korea and Their Solutions (우리나라 공공의료의 쟁점과 해결책)

  • Lee, Eun Hye
    • Korean Medical Education Review
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    • v.24 no.1
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    • pp.10-17
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    • 2022
  • South Korea is not a wasteland of publicly funded health care-instead, it has a good medical social security system known as the national health insurance (NHI). The NHI of Korea has three unique features; (1) low premiums, low insurance fees, and low coverage; (2) obligatory designation of medical institutions; (3) and allowance of non-benefit services. These features have made hospitals and doctors interested in profit-seeking. However, the commercialization of medical institutions has taken place in both private- and public-established sectors. A basic problem of commercialization is the co-existence of the obligatory designation of medical institutions and non-benefit services. The problem became worse in the Kim Dae-Jung government because it officially permitted non-benefit services. Since 2000, the Korean government has consistently pursued benefit extension policies, but the coverage rates of the NHI have stagnated. In addition, premiums and current medical expenses have markedly increased because policy-makers have emphasized accessibility to the NHI, while ignoring important principles of medical social security such as a needs-based approach and patient-referral system. In order to resolve the commercialization problem, the obligatory designation of medical institutions to the NHI should be changed to a contract system, and non-benefit services should be prohibited at NHI institutions. We must re-establish the patient-referral system via a needs-based approach. We also need to build a primary healthcare system and public health policies. We should make a long-term plan for healthcare reform.

Establishing veterinary graduation competencies and its impact on veterinary medical education in Korea

  • Sang-Soep Nahm;Kichang Lee;Myung Sun Chun;Jongil Kang;Seungjoon Kim;Seong Mok Jeong;Jin Young Chung;Pan Dong Ryu
    • Journal of Veterinary Science
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    • v.24 no.3
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    • pp.41.1-41.9
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    • 2023
  • Competencies are defined as an observable and assessable set of knowledge, skills, and attitudes. Graduation competencies, which are more comprehensive, refer to the required abilities of students to perform on-site work immediately after graduation. As graduation competencies set the goal of education, various countries and institutions have introduced them for new veterinary graduates. The Korean Association of Veterinary Medical Colleges has recently established such competencies to standardize veterinary education and enhance quality levels thereof. The purpose of this study is to describe the process of establishing graduation competencies as well as their implication for veterinary education in Korea. Graduation competencies for veterinary education in Korea comprise 5 domains (animal health care and disease management, one health expertise, communication and collaboration, research and learning, and veterinary professionalism). These are further divided into 11 core competencies, and 33 achievement standards, which were carefully chosen from previous case analyses and nation-wide surveys. Currently, graduation competencies are used as a standard for setting clear educational purposes for both instructors and students. Establishing these competencies further initiated the development of detailed learning outcomes, and of a list of basic veterinary clinical performances and skills, which is useful for assessing knowledge and skills. The establishment of graduation competencies is expected to contribute to the continuous development of Korean veterinary education in many ways. These include curriculum standardization and licensing examination reform, which will eventually improve the competencies of new veterinary graduates.

Recommendations for the Successful Design and Implementation of Competency-Based Medical Education in Korea (한국에서 역량바탕의학교육의 성공적인 실행을 위한 제언)

  • Yoon, Bo Young;Choi, Ikseon;Kim, Sejin;Park, Hyojin;Ju, Hyunjung;Rhee, Byoung Doo;Lee, Jong-Tae
    • Korean Medical Education Review
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    • v.17 no.3
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    • pp.110-121
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    • 2015
  • Competency-based medical education (CBME) is an outcome-oriented curriculum model for medical education that organizes learning activities and assessment methods according to defined competencies as the learning outcomes of a given curriculum. CBME emerged to address the accountability of medical education in response to growing concerns about the patient safety in North America in the 1970s, and the number of medical schools adopting CBME has dramatically increased since 1990. In Korea, CBME has been under consideration as an alternative curriculum model to reform medical education since 2006. The purpose of this paper is three-fold: (1) to review the literature on CBME to identify the challenges and benefits reported in North America, (2) to summarize the process and experiences of planning and implementing CBME at Inje University College of Medicine, and finally (3) to provide recommendations for Korean medical schools to be better prepared for the successful adoption of CBME. In conclusion, one of the key factors for successful CBME implementation in Korea is how well an individual school can modify the current curriculum and rearrange the existing resources in a way that will enhance students' competencies while maximizing the strengths of the school's existing curriculum.

Special Issue for the 30th Anniversary of the Korean Academy of Health Policy and Management (한국보건행정학회 30주년 기념 특별호)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.28 no.3
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    • pp.195-196
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    • 2018
  • The Korean Academy of Health Policy and Management (KAHPM) has shown remarkable achievements in the field of health policy and management in Korea for the last 30 years. The KAHPM consists of experts in various fields of health policy and management, and has been the leading academic discussion forum for health policy agendas of interest to the public. Health Policy and Management (HPM), the official journal of the KAHPM, published the first issue of volume 1 in October, 1991 and is publishing the second issue of volume 28 as of 2018. Currently, it is one of Korea' main journals in the field of health policy and management. HPM has published a special issue in commemoration of the 30th anniversary of the KAHPM. The HPM invited authors, including former presidents of the KAHPM and current board members, to write about main issues in health policy and management. Although the HPM tried to set up an invited author on all subjects in the health policy and management field, 19 papers are published, that completed the peer review process by August, 2018. The authors of the special issue of the 30th anniversary of the KAHPM include six former presidents, a senior professor, and 12 board members. The subjects of this issue are reform of the healthcare delivery system, health insurance and medical policy, reform of health system governance, the role of National Health Insurance Service (NHIS), the Korea Institute for Health and Social Affairs (KIHASA) and the National Evidence-based healthcare Collaborating Agency (NECA), ethical aspects of health policy change, regional disparities of healthcare, healthcare accreditation, new healthcare technology evaluation system, globalization of the healthcare industry, the epidemiological investigator system, the quarantine system, safety and disaster, and official development assistance. There are some remaining topics to deal with for the KAHPM: aged society, anti-smoking, non-infectious disease, suicide, healthcare resources, emergency medical care, out-of-pocket money, medical fee payment system, medical aid system, long-term care insurance, industrial accident compensation insurance, community-centered health welfare system, and central government and local government of health. The HPM will continue to publish review articles on the main topics in health policy and management. This is because the KAHPM, which has been the leading academic society of Korea's health policy and management for the last 30 years, feels responsible for continuing its mission for the next 30 years.