• 제목/요약/키워드: Private Practice

검색결과 500건 처리시간 0.023초

Public/Private Partnerships in Health in the UK: Theory and Practice

  • Richard Priestley;Yoo, Wang-Keun
    • Korean Journal of Health Education and Promotion
    • /
    • 제1권1호
    • /
    • pp.43-57
    • /
    • 1999
  • One of the most fundamental and the oldest issues in the provision of health care throughout the world has been the issue of the role of the public and private sector of health care, and the relationship between them. This paper describes issues associated with the concept of health oriented partnerships in the United Kingdom and seeks to contrast public and private partnerships both in health and in health care. In the United Kingdom it is suggested that health care is conceived by the population to equate to the National Health Service(NHS) with "add on" private health care for certain sectors of the community and within certain well defined clinical parameters. This paper can provide us with valuable information on the characteristics of UK health care systems, current health policies as well as issues relating to the public and private partnerships in health/ health care in the UK, thus offer important policy implications for the improvement of Korean health care system which lacks health-oriented coordinations and partnership between public and private sector very considerably.

  • PDF

Insights into Ergonomics Among Dental Professionals of a Dental Institute and Private Practitioners in Hubli-Dharwad Twin Cities, India

  • Kalghatgi, Shrivardhan;Prasad, Kakarla Veera Venkata;Chhabra, Kumar Gaurav;Deolia, Shravani;Chhabra, Chaya
    • Safety and Health at Work
    • /
    • 제5권4호
    • /
    • pp.181-185
    • /
    • 2014
  • Background: To assess the knowledge, attitude, and practice of ergonomics among dental professionals of Hubli-Dharwad twin cities, India. Methods: Investigator-developed, self-administered, closed-ended questionnaire assessing knowledge, attitude, and practices regarding ergonomics during dental practice was filled in by undergraduates, house surgeons, postgraduates, and faculty members of dental institutions and private practitioners from Hubli-Dharwad twin cities. Results: Data were collected from a total of 250 participants, 50 belonging to each academic group. Overall mean knowledge, attitude, and practice scores were 52%, 75%, and 55%, respectively. Significant correlation was found for age with attitude (${\chi}^2=10.734$, p=0.030) and behavior (${\chi}^2=12.984$, p=0.011). Marital status was significantly associated with all the three domains; knowledge (${\chi}^2=29.369$, p=0.000), attitude (${\chi}^2=29.023$, p=0.000), and practices (${\chi}^2=13.648$, p=0.009). Conclusion: Participants had considerable awareness and behavior toward ergonomics in dental practice. The high attitude score indicates stronger acceptance of ergonomics principles and guidelines during routine dental procedures. The current study highlights the situation of ergonomics in dental practice in the form of knowledge, attitude, and practices.

사교육비 지출이 청소년 자녀의 우울과 신체증상에 미치는 영향 (The Impact of Private Educational Expenditure on Adolescent Depression and Somatic Symptoms)

  • 이성림;김진숙
    • Human Ecology Research
    • /
    • 제60권2호
    • /
    • pp.289-302
    • /
    • 2022
  • This study examined the effect of private educational expenditure on adolescent depression and somatic symptoms. The sample comprised 2,589 first-grade middle-school students who completed the 2018 Korea Children and Youth Panel Survey. Data were analyzed using ANOVA (the generalized linear model), multiple regression, and quantile regression analysis. The principal results were as follows. First, 15.15% of adolescents reported depression symptoms, and 15.57% reported somatic symptoms. Second, levels of depression were significantly different among classes with a different level of private educational expenditure. Third, depression level was significantly negatively associated with private educational expenditure, in that the higher the private educational expenditure, the lower the depression level. Fourth, the effect of private educational expenditure on adolescent depression was significant at the 70~90th quantile regression, suggesting that private educational expenditure was associated with a higher level of depression symptoms. The results indicate that private education was viewed as a consumption commodity rather than a complementary educational practice or investment in human capital. Private education as a commodity might induce the highly developed and costly private education market. In turn, there is an increased financial burden for education at one end of the social-economic continuum and depression caused by relative deprivation at the other end.

철도 민자역사 사업수행체계 개선방안 (Problems and Solutions for the Private-funded Railroad Station Project Management)

  • 박찬식;전용석
    • 한국건설관리학회논문집
    • /
    • 제5권2호
    • /
    • pp.172-180
    • /
    • 2004
  • 최근 철도 민자역사 사업에도 민자유치에 대한 관심이 증가하고 있으나 체계적 사업관리방안의 미비로 인해 민자역사사업의 경쟁력 약화를 초래하고 있다. 본 연구에서는 이러한 문제점을 바탕으로 하여 철도 민자사업관리 활성화를 위한 개선방안을 제시하였다. 문헌 연구 및 전문가 면담조사를 통하여 국내 민자역사사업의 사업관리 및 수행의 문제점을 제도적인 부분과 업무상의 문제점으로 구분하여 $조사\cdot분석$하였다. 제도적인 부분에서는 민자사업의 수익성 저하와 사업자 선정방식이 도출되었고, 업무상의 문제점에서는 지자체 협의 및 인허가 행정 장기화, $사업 운영\cdot관리 미숙$, 타당성 분석의 미흡등이 파악되었다. 문헌고찰과 면담조사를 통해 나타난 문제점들을 근거로 하여, 사업관리의 효율화를 위한 사업수행체계 개선방안으로 투자비 회수 보장제도, SOC 민간투자사업과 동일한 제도적 지원, 사업추진의 전문성 극대화 방안, 사업주관자 선정방식 개선, 민자역사 협의기간 단축방안 등을 제시하였다.

정약용(丁若鏞)의 『소학지언(小學枝言)』 · 『심경밀험(心經密驗)』에 관한 연구(硏究) - 윤리적(倫理的) 실천론(實踐論)을 중심(中心)으로- (A Study of Jeong Yak-yong's Minor Annotation of Elementary Learning and Private Examination of Classic of the Mind)

  • 서근식
    • 한국철학논집
    • /
    • 제23호
    • /
    • pp.217-244
    • /
    • 2008
  • "소학지언(小學枝言)"과 "심경밀험(心經密驗)"을 윤리적(倫理的) 관점에서 살펴보았다. "소학지언(小學枝言)"과 "심경밀험(心經密驗)"은 경학(經學)과 경세론(經世論)을 이어주는 가교(架橋)역할을 하는 저술이다. 이 두 저술은 경학(經學)을 통해 연구한 것을 세론(經世論)을 통하여 실천하기 위하여 저술된 것이다. "소학지언(小學枝言)"이 외면(外面)의 수양(修養)을 위한 책이라면, "심경밀험(心經密驗)"은 내면(內面)의 수양(修養)을 위한 책이다. 이 두 저작을 통해 다산(茶山)이 강조하고 있는 '실천'은 선(善)을 향해 끊임없는 노력이다. 이러한 노력은 선(善)을 향한 적극적 활동이라는 측면에서 본다면 '윤리적(倫理的) 실천(實踐)'이라고 할 수 있다. 다산(茶山)은 "소학지언(小學枝言)"과 "심경밀험(心經密驗)"에서 적극적 활동을 통해 선(善)을 실천할 것을 강조한다. 인간에게 있어서 선악(善惡)의 문제는 마음과 관련된 것이 아니라 실천과 관련된 것이다. 즉, '윤리적(倫理的) 실천(實踐)'을 통해 선(善)해질 수 있는 것이다. 다산(茶山)에게 있어서 선(善)을 향한 '윤리적(倫理的) 실천(實踐)'은 자신 자신의 수양에서뿐만 아니라 다른 사람과의 '관계맺음' 속에서도 이루어져야 한다. 다산(茶山)의 이러한 주장은 개인윤리(個人倫理)와 사회윤리(社會倫理)가 밀접하게 연관 속에서 선(善)을 향한 '윤리적(倫理的) 실천(實踐)'이 이루어짐을 강조한 것이다. 또한, 다산(茶山)은 인간의 자유의지(自由意志)를 강조한다. 이것은 인간의 자유의지(自由意志)에 따라 선악(善惡)이 결정됨을 의미하며, 그 책임 역시 인간에게 있음을 의미한다. 다산(茶山)은 자유의지(自由意志)를 지닌 인간이 '윤리적(倫理的) 실천(實踐)'을 통해 '군자(君子)'가 되어야함을 강조하고 있는 것이다.

의원의 특성에 따른 상병진단군의 분포에 대한 연구 (Chracteristics of Primary Health Practice and Diagnosis-Cluster Pattern in Health Insurance)

  • 윤종률;문옥륜;허정;김창엽
    • 보건행정학회지
    • /
    • 제3권2호
    • /
    • pp.100-129
    • /
    • 1993
  • This study is designed to find out some intra-clinic factors affecting the content of practice provided by primary care physicians in Korea, and proposed factors in this study are characteristcs of each private clinc --- physician-related variables(age, sex, specialty), bfed-related variables for inpatient care, laboratory-related variables for precise diagnosis. We have tried to estimate the difference of disease entities cared by each primary care physician according to above factors by analyzin gdisease data claimed during one month(April, 1992) to National Federation of Medical Insurance. The diagnosis codes by ICD-9 in the research disease data were reclassified to 'diagnosis clusters' by virtue of clinical similarities for effective analyses. We have converted frequent-tsing ICD-9 codes to 86 diagnosis clusters, which incorporated 97.4 percents of all ambulatory visits to private clinics. This result means proposed diagnosis-cluster method is effective tool for analysis of the content of ambulatory medical care carried out by primary care physicians. Comparisons and analyses of multiple diagnosis-clusters made on the basis of presented factors were done and the results were as follows; - Major factors affecting the difference between diagnosis-cluster pattern by each variables were phyusician's age, sex, specialty and bed counts of each private clinic for inpatient care and the size of laboratories of each clinic. - Middle aged(30th to 40th) group physicians are providing more comprehensive care than 20th or above 50th aged groups. Male physicians are more adequate for comprehensive care than female physicians, because woman-doctors are providing narrow-spectrum care. The content of practice of obstetricians and gynecologists shows much difference from primary medical practice, and they cannot be included in primary care physician, this study suggested. Pediatricians are also providing short-spectum acre, and nearly all visits to pediatricians were incorporated only 2-3 diagnosis-clusters. General surgeons' practices are very similar to general practioners' or family physicians' practices, the means they are providing primary care rather than special surgical care. And small number of beds(under 5 beds) and only basic(2-3 sorts of)diagnostic apparatuses are sufficient for primary physicians' clinic to carry out primary care. In conclusion, to reinforce primary care department in Korea, there must be support with health policy to expand office-based primary care practice-- with small number of beds for inpatient care and only basic laboratories-- provided by general practitioner of family physician.

  • PDF