• 한국학교보건학회지
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• 제25권1호
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• pp.105-113
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• 2012

Purpose: The purpose of this study was to identify the statistical indicators of OECD and Korea for student health among Korea's approval statistics. Methods: Searching for health indicators by using Health at a Glance 2009, Society at a Glance 2009, and Education at a Glance 2009 through the formal OECD web site in 2010, and investigating the approval statistics through the Korean formal organizational web sites and published data in 2012. Results: Among OECD indicators, indicators for adolescent health were smoking and alcohol consumption, nutrition, physical activity, overweight and obesity, bullying, risk behaviors, and poverty children. However, most of Korea student health indicators were missing except poverty children and life satisfaction, because OECD has taken chiefly data from Health Behavior in School-aged Children survey (HBSC), international study, which has not been carried out in Korea. The Ministry Of Education, Science And Technology (MEST) and the Ministry of Health and Welfare, and National Youth Policy Institute in Korea have produced the major statistics for student health which was only 11 (1.3%) among 858 approval statistics. Conclusion: Identifying a current Korea school health is essential through participating actively to OECD whose statistic indicators are internationally comparable with Students Physical Development Survey, MEST's approval statistics, using Korea Student Health Examination. It was also suggested that quantitative and qualitative expansions for Korea student health statistics by the activation of approval statistics including processed statistics, and by researchers' easy expanded access to a raw data.

• 보건행정학회지
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• 제20권1호
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• pp.1-18
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• 2010

This article examines social determinants of population health in OECD countries, where life years, infant mortality, and PYLL are used as proxy variables of health. The unit of analysis is a country which is the OECD affiliate. A panel regression estimation is chosen as a method, using OECD Health Data. The results are: the increasing national health expenditure affected positively to improve population health. Education was rather a significant determinant of health than income level. The government direct investment for public health did not contribute positively to enhance population health. The expansion of health care coverage was working positively for improving health, but with a time lag. The supply of doctors was a most influential determinant of health. In case of Korea, the coverage expansion of health care was the most important determinant of health. The supply of doctors was, however, not a positive factor for better health, which is different result with the case of OECD countries.

• 보건행정학회지
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• 제13권4호
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• pp.48-65
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• 2003

Detailed analyses of total health expenditure and its sub­categories are essential for the evidence­based health policy(EBHP). These analyses, again, should be based on timely and reliable data that are comparable across countries. The System of Health Accounts (SHA), published by the OECD in 2000, provides an integrated system of comprehensive and internationally comparable accounts. The author has implemented the SHA manual into Korean situation, and examined overall expenditure estimate and its basic functional breakdown following the manual. This study explains how pharmaceutical expenditure is estimated. The results are, then, analyzed particularly from the international perspective. Both administrative data in Statistical Yearbooks (National Health Insurance, Medical Aid, Industrial Accident Compensation Insurance) and survey data on Health and Nutrition are used for the estimation. Per capita pharmaceutical expenditure in Korea (183 US$ PPPs) was far less than the OECD average (308 US$ PPPs) in 2001, but pharmaceutical expenditure share in total health expenditure (20.3％) was higher than the average (16.7％). This can be explained by the fact that there is a statistically significant correlation between pharmaceutical expenditure share and per capita GDP of each country. Korean people follow the tendency of relatively low­income countries to spend less than OECD average for health care, but follow again their tendency to spend more on drugs than on other health care services. In consideration of results and analysis as above, per capita pharmaceutical expenditure in Korea is expected to grow in the future, but the growth rate of the pharmaceutical expenditure is expected to be less than that of overall health expenditure.

• 보건행정학회지
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• 제14권2호
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• pp.99-116
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• 2004

This study estimates the determinants of national health expenditures of OECD countries using panel regression method. The data used are OECD Health Data(2003) covering 33 countries and from 1970 to 2001. This study shows several important different results compared to the previous studies. Further this study estimates the determinants of Korean case using data from 1m to 2000, and compare with the results of OECD panel. The main findings are as follows. The income elasticity of health expenditures is estimated below 1.0, but is shown above 1.0 when the different health systems of each country are controlled. The women's labor participation influences strongly positive effect on the health expenditures. The diffusion of new technologies is positively related with the increasing expense. The increasing government expenditures have a tendency not to contain health expenses, but to increase expenses. The expansion of public health insurance holders is containing the expenses, and the increasing number of doctors is pushing expenditures. This implies the health expenditures are influenced more by the induced demand of providers rather than the moral hazard of patients. However, the above result is opposite in Korean case. The existence of primary care doctors affects slightly up warding rather than containing expenditures. Finally the determinants are seriously depending upon which factors are included in the model and which statistical model is chosen. Therefore it must be cautious to interpret the results of statistical model.

• 경영과정보연구
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• 제32권1호
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• pp.87-109
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• 2013

본 연구는 OECD의 Health Database로부터 2000년부터 2009년까지 10년간 OECD에 가입하고 있는 15개 국가의 의료서비스산업의 실적자료를 이용, DEA와 SFA 기법을 결합하여 OECD 국가의 의료서비스산업의 기술효율성을 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, CRS 기준 비방향 SBM 모형을 이용하여 OECD 국가의 의료서비스 산업의 효율성을 분석한 결과, 2001년 이후 한국이 벤치마킹 국가로서 다른 OECD 국가에 비해 의료서비스산업의 효율성이 높은 것으로 나타났다. 둘째, 환경요인에 의한 비효율성이 존재하는 것으로 확인되었다. 셋째, 환경요인을 조정한 후의 효율성이 조정 전보다 큰 폭으로 상승하여 환경요인이 의료서비스산업의 효율성에 중요한 영향을 미치고 있었다. 이상에서 한국의 의료서비스산업의 효율성은 OECD 국가 중에서 선도적 위치에 있으며, 경쟁력이 있는 것으로 판단된다. 다만, 위의 결과는 의료서비스의 질과 가격을 고려하지 않고 단순히 물량을 기준으로 효율성을 분석한 결과이므로, 다른 OECD 국가에 비해 한국의 의료체계가 효율적이라고 판단할 수 없으며 이 부분에 대해서는 본 연구의 제한점으로 두고자 한다.

• 보건행정학회지
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• 제18권3호
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• pp.110-127
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• 2008

Expenditures on pharmaceuticals of different concepts were estimated and their functional, financing and providers' breakdowns were examined in line with the OECD's System of Health Accounts (SHA) manual. This study also shows the way such estimates are made. The results are then analyzed particularly from the international perspective. Data from both Household Survey by the National Statistical Office and the National Health and Nutritional Survey by the Ministry of Health and Welfare of Korea were used to estimate pharmaceutical expenditures that. are financed by out-of-pocket payments of the household, while national health insurance data etc. were used for estimation of pharmaceutical expenditures that are financed by public funding sources. The 'per capita expenditure on pharmaceutical/medical non-durables' in Korea stood at 380 US$ PPPs, less than the OECD average of 443 US$ PPPs in 2006, but its share of the per capita health expenditure of 25.9% noticeably outnumbered the OECD average of 17.1%, due partly to low per capita health expenditure as a denominator of the ratio. This indicates that Koreans tend to spend less on health care than an OECD average, while tending to spend more on pharmaceuticals than on other health care services, much like the pattern found in relatively low income countries. An international pharmaceuticals pricing mechanism is most likely responsible for such a tendency. In addition, it is to be noted that the percentage comes down to 21.0%, when expenditures on both medical non-durables and herbal medicine, which is locally quite popular among the elderly, have been excluded.

• 보건행정학회지
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• 제31권4호
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• pp.409-422
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• 2021

The growing use of prescription analgesic opioids has rapidly escalated the treatment of chronic pain since the 1990s; however, it is also highly needed to control opioid-related issues, including opioids misuse, abuse, and addiction. In 2018, Organization for Economic Cooperation and Development (OECD) secretariat administered the survey on opioids use and policies to OECD countries and presented it at the Health Committee meeting of December 2018. This study aimed to review the opioids use in OECD countries and their policies to prevent and reduce associated harms, also seek the available policy lessons from OECD countries. More recently, opioids prescribing rate have been increased 14.7% between 2011-2013 and 2014-2016 and steadily focused on the main substance misused and abused in Korea. In addition, policy efforts have contributed to developing a guideline for prescribing opioids to steer the appropriate use of prescription analgesic opioids since 2000 in Korea, so it is not enough to control opioids compared with other OECD countries. Therefore, taking a people-centered and public health perspective, it will consider the health system policies and interventions at a national level to improve their preparation and approach to control opioid-related issues.

• 보건의료생명과학 논문지
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• 제10권1호
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• pp.61-68
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• 2022

우리나라의 자살률은 OECD 표준인구 10만 명당 기준 23.0명(2017년 기준)으로 OECD 회원국 중 가장 높고 OECD 평균 11.2명보다 2.1배 높다. 강원도 내 자살률이 전국에서 4번째로 높고 자살자 수가 507명으로 인구 10만 명당 자살률이 26.1명 으로 나타났다. 이에 강원도 자살률 감소를 위해 통계청, 국가보건통계지표, 지역사회건강조사, 건강보험공단 DB, 정신건강사례관리시스템(MHIS), 선행연구 등을 기초자료로 자살과 관련된 요인을 분석하고 이를 바탕으로 강원도의 자살률 감소와 효과적인 사회적 중재 모형의 설계 및 활용을 위한 기초자료 제공하고자 한다.

• 보건교육건강증진학회지
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• 제31권1호
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• pp.45-56
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• 2014

Objectives: This study aimed to examine how the relationship between socioeconomic factors at the macro level and suicide mortality rate of Korea was different from that of other OECD countries. Methods: We created OECD panel data of 29 OECD countries from 1985 to 2006 and analyzed the relationship between socioeconomic factors and suicide mortality rate for separate age and sex groups using a fixed-effect model. Economic factors included per capita GDP, per capita GDP growth rate, unemployment rate, and women's economic participation rate. Social factors included birth rate, alcohol consumption, and the percentage of population 65 and older. Results: Unemployment rate had a positive relationship with suicide in other countries but it had a negative relationship in some groups of Korea. Women's economic participation rate was both positively and negatively related with suicide in Korea but it did not relate to suicide in others. The negative relationship of birth rate and the positive relationship of alcohol consumption with suicide were evident in Korea, which were not found in other countries. The percentage of population 65 and older was negatively correlated in some female groups in Korea, while no significant relationship was found in other countries. Conclusions: Korea was substantially different from other OECD countries in the relationship between socioeconomic factors and suicide mortality rate.

• 한국환경보건학회지
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• 제39권2호
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• pp.130-137
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• 2013

Objectives: The OECD QSAR Application Toolbox was developed by the Organisation for Economic Cooperation and Development (OECD) to facilitate the practical use of QSAR approaches in regulatory contexts as well as to reduce the need for additional animal testing. In this study, human health and the ecotoxicity of chemicals were predicted by applying the OECD QSAR Application Toolbox and the results were compared with experimental data in order to evaluate the applicability of this program. Methods: Read-across, trend analysis, and QSAR of OECD QSAR Application Toolbox were used for the prediction of toxicity. Results: The toxicity prediction was conducted on 6,354 chemicals for which toxicity data have been produced on the six endpoints of skin sensitization, skin irritation, eye irritation, mutagenicity, and acute toxicities of fish and Daphnia. From the total of 6,354, we obtained prediction results for 1,621 chemicals (25.5%). Conclusions: The predicted properties of mutagenicity, skin sensitization, and acute aquatic toxicities were reasonably good when compared with experimental data, but other endpoints were not due to the limitation of applicable chemical groups.