• 보건의료산업학회지
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• 제9권3호
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• pp.115-126
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• 2015

Objectives : This research was performed to investigate the characteristics and determination factors of health care policy satisfaction and welfare recognition for health insurance & health care financing. Methods : The utilized data were 4,174 cases who responded to a welfare recognition survey in the 8th wave of the Korea Welfare Panel Study (2013). The statistical methodology used in this study is the multiple regression model. Results : The significant affecting factors of health care policy satisfaction were age, education, household income, welfare attitudes, and health status. Medical utilization & private medical insurance were not related to health care policy satisfaction. The affecting factors of health insurance reinforcement were age, health status, welfare attitudes. The affecting factors of health care financing expansion were age, economic activity type, medical utilization, welfare attitudes. The affecting factors of welfare attitudes were age, economic activity type, household income, health insurance, and health status. Conclusions : Health care policy satisfaction, health insurance reinforcement, and health care financing expansion were all affected by age and welfare attitude; but this was not the case for private health insurance. This study recommended that the Korean government provide active planning for reinforcement of health insurance and publicity of the health care system in order to accord with the prospects of people.

• 보건행정학회지
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• 제29권3호
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• pp.342-356
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• 2019

Background: The objectives of the study are to find out the effect of the implementing reform in three Central Asian countries, identify its impact on health status and health care delivery systems. This study address to identify strong and weak points of the health systems and provide a recommendation for further health care organization. Methods: A comparative analysis was conducted to evaluate the effects of implemented policy on health care system efficiency and equity. Secondary data were collected on selected health indicators using information from the World Health Organization Global Health Expenditure Database, European Health Information Platform, and World Bank Open Data. Results: In terms of population status, countries achieved relatively good results. Infant mortality and under-5 mortality rate decreased in all countries; also, life expectancy increased, and it was more than 70 years. Regulations of the health systems are still highly centralized, and the Ministry of Health is the main organ responsible for national health policy developing and implementation. Among the three countries, only Kyrgyzstan was successful in introducing a national health system. Distribution of health expenditure between public expenditure and out-of-pocket payments was decreased, and out-of-pocket payments were less the 50% of total health expenditure in all countries, in 2014. Conclusion: After independent, all three countries implemented a certain number of the policy reform, mostly it was directed to move away from the old the Soviet system. Subsequent reform should be focused on evidence-based decision making and strengthening of primary health care in terms of new public health concepts.

• 농촌지도와개발
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• 제28권4호
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• pp.203-213
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• 2021

This study aimed to examine the policy priorities to enhance the service quality of the agro-healing for mental health care using Importance-Performance Analysis (IPA). The subjects were 67 people working in mental health institutions. The result of the IPA for the design of the agro-healing policy, in a total of 5 policy areas, the importance and performance were found to be 'above average', and it was confirmed that 'Keep up the Good Work' level. This is thought to have had a positive effect on raising the policy awareness of experts in mental health related institutions as the government's support for agro-healing and R & D increased according to the enactment of the act. Therefore, the results of this study provided basic information on the development and revitalization of agro-healing service quality for mental health care.

• 보건행정학회지
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• 제2권2호
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• pp.1-32
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• 1992

The Canadian experience-universal government health insurance administeredby the ten provinces and two territories with some fiscal and policy variations-suggests the possibility of more effectve and efficient health care delivery system. The central purpose of the Canadian health in surance was to reduce and hopefully eliminate financial barriers to medical care. In this it succeeded. But it also produced varous kinds of unexpected side-effects on cost and quality. The Federal and Provincial Governments of Canada continue to exert theri efforts to ameliorate these problems. The lesson from Canada is that the health care revenue should be raised at the national level and managed at the regional level, and the regional healthcare financing organization has to take over the functions of the public health center. These alternatives is expected to make the Korean health care delivery system more efective and efficient, and to achieve health for all. This paper also discussed the policy agenda for implementing such alternatives in Korea.

• 한국사회복지학
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• 제62권2호
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• pp.279-306
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• 2010

본 연구는 정책네트워크이론을 적용하여 한국과 일본의 노인장기요양(개호)보험제도의 정책결정과정을 상호 비교, 분석하고 우리나라에의 정책적 이론적 시사점을 도출하고자 하였다. 연구결과로는, 한국과 일본 모두 노인요양(개호)문제에 대한 정책의제형성은 정부 주도로 이루어지고 정책과정단계별 특성에 따라 정책참여자의 범위가 확대되었으나, 두 나라간 노인요양문제에 대한 정책의제형성 배경에는 차이가 있음을 알 수 있다. 그리고 두 나라 모두 정책의제형성 초기단계부터 정책참여자간의 상호 작용은 비교적 협력적이었으나, 제도골격이 국민들에게 공표되면서 급격히 갈등관계 내지 비판적으로 변화해 갔으며, 정책과정단계별 특성에 따라 주도적 참여자들의 역할이 두드러졌고, 연계형태도 비슷한 모습을 보여주고 있다. 또한 정책과정별로 정책참여자의 범위와 정책산출에의 정책참여자들의 의견 반영 정도가 다르지만, 한국, 일본 모두 정부주도로 노인요양문제에 대한 정책 추진결과로 정책의제형성기부터 국회심의결정기까지 매우 유사한 정책네트워크모형을 보여주고 있다. 정책참여자의 범위 뿐만 아니라 개방적인 상호작용시스템 구축의 중요성, 개호보험제도 정책결정과정의 많은 한계점, 과도한 정부주도 정책네트워크로 인한 정책산출에 정부의지가 너무 많이 반영되는 단점 등이 본 연구의 시사점으로 볼 수 있다.

• 보건행정학회지
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• 제9권2호
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• pp.55-76
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• 1999

In order to understand the local council members' attitudes to the health policy, we conducted mail surveys using self-administered questionaire for 2 months(February and March. 1995). The study subjects were 2.312 local council members in Korea, but only about 11% among whom. 257 persons, responded to 2 times mail survey. This response rate revealed that the local council members was not interested in health care fields. The main results were as follows; The respondents thought that the economic and income development was most important among 15 regional policy agendas and the health care was the 5th or 7th important agenda. They. who had more health needs of and poor access to health care, tended to think that the health care was more important. They considered lobbying to and persuading the civil servants as the best method to tackle the local health care policy agenda. The respondents, who had poor access to health care facilities. tended to set the highest priority for the expansion of public and private health care resources. They expected that the election of local governor would activate the public health program more than thought that the program was implemented more actively than other region. The main opinion of respondents was that the central government had to take over planning and financing for the public health program, and the basic local government had to implment the program and budgeting. The majority of respondents agreed the private dominant medical care delivery system and nation-wide uniformed financing mechanism. Over 60% of them suggested that they were ready to suffer environmental pollution inducing health hazards for the purpose of regional economic and income development. About 75% of them favour the campaign for antismoking regardless of reducing local government's revenue from sale tax.

• 한국콘텐츠학회논문지
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• 제21권3호
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• pp.761-770
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• 2021

본 연구는 초등아동을 위해 학교 정규교육시간 이외의 시간에 마을에서 제공하는 돌봄서비스가 아동이 행복한 일상생활을 보장하는 돌봄, 즉 아동권리가 실현되는 정책으로 실현되고 있는지 현황과 개선점을 살펴보고자 한다. 방과후 돌봄은 생존권과 보호권은 물론 창의적인 교육활동과 주체적인 시민성장을 지원하는 통합적 방법으로서 중요하며, 코로나 상황을 맞아 공공의 역할이 더욱 강조되고 있다. 따라서 온종일돌봄 정책 중학교밖 돌봄의 주축이 되는 다함께돌봄 정책을 아동권리 관점에서 분석하였다. 분석결과, 보호자의 역할을 대신하는 보호권에 초점이 맞추어져 아동의 4대 권리를 충분히 보장하는 포괄적 정책으로서 한계점이 있었다. 안전한 돌봄공간 마련도 중요하지만 마을의 다양한 자원을 돌봄 콘텐츠로 적극 활용하여 놀면서 배우는 아동의 선택권 확대를 위한 정책설계가 부족하다. 이를 위한 공공의 역할은 서비스의 양적확대와 더불어 내용적 공공성인 책임성, 공정성, 민주성, 공익성을 담보하기 위한 보완이 요청된다. 다함께 돌봄 정책은 아직 실행초기인 정책으로, 아동권리 관점을 반영하여 유연한 공적돌봄 체계로 발전할 수 있는 정책 개선방향을 제언하였다.

• 가정과삶의질연구
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• 제23권6호
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• pp.95-104
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• 2005

This study surveyed the perception and demand for the child care policy and child care service of working mothers with children under age 6. The subjects were 266 working mothers in Seoul and Kyoung-Gi Province. Data were collected with the questionnaire method and analyzed by spss-win program, including median, mode, mean, standard deviation, and t-test. The result of this study can be summarized as follows. (1) The working mothers considered both parents have the responsibility on child care and strongly demanded the national support on child care. (2) The working mothers prefered own mother and relatives to child care center as a carer of infants and toddlers, but prefered child care center for children age 3-5. (3) The working mothers demanded the increase of finantial support for family and child care center. (4) The working mothers focused on 'the security and care Program' and focused next on 'diet and health care program' in child care service. (5) The working mothers did not nearly know about the accreditation system of child care centers. This results suggest that the national and social support for child care service is an essential part in promoting children's and the working mothers' welfare.

• 보건행정학회지
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• 제1권1호
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• pp.42-53
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• 1991

Analysis of health care utilization is very important for health care policy development. Traditional studies of health care utilization were focused on measuring the level of health care utilization and on analyzing the determinants of health care utilization in the defined areas and populations. But there were some limitations in comparing the health care utilizations rates in traditional studies because so many factors were to be considered. Small area analysis is a method used to demonstrate substantial variations in health care utilization with popualtion-base use rates among similar geographic areas. This review discusses the methods, magnitude and trend of geographic variations, factors influencing small area variations, and makes suggestions for further study. Finally, the article discusses the necessity and feasibility of small area analysis in Korea.

• 보건행정학회지
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• 제25권3호
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• pp.152-161
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• 2015

We analyze the determinants of obesity and the chronic diseases using the Korea Health Panel data. Also we analyze the effect of obesity and the chronic diseases on the health care expenditures. Through this study, to reduce the health care expenditures, we suggest the policy implication that might curb the obesity and the chronic diseases. We estimate the determinants of obesity, the chronic diseases, and the health care expenditures using 2SLS (two stage least squares) estimation method under the simultaneous equations framework. Result says that obesity and chronic diseases significantly have positive effects on the health care expenditures. Also the determinants of the health care expenditures that have positive effects are age, income and health care utilization variables.