Korean Journal of Health Policy and Administration最新文献_第10页

Compulsory Licensing as a price control and supply policy of patented drugs : Is it a possible alternative in South Korea? 强制许可作为专利药品的价格控制和供应政策:在韩国是一种可能的替代方案吗?

Korean Journal of Health Policy and Administration Pub Date : 2010-03-31 DOI: 10.4332/KJHPA.2010.20.1.064

Jinok Byeon, Jung-Hoon Chung

引用次数: 1

우리나라 보건의료 조직 연구의 현황과 과제 我国保健医疗组织研究的现状与课题

Korean Journal of Health Policy and Administration Pub Date : 2010-03-31 DOI: 10.4332/KJHPA.2010.20.1.155

유명순

引用次数: 4

Health Outcome Prediction Using the Charlson Comorbidity Index In Lung Cancer Patients 用Charlson合并症指数预测肺癌患者的健康结局

Korean Journal of Health Policy and Administration Pub Date : 2009-12-30 DOI: 10.4332/KJHPA.2009.19.4.018

Se-Won Kim, Seok-Jun Yoon, M. Kyung, Y. Yun, Young-Ae Kim, Eun Jung Kim, Kyeong-Uoon Kim

引用次数: 4

Analysis of Health Promotion determinants in Major OECD Countries: A pooled cross-sectional time series 主要经合组织国家健康促进决定因素分析:一个汇集的横截面时间序列

Korean Journal of Health Policy and Administration Pub Date : 2009-12-30 DOI: 10.4332/KJHPA.2009.19.4.033

Yoonjoung Choi, S. Bae, Young-ho Lee, Min Kang

{"title":"Analysis of Health Promotion determinants in Major OECD Countries: A pooled cross-sectional time series","authors":"Yoonjoung Choi, S. Bae, Young-ho Lee, Min Kang","doi":"10.4332/KJHPA.2009.19.4.033","DOIUrl":"https://doi.org/10.4332/KJHPA.2009.19.4.033","url":null,"abstract":"【Health promotion policies have needed to assess in detailed and evidence-based work to set a policy goal and clear future directions of health promotion in Korea. To identify the major factors related with health promotion, we assessed the associations between public health outcome (potential years of life loss, PYLL) and national health determinants. For this purpose, we used a pooled cross sectional time-series regression analysis with corrected fixed effect models involving sixteen member countries of the Organisation for Economic Cooperation and Development during the period 1970 to 2001. The PYLL was positively associated with tobacco and alcohol consumption (model 1 and 2) and calories intake (model 2 and 3) while the PYLL was negatively associated with GDP, fruit and vegetable intake (model 2), number of doctors (model 3), coverage rates of health care security, and elderly population rates (model 4). In conclusion, health behaviors related with tobacco, alcohol, and nutrition were significant health determinants for health outcome. Overall analysis results of this study will provide a guidance toward improved macro- and micro-policy development for future health promotion policy in Korea.】","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130005476","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

Eliciting stated preferences for drugs reimbursement decision criteria in South Korea 引出对韩国药品报销决策标准的偏好

Korean Journal of Health Policy and Administration Pub Date : 2009-12-30 DOI: 10.4332/KJHPA.2009.19.4.098

M. Lim, E. Bae

{"title":"Eliciting stated preferences for drugs reimbursement decision criteria in South Korea","authors":"M. Lim, E. Bae","doi":"10.4332/KJHPA.2009.19.4.098","DOIUrl":"https://doi.org/10.4332/KJHPA.2009.19.4.098","url":null,"abstract":"The purpose of this study is to elicit preference for drug listing decision criteria and to estimate the ICER threshold in South Korea using the discrete choice experiment (DCE) method. To collect the data, a DCE survey was administered to a subject sample either educated in the principle concepts of pharmacoeconomics or were decision makers within that field. Subjects chose between alternative drug profiles differing in four attributes: ICER, uncertainty, budget impact and severity of disease. The orthogonal and balanced designs were determined through computer algorithm to take the optimal set of drug profiles. The survey employed 15 hypothetical choice sets. A random effect probit model was used to analyze the relative importance of attributes and the probabilities of a recommendation response. Parameter estimates from the models indicated that three attributes (ICER, Impact, Severity of disease) influenced respondents` choice significantly(p0.001). In addition, each parameter displayed an expected sign. The Lower the ICER, the higher the probability of choosing that alternative. Respondents also preferred low levels of uncertainty and smaller impact on health service budget. They were also more likely to choose drugs for serious diseases rather than mild or moderate ones. Uncertainty however is not statistically significant. The ICER threshold, at which the probability of a recommendation was 0.5, was 29,000,000 KW/QALY in expert group and 46,500,000 KW/QALY in industry group. We also found that those in our sample were willing to accept high ICER to get medication for severe diseases. This study demonstrates that the cost-effectiveness, budget impact and severity of disease are the main reimbursement decision criteria in South Korea, and that DCE can be a useful tool in analyzing the decision making process where a variety of factors are considered and prioritized.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"25 22","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132737375","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

Regional Commitment Index of Hospitals 区域医院承诺指数

Korean Journal of Health Policy and Administration Pub Date : 2009-12-30 DOI: 10.4332/KJHPA.2009.19.4.121

Kyung Kim, Seewon Ryu, Young-Rhang Kim

引用次数: 2

희귀난치성질환자에서 사회경제적 수준이 의료이용에 미치는 영향 对疑难杂症患者的社会经济水平对医疗利用的影响

Korean Journal of Health Policy and Administration Pub Date : 2009-12-30 DOI: 10.4332/KJHPA.2009.19.4.066

임준, 김명희, 임정수, 오대규

{"title":"희귀난치성질환자에서 사회경제적 수준이 의료이용에 미치는 영향","authors":"임준, 김명희, 임정수, 오대규","doi":"10.4332/KJHPA.2009.19.4.066","DOIUrl":"https://doi.org/10.4332/KJHPA.2009.19.4.066","url":null,"abstract":"This study aims to examine the effect of socioeconomic status (hereafter, SES) on healthcare utilization of the patients with rare and incurable diseases. Information of 2,973 patients who were self-employed insured and utilized healthcare service in 2007 was drawn from the National Health Insurance (hereafter, NHI) claim data. SES was set as four groups based on the monthly contribution. Outcome variable was the expense for outpatient and in-hospital services, which was log-transformed and square-rooted in oder to obtain normal distribution. Covariates included age, gender, residence and diagnosis. To examine the effects after controlling for covariates, we employed generalized estimating equation model, since patients with the same diagnosis are likely to have similar characteristics of demographics and healthcare utilization. Univariate statistics showed that lower SES was associated with less utilization of healthcare services. After controlling for covariates, a significantly smaller amount of money was expended for the lowest SES group compared to the highest one. Rural residence was associated with less utilization, except that residents in Seoul significantly more utilized outpatient services in tertiary hospitals. Considering that there is a subsidy program for the low income patients, such differences in healthcare utilization according to SES seems to result from the burden of out-of-pocket payments for uncovered services of the NHI.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122838998","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

Korean Journal of Health Policy and Administration Pub Date : 2009-12-30 DOI: 10.4332/KJHPA.2009.19.4.078

Jin-Hee Kwon, Eun-Jeong Han, Jung-Suk Lee

{"title":"Factors related to Family Caregiver Satisfaction with the Institutional care services under the Public Long-Term Care Insurance system","authors":"Jin-Hee Kwon, Eun-Jeong Han, Jung-Suk Lee","doi":"10.4332/KJHPA.2009.19.4.078","DOIUrl":"https://doi.org/10.4332/KJHPA.2009.19.4.078","url":null,"abstract":"This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers` idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client`s requests, and safety of institution`s environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"197 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134366054","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

Factors Affecting Health of the Rural Residents 影响农村居民健康的因素

Korean Journal of Health Policy and Administration Pub Date : 2009-12-30 DOI: 10.4332/KJHPA.2009.19.4.001

D. Son, Kyu-Sik Lee, Jong-Ku Park, S. Koh, K. Jin, E. Nam, Hae-Jong Lee

引用次数: 1

Prenatal care utilization and expenditure among pregnant women 孕妇产前护理的利用和支出

Korean Journal of Health Policy and Administration Pub Date : 2009-12-30 DOI: 10.4332/KJHPA.2009.19.4.053

K. Kim, R. Hwang, J. Yoon, Jin-Soo Kim

{"title":"Prenatal care utilization and expenditure among pregnant women","authors":"K. Kim, R. Hwang, J. Yoon, Jin-Soo Kim","doi":"10.4332/KJHPA.2009.19.4.053","DOIUrl":"https://doi.org/10.4332/KJHPA.2009.19.4.053","url":null,"abstract":"Purpose: This study was conducted to identify the prenatal heath care utilization and expenditure among pregnant women. Method: This was a 5-month follow-up study using a stratified sampling and the data were drawn from the \"nationwide claim database of Korean National Health Insurance Corporation\". Result: This study found that pregnant women were first diagnosed with pregnancy when they were 7.1 weeks pregnant, received 12.7 times of prenatal examinations and 10.6 times of ultrasonogram. It was revealed that 67.5% of the subjects continued to receive prenatal care at the same medical institutions from the diagnosis of pregnancy to the delivery. The study also showed that the total expenditure of prenatal care per pregnant woman was 700,000 Korean Won (KRW) on average and the insurance coverage rate stood at only 20%. Pregnant women living in metropolitan area spent more on prenatal healthcare expenditure than those who living in medium-sized city or rural area. Conclusion: The results of this study implies that the government needs to provide pregnant women with continuous support by increasing health insurance coverage for prenatal care. Especially, it is considered to provide more support to the pregnant women residing in medically underserved areas.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131853812","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