• 제목/요약/키워드: Policy-Based Management

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의료에 대한 이념과 정책 (Ideology and Reality in Health Policy)

  • 이규식
    • 보건행정학회지
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    • 제17권3호
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    • pp.106-128
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    • 2007
  • The Korean health care system is under great controversy. Over the last 30 years, main goal of health policies was to pursue equal access of health care services. However, another goal of health policies laid on efficiency and Quality of care, it had lower priorities. Superficially, controversy stems from priority setting among goals of health care system, equity, efficiency and quality. At a deeper level, arguments arise from disagreement and confusion about the values of Korean health care system. One of the value spectrums believes that health care is the basic right of human beings, therefore it should be produced and distributed on need approach, and needs are known to be decided by professionals. If we accept need approach, health care is a pubic good. Another value of spectrums considers that health care should be distributed on demand approach. Demand approach means that health care is a consumption good on the positive economics, while normative judgement believes that health care is a public good. In equity aspect, health care is considered as a public good. Over the last several years, some of scholars proposed health care reform based on the principle of competition which is based on demand approach. Others argue that the competition principle based on demand approach is not appropriate for the reform proposal, because health care has to be approached on need base. If we do not make explicit values we should adopt, consensus building for reform is nearly impossible. From this perspective, this article will review an ideology and reality in health policies in Korea.

한국 담배규제 정책의 평가: 담배규제정책 전문가 의견 조사를 토대로 (Evaluation of Tobacco Control Policy in Korea: Development and Application of the Korean Tobacco Index for Policy Monitoring and Evaluation)

  • 황지은;오유미
    • 보건행정학회지
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    • 제24권4호
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    • pp.342-348
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    • 2014
  • Background: Due to lack of regular and systematic evaluation tool, Korea's tobacco control policy has not been examined its overall process of implementation including efficiency and adequacy of the policies. This study developed policy monitoring and evaluation model to assess policy implementation and effectiveness of tobacco control in Korea. Methods: Based on World Health Organization operational manual for assessment, MPOWER (monitor tobacco use and prevention policies, protect from tobacco smoke, offer help to quit tobacco use, warn about the dangers of tobacco, enforce bans on tobacco advertising promotion and sponsorship, and raise taxes on tobacco) related policies were reviewed by rating policy efforts, programme management, people (human resources and their development), provision of organization, provision of fund and partnerships (range, 0 to 5). Results: As a result of the experts' assessment, overall Korean tobacco control policies scored 2.61 points, which is poor. In relation to each 'MPOWER' policies, 'W' scored the highest points (2.93), followed by 'O' (2.91), 'M' (2.87), 'P' (2.86), and 'E' (2.23). 'R' scored the lowest points of 1.87, meaning government efforts in tobacco price policy is insufficient. Conclusion: This study concludes that Korean tobacco control policy should strengthen tax and price measures, while programme infrastructure, people, and funds for policy enforcement should be secured. Furthermore, rather than focusing on one specific measure, a balanced approach reflecting various aspects of tobacco controls should be considered in order to decrease smoking rates and prevent smoking initiation.

Genetic Algorithm-Based Coordinated Replenishment in Multi-Item Inventory Control

  • Nagasawa, Keisuke;Irohara, Takashi;Matoba, Yosuke;Liu, Shuling
    • Industrial Engineering and Management Systems
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    • 제12권3호
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    • pp.172-180
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    • 2013
  • We herein consider a stochastic multi-item inventory management problem in which a warehouse sells multiple items with stochastic demand and periodic replenishment from a supplier. Inventory management requires the timing and amounts of orders to be determined. For inventory replenishment, trucks of finite capacity are available. Most inventory management models consider either a single item or assume that multiple items are ordered independently, and whether there is sufficient space in trucks. The order cost is commonly calculated based on the number of carriers and the usage fees of carriers. In this situation, we can reduce future shipments by supplementing items to an order, even if the item is not scheduled to be ordered. On the other hand, we can reduce the average number of items in storage by reducing the order volume and at the risk of running out of stock. The primary variables of interest in the present research are the average number of items in storage, the stock-out volume, and the number of carriers used. We formulate this problem as a multi-objective optimization problem. In a numerical experiment based on actual shipment data, we consider the item shipping characteristics and simulate the warehouse replenishing items coordinately. The results of the simulation indicate that applying a conventional ordering policy individually will not provide effective inventory management.

Factors Affecting Public Prejudice and Social Distance on Mental Illness: Analysis of Contextual Effect by Multi-level Analysis

  • Jang, Hyeon-Gap;Lim, Jun-Tae;Oh, Ju-Hwan;Lee, Seon-Young;Kim, Yong-Ik;Lee, Jin-Seok
    • Journal of Preventive Medicine and Public Health
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    • 제45권2호
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    • pp.90-97
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    • 2012
  • Objectives: While there have been many quantitative studies on the public's attitude towards mental illnesses, it is hard to find quantitative study which focused on the contextual effect on the public's attitude. The purpose of this study was to identify factors that affect the public's beliefs and attitudes including contextual effects. Methods: We analyzed survey on the public's beliefs and attitudes towards mental illness in Korea with multi-level analysis. We analyzed the public's beliefs and attitudes in terms of prejudice as an intermediate outcome and social distance as a final outcome. Then, we focused on the associations of factors, which were individual and regional socioeconomic factors, familiarity, and knowledge based on the comparison of the intermediate and final outcomes. Results: Prejudice was not explained by regional variables but was only correlated with individual factors. Prejudice increased with age and decreased by high education level. However, social distance controlling for prejudice increased in females, in people with a high education level, and in regions with a high education level and a high proportion of the old. Therefore, social distance without controlling for prejudice increased in females, in the elderly, in highly educated people, and in regions with a high education and aged community. Conclusions: The result of the multi-level analysis for the regional variables suggests that social distance for mental illness are not only determined by individual factors but also influenced by the surroundings so that it could be tackled sufficiently with appropriate considering of the relevant regional context with individual characteristics.

지속가능한 기술을 향한 새로운 접근: 전략적 니치관리(Strategic Niche Management) (New Approach for Sustainable Technology: Strategic Niche Management)

  • 박동오;송위진
    • 과학기술학연구
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    • 제8권2호
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    • pp.57-81
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    • 2008
  • 이 글은 지속 가능한 기술을 위한 정책적 도구로서 전략적 니치관리(Strategic Niche Management)를 개괄하고, 그 효용과 한계를 점검하고 있다. 전통적인 접근인 시장실패론적 접근과는 달리 전략적 니치관리의 접근은 시스템적 접근으로서, 다층적 관점(Multi Level Perspective)를 통해 기술혁신과 변화를 재분석해내고, 고착화된 사회 기술시스템의 전환을 이룩해내기 위한 방법론이다. 전략적 니치관리의 이론적, 경험적 미성숙에도 불구하고, 전략적 니치관리는 기술혁신과 발전에 대한 분석 틀로서 뿐만 아니라, 급진적 혁신을 만들어 낼 수 있는 도구로서의 가치가 주목된다. 노령화 사회에 대비한 혁신정책 및 지속가능한 에너지 시스템 구축을 위한 혁신정책, 위험사회에 대응한 혁신정책들이 새로운 혁신정책의 영역으로 부상하고 있는 상황에서 전략적 니치관리는 이들 분야에서 중요한 분석 및 실천도구로 활용되며 새로운 영역을 개척할 수 있을 것으로 기대된다.

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한국인 질병의 장애가중치 측정 및 신뢰도 평가 (Disability Weights for Diseases in Korea)

  • 윤석준;도영경;권영훈;김창엽;박기동;김용익;신영수;이중규
    • Journal of Preventive Medicine and Public Health
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    • 제36권2호
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    • pp.163-170
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    • 2003
  • Objectives : This study aimed to develop an evaluation protocol of disability weights using person trade-off, and to test the reliability of the developed protocol in a Korean context. Methods : To develop the valuation protocol, the Global Burden of Disease(GBD) and the Dutch studies were replicated and modified. Sixteen indicator conditions were selected from the Korean version of disease classification, which was based on that of the GBD Study, and the person trade-off method referred to the Dutch method. Results : The disability weights were valued in a two step panel sfudy. The first step was a carefully designed group process by three panels, using person trade-off to establish the disability weights for sixteen selected indicator conditions. The second step consisted of interpolation of the remaining diseases, on a disability scale, by the individual members of three panels. The members of three panels were all medical doctors, with sufficient knowledge of the consequences of a broad variety of diseases. The internal consistency of the Korean disability weights was satisfactory. Considerable agreement existed within each panel and among the panels. Conclusions : It was feasible to use a modified evaluation protocol from those used in GBD and Dutch studies, This would provide a rational basis for an international comparative study of disability weights.

A Comparative Analysis of Healthcare-Associated Infection Policy in South Korea and Its Implications in Coronavirus Disease 2019

  • Jeong, Yoolwon;Kim, Kinam
    • 보건행정학회지
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    • 제31권3호
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    • pp.312-327
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    • 2021
  • Background: Infection prevention and control (IPC) to manage healthcare-associated infection (HCAI) has emerged as one of the most significant public health issues in Korea. The purpose of this study is to draw implications in IPC policies by analyzing the context, process, and major actors in policy development and comparatively analyzing IPC policy contents of Korea with three other countries. Additionally, IPC policies were analyzed in the context of coronavirus disease 2019 (COVID-19) to provide implications for future pandemics and HCAI events. Methods: This study incorporates a qualitative approach based on document and content analysis, applying codes and thematic categorization. IPC policy contents are comparatively analyzed by adopting the concept model, developed by the World Health Organization, which consists of core components of IPC structure at the national and facility level. Results: National IPC policies were developed within a complex social and political context, through the involvement of various stakeholders. IPC policies in Korea place a high emphasis on establishing IPC programs and built environments in healthcare facilities, whereas there were potentials for improvement in policies involving patients and promoting a safety culture. IPC policies, which currently focus on general hospitals and certain functions of hospitals, should further be expanded to target all healthcare facilities and functions, to ensure more efficient and sustainable IPC responses in the current and future disease outbreaks. Conclusion: IPC is a complex policy arena and lessons learned from the analysis of existing policies in the context of COVID-19 should provide valuable strategic implications for future policies.

유비쿼터스 기반 공공서비스 활성화에 관한 연구 (A Study on Vitalization of Public Service based on Ubiquitous Computing)

  • 노규성;윤태근;주성환
    • 디지털융복합연구
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    • 제9권5호
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    • pp.203-213
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    • 2011
  • 본 연구는 국민 친화적인 공공서비스를 발굴하고, 유비쿼터스 관련 산업의 발전을 도모하고자 우리나라에서 정책적으로 추진하고 있는 u-공공서비스의 정책 현황을 살펴보고, 본 정책의 계속적인 활성화를 위한 비전 및 추진전략을 제시하고자 한다. 따라서 첫째, 본 연구는 u-기반 공공서비스 활성화 방안을 마련하고, 둘째, 실용중심의 핵심과제를 발굴하며, 셋째, 향후 u-공공서비스 활성화를 위한 산 학 연 관 협력 체제를 도출하는 데 목적이 있다.

영국 녹지 정책과 녹지 평가 발달에 대한 이해: Green Flag Award를 중심으로 (An understanding of green space policies and evaluation tools in the UK: A focus on the Green Flag Award)

  • 남진보;김남춘
    • 한국환경복원기술학회지
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    • 제22권1호
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    • pp.13-31
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    • 2019
  • Green spaces are recognised for the benefits. They bring to the quality of people's lives. However, since the 1980s there has been a general increase in poorly-managed green spaces. In an attempt to address this issue, green space policy has changed its focus on green space management through the gradual introduction of green space evaluation tools, such as the Green Flag Award (GFA). The GFA, as an established green space evaluation tool in the UK, reflects a shift in policy drivers of green spaces management. However, there is a lack of research investigating the contextualisation between a wide range of policy contexts and such green space evaluation tools (the GFA in this study). The aims of this study are therefore to explore the development of green space evaluation since the late 1990s, with respect to the growth of the GFA and its impact on other evaluation tools across the UK and several countries. To address the aims, this study employs in-depth literature reviews on UK green space policy mainly conducted by government. In addition, case studies are presented, focusing on the GFA and independent green space evaluation tools intrinsically derived from the GFA in the UK's cities and Nordic countries. Results show that based on the awareness of the severity of declining standards of green spaces, newly emerging policy arrangements have been adopted to address negative issues, which affect the standard of green spaces such as the transfer of responsibility for green space management, the implementation of Compulsory Competitive Tendering and ongoing budget cuts. Significantly, the GFA's indicators reflect the emerging changes of economic and social contexts associated with green spaces management where, in particular, the prospect of continuous budget cuts, which encourages communities to become involved in green space management. The GFA has widely contributed to leading such UK's cities and other countries to be able to create their independent green space evaluation tools in different approaches based on stakeholders' (mainly community) involvement in the decision-making process of green space evaluation. In conclusion, this study implies that successful green space evaluation tools do embody the value of green spaces and address drivers of emerging green space management with correspondence to the context of policy arrangements. Importantly, stakeholders have an opportunity to be involved in a partnership in the decision-making process through some green space evaluation tools. It is hoped that for well-managed green spaces this study will contribute valuable knowledge to our existing understanding of green space management in an era of austerity.

텍스트 마이닝을 활용한 데이터 거버넌스 연구 동향 분석: 2009년~2021년 국내 학술지 논문을 중심으로 (The Study on Data Governance Research Trends Based on Text Mining: Based on the publication of Korean academic journals from 2009 to 2021)

  • 정선경
    • 디지털융복합연구
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    • 제20권4호
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    • pp.133-145
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    • 2022
  • 연구 목적은 데이터 거버넌스의 연구 동향을 파악하고자 하였다. 연구 대상은 데이터 거버넌스 개념과 전략이 제시되기 시작한 2009년부터 2021년까지의 논문 158편을 대상으로 하였다. 주요 연구방법은 텍스트 마이닝을 활용하였고, 주요 방법은 빈도분석, 워트클라우드, 네트워크 분석 및 토픽 모델링 기법을 사용하여 분석하였다. 연구 결과 최빈 키워드는 정보, 빅데이터, 관리, 정책, 정부, 법률, 스마트가 확인되었다. 또한 네트워크 분석 결과 데이터 산업 정책, 데이터 거버넌스 성과, 국방, 거버넌스, 데이터 공공 등의 주제로 연관된 연구 수행이 이루어지고 있었다. 토픽 모델링을 통해 도출된 4개 토픽은 "데이터 거버넌스 정책", "데이터 거버넌스 플랫폼", "데이터 거버넌스 관련 법률", "데이터 거버넌스 구현"이며, 이중 "데이터 거버넌스 플랫폼" 관련 연구는 증가 추세를 보였고, "데이터 거버넌스 구현"은 축소되고 있는 경향이었다. 본 연구는 데이터 거버넌스 관련 연구를 종합적으로 정리하였다. 데이터 거버넌스는 조직 차원의 데이터 경영 및 데이터 통합 정책, 관련 기술 등 관련 분야와 다양한 시각에서 연구영역 확대가 필요하다. 향후 해외데이터 거버넌스들을 대상으로 한 분석 대상을 확대하고 4차산업혁명, 인공지능, 메타버스 등 데이터 기반 미래 산업이 요구되는 산업 분야에서의 연구 방향과 정책 방향 수립 관련 후속 연구를 기대할 수 있다.