• Title/Summary/Keyword: social consensus

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The Opinion of Experts and Stakeholder on Introduction of Orphan or Anticancer Drugs Funding Program (희귀질환 약제, 항암제 별도 기금 도입에 대한 약제급여 결정 전문가와 이해관계자 시각)

  • Kim, Sujin;Jung, Seungyeon;Kim, Dong-Sook
    • Korean Journal of Clinical Pharmacy
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    • v.30 no.3
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    • pp.177-184
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    • 2020
  • Background & objective: The Korean government has expanded its benefit coverage to enhance patients' access to orphan drugs and cancer medicines. However, the number of new drugs whose indications were not applied to reimbursement in health insurance was increased. This study aimed to understand the perspectives of experts and various stakeholders on the introduction of a new funding program for cancer treatment and orphan drugs. Methods: We conducted email surveys comprising 19 questions, from September 9 to 26, 2016. We distributed questionnaires to members of the Pharmaceutical Benefit Appraisal Committee and Cancer Assessment Committee. We also conducted a qualitative study through group interviews with stakeholders, including pharmaceutical companies and some patient groups for diseases. Results: A total of 35 survey respondents recommended the introduction of a funding program for orphan drugs, whereas 66% recommended the launch of funding for anticancer drugs. In addition, most pharmaceutical companies and patient groups recommended the introduction of new funding programs targeting patients with cancer and rare diseases. However, some participants asserted that it would be more appropriate to modify the existing reimbursement scheme than launch new funding. Conclusion: This study concluded that introducing new funding needs a social consensus to relieve financial hardships at the patient level.

An Organization Theory Perspective on the Structural Reform of the Health Care Delivery System (의료공급체계 구조의 개혁방향에 대한 조직이론적 시각)

  • Han, Dal Sun
    • Health Policy and Management
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    • v.28 no.3
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    • pp.197-201
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    • 2018
  • There is a general consensus that many health care problems are attributable to the structural defects of the health care delivery system in Korea. The basic policy aimed to address these problems is to reform the delivery system so as that it incorporates two core principles: (1) stratification of medical care institutions into primary, secondary, and tertiary care providers according to the capability to perform specialized and complex services; (2) patients seeking care starting from the primary care provider and, if necessary, to be referred to the other provider step by step. This policy has been consistently pursued for about 30 years, but the achievement is far from success. Thus it is believed that the feasibility of the policy should be questioned. Starting from this question, based upon the observation of the current structure of the delivery system and its expected changes, the reform policy was discussed focusing on the assessment of its feasibility from both practical and theoretical viewpoints. The discussion leads to cast doubt on the policy for its possibility of making planned changes and producing expected desirable effects. Therefore it is advisable to investigate a wide range of alternative strategies and models for improving health care delivery.

Service Innovation Strategic Consensus: A Lesson from the Islamic Banking Industry in Indonesia

  • MUAFI, Muafi;DIAMASTUTI, Erlina;PAMBUDI, Argo
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.11
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    • pp.401-411
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    • 2020
  • This study aims to analyze the agreement of service innovation using contingency approach (manager personality, organizational structure) moderated by leadership agility. The study has been carried out on Islamic banking companies' managers in Indonesia, from East Java and Yogyakarta region using purposive sampling technique with questionnaire and interviews as the method of data collection. The total number of respondents in the sample is 184. This sample is then analyzed using Euclidience Distance Simple Regression and Simple Regression Moderation method. The results prove that: (1) there is a partial fit between incremental strategy with reactive personality and mechanical organizational structure, which increases the service performance; (2) there is a partial fit between radical strategy with proactive personality and organic organizational structure, which increases the service performance; (3) leadership agility is able to strengthen the fit of the relationship between incremental innovation strategy and reactive personality toward service performance; (4) leadership agility is able to strengthen the fit the relationship between radical innovation strategy and proactive personality toward service performance; (5) leadership agility is able to strengthen the fit of the relationship between incremental innovation strategy and mechanical organizational structure toward service performance; and (6) leadership agility is able to strengthen the fit of the relationship between radical innovation strategy and organic organizational structure toward service performance.

In Search of a Definition of Successful Aging: A Review of Literature (성공적인 노화 정의를 위한 문헌연구)

  • 홍현방;최혜경
    • Journal of Families and Better Life
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    • v.21 no.2
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    • pp.145-154
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    • 2003
  • As the life-expectancy is ever-increasing, and the proportion of the elderly population is growing steadily in every society of the world, it is ever more important to establish what factors allow certain elderly people to age successfully and remain relatively independent while others grow old less successfully and require extensive intervention. However, there is no consensus yet as to what successful aging means. Researchers have defined successful aging in a variety of ways. This study attempted to define the concept of successful aging and to clarify some dimensions of it through literature review. Previous approaches of studying successful aging and related themes were examined. Early perspectives including activity, disengagement, and continuity theories, Selective Optimization with Compensation (SOC) model by Baltes and Baltes, three different conceptions of successful aging, that is, psychological well-being, physical health, and wisdom, and MacArthur research on successful aging have been reviewed for this study. The definition derived from the review is: Keeping up continuous developmental processes to achieve wisdom or ego-integrity, without suffering any major disabilities in either physical or mental functioning, while maintaining psychological well-being and employing SOC strategies, and participating in positive relationships with significant others. The dimensions of successful aging are 1) personal resources, including physical health, cognitive competences, self esteem, and social support 2) adaptation process of SOC, and 3) psychological aspects, including psychological well-being and wisdom.

말기 환자에서 사망 전 의료비 지출 현황과 환자관리 대책

  • Kim, Gi-Gyeong
    • Korean Journal of Hospice Care
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    • v.5 no.1
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    • pp.26-32
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    • 2005
  • Purpose: To know for what the medical expenditure had been used and to seek the way how it can be efficiently redistributed, I investigated total medical expenditure according to the time period to death in the expired patients for recent 2 years. Methods: 21patients were enrolled in this study. Total medical expenditure including benefit charge and non-benefit charge charged to patients in in-patient department(IPD) and out-patient department(OPD) was counted according to the period for one year by death. Results: 94.7% of the total medical expenditure had been payed for admission-related expenditure and 89% during period 3 and 4 for 6months before death, which may be due to the more days of admission during those periods. 70.1% of the total expenditure had been charged on the admission-fee, room charge, diet, and administration of the fluid, medicines, and blood etc. Conclusion: Majority of medical expenditure has been used in the affairs being unable to improve the survival or quality of life of patients and during the periods closer to death. Here, it would be needed heartily to look for the best ways in detail how the idea of hospice can come true through nation-wide and social consensus.

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A study for the refusing enforcement on Foreign Arbitral Awards - Focus on the International Public Policy - (외국중재판정의 승인거부사유에 관한 연구 -공서양속에 관한 논의를 중심으로-)

  • Park, Jong-Don
    • International Commerce and Information Review
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    • v.8 no.1
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    • pp.357-369
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    • 2006
  • All over the country tries to clarify the content of 'Public Policy' in recognition and implementation of Foreign Arbitral Awards : it makes comments of the international consensus of Geneva Convention(1927), New York Convention(1958) and the UNCITRAL Model Law on Public Policy, and it takes a general view of domestic laws how they deal with Public policy and Foreign Arbitral Awards. Foreign Arbitral Awards should be appropriately respected and implementation by the courts of countries encourage parties in a legal procedure to refuse enforcement by invoking "Public Policy." In order to cope with such invocations, the purport of the above recommendation on Foreign Arbitral Awards should be internationally recognized and the exceptional circumstances should be restricted unless the International Court of Arbitral Awards is not established a Dr. Holtzmann/Schwebel brought forward. In this paper suggests the list of the exceptional circumstances. Korean Arbitration Law stipulates as the Civil proceeding Law did, "good morals and the social order of the Republic of Korea" as a ground for refusing enforcement of Arbitral Awards. Studies on counteraction against invocations of Public Policy to refuse enforcement of Foreign Arbitral Awards should be developed.

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Big Data Analysis of Public Acceptance of Nuclear Power in Korea

  • Roh, Seungkook
    • Nuclear Engineering and Technology
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    • v.49 no.4
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    • pp.850-854
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    • 2017
  • Public acceptance of nuclear power is important for the government, the major stakeholder of the industry, because consensus is required to drive actions. It is therefore no coincidence that the governments of nations operating nuclear reactors are endeavoring to enhance public acceptance of nuclear power, as better acceptance allows stable power generation and peaceful processing of nuclear wastes produced from nuclear reactors. Past research, however, has been limited to epistemological measurements using methods such as the Likert scale. In this research, we propose big data analysis as an attractive alternative and attempt to identify the attitudes of the public on nuclear power. Specifically, we used common big data analyses to analyze consumer opinions via SNS (Social Networking Services), using keyword analysis and opinion analysis. The keyword analysis identified the attitudes of the public toward nuclear power. The public felt positive toward nuclear power when Korea successfully exported nuclear reactors to the United Arab Emirates. With the Fukushima accident in 2011 and certain supplier scandals in 2012, however, the image of nuclear power was degraded and the negative image continues. It is recommended that the government focus on developing useful businesses and use cases of nuclear power in order to improve public acceptance.

Effects of Damping and Elastic Nature on the Control Performance of a Safety Budget-Industrial Accidents Model (산재예방예산-산재율 모델의 감쇠 및 탄성 특성이 제어성능에 미치는 영향)

  • Choi, Gi Heung
    • Journal of the Korean Society of Safety
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    • v.28 no.1
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    • pp.6-11
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    • 2013
  • In this study, the effect of damping and elastic nature on the control performance of a safety budget-industrial accident rate model in Korea is examined first. The effectiveness of such dynamic model in establishing safety policies is shown with a simple proportional-integral(PI) feedback control mechanism. Control performance of the safety system model is explained in view of maximizing the effect of IAPF and minimizing the absolute amount of IAFP. Control performance is then evaluated and proved to be effective to prevent and reduce the industrial accidents. Implications in feedback control of a safety system model suggested to optimization of safety policies are also explored. Without proper restructuring of the safety system, it would not be possible to hit the target industrial accident rate. Even if the control objective is met, the amount of industrial accident prevention fund required to reduce the industrial accident rate from the current level to the target level would be far beyond the social consensus.

A Survey of Creating the Botanical Garden for the Disabled (장애인을 위한 식물원 조성에 관한 인식조사에 관한 연구)

  • Cho, Dong-Gil;Jin, Hye-Young;Shin, Ji-Hoon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.13 no.5
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    • pp.90-105
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    • 2010
  • Because of various stresses with rapid change of social structure, the number of the disabled increase steadily. So, the interest of touch garden which the disabled interact with nature and communicate with the non-disabled is more in demand. This study carried out a survey for landuse, facilities, therapeutic garden in creating touch gardens targeting the disabled using them. The results are as follows: At first, the appropriate natural facilities can lead return visit of the disabled. The second, general facilities for information and barrier-free are insufficient. The third, the disabled demand more places for sense of touch and vision, and, also they demand more places for feeling various living things and sense of the season. And the last, the disabled have no experience in therapeutic gardens, but they have consensus for creating special places for the disabled. This study carried out a survey for specially designated user such as the disabled, but through it, it is expected to establish developed design guidelines for creating touch gardens and therapeutic gardens.

A Study on the Direction of the Public Environment Design based on the Regions' Sense of Identity (지역정체성을 기반으로 한 공공환경 디자인의 방향 연구)

  • Song, Young-Min
    • Korean Institute of Interior Design Journal
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    • v.21 no.5
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    • pp.98-105
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    • 2012
  • The purpose of this study is to present the direction for effective public environment design by becoming aware of the social, cultural and historical values that are inherent to the specific regions once again. Concept of regions' sense of identity, regions' resources and regionality were identified as a means based on the basic cityscape plan and guideline for public design. Sample city was analyzed by extracting the regionality elements, and the results are as follows. First, appropriateness of the direction for the public environment design based on the regional identity was confirmed. The need to establish regional identity in the cityscape plan is specified when it comes to the basic goal, strategy and direction. Second, public environment design should be planned within the context of the cityscape. It is necessary to improve with integrated plan by setting up the consistent goal, direction and detailed guideline based on the basic concept of cityscape plan. Third, 'design city' requires the development of the unique design and planned techniques based on the harmony with the existing resources. It is necessary to uncover the powerful design elements that are exclusive to specific regions, and to search for differentiation and visualization to form consensus. Public environment based on regional identity will improve if the above mentioned research results are used as the basic data when it comes to the implementation of public environment design.

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