• Title/Summary/Keyword: public health administration

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Optimal Distribution of Public Health Administration between Local and Central Government (중앙-지방 정부간 보건행정기능 및 재원의 효율적 배분방안)

  • 양봉민;김진현
    • Health Policy and Management
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    • v.2 no.2
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    • pp.33-56
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    • 1992
  • The objectives of this research are (i) to review the functional and financial distribution of public health adminstration between central and local governments, (ii) to find out, based on economic criteria, optimal distribution required to fullfil local need for public health, and finally, (iii) to suggest policy implications in health area in face of the newly arising local autonomy system in Korea. Judging from data on government expenditures and tax revenues, public health administration in Korea is highly concentrated into central government, both functionlally and financially. High dependency of public health on central government has often been critisized that local residents can not participate in the decision making process for local health problems. This study, however, shows that localization of public health administration does not necessarily result in efficient and equitable allocation of resource to satisfy local demand for public health. From this point of view, two eccnomic criteria are suggested, i.e. external effect and economies of scle, as distributive criteria of roles in public health administration between local and central government. In addition, superiority of central concentration of public health administration to localization is emphasized in that public health in a wide sense contains the nature of public good and is part of compulsory socil security system. As a consequence, planned intervention by government is desirable.

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A Study on Activation of Oriental Medicine in Public Health Sector : The role of Oriental Public Health Physicians (한방 공공의료의 활성화에 관한 연구 - 공중보건 한의사의 활동을 중심으로 -)

  • Yi Sang-Gu;Moon Ok-Ryun;Piao Song-Lin;Lee Shin-Jae;Yoon Tae-Ho;Jeong Baek-Geun;Wen Yong
    • Journal of Society of Preventive Korean Medicine
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    • v.4 no.1
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    • pp.1-16
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    • 2000
  • From 1998, Oriental Medical Physicians(OMP) is distributed in Public Health Sector. but long term plan for Oriental Medicine in Public Health is not existed. So, this study is designed for the activation of OMP Subjects in this study were comprised 3 groups of oriental medicine related persons, the group of which are Students of 11 Oriental Medical Schools, Oriental Medical Physicians in Public Health Sector, Specialist Croup of Oriental medicine Policy(total 1,458 persons). Data were collected from July 1st to November 30, 1999. Direct interview with key persons, systematic interview by using of interview protocol, e-mail and facsimile have been conducted. The results of survey were coded by Excel 5.0, and analysed with SAS 6.12 statistical package. Inter-group difference determined by T-test, and descriptive statistics have been examined. Major findings can be epitomized as follows. 1) OMP disposition to multifarious organizations and institutes such as Public Health Centers, Public Health Sub-centers, Public Hospitals, Private Hospitals in Remote-Vulnerable Area, Community Social Welfare Centers, Institutes for Heath Policy Research, etc, will promise an effective use of Oriental Medical Physician. 2) Average number of patients treated by OMP was 22.8, average budget for oriental medical department, in which OMP were affiliated, was 39.6 million Won per year. Direct cost per every patient visit was 7,210.9 Won, which is considered expensive for public health service. Therefore, development and transformation for Oriental Medical Service in Public Health Sector is desirable in economic and political aspects. 3) It is recommended that ${\ulcorner}Advisory\;Committee{\lrcorner},{\ulcorner}Planning\;Commission\;for\; Public\;Health\;in\;Oriental\;Medicine{\lrcorner}$ should be established for the activation and for the support of Oriental Medical Physician in Public Health Sector, 4) Most effective programmes for oriental public health doctor are health service programmes for the elderly, Home health visit, chronic degenerative disease control services(p<0.001). 5) Standard guideline for facilities and equipments of Oriental Medicine Department in Public Health Center is needed for optimal supply of resources and activation of public health activity.

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Comparison of Job Stress, Quality of Life Scale and Health Promotion Behaviors in Public Health Officials and General Administration Officials (보건직 공무원과 행정직 공무원의 직무 스트레스, 건강증진행위와 삶의 질 비교)

  • Hyun, Hye Jin;Shin, Mi Jin;Lee, Hyun Jung
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.4
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    • pp.320-328
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    • 2016
  • Purpose: The purpose of this study was to compare the job stress, health promotion behaviors and quality of life between public health officials and general administration officials. Methods: Subjects were 60 public health officials and 71 general administration officials in G-City in Korea. Data were collected from January 25 to February 5, 2016 through self-administered questionnaires and analyzed t-test and Pearson's correlation coefficients. Results: Job stress (t=4.060 p<.001) and quality of life (t=3.963, p=.025) were significantly different between public health officials and general administration ones, while health promotion behaviors were not significantly different between these two official groups (t=0.394, p=.606) Conclusion: Results of this study suggested that it was necessary for public health officials to develop intervention program aimed at reducing job stress. Also, it would be effective to focus on improving health promotion behaviors and quality of life for them.

Workplace Employees' Annual Physical Checkup and During Hire on the Job to Increase Health-care Awareness Perception to Prevent Disease Risk: A Work for Policy-Implementable Option Globally

  • Hakro, Saifullah;Jinshan, Li
    • Safety and Health at Work
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    • v.10 no.2
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    • pp.132-140
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    • 2019
  • Background: Increasing workplace health-care perception has become a major issue in the world. Most of the health-related problems are faced because of the lack of health management instruments. The level of health care can be improved through workplace health well-being regulations. The aim of the present study is to formulate a conceptual model of physical checkup. Methods: This study applied conceptual theories and figures and used secondary data from articles and relevant websites for evaluating the validity of the study. Results: Annual health checkup increases health-care awareness perception of states, organizations, employees, and their families and manages the annual health record of employees, organizations, and states. Conclusions: Health care and awareness perception of states, organizations, employees, and families improves with annual health checkup, and annual health checkup also prevents unhealthy acts.

Analysis of the Productivity Trend of Public Health Centers in Gangwon-do Using the Malmquist Productivity Index(2006-2013) (맘퀴스트 생산성지수를 활용한 강원도 보건소의 생산성 변화 분석(2006-2013))

  • Um, Tae-Rim;Min, Ha-Ju;Lee, Kwang-Soo
    • The Korean Journal of Health Service Management
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    • v.10 no.2
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    • pp.15-23
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    • 2016
  • Objectives : The purpose of this study was to evaluate the productivity changes of 18 public health centers in Gangwon-do from 2006 to 2013 using the Malmquist Productivity Index(MPI). Methods : Data were collected from Statistics Korea from 2006 to 2013. The input variables were the numbers of medical, nursing and administrative personnels. The output variables were the performances of health promotion programs. Along with the traditional input-oriented DEA analysis, the MPI was calculated. Results : First, among the 18 public health centers, the productivity index of 14 public health centers was increased. Second, the annual productivity showed a 6% increase. Third, the productivity improvements were mainly caused by Scale Efficiency Change. Conclusions : Improving the productivity of public health centers requires the support and external policies of the national and local government. Internally, public health centers need to maintain scale optimization of the center. Additionally, efforts should be made to effectively use limited resources.

The Evaluation of Networking System between Health Promotion and Other Programs at Public Health Centers (보건소 부서간 건강증진사업 연계실태 평가)

  • Seo, Young-Joon;Jeong, Ae-Suk;Lee, Ji-Eun;Shin, Jung-Woo;Kang, So-Young
    • Korean Journal of Health Education and Promotion
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    • v.24 no.2
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    • pp.111-121
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    • 2007
  • The purpose of this study is to examine the status quo of the networking between health promotion and other programs conducted by public health centers(PHCs), and to develop concrete strategies for improving the efficiency of the health promotion programs at PHCs. Data were collected from a questionnaire survey for 246 PHCs nationwide and 96 questionnaire were returned(response rate of 39%). A focus group study was also conducted to compliment the detail of the networking system between health promotion and other programs at PHCs. The results revealed that the current networking between health promotion and other programs conducted by public health centers is not working well. Especially, the communication networking between health promotion and other programs at planning stage is poorer than the stages of implementation, performance, and evaluation. The main reasons of the poor networking have been caused by an inadequate organizational structure, inefficient information system, low level of motivation for networking among the staff of PHCs, and no concrete guidelines for networking. This study also suggested several strategies to facilitate the cooperation between health promotion and other programs.

A Study on the Characteristics of Administrating Practice of the Directors of Health Centers in Korea. (보건소장 행정처리의 특성에 관한 조사연구)

  • 정두채;고송부
    • Health Policy and Management
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    • v.1 no.1
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    • pp.3-18
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    • 1991
  • On the stage of transition from highly centralized government to local self-government in Korea, administrating practice characteristics of the directors of Health Centers is essentially required to be found. This study was conducted in order to find the administration patte군 of the directors of Health Centers in Korea and their opinion on the environment of health administration including personnel management regime for them. The materials were collected from 149 directors of Health Centers with a structured questionaire by mailing. The major findings of this study were as follows. 1. About two-thirds of the directors(69.1%) make plan through the consensus between public service perosonnel in programme department and them in budgt control department. And 75.0% of the directors maintain the planed by the predecessor. 2. More than two-thirds of the directors (71.1%) take subordinates opinion into consideration in case of the programmes facing objections. 3. When the directors face obstacles in pursuing health programmes they usually consult other public service personnel than inhabitants. 4. Only 10.8% of the directors were satisfied with the support of the Ministry of Internal Affairs for health administration while more than half of them were satisfied with the support of health institution in higher level. 5. The directors evaluated the job attitude of the public service personnel in low level as more favorable than that of there higher level public service personnel who work for central government. 6. Only 18.1% of the idrectors were satisfied with their saley. And more than half of them expect the promotion of their position. On the ground of this result the administration attitude of the directors of Health Centers would be evaluated as improved and as more positive than that of other public service personnel in health authorities. However, they are required to consult the inhabitants more frequently for health administration. An the public service personnel in high level who work for central government are required to improve their job attitude.

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