1.Health System and Payment Method.
Journal of the Korean Medical Association 2001;44(4):356-361
No abstract available.
Methods*
2.Structural Reform of Health Care.
Journal of the Korean Medical Association 1998;41(9):902-904
No abstract available.
Delivery of Health Care*
3.Avoidable' causes of death in Korea 1982-1991.
Korean Journal of Epidemiology 1993;15(2):160-172
No abstract available.
Cause of Death*
;
Korea*
4.Medical counselling by computer mediated communication.
Yun Mi SONG ; Chang Yup KIM ; In Hong HWANG
Journal of the Korean Academy of Family Medicine 1992;13(4):310-317
No abstract available.
5.Double bridge PAP labelling of fibronectin in paraffin processed tissue.
Douk Ho HWANG ; Young Seok KIM ; In Yup CHANG ; Wang Jae LEE ; Ka Young CHANG
Korean Journal of Anatomy 1991;24(2):260-167
No abstract available.
Fibronectins*
;
Paraffin*
6.Determining the Location of Urban Health Sub-center According to Geographic Accessibility.
Kun Sei LEE ; Chang Yup KIM ; Yong Ik KIM ; Youngsoo SHIM
Korean Journal of Preventive Medicine 1996;29(2):215-226
Decentralization to local governments and amending of Health center Law are to promote the efforts of health planning at the level of local agencies. In the health facility planning, it is important to take into account that what to be built, where to be located, how far should be service area and so forth, because health facilities are immovable, and require capital as well as personnel and consumable supplies. The aim of our study, answering to the question of 'where to be located?`, is to determine the best location of urban health sub-center. At the local level, planning is the matter of finding the best location of specific facility, in relation to population needs. We confine the accessibility, which is basic to location planning, to geographic one. Location-Allocation Model is used to solve the problem where the location is to maximize geographic accessibility. To minimize the weighted travel distance, objective function, Rk= aijwidij is used. Distances are measured indirectly by map measure-meter with l:25,000 Suwon map, and each potential sites, 10 administrative Dongs in Kwonson Gu, Suwon, are weighted by each number of households, total population, maternal age group, child age group, old age group, Relief for the livelihood, and population/primary health clinics. we find that Kuwoon-Dong, Seodun-Dong, Seryu3-Dong, according the descending orders, are best sites which can minimize the weighted distance, and conclude that it is reasonable to determine the location of urban health sub-center among those sites.
Child
;
Equipment and Supplies
;
Family Characteristics
;
Gyeonggi-do
;
Health Facilities
;
Health Facility Planning
;
Health Planning
;
Humans
;
Jurisprudence
;
Maternal Age
;
Politics
;
Urban Health*
7.Projection of Supply of and Demand for Psychiatrists in Korea.
Journal of Korean Neuropsychiatric Association 1999;38(4):689-701
OBJECTIVES: Assuring adequate supply of specialist physicians is an important task in national health planning. An over-supply in a given speciality inflates health care cost, while undersupply increases the likelihood that population has a barrier in the access to basic health services needed. Only a few national specialty-specific physician planning studies have been undertaken in Korea. We forecasted the supply of and the demands for psychiatrists in the target year of 2015. METHODS: We adopted alternative projection models combined with demographic method as a supply forecasting method and Health Resources and Services Administration's demographic utilization-based model as a requirements forecasting method. The model uses selected data primarily from National Hospital Discharge Survey, database of the Korean Neuropsychiatric Association (KNPA) survey for certified members of KNPA, and Hospital Accreditation and Teaching Hospital Designation Report. We assumed two alternatives in supply forecasting by the number of medical students enrolled, and three alternatives in requirements forecasting based on future service utilization and physician productivity. RESULTS: Depending on assumptions, total psychiatrist supply ranged from 3,439 to 3,575 and requirements ranged from 1,873 to 4,048 in 2015. We estimated 162 surplus in 2005 and a 162 shortage of psychiatrist in 2015 based on high-level supply estimates and medium level requirements estimates. CONCLUSION: There would be no overt oversupply of psychiatrists in 2015 if the number of new residency positions is maintained at 4.6% of the number of medical students newly enrolled in a year. Further studies would be needed concerning comprehensive economic and institutional factors which could affect the requirements of psychiatrists.
Accreditation
;
Efficiency
;
Forecasting
;
Health Care Costs
;
Health Care Surveys
;
Health Planning
;
Health Resources
;
Health Services Needs and Demand
;
Hospitals, Teaching
;
Humans
;
Internship and Residency
;
Korea*
;
Psychiatry*
;
Specialization
;
Students, Medical
8.On the Feasibility of a RUG-III based Payment System for Long-Term Care Facilities in Korea.
Eun Kyung KIM ; Ha Young PARK ; Chang Yup KIM
Journal of Korean Academy of Nursing 2004;34(2):278-289
PURPOSE: The purpose of this study was to classify the elderly in long-term care facilities using the Resource Utilization Group(RUG-III) and to examine the feasibility of a payment method based on the RUG-III classification system in Korea. METHOD: This study measured resident characteristics using a Resident Assessment Instrument-Minimum Data Set(RAI-MDS) and staff time. Data was collected from 530 elderly residents over sixty, residing in long-term care facilities. Resource use for individual patients was measured by a wage-weighted sum of staff time and the total time spent with the patient by nurses, aides, and physiotherapists. RESULT: The subjects were classified into 4 groups out of 7 major groups. The group of Clinically Complex was the largest (46.3%), and then Reduced Physical Function(27.2%), Behavior Problems (17.0%), and Impaired Cognition (9.4%) followed. Homogeneity of the RUG-III groups was examined by total coefficient of variation of resource use. The results showed homogeneity of resource use within RUG-III groups. Also, the difference in resource use among RUG major groups was statistically significant (p<0.001), and it also showed a hierarchy pattern as resource use increases in the same RUG group with an increase of severity levels(ADL). CONCLUSION: The results of this study showed that the RUG-III classification system differentiates resources provided to elderly in long-term care facilities in Korea.
Aged
;
Female
;
Health Resources/*utilization
;
Homes for the Aged/*economics
;
Humans
;
Korea
;
Long-Term Care/*economics
;
Male
;
Nursing Homes/*economics
;
Patients/*classification
;
*Prospective Payment System
9.Medicare System of Health Insurance and their Finance.
Korean Journal of Medical Education 1997;9(1):21-31
No abstract available.
Insurance, Health*
;
Medicare*
10.Reimbursement for the Long-Term Care.
Journal of Korean Geriatric Psychiatry 2003;7(2):119-130
Reimbursement system for long-term care have to be based on the several principles: reimbursing cost of the care provision, maintaining quality, containing unnecessary cost, and minimizing administrative cost. Although it is difficult to adopt single system to satisfy all stakeholders, first of all characteristics of long-term care should be considered in developing the system. Among them, prepayment system based on the functional classification of the subjects would be given the highest priority, because resource utilization of the elderly people who need long-term care would be dependent on the functional status rather than diseases or specific problems.
Aged
;
Classification
;
Humans
;
Long-Term Care*