1.Some interesting problems of health finance in the management of Health system
Journal of Medical and Pharmaceutical Information 2003;1():11-13
A completed system and mechanism of collecting the medical fee will have great contribution to the improvement of population health by mobilizing and resources for efficient activity of the medical finance. But this system also influences on other various objects of the society such as the consolidity, the unanism, the financial assurance and the financial responsibility. In realizing various function of health system, an important target is measuring and assesment of the implementation relating to the differenciation of the plan and the practice, the organization and the development of health activities. The factors manifesting the health activities must be measured include financial resources, the service supplies, other resources and the management
Delivery of Health Care
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Fees, Medical
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Health
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economics
2.Some interesting problems of health finance in the management of health system
Journal of Medical and Pharmaceutical Information 2003;2():4-6
Health service is a combination of input factors with the processing of production, the services related to the arrangement of each organization and the supply of various intervention medical. Infact, health care system is not limited in the funding organization and service supplying system, but it includes a group of various organization to product and to supply the input factors for creating health service system, especially man power resource such as material facilities, equipments and knowledges. Leading is a function of the government, which assures the responsibility through the medical system to improve and to promote the health, to strengthen the benefit of all
Delivery of Health Care
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Government
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Intervention Studies
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economics
3.Republic of Korea's Health Aid Governance: Perspectives from Partner Countries.
Allison Baer ALLEY ; Eunhee PARK ; Jong Koo LEE ; Minah KANG ; Juhwan OH
Journal of Korean Medical Science 2015;30(Suppl 2):S149-S154
The Republic of Korea (ROK) has a remarkable development history, including its status as the first country to transition from aid recipient to member of the Organization for Economic Cooperation and Development Development Assistance Committee (DAC). However, since becoming a donor country, the ROK has struggled to achieve internationally accepted agreements related to aid effectiveness and several evaluations have identified the ROK as being one of the weakest DAC member countries at providing good aid. A survey was conducted to assess partner countries' perceptions of the ROK's governance of health official development assistance (ODA). The survey was administered to government officials based in partner countries' Ministries of Health and therefore presents the unique perspective of ODA recipients. The survey questions focused on governance principles established in the internationally-accepted Paris Declaration on Aid Effectiveness. The total response rate was 13 responses out of 26 individuals who received the email request (50%). The survey results indicate that progress has been made since earlier international evaluations but the ROK has not overcome all areas of concern. This confirms that the ROK is continuing to develop its capacity as a good donor but has yet to achieve all governance-related targets. The results of this survey can be used to inform a future aid strategy.
Delivery of Health Care/*economics
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Developing Countries/*economics
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Financial Management/*economics
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*Global Health
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*International Cooperation
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Republic of Korea
5.Medical product designing model for the "BOP" in China.
Xie-hui JIANG ; Zhuang-zhi YAN ; Jun SHI ; N R WANIGASEKARA
Chinese Journal of Medical Instrumentation 2006;30(1):22-24
China has a large population under the average economy. This group of people is often referred to those at the Bottom of the Pyramid (BOP). In order to meet their special medical needs, this paper is to discuss a topic on how to create medical products for the "BOP" in China, especially under sustainable developments based on the investigation and analysis in Shanghai. Also, a new possible development model including the government's support, knowledge exchange and communication is introduced.
China
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Delivery of Health Care
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economics
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Equipment and Supplies
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Medical Indigency
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Poverty
6.Integrative medicine, or not integrative medicine: that is the question.
Journal of Integrative Medicine 2015;13(6):350-352
On September 26-27, 2015, the 8th European Congress for Integrative Medicine convened the Global Summit on Integrative Medicine and Healthcare in Greater Copenhagen and Helsingør, Denmark at the Culture Yard just across from Kronborg Castle, which is home to William Shakespeare's Hamlet. This article is a summary of the author's presentation about integrative medicine within the Nordic region, driving factors that determine value in healthcare, key tenets of integrative medicine that lead to healthcare cost savings and the potential for a Nordic healthcare renaissance.
Cost Savings
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Delivery of Health Care
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economics
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Homeostasis
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Humans
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Integrative Medicine
7.Light and Shadows of the Korean Healthcare System.
Journal of Korean Medical Science 2012;27(Suppl):S3-S6
This article reviewed achievements and challenges of the National Health Insurance of the Republic of Korea and shared thoughts on its future directions. Starting with large workplaces of 500 or more employees in 1977, Korea's National Health Insurance successfully achieved universal coverage within just 12 yr in 1989. This amazing pace of growth was possible due to a positive combination of strong political will and rapid economic growth. Key features of Korea's experience in achieving universal coverage include 1) gradual expansion of coverage, 2) careful consideration to maintain sound insurance finances, and 3) introducing multiple health insurance societies (multiple payer system) at the initial stage. Introduction of the health insurance has dramatically improved Korea's health indicators and has fueled the rapid growth of basic medical infrastructure including medical institutions and professionals. On the other hand, the successful expansion was not free from side-effects. Although coverage has gradually expanded, benefits are still relatively low. The current situation warrants concern because coverage expansion is driven by welfare populism asserted by irresponsible political slogans and lacks a social consensus on basic principles and philosophy regarding the expansion. Concentration of patients to a few large prestigious hospitals as well as the inefficiencies resulting from a colossal single-payer system should also be pointed out.
Delivery of Health Care/*economics
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Humans
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National Health Programs/*economics
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Republic of Korea
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Social Welfare
8.Dynamic analysis of the new rural cooperative medical system in Hunan Province from 2003 to 2009.
Dan XU ; Zhenqiu SUN ; Jingjiang LI ; Yonggui LEI
Journal of Central South University(Medical Sciences) 2012;37(2):147-151
OBJECTIVE:
To analyze the new rural cooperative medical system in Hunan from 2003 to 2009 and to provide reference for scientific decision making.
METHODS:
We dynamically analyzed the participation rate, fund raising and fund operation efficiency of the new rural cooperative medical system in the past 7 years.
RESULTS:
From 2003 to 2009, the participation rate increased from 60.7% to 91.22%, funding increased from 30 to 100 yuan/person, degree of hospitalization income from 26.75% to 41.63%, hospitalization rate from 4.57% to 8.26%, and cost of hospitalization times from 2389.46 to 2518.00 yuan.
CONCLUSION
Implementation of the new rural cooperative medical system is indeed a boon to farmers, and the enthusiasm of farmers' participation is significantly improved. We must strengthen the supervision of the designated medical institutions, to effectively reduce health care cost and the burden of medical expense of farmers.
China
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Cooperative Behavior
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Delivery of Health Care
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trends
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Hospitalization
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economics
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Humans
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Rural Health Services
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economics
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organization & administration
9.Cost-of-illness studies: concepts, scopes, and methods.
Clinical and Molecular Hepatology 2014;20(4):327-337
Liver diseases are one of the main causes of death, and their ever-increasing prevalence is threatening to cause significant damage both to individuals and society as a whole. This damage is especially serious for the economically active population in Korea. From the societal perspective, it is therefore necessary to consider the economic impacts associated with liver diseases, and identify interventions that can reduce the burden of these diseases. The cost-of-illness study is considered to be an essential evaluation technique in health care. By measuring and comparing the economic burdens of diseases to society, such studies can help health-care decision-makers to set up and prioritize health-care policies and interventions. Using economic theories, this paper introduces various study methods that are generally applicable to most disease cases for estimating the costs of illness associated with mortality, morbidity, disability, and other disease characteristics. It also presents concepts and scopes of costs along with different cost categories from different research perspectives in cost estimations. By discussing the epidemiological and economic grounds of the cost-of-illness study, the reported results represent useful information about several evaluation techniques at an advanced level, such as cost-benefit analysis, cost-effectiveness analysis, and cost-utility analysis.
*Cost of Illness
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Costs and Cost Analysis
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Delivery of Health Care/economics
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Humans
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Liver Diseases/*economics/pathology
10.Development of health service in Hunan Province.
Min HU ; Gong GUO ; Xiaohua ZHAO ; Zhenqiu SUN ; Hai GUO ; Min GAO ; Dan XU ; Yazhou XIAO ; Fang ZENG ; Youzhe ZENG
Journal of Central South University(Medical Sciences) 2011;36(7):692-696
OBJECTIVE:
To study the health service development in Hunan Province, and to find out the advantages and disadvantages, and to make tentative specific suggestions.
METHODS:
Comparison was made in Yunnan, Hunan, and Zhejiang Provinces in 4 major areas: health institutions, personnels, facilities, and funding.
RESULTS:
The overall health service of Hunan Province was good: The health resources increased, the allocations were reasonable, and the health expenditure decreased. Some problems appeared, such as backward primary health, shortage of medical talents, inefficient use of hospital beds, deducted government investment, increased business income, and large urban-rural gap.
CONCLUSION
There is urgent need to further develop health institutions and increase personnels, particularly improving the primary health care and making use of traditional Chinese medicine; improving the management of hospital beds to increase efficiency, increasing financial support to reduce the patients' burden, and ensuring the need of rural health care.
China
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Delivery of Health Care
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trends
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Health Services
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economics
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statistics & numerical data
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Health Services Administration
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Humans
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Rural Health
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economics