Korean Journal of Health Policy and Administration最新文献_第5页

Predictors of Participation in Hypertension Management Education Programs Using Data From the 2008 Korea National Health and Nutrition Examination Survey 参与高血压管理教育项目的预测因素使用2008年韩国国家健康和营养检查调查数据

Korean Journal of Health Policy and Administration Pub Date : 2011-09-30 DOI: 10.4332/KJHPA.2011.21.3.414

Kyunghee Kang, Jun Yim

引用次数: 1

Institutional Change and Organizational Change: A Multicase Study on the Organizational Adaptation to the Introduction of Pharmacoeconomics 制度变迁与组织变迁:药物经济学引入后组织适应的多案例研究

Korean Journal of Health Policy and Administration Pub Date : 2011-09-30 DOI: 10.4332/KJHPA.2011.21.3.425

Hye-Jae Lee, Myoungsoon You, Tae-Jin Lee

{"title":"Institutional Change and Organizational Change: A Multicase Study on the Organizational Adaptation to the Introduction of Pharmacoeconomics","authors":"Hye-Jae Lee, Myoungsoon You, Tae-Jin Lee","doi":"10.4332/KJHPA.2011.21.3.425","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.3.425","url":null,"abstract":"Background: Organizations in the pharmaceutical industry are highly dependent on the institutional environment. The introduction of pharmacoeconomics to the decision-making on the price and reimbursement decisions became strong constraints to pharmaceutical companies in Korea. As little is known about the issue on organization-environment interaction in the healthcare field, this study aimed to figure out how pharmaceutical companies adapted to the environmental changes. Methods: A multicase study method was used, selecting eight cases among multi-national pharmaceutical companies in South Korea. In-depth interviews were conducted with the managers of these organizations, and secondary data were reviewed to complement the interviews. Results: Pharmaceutical companies viewed the new policies as a big threat and sought for actions against them. One of the most distinguishing organizational changes was to construct a Market Access department. Other strategies managing the environment such as co-optation, forecasting, and bargaining were also implemented. These changes were consistent with the predictions of Resource Dependency Theory and Institutional Theory. Conclusions: The interactions between pharmaceutical companies and institutional environments in healthcare were first explored. This study presents a new perspective on how organizations change and the motives for the changes. The findings of this case study will form the basis of further empirical studies.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115734338","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

Organizational Accountability in Health Care : Developing a Model for Analysis 卫生保健中的组织问责制:发展分析模型

Korean Journal of Health Policy and Administration Pub Date : 2011-06-30 DOI: 10.4332/KJHPA.2011.21.2.213

Geunchan Lee, Myoungsoon You

引用次数: 3

지속적·포괄적 재활서비스 제공을 위한 장애인 통합 데이터베이스 및 활용체계 연구 为提供持续性、综合性康复服务的残疾人综合数据库及活用体系研究

Korean Journal of Health Policy and Administration Pub Date : 2011-06-30 DOI: 10.4332/KJHPA.2011.21.2.279

이희연, 호승희, 강현규, 이승영

{"title":"지속적·포괄적 재활서비스 제공을 위한 장애인 통합 데이터베이스 및 활용체계 연구","authors":"이희연, 호승희, 강현규, 이승영","doi":"10.4332/KJHPA.2011.21.2.279","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.2.279","url":null,"abstract":"Background : Demands have increased for a variety of welfare services and customized services for persons with disabilities(PWD). A management System focused on PWD was needed to provide for comprehensive services. The purpose of this study was to design a disability database and an application system in order to provide continuous and comprehensive rehabilitation service for PWD. Methods : We analyzed local and abroad disability-related policies and systems and derived the contents that should be included in the integrated database for PWD through a survey among rehabilitation specialists. Result : The integrated database for PWD was composed of 7 categories including General Characteristics, Health & Medicine, Assistance, Education, Employment, Economics and Daily & Social Life. The applicable system of integrated database for PWD was proposed to help conducting policies in such areas as follows ; \"welfare\", \"education and culture\", \"economic activity\", \"social participation\" and \"Health\". Conclusion : The main goal of disability policy and strategy should be established by systematically analyzing disability-related data integrating database of PWD. Accordingly, specific objectives and directions for disability policies should be set and efficiently managed and operated. The integrated database for PWD may be utilized for disability-related policies and service monitering, sustainable and integrated management and community participation and integration based on the rights of the disabled.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"07 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128237245","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

간호관리료차등제 등급별 입원 환자의 건강 결과 护理管理费按等级划分住院患者的健康状况

Korean Journal of Health Policy and Administration Pub Date : 2011-06-30 DOI: 10.4332/KJHPA.2011.21.2.195

조수진, 이한주, 오주연, 김진현

{"title":"간호관리료차등제 등급별 입원 환자의 건강 결과","authors":"조수진, 이한주, 오주연, 김진현","doi":"10.4332/KJHPA.2011.21.2.195","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.2.195","url":null,"abstract":"Objectives This study investigates the relationship between nurse staffing levels and differences in patient outcomes in terms of average length of stay, in-hospital mortality rate and 30-day death rate in order to evaluate the effectiveness of a policy that differentiates fees for inpatients on the basis of nurse-to-bed ratios. Methods We obtained information on inpatients from health insurance claims data published by the Health Insurance Review and Assessment Service(HIRA) in 2008, organizational factors(type of hospital, ownership) from the records of the hospital report system in 2008, and nurse staffing levels, which were graded on a scale of 1 to 7, from data compiled between December 15, 2007, and September 20, 2008. The data were segregated according to type of hospital and quarter and finally 3,517 records of 1,182 hospitals were analyzed using multi-level analysis. Results The average length of stay in grade 1∼6 hospitals was lower than that in grade 7 ones, but the difference was much below one day. No significant difference was found among different grades in tertiary hospitals. Further, variations in staffing levels did not result in any significant difference in the in-hospital mortality rate and 30-day death rate. Conclusions High nurse staffing levels did not result in better patient outcomes compared with low staffing levels. We therefore recommend modifying the above nurse staffing policy so as to make it more effective in improving patient outcomes.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134534914","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: 9

An Hierarchical Structure Analysis of Hospital Selection Attributes 医院选择属性的层次结构分析

Korean Journal of Health Policy and Administration Pub Date : 2011-06-30 DOI: 10.4332/KJHPA.2011.21.2.263

Jaebin Cha, HoonYoung Lee

{"title":"An Hierarchical Structure Analysis of Hospital Selection Attributes","authors":"Jaebin Cha, HoonYoung Lee","doi":"10.4332/KJHPA.2011.21.2.263","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.2.263","url":null,"abstract":"As the competition among hospitals become intensified, hospital management is required to carry out more effective marketing and positioning of the hospital. Successful positioning of a hospital requires the knowledge about how the concrete attributes inherent in the medical service associated with the customer values that customers seek eventually in the medical service. Thus, it is required for hospital management to understand which hospital attributes should be emphasized in order to improve the customer values. The hierarchical structure of service attributes can provide valuable information about effective positioning and advertising. To obtain such knowledge, we employed the order analysis technique as an objective means-end chain method. Order analysis is useful for identifying the causal structure among attributes. Thus, we can examine the underlying causal relationship and eventually the vertical structure of hospital selection attributes. For this study, we conducted a survey to obtain 370 responses for the analysis. The result suggests that hospital management had better increase the scale of hospital, improve the services of health care providers, and modernize the hospital facilities and equipments so as to enhance customer values and eventually to lead them to recommend the hospital to others. Our findings would provide the valuable information for hospital management to develop the more effective hospital positioning and marketing strategies.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129737671","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

Effects of reimbursement restriction on pharmaceutical expenditures : A case of Ginkgo biloba 报销限制对医药支出的影响:以银杏为例

Korean Journal of Health Policy and Administration Pub Date : 2011-06-30 DOI: 10.4332/KJHPA.2011.21.2.249

H. Kwon, Tae-Jin Lee

{"title":"Effects of reimbursement restriction on pharmaceutical expenditures : A case of Ginkgo biloba","authors":"H. Kwon, Tae-Jin Lee","doi":"10.4332/KJHPA.2011.21.2.249","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.2.249","url":null,"abstract":"Since May 1st in 2008, the products of ginkgo biloba extract have had to be used with the patient`s out-of-pocket payment due to reimbursement restriction guidelines. This study aims to analyze the policy effects of reimbursement restriction on pharmaceutical expenditures using interrupted time series(ITS) analysis. We retrieved monthly NHI claims data for the period between May, 2005 and December 2009. The ingredients identified as a substitute for ginkgo biloba have similar indications based on the similar pharmacological activities. The effects of changes in reimbursement scope were evaluated both for all relevant pharmaceuticals within the same therapeutic class and for 2 separate groups : ginkgo biloba`s and its substitutes. According to the study results, restrictions on reimbursement scope resulted in savings of the drug expenditures in the targeted therapeutic class. Direct restriction on ginkgo biloba was associated with a decrease in expenditure level by 60.1% and changes in trend from an average increase rate of 1.4% to an average decrease rate of 1.5% for the therapeutic class, with a dramatic decrease in expenditure level(-191.5%) for ginkgo biloba itself, but with an increased expenditure level(+50.1%) and changes in trend from an average increase rate of 2.0% to an average decrease rate of 1.0% for the substitute group. Further policy to restrict nicergoline was associated with additional decrease in expenditure level for the therapeutic class. Additionally, we could identify the balloon effect - a new policy squeezing one part results in bulging out elsewhere. After the restriction of ginkgo biloba, the utilization of and expenditures on its substitutes increased significantly. In conclusion, we demonstrated that consecutively introduced policies effectively reduced overall expenditures on the therapeutic class of interest. Some ingredients played as a substitute while others did not. Further studies need to be conducted to identify which factors determine a substitute.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133178439","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

Effects of the benefit extension policy on the burdening of health care expenditure for households with patients of chronic or serious case 福利延长政策对有慢性或重症病人的家庭保健支出负担的影响

Korean Journal of Health Policy and Administration Pub Date : 2011-06-30 DOI: 10.4332/KJHPA.2011.21.2.159

Jung-Kyu Choi, Hyoung-Sun Jeong, Jeong-Woo Shin, Jiyoung Yeo

{"title":"Effects of the benefit extension policy on the burdening of health care expenditure for households with patients of chronic or serious case","authors":"Jung-Kyu Choi, Hyoung-Sun Jeong, Jeong-Woo Shin, Jiyoung Yeo","doi":"10.4332/KJHPA.2011.21.2.159","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.2.159","url":null,"abstract":"Korea ranks high among the OECD member countries with a high out-of-pocket share. In 2006, the government implemented in full scale the policy of extending the health insurance benefit coverage. Included in the policy are lowering the out-of-pocket share of patients of serious case and expanding the medical bill ceiling system to mention just a few. This study proposes to confirm effectiveness of the benefit extension policy by identifying changes in `out-of-pocket expenditure as a share of the ability to pay` and `incidence rate of catastrophic health care expenditure` of each individual household as manifested before and after the benefit extension policy was implemented. The 1st and 3rd year data from the Korea Welfare Panel Study (KoWePS), conducted by the Korea Institute for Health and Social Affairs (KIHASA), were used for the analysis, where low-income households and ordinary households are sampled separately. While the absolute amount of `out-of-pocket expenditure` occurred to the average household increased for the period 2005-2007, the `out-of-pocket expenditure as a share of the ability to pay` decreased. At the same time, the share decreased in the case of low-income households and households with patients of chronic or serious case as contrasted with ordinary households. `Incidence rates of catastrophic health care expenditure` of ordinary households for 2007 stood at 14.6%, 5.9% and 2.8% at the threshold of 10%, 20% and 30%, respectively. The rates decreased overall between 2005 and 2007, while those of low-income households with patients of serious case statistically significantly increased. An analysis of this study indicates that it is related with the medical bill ceiling system regardless of incomes introduced in 2007.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"17 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125790391","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: 8

The relationship between emotional intelligence in leadership and organizational performance of nurses in general hospitals 综合医院护士领导情商与组织绩效的关系

Korean Journal of Health Policy and Administration Pub Date : 2011-06-30 DOI: 10.4332/KJHPA.2011.21.2.309

B. Lee, Mankyu Choi, Sangsik Moon, Minsoo Jung, Jin-hee Kim

{"title":"The relationship between emotional intelligence in leadership and organizational performance of nurses in general hospitals","authors":"B. Lee, Mankyu Choi, Sangsik Moon, Minsoo Jung, Jin-hee Kim","doi":"10.4332/KJHPA.2011.21.2.309","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.2.309","url":null,"abstract":"In order to effectively attain the objectives of an organization, it is important for the leader to provide an environment where members can co-exist and mutually advance, and also to have an emotional impact on them. This study examines the structural relationship among emotional intelligence in leadership, organizational commitment, job satisfaction, turnover intention, and organizational performance effects of emotional leadership in the nursing profession of a general hospital. A structured questionnaire was sent to 550 nurses in 11 general hospitals in Seoul Metropolitan City, among which 350 responses were used in the analysis. The independent variable, emotional intelligence in leadership, was measured by 18 items, including self-awareness, self-regulation, social awareness and relationship management. The dependent variable, organizational effectiveness, consisted of 46 items, including 15 items regarding organizational commitment, 20 items on job satisfaction, 3 items on turnover intention and 8 items on organizational performance. The structural equation modeling technique was used to identify the impact of emotional intelligence in leadership on organizational effectiveness. The results of the analysis show that the emotional intelligence in leadership of superior nurses has a significant impact on the nurses`organizational commitment and job satisfaction. While the direct effect on turnover intention and organizational performance was not significantly high, organizational commitment and job satisfaction were parameters in low turnover intention and high job performance. In conclusion, emotional intelligence in leadership is critical as nursing services in hospitals are based on interpersonal relationships. Therefore, by developing appropriate programs and training, hospitals can anticipate improved self-awareness, self-regulation, social awareness and relationship management of nurses, and further improve the effectiveness of the nursing profession.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116406328","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: 5

Analysis and Improving ways of Factors affecting the Ill-defined Causes of Death of the Aged in Korea 韩国老年人死亡原因不明确的影响因素分析及改进途径

Korean Journal of Health Policy and Administration Pub Date : 2011-06-30 DOI: 10.4332/KJHPA.2011.21.2.329

Sang-hee Park, Taewha Lee

{"title":"Analysis and Improving ways of Factors affecting the Ill-defined Causes of Death of the Aged in Korea","authors":"Sang-hee Park, Taewha Lee","doi":"10.4332/KJHPA.2011.21.2.329","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.2.329","url":null,"abstract":"This research analyzed 168,010 cases of death of the aged over 65 from 244,867cases of death excluding 7 unknown age cases from 244,874 all age cases of death by using the death data of the National Statistical Office for 2007 to figure out factors affecting the quality of causes of death statistics of the aged and to suggest the ways of improving the quality of death statistics of the aged in korea. This research tried to derive factors affecting ill-defined cause of death category in acordance with WHO`s guidelines and to find causes of lowering the accuracy of causes of death statistics of the aged. This research identified the problems of causes of death statistics of the aged by using both demographic characteristics such as sex, age, marital status, educational attainment, residential region, region size and factors of death items as independent variable to find causes of ill-defined cause of death of the aged. Logistic regression analysis was executed to calculate the hazard ratio about the ill-defined causes of death of the aged and multiple regression analysis was conducted to derive factors affecting the ill-defined cause of death by regional groups through using these independent variables such as the component ratio of over age 65, female death rates, doctors insitutions rate, medical institutions rate, attaching rates of death certificate by neighborhood. As a results of this research, R-code was the highest of ill-defined causes of death, accounting for 82.1%, and senility death(R54) of R-code was the highest, accounting for 91.2%. through subdivided order distribution of the ill-defined causes of death of the aged. As ill-defined causes of death by regional groups, attaching rates of death certificate by neighborhood was the most important factor(p","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130496625","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: 5