• Title/Summary/Keyword: Policy Changes

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An Institutional and Ecological Analysis of the Healthcare Environment in Korea: Focus on Institutional Logics, Actors, and Governance structures (한국 보건의료 환경의 변천 : 제도적 로직, 행위자, 거버넌스를 중심으로)

  • Kim, Su-Jin;Kwon, Soon-Man;You, Myoung-Soon
    • Health Policy and Management
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    • v.21 no.3
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    • pp.457-492
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    • 2011
  • The primary goal of our study was to investigate the vast transformations of the healthcare sector in Korea during the past half century. Official data reported in the Korean statistical yearbooks and secondary data suggested by previous studies were used for institutional analysis of healthcare environment. Information on hospital released by the Korean Hospital Association was also used for ecological analysis. Institutional analysis: We identified three distinctive eras based primarily on changes in institutional logics, institutional actors, and governance structures : 'professional dominance (1952-1976)', 'government involvement (1977-1999)', and 'coexistence of competing institutional logics (2000-present)'. During the first era, physician association supported by Korean government comprised the primary governance regime. During the second era, the government became a major actor as a regulator and purchaser in health care sector, introducing of the 'mandatory national health insurance'. During the third era, making healthcare system sustainable and providing health care efficiently was overarching goals although it was hard to find a single central logic dominating this period. Ecological analysis: Evidence from the analysis of hospital population suggested that the expansion of the bed capacity was made from different processes, shifting from the ecological process in 1980s to the adaptive process in 1990s. And Korean hospitals had changed following both 'directional process' and 'stabilizing process' over time. Based on our results, we concluded that more studies to compare more organizational populations other than hospitals and to empirically test the effects of institutional changes on organizational changes and vice-versa, need to be conducted.

A Study on Librarians' Perception about the Changing Role of University Libraries (대학도서관의 역할변화에 관한 사서의 인식조사 연구)

  • Noh, Younghee
    • Journal of the Korean Society for information Management
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    • v.33 no.2
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    • pp.227-256
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    • 2016
  • This study was carried out for the university library to find out a strategy to stand tall as an institution to lead the university, by reflecting the university environment having with drastic environmental changes and reflecting the evolution of information technology. As a result, first, university librarians responded that big issues related to the university library is the University Library Promotion Act, University Library evaluation and assessment indicators, the value of university libraries at the university, and changing spatial composition and functions of the university library. Second, university librarians responded that changes of the university environment, government policy on universities, various national projects, and various university reform policy significantly affect to the university library. Third, about what you think would be helpful to the crisis in their universities as changing role of the library, they responded that they can contribute in terms of improving students' information and technology literacy, improving students' reading skills, improving research capacity, and improve students' learning ability. Fourth, they responded that services that users demand the highest in the university library will be expansion of e-books and information resource.

Interactions between Stock Price and Key Macroeconomic Variables (주가(株價)와 주요거시경제변수간(主要巨視經濟變數間)의 상호관계(相互關係)에 대한 실증분석(實證分析))

  • Kim, Jun-il
    • KDI Journal of Economic Policy
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    • v.14 no.4
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    • pp.63-77
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    • 1992
  • This paper examined interactions between stock price and key macroeconomic variables over the period of 1975-1992. It has been found that more than 60% of real stock price changes can be well explained by movements in key macroeconomic variables, particularly in net exports and industrial production. On the other hand, real stock price changes were found to have a significant explanatory power for plant and equipment investments for the sample period of 1975-1985 during which the stock market was stable. In contrast, no significant linkage between stock price changes and investments emerged over the subsample period of 1986-92 despite the sharp expansion of the stock market in terms of trade volume. Based on such findings, two major policy implications were derived; (i) the government's intervention in the stock market to stabilize stock prices would be ineffective unless the stable economic growth supports the market fundamental, and (ii) the stock price stability is a precondition for the stock market to play a key role in mobilizing resources to finance the firm's long-term capital.

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Distributional changes in Physicians' Medical Care Expenses from the National Health Insurance and its Determinants After the Separation of Prescription and Dispensing (의약분업 전후 의원의 건강보험 진료비 분포변화 및 결정요인분석)

  • Lee Ae Kyoung;Jeong Hyun Jin
    • Health Policy and Management
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    • v.14 no.3
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    • pp.20-44
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    • 2004
  • The National Health Insurance Expenditure has been increased rapidly since the introduction of the separation of prescription and dispensing in 2000, and this trend of rapid growth in overall spendings rate has been observed predominantly among medical practitioners. This study was conducted to investigate the growth rate and distributional changes in private medical practitioners' expenses from 1999 to 2002 and its determinants using the National Health Insurance claims data. The total increasing rate of all medical practitioners' expenditure paid by the National Health Insurance between 1999 and 2002 was $41.71\%$, which exceeding that of general hospitals by $20\%$p. But the income distribution among each practitioner was improved as the changes in Gini coefficient(from 0.40 to 0.38) and decile distribution ratio(from 0.25 to 0.29) during the same period showed. However, this improvement in distributional patterns is not enough since even in 2002 it turned out that the highest $10\%$ income group earned 33times more than the lowest $10\%$ income group did. Also, higher Gini coefficient was observed in larger cities and some department like plastic surgery, obstetrics and gynecology. The major causes of this differentials in medical practitioners' expenses were factors related to medical demand like proportion of old population, residential economic status in a given area. In addition, providers' economic incentives also played an important role in determining their income distribution. The large income differentials among physicians may imply a skewed distribution of patients and thus long waiting time, inefficient utilization of resources and potential inadequate quality of care. In this sense, unreasonable distributional gaps should be reduced, so effective measures as well as ongoing monitoring would be necessary to correct current distributional problems.

A Study on the Effect of the 1995 Merger of Some Rural and Urban Regional Health Insurance Societies: Policy Implications for the Merger Plan of the Entire Health Insurance Programs (1995년 실시된 도시지역조합의 농어촌지역조합의 통합 이후 나타난 변화에 관한 연구: 통합의료보험을 위한 정책제언)

  • Yoo, Tae-Kyun
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.307-326
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    • 1999
  • The primary purpose of this study is to analyze changes, if any, in the financial status and the intensity of health care service utilization of the regional health insurance societies following the 1995 merger of some rural and urban regional health insurance societies. Ultimately, this study is aiming at providing an empirical basis for predicting the impact of the 1998 merger of the Regional Health Insurance Program and the Health Insurance Program for Government Employees and Teachers and, further, predicting the impact of the merger of the entire health insurance programs scheduled for the year 2000. The study results did not suggest that the 1995 merger had brought about notable changes in the rate of increase in the total expenditures or the insurance payment of the merged regional insurance societies in comparison to non-merged ones. Neither did it show that the merger had resulted in significant changes in the intensity of the use of health services. The study, however, found that the 1995 merger had reduced the rate of increase in the management and operational cost of the merged insurance societies. Based on these findings, some policy implications are discussed, and suggestions are made for the total merger plan scheduled for the year 2000.

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A Study on the Changing Trends of Community Spaces in Apartment Complexes in the National Capital from 1960s to 2007 (1960년$\sim$2007년 수도권 아파트단지의 공동생활공간 변화 과정)

  • Lee, Nam-Sik;Suh, Kuee-Sook
    • Journal of the Korean housing association
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    • v.19 no.3
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    • pp.95-104
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    • 2008
  • The purpose of this study is systematically to examine the changes that have taken place to the community spaces of apartment complexes in the national capital region of Korea. The methodology used in this study entails analyzing existing research and case studies carried out on this subject matter. Prior to these case studies, an existing study had been made of the chronological changes in policy, related laws and regulations in Korea since the 1960s. This case study presents the component ratio and systematized present situation of community spaces in twenty-two apartment complexes. An analysis of the researching process has revealed the following important factors related to the changes that have occurred in community spaces in apartment complexes. (1) Apartment complexes were originally developed in the 1960s to ease the housing shortage. Because the priority was to solve the housing shortage, community spaces were not widely considered or developed. (2) The standard of community spaces was established as mandatory by law in the 1970s, resulting in the emergence of various facilities that provided community spaces. (3) In the 1980s, various design competitions for apartment complexes were conducted as an attempt to improve residential environments. This process resulted in the development of new characteristic of subsidiary facilities. (4) During the period when housing problems were being addressed in the 1990s, the Community Service Center was added to the welfare facilities for residents. (5) Recently, during the 2000s, an improvement in residential environments has evolved due to the expansion of housing supply and economic growth. The quality of community spaces has therefore improved from the 1960s onward. This study revealed that policy and related laws regarding community space in Korea have been developing in a suitable direction and that the addition of various facilities to community spaces has improved the quality of living environments.

A Review on Dynamic Changes of Consumer's Attributes and Marketing Mix Strategies of Cut Roses in Korea (장미에 대한 선호속성의 동태적 변화와 마케팅 믹스전략 탐색)

  • Kim, Bae-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.10
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    • pp.4328-4336
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    • 2011
  • The aim of this study is to find changes of the attributes that influence the purchase of cut roses during recent five years(2007~2011) and suggest some implications on ways to promote cut roses marketing. For this purpose, a survey was conducted through the Internet among 1,100 randomly chosen people living in Seoul, Inchon and Gyeonggi Province in 2011. A total of 1,023 valid replies were received for the analysis of the survey which was carried out by the subsidiary consulting firm. The survey panels and estimation models to analyze changes of consumers' preference attributes during recent five years are same to them of Kim, et al.(2007). That is, empirical analysis tools such as ordered probit model, multinomial logit model, and conjoint analysis were used according to Kim, et al.(2007). This paper suggests several policy implications to set up the target market of cut roses and marketing mix strategy to specify the best 4P(product, price, place and promotion).

Induced Abortion Trends and Prevention Strategy Using Social Big-Data (소셜 빅데이터를 이용한 낙태의 경향성과 정책적 예방전략)

  • Park, Myung-Bae;Chae, Seong Hyun;Lim, Jinseop;Kim, Chun-Bae
    • Health Policy and Management
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    • v.27 no.3
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    • pp.241-246
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    • 2017
  • Background: The purpose of this study is to investigate the trends on the induced abortion in Korea using social big-data and confirm whether there was time series trends and seasonal characteristics in induced abortion. Methods: From October 1, 2007 to October 24, 2016, we used Naver's data lab query, and the search word was 'induced abortion' in Korean. The average trend of each year was analyzed and the seasonality was analyzed using the cosinor model. Results: There was no significant changes in search volume of abortion during that period. Monthly search volume was the highest in May followed by the order of June and April. On the other hand, the lowest month was December followed by the order of January, and September. The cosinor analysis showed statistically significant seasonal variations (amplitude, 4.46; confidence interval, 1.46-7.47; p< 0.0036). The search volume for induced abortion gradually increased to the lowest point at the end of November and was the highest at the end of May and declined again from June. Conclusion: There has been no significant changes in induced abortion for the past nine years, and seasonal changes in induced abortion have been identified. Therefore, considering the seasonality of the intervention program for the prevention of induced abortion, it will be effective to concentrate on the induced abortion from March to May.

A Study of Securing various Financial Resources for the Financial Stability of the Private Colleges (대학의 재정 안정화를 위한 재정확보에 관한 연구)

  • Roh, Kyung-Ho
    • Management & Information Systems Review
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    • v.19
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    • pp.49-81
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    • 2006
  • The private college education plays a crucial role both in training and supplying manpower needed for national economic growth and in increasing employability and personal labor earnings of individual workers. In oder for private college education to effectively respond to the rapid changes in industrial and occupational structures, it is necessary to secure appropriate level of investment funds and manage them efficiently. For this, it is required to discuss the structure, magnitude and management mechanism of the current private college education finance, changes in future demand for private college education and resultant changes in budget estimates, and new financial resources and allocation schemes. This study attempted to analyze current status and problems of private college education finance in Korea and, based on this analysis, to suggest future policy directions to improve private college education finance system. In order to make the private college education system in Korea competent and competitive enough to survive in international market, it is prerequisite to provide enough budget for the private college education and to manage the private college education finance in more efficient ways. First, for securing the adequacy and stability of investment budget for the private college education, it is recommended to 1) increase the government budget and put emphasis on the private college education; 2) diversify financial resources and induce financial contribution from private sector such as school juridical persons and enterprises. Second, for higher efficiency of financial management, it is recommended 1) make valid allocation standards and mechanism; 2) introduce competition system; 3) develop and utilize evaluation mechanism for the private college education finance to check adequacy, efficiency, accountability, and effectiveness; 4) apply consumer-oriented financial management scheme. In addition to the above policy measures, it is necessary to 1) make scientific forecasts of industrial and occupational structures periodically and apply these analyses to medium & long-term the private college education planning; and 2) redesign budget accounting system and develop the private college education performance indicators for the evaluation of accountability of the private college education institutions and administration institutes.

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Dynamic Value Chain Modeling of Knowledge Management (지식경영의 동태적 가치사슬 모형 구축)

  • Lee, Young-Chan
    • The Journal of Information Systems
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    • v.17 no.3
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    • pp.205-233
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    • 2008
  • This study suggests the dynamic value chain model, that will be able to not only show changing processes to organization's significant capital by integrating an individual, implicit, and explicit knowledge which affect organizational decision making, but also distinguish the key driver for raising organizational competitive power because it makes possible to analyze sensitivity of performance along with decision making alternatives and policy changes from dynamic view by connecting knowledge management capability, knowledge management activity, and relations with organizational performance with specific strategic map. Recently, a lot of organizations show interest in measuring and evaluating their performance synthetically. In organizations taking knowledge management, they introduce effective value chain model like a dynamic balanced scorecard (DBSC), and therefore they can reflect their knowledge management condition as well as show their changes by checking performance of established vision and strategy periodically. Furthermore, they can ask for their inner members' understanding and participation by communicating with and inspiring their members with awareness that members are one of their group, present a base of benchmarking, and offer significant information for later decision making. The BSC has been a successful framework for measuring an organization's performance in various perspectives through translating an organization's vision and strategy into an interrelated set of key performance indicators and specific actions. The BSC, while having significant strengths over traditional performance measurement methods, however, has its own limitations, due to its static nature, such as overlooking two-way causation between performance indicators and neglecting the impact of delayed feedback flowing from the adoption of new strategies or policy changes. To overcome these limitations, this study employs SD, a methodology for understanding complex systems where dynamic feedback among the interrelated system components significantly impact on the system outcomes. The SD simulation model in the form of DBSC would serve as a useful strategic teaming tool for facilitating an organization's communication process through various scenario analyses as well as predicting the dynamic behavior pattern of their key performance measures over a future time frame. For the demonstration purpose, this study applied the DBSC model to Prototype of Korea manufacturing and service firm.