• Health Policy and Management
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• v.14 no.2
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• pp.1-16
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• 2004

The study purpose was to find which factors affect selection of hospital network types. This study used the 1998 American Hospital Association Annual Survey Database from Health Forum. Among these U.S. hospitals, the researcher selected hospitals located in Metropolitan Statistical Areas. Therefore the final observation cases for analysis are 1,971 Metropolitan Statistical Area hospitals in the United States. To identify significant variables influencing hospital network types, the study used proportional odds logistics regression model on population size, Health Maintenance Organization penetration rate, and market competition rate of area including a hospital, types of hospital ownership, hospital bed size, proportion of Medicare patients and Medicaid patients in total hospital patients, and occupancy rate. Contrary to conventional wisdom, selection of hospital network types was influenced by population size of area which a hospital located, types of ownership, hospital bed size, and proportion of medicare patients rather than Health Maintenance Organization penetration. Population size 1,000,000-2,499,999 had the highest probability of selecting type IV (clinical-vertical integration) from an independent hospital, and a religious group owned hospitals and for-profit owned hospitals had the highest probability of selecting Type IV (clinical-vertical integration) from an independent hospital. A bed size had positive relation on selecting Type IV (clinical-vertical integration) from an independent hospital. Unlikely general belief that the selecting types of hospital network was determined by the change of health insurance policy such as Health Maintenance Organizations and Preferred Provider Organizations, the types of hospital network were influenced by community characteristics such as population size, and hospital characteristics.

• Health Policy and Management
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• v.25 no.4
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• pp.285-294
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• 2015

Background: Suicide is one of important health problems in Korea. Previous studies showed factors associated with suicide in individual levels. However, suicide was influenced by society that individuals belong to, so it was required to analyze suicide in local levels. The purpose of this study was to analyze the regional disparities of suicide mortality by gender and the association between local characteristics and suicide mortality. Methods: This study included 229 city county district administrative districts in Korea. Age- and sex-standardized suicide mortality and age-standardized suicide mortality (male/female) were used as dependent variables. City county district types, socio-demographics (number of divorces per 1,000 population, number of marriages per 1,000 population, and single households), financial variable (financial independence), welfare variable (welfare budget), and health behavior/status (perceived health status scores and EuroQol-5 dimension [EQ-5D]) were used to represent the local characteristics. We used hot-spot analysis to identify the spatial patterns of suicide mortality and negative binomial regression analysis to examine factors affecting suicide mortality. Results: There were differences in distribution of suicide mortality and hot-spot regions of suicide mortality by gender. Negative binomial regression analysis provided that city county district types (city), number of divorces per 1,000 population, financial independence, and EQ-5D had significant influences on the age- and sex-standardized suicide mortality per 100,000. Factor influencing suicide mortality was the number of divorces per 1,000 population in both male and female. Conclusion: Study results provided evidences that suicide mortality among regions was differed by gender. Health policy makers will need to consider gender and local characteristics when making policies for suicides.

• Health Policy and Management
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• v.27 no.3
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• pp.256-266
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• 2017

Background: Primary health care (PHC) plays a major role to ensure the basic right and equal distribution of the essential health care services. This study presents comparative analyses of PHC in Korea and Uzbekistan, discusses the existing scenario and the challenges, and provides recommendations. Methods: This study reviewed secondary data from Korea's National Statistical Information Service and the State Committee of the Republic of Uzbekistan on Statistic, regulatory legislation, research reports, and policy papers by research and international institutions. We focus on comparing input and outcome health data, PHC structure, and health expenditure. Results: Overall health status of the population in Korea is better than in Uzbekistan; both countries achieved more than 95% immunization coverage. The reforms implemented in both countries provide initial health care service delivery. However, there are several challenges such as the distribution of the staff between urban and rural areas and interest of the graduates on specialization rather than working in PHC system. Conclusion: PHC plays an important role in the provision of medical services to the population, addressing both health and social problems; it is the best tool for achieving universal coverage for basic health needs of the population. The community health practitioners in Korea and nurses in Uzbekistan plays main role in universal coverage through providing essential health care services. Continuous reform of the PHC system should be directed to strengthen the capacity of the PHC staff in health promotion knowledge and activities as well as to encourage population to improve their own health.

• Journal of the Korean Institute of Rural Architecture
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• v.24 no.1
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• pp.19-26
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• 2022

In rural areas, changes in the agricultural structure began to appear as the vulnerable class increased due to a decrease in population such as a decrease in fertility and aging, and the elderly were unable to engage in agriculture. The number of farmers and farmers is steadily decreasing, and the elderly population living in rural areas is steadily increasing. Rural houses are left empty due to the moving, hospitalization, and death of the elderly population. The purpose of this study aims to present the current status of vacant houses in rural areas, problems of vacant houses policy in rural areas, and improvement plans. The purpose of this study aims to analyze the population status and aging of rural areas, and to present a plan to improve the trend of vacant houses with cities and the problems of vacant house policies. This study was conducted in the following process. First, the definition of vacant houses in rural areas should be redefined. Second, it is necessary to analyze the causes of vacant houses in rural areas and plan the use of vacant houses linked to them.Third, the management system of vacant houses in rural areas should be clear.

• Korea journal of population studies
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• v.24 no.1
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• pp.41-65
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• 2001

This study aims a comparative analysis of social stratification in the Great Seoul area using two types of population. One type of population is a resident population(常住人口), and the other is a daytime population주간인구(晝間人口). In most demographic studies, only resident population have been considered. There has been less attention to daytime population. However, a resident population have a character of night population야간인구(夜間人口). In fact, most people move and work in the areas where they do not live in everyday life in the contemporary period, which indicates that the concept of a daytime population is more significant than that of a resident population. This study reveals that a number of people, on the one hand. come together to the downtown area to work or study while they live in other areas. On the other hand, resident population in downtown area do not move so much. When we analyze the social stratification structure of the Great Seoul area using a resident population, we find that the resident population of downtown area consist of those of low social status. On the contrary, the daytime population of downtown area in Seoul consist of those of high social status. This means that most people of high social status live in the southern area of Seoul or outside Seoul, but make a living in downtown area in everyday life. From this study, we find that the concept of a daytime population is as important as that of a resident population. The more residence becomes separate from work place, the more the significance of the concept of a daytime population grows in making policy as wall as in demographic studies. This study implies that we need to pay more attention to the concept of daytime population in demographic and sociological Studies.

• Health Policy and Management
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• v.20 no.1
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• pp.87-102
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• 2010

The objective of this study were to examine the impact of medicaid coverage expansion policy aimed at improving access to primary care. The case-control study was conducted to compare preventable hospitalization(PH) rate in new medicaid recipients versus national health insurance(NHI) enrollees form 1996 to 2001. Rates of preventable hospitalization associated with ambulatory care sensitive conditions(ACSC) were calculated and standardized by age and sex. Multinomial logit regression model was used to control the confounding factors such as age, gender and charlson comorbidity index Annual PH rates in the new medicaid increased 1.64 times after medicaid expansion, with controling confounding factors. Meanwhile, annual PH rate in the NHI increased 1.68 times during the same period, with adjusting confounding factors. Current findings suggest that the new medicaid PH rate was less likely to rise than NHI PH rate after implementing medicaid expansion. This study is expected to provide policy-relevant evidence of medicaid expansion to include population with low income.

• The Journal of Asian Finance, Economics and Business
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• v.2 no.3
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• pp.23-32
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• 2015

The aim of this work is to study the specifics of demographic processes in the Republic of Kazakhstan and to justify proposals concerning improvement of tendencies and methods of realizations of demographic policy in the country. The following methods have been used in this study: the principles of system approach; methods of statistical and comparative economic analysis, sociological analysis; method of expert evaluations; generalization and system analysis. Statistical method is based on the accountability of statistics office of the Ministry of National Economy of the Republic of Kazakhstan (RK) and on the results of sociological studies. The official statistic information, materials of the population census of the RK, materials of the Ministry of Health and Social Development of RK, data from author's studies, carried out in the Institute of Economy of science committee of Ministry of Education and Science of the Republic of Kazakhstan were used in this study. The conclusion about positive tendencies in demographic processes and about necessity of improvement of demographic policy was made. A number of proposals and recommendations concerning creation of favorable social and economic conditions for improvement of demographic situation, enhancement of institutional basis of demographic policy, forms and methods of its realization considering priorities of future development of Kazakhstan were justified.

• Journal of the military operations research society of Korea
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• v.17 no.1
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• pp.61-83
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• 1991

There has been a great deal of research dealing with the optimal replacement of stochastically deteriorating equipment and research in queueing systems with a finite calling population. However. there has been a lack of research which combines these two areas to deal with optimal replacement for a fixed number of machines and a limited number of repairmen. In this research, an optimal control policy for replacement involving two machines and one repairman is developed by investigating a class of age replacement policies in the context of controlling a G/M/1 queueing system with a finite calling population. The control policy to be imposed on this problem is an age-dependent control policy, described by the control limit $t^{\ast}$. The control limit is operational only when the repairman is idle; that is. if both machines are working, as soon as a machine reaches the age $t^{\ast}$ it is taken out of service for replacememt. We obtain the ${\epsilon}$-optimal control age which will minimize the long-run average system cost. An algorithm is developed that is applicable to general failure time distributions and cost functions. The algorithm does not require the condition of unimodality for implementation.

• Journal of Agricultural Extension & Community Development
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• v.25 no.3
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• pp.161-173
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• 2018

The study aims to explore the policy directions for young farmers within Korean agricultural context, particularly in Chung-nam Province. In order to accomplish this, young farmers were classified into three categories: successors, new farmers, potential farmers. The importance of young farmers is becoming more of a focus due to decline of population numbers in rural communities as well as the aging of agriculture population. In order to address these two problems, it is necessary to create and implement policy to support each category of young farmer. Rather than the current focus on nurturing young farmers as a labor force, the role of young farmers in maintaining local communities should be expanded in current agricultural system. The local community should provide appropriate conditions for young farmers in Chung-nam Province for the various purposes they have and the roles they fill. In conclusion, it is necessary to provide a 'space' where young farmers can meet base on the community. For this, the role of the community based intermediate support organization for the integrated support system is of great significance.

• 한국사회복지학회:학술대회논문집
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• 2002.10a
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• pp.291-308
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• 2002