Korean Journal of Health Policy and Administration最新文献

A Study of relationship between high performance-HRM system of medical doctor and the effectiveness of hospital 医生高绩效人力资源管理系统与医院效能的关系研究

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.676

S. Park, Jongseok Cha

引用次数: 1

Creation of a central public healthcare human resources management department to coordinate existing agencies 建立中央公共卫生人力资源管理部门，以协调现有机构

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.703

Seok-Jun Yoon, Hyeyoung Seo, Y. Park

{"title":"Creation of a central public healthcare human resources management department to coordinate existing agencies","authors":"Seok-Jun Yoon, Hyeyoung Seo, Y. Park","doi":"10.4332/KJHPA.2012.22.4.703","DOIUrl":"https://doi.org/10.4332/KJHPA.2012.22.4.703","url":null,"abstract":"Purpose : The aim of this study is to review the current status of healthcare provision and its human resources administrative management and propose a coordinated human resource management plan for the more efficient operations of healthcare organizations. Methods : We reviewed the literature and held discussions with officials from the United States Department of Health and Human Services to survey United States Public Health Service Commissioned Corps operations. In addition, we surveyed the literature to analyze the current structure and responsibilities of governing bodies involved in public healthcare in Korea. Results : In Korea, there are several administrative offices involved in public health: the Ministry of Health and Welfare, the Ministry of Defense, the Environment Ministry and others. Since these diverse agencies don`t integrate their operations, it is difficult to grasp their management of both public healthcare services and their personnel. A potential model is the United States Public Health Service Commissioned Corps, a sub-group of the Department of Health and Human Services and an elite team of highly qualified, public health professionals, which coordinates and manages the overall work and personnel of diverse healthcare organizations. Conclusion : We suggest the establishment of a federal level, public health administrative department of human resource management to centralize and coordinate the existing, disparate healthcare administrative agencies.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130978156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Analysis on the Level of National Health Expenditure and Associated Factors in the OECD Countries 经合组织国家卫生支出水平及相关因素分析

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.538

Inhwa Park

{"title":"Analysis on the Level of National Health Expenditure and Associated Factors in the OECD Countries","authors":"Inhwa Park","doi":"10.4332/KJHPA.2012.22.4.538","DOIUrl":"https://doi.org/10.4332/KJHPA.2012.22.4.538","url":null,"abstract":"This study tried to find out the level of national health expenditure and associated factors in the OECD countries and then to derive lessons for Korea`s health financing based on the cross-national comparison. As a result, Korea`s health expenditure in 2010(7.1% of GDP) accounted for 74.7 percent of the OECD average and ranked as countries to spend less on health. At the same time, the socio-economic indicators such as GDP per capita, elderly population ratio and the total tax revenue to GDP also remained between 72 ~ 82 percent of the OECD average. The public share of health financing(58.2%) was relatively lower than those of other countries. However the health expenditure and the public share have grown 1.9 ~ 2.4 times higher than the OECD average over the past decade. According to the quantitative analysis, countries with relatively high income and elderly population turned out to have high health expenditure. Whereas, an inverse relationship was found between the total health expenditure and the public funding. It was estimated that the value of national health expenditure to GDP decreases 0.083 when the rate of public funding increases 1 percent point. Further, the share of public funding was affected positively by the total tax burden. Based on these findings, this study suggests that the sustainable spending on health and alleviating households` direct burden could be ensured by enhancing the share of public funding along with adjusting the tax burden of the people.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125350336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Has Disabled Access in Healthcare Institutions been Increased? - A Case Study of Jongno-gu in Seoul, Korea - 医疗机构的残疾人通道增加了吗?——以韩国首尔钟路区为例

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.696

Jin Yong Lee, J. Jeong, You Kyung Kim, Eun-kyung Jun, So Yun Kim, Hyun Joo Kim, Bo-Woo Lee

{"title":"Has Disabled Access in Healthcare Institutions been Increased? - A Case Study of Jongno-gu in Seoul, Korea -","authors":"Jin Yong Lee, J. Jeong, You Kyung Kim, Eun-kyung Jun, So Yun Kim, Hyun Joo Kim, Bo-Woo Lee","doi":"10.4332/KJHPA.2012.22.4.696","DOIUrl":"https://doi.org/10.4332/KJHPA.2012.22.4.696","url":null,"abstract":"The purpose of this study was to evaluate the improvement of disabled access to healthcare institution located in Jongno-gu, Seoul in 2011 compared to 2003 since disabled access has been mandatory in healthcare institutions located in new buildings by the amended law in 2004. We had investigated 10 assessment items for disabled access in 166 healthcare institutions located in Jongno-gu, Seoul and the results were compared with those of 2003 survey. On average, 74.1% of the healthcare organizations has equipped with items for disabled access. However the adequately equipped rate for those items was only 39.2%. Compared with the results of 2003 survey, these rates showed a little increase by 4.1% and 8.0%, respectively. There were only 10 healthcare institutions located in new buildings which were constructed after July, 2005. Their average equipped rate(84.4%) and adequately equipped rate(46.8%) were higher than those of the other organizations because the Korean government ruled that healthcare institutions in new buildings must have facilities for the disabled. In conclusion, we confirmed that the accessibility of the disabled to healthcare institution slightly increased. In particular, the healthcare institutions in newly constructed building showed the significant increase of accessibility of the disabled. However, it is founded that disabled access is still not enough for the disabled.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132131406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Factors associated with changes in pharmaceutical expenditures of outpatient care in clinic setting : Focusing on the incentive scheme to reduce total prescribed drug expenditure and the drug utilization review system 门诊用药费用变化的相关因素:重点研究降低处方药总费用的激励方案和药物利用审查制度

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.561

Myung-Hyun Yi, W. Chung, Eun Cho, Roeul Kim, Sunmi Lee

{"title":"Factors associated with changes in pharmaceutical expenditures of outpatient care in clinic setting : Focusing on the incentive scheme to reduce total prescribed drug expenditure and the drug utilization review system","authors":"Myung-Hyun Yi, W. Chung, Eun Cho, Roeul Kim, Sunmi Lee","doi":"10.4332/KJHPA.2012.22.4.561","DOIUrl":"https://doi.org/10.4332/KJHPA.2012.22.4.561","url":null,"abstract":"This study was performed in order to compare a change in pharmaceutical expenditures per outpatient of clinic and to analyze factors relevant to a systems as part of evaluating policies for the incentive scheme to reduce total prescribed drug expenditure and for the drug utilization review system(\"DUR system\" hereafter). For this, it had finally analytical subjects as 21,320 clinics nationwide without a change in location, clinics symbol and signed subject during both terms of the first half of 2010 and the first half of 2011. As a result, the odds ratio with reduction in pharmaceutical expenditures of clinic was statistically higher significantly in the shorter year number of opening clinic, in the larger number of doctors, when the classification of establishment is other, not individual, and when the signed subject is surgical division. Also, the odds ratio was significantly higher in the less patient number of clinic and in the lower ratio of patients aged over 65. Finally, the odds ratio was significantly high when a clinic had been located in DUR system demonstrative project area. Through this, a case of policy for improvement in doctor`s autonomous prescription behavior like DUR system can be known to be effective for reduction in pharmaceutical expenditures. A future research on evaluation of policy for pharmaceutical expenditure management system will need to be performed in-depth analysis in consideration of diverse characteristics on the participatory entities.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121166131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Medication use among adults in Korea: focusing on prescription drugs and lifestyle drugs 韩国成年人的药物使用:主要是处方药和生活方式药物

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.579

Jinok Byeon, Youn Jung, Haejoo Chung

{"title":"Medication use among adults in Korea: focusing on prescription drugs and lifestyle drugs","authors":"Jinok Byeon, Youn Jung, Haejoo Chung","doi":"10.4332/KJHPA.2012.22.4.579","DOIUrl":"https://doi.org/10.4332/KJHPA.2012.22.4.579","url":null,"abstract":"The purpose of the study is to examine the use of medication among adults by comparing the pattern of outpatient prescription drug use with the pattern of long term taking lifestyle drug use. Furthermore, the study investigates factors associated with the use of medication, particularity focusing on socioeconomic factors. Korea Health Panel data of 2008 was used to conduct the study analysis. By performing four different logistic regression models, the study noticed different patterns of the medication use between prescription drugs and lifestyle drugs. More specifically, the study showed that adults with lower education level tend to more frequently receive prescriptions while adults with higher education as well as income level tend to more use lifestyle drugs than their counterparts. Furthermore, other control factors such as age and gender were statistically significant for the use of both prescription and lifestyle drugs in different patterns. The study findings expect that reimbursement structure of drugs may be significantly associated with the different patterns and accordingly the accessability of medicine in particularly vulnerable population. Therefore, these policy factors should be considered in future study to more comprehensively understand about the diverse patterns in the medication use.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130603076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of social capital, health risk behavior and health status on medical care utilization by the elderly 社会资本、健康风险行为和健康状况对老年人医疗保健利用的影响

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.497

Kyung-sook Woo, Jae-Hee Seo, Gye-soo Kim, Y. Shin

{"title":"The effect of social capital, health risk behavior and health status on medical care utilization by the elderly","authors":"Kyung-sook Woo, Jae-Hee Seo, Gye-soo Kim, Y. Shin","doi":"10.4332/KJHPA.2012.22.4.497","DOIUrl":"https://doi.org/10.4332/KJHPA.2012.22.4.497","url":null,"abstract":"Objectives This study aimed to investigate the effect of social capital, health risk behavior and health status on medical care utilization by the elderly. The data and Research method Data were obtained from the 4th wave survey of the Korea Welfare Panel Study. 4,087 household members aged 65 years and over were subject to analysis. Descriptive statistics are used to describe the basic features of the data in a study. we performed a structural equation modeling(SEM) analysis to evaluate the effect of social capital and mediating effect of health risk behavior and health status. Results Results showed that factors related to medical care utilization of the elderly were different depending on types of service (inpatient and outpatient service) except health status. Age, higher social capital, more health-risk behavior and poorer health status were associated with increased use of inpatient service. Social capital was found to have a positive direct effect on it. Also, social capital had an indirect effect on reducing use of inpatient services by improving health status. On the other hand, lower age and higher household income tended to increase use of outpatient service, while higher social capital and higher health status were inversely related. Social capital had a direct effect and an indirect effect on reducing use of outpatient service and, at that time, health status played a mediating role. Conclusions Social capital may contribute to improve health status and indirectly reduce medical care utilization of the elderly by enhancing their health status. These results provide evidence that more policy and strategy considerations should be needed for the elderly to strengthen their social capital in order to enhance their levels of health and more efficient utilization of medical care.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124979028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Public Participation in Healthcare Decision Making : Experience of Citizen Council for Health Insurance 医疗保健决策中的公众参与:健康保险公民委员会的经验

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.467

Soonman Kwon, Myoungsoon You, Juhwan Oh, Soojung Kim, Boyoung Jeon

{"title":"Public Participation in Healthcare Decision Making : Experience of Citizen Council for Health Insurance","authors":"Soonman Kwon, Myoungsoon You, Juhwan Oh, Soojung Kim, Boyoung Jeon","doi":"10.4332/KJHPA.2012.22.4.467","DOIUrl":"https://doi.org/10.4332/KJHPA.2012.22.4.467","url":null,"abstract":"【Public participation in the decision making for scarce health resources is important because health policy requires trust based consensus, which can be achieved by public's understanding and involvement of related policies. In the past, opportunities for interaction between health policy decision makers and lay public were rare in Korea. As political impulses towards public participation in health policy have increased, a few of deliberation methods were attempted. However, there is little research, reporting such cases with a critical examination of relevant theories and previous studies. We first critically review the literature on public participation within theories of democracy, governance, and empowerment. Next, we report a case of a citizen council experiment, which was held to examine public's preferences among different benefit options regarding new drugs and medical technologies. Specifically, in an one-day long citizen council with a total of 28 lay public, twelve questions of whether a drug or a technology should be included in the benefit package of health insurance were asked. Pre- and post-surveys investigated participants' perception of public engagement in health policy. Although it was experimental, the citizen council ensured that lay public could be careful enough to rationally compare the costs and benefits of different options and collectively make decisions. Further, results from pre- and post-survey showed a strong willingness of members to be involved in health care decision making. In the conclusion, we emphasize that better theories and methods need to be developed for more cases of citizen participation in health care policy and management.】","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123041185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Perception of Korean Hospital CEOs on Organizational Accountability : Findings from In-Depth Interviews 韩国医院ceo对组织问责的看法:深度访谈的结果

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.597

Myoungsoon You, Geunchan Lee, Soonman Kwon, Hyejeong Yoon

{"title":"Perception of Korean Hospital CEOs on Organizational Accountability : Findings from In-Depth Interviews","authors":"Myoungsoon You, Geunchan Lee, Soonman Kwon, Hyejeong Yoon","doi":"10.4332/KJHPA.2012.22.4.597","DOIUrl":"https://doi.org/10.4332/KJHPA.2012.22.4.597","url":null,"abstract":"As misalignments among images, identity, and legitimacy of health professionals and institutions have been on the rise, CEOs of health care organizations have been required to enhance organizational accountability. Despite the accumulation of literature on the conceptual discussions of accountability, only a few studies empirically investigated key barriers to accountability and its facilitators. To identify perception on accountability with key barriers and facilitators of organizational accountability, a semi-structured interview with 11 CEOs of Korean hospitals was conducted. A short survey was taken to get quantitative data on CEO`s perception on organizational accountability. To CEOs, accountability was very complex and unfamiliar concept, but understood as physician`s code of ethics by nature and basic principle of hospital management. CEOs thought accountability could be improved through ethical leadership, financial stability and learning climate of hospitals. Distrust of the government, which failed to provide economic incentives for hospitals to increase accountability activities, was emphasized as a serious barrier to hospital accountability. There was consensus among hospital CEOs as to the importance of accountability in management. However, there were concerns that, without policy instruments to motivate hospitals toward increasing community benefits as well as collective efforts among health professionals to rebuild moral climate for being accountable, greater accountability would not be achieved in hospitals.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127876082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

A Study on the Relationship between Nursing Officer's Leadership Style and Knowledge Transfer - Focused on Moderating Effect of Job Characteristics - 护理官领导风格与知识转移的关系研究——以工作特征的调节作用为中心

Korean Journal of Health Policy and Administration Pub Date : 2012-12-31 DOI: 10.4332/KJHPA.2012.22.4.628

M. Roh, Jung Ok Lee

引用次数: 1