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10 Main Pledge of 19th Presidential Election.

Health Policy and Management.2017;27(2):186-189. doi:10.4332/KJHPA.2017.27.2.186

On May 9th 2017, the 19th presidential election was held. This election was historically significant because of the impeachment of the former president. This election was held in a relatively short period of time, unlike the normal presidential elections. Therefore, there was not enough time to deliberate pledges for candidates and review pledges for the people. South Korea has suffered from many healthcare problems associated with low-birth rate, population aging, and low economic growth rate. In this paper, we compared the ‘10 main pledge’ of the major five candidates of the 19th presidential election and discussed focusing on the healthcare issue. As a result of comparing the 10 main pledge of the major candidates, it was difficult to find healthcare parts whereas there were lots of welfare parts existed. We need enough time to review and discuss pledges in the next election.
Aging ; Delivery of Health Care ; Economic Development ; Korea

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An Empirical Study on Factor Associated with Mood Disorders in Elderly: Focusing on the Influence of Community Characteristics.

Miseung CHANG ; Ik Sup SHIM

Health Policy and Management.2017;27(2):177-185. doi:10.4332/KJHPA.2017.27.2.177

BACKGROUND: The mental problems of the elderly are at issue as a serious social phenomenon. The purpose of this study is to identify risk factors affecting the mood disorders of the elderly. METHODS: The subjects were 1,779,236 aged ≥65 and participated in health screening. Dependent variable was mood disorders. Independent variables were consisted of community level (regional deprivation index and healthcare resources) and individual level (sex, age, insurance type, disability, smoking, alcohol, physical activity, body mass index, and healthcare utilization). Multilevel logistic regression was performed. RESULTS: At the individual level, women, employed insured, severely disabled people, heavy alcohol drinkers, high-intensity physical activity, body mass index, and patients who had chronic disease and severe disease were significantly associated with mood disorders. As the age has increased, it has let increase of mood disorders. At the community level, as the regional deprivation index has increased by 1, mood disorders has been increased by 1.005 times. The intra-class coefficient was 7.04%. CONCLUSION: We found individual and community level factors are associated with mood disorders. Systematic approach is essential to reduce mood disorders.
Aged* ; Body Mass Index ; Chronic Disease ; Delivery of Health Care ; Female ; Health Services for the Aged ; Humans ; Insurance ; Linear Energy Transfer ; Logistic Models ; Mass Screening ; Mood Disorders* ; Motor Activity ; Multilevel Analysis ; Regional Health Planning ; Risk Factors ; Smoke ; Smoking

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Influence Factors on Health and Medical of Retirees Expense to Public Pension Recipients.

Ryoung CHOI ; Byung Deog HWANG

Health Policy and Management.2015;25(2):80-89. doi:10.4332/KJHPA.2015.25.2.80

BACKGROUND: This study aims to identify the monthly average medical expenses of public pension recipients, and analyze the determinants of total health and medical expenses and Western and Oriental medicine expenses, medical service expenses, and medical supplies expenses. METHODS: This study used the fifth year data of 2013 out of the raw data of the Korean Retirement and Income Study collected by the National Pension Research Institute. This study conducted t-test, analysis of variance, and linear regression to verify publicly the relevance between pension recipients' general characteristics and health and medical expenses status using IBM SPSS ver. 21.0 for data analysis. RESULTS: It was analyzed that there is a difference in the spending of expenditure and health care costs according to public pension recipients. Medical expenses of the national pensioners was higher compared to the special corporate pensioners. The national pensioner is related expenditure size, education level, family members living together, residential areas, status of spouse, number of chronic illness, and status of limitation in daily life with psychological health status. CONCLUSION: Therefore, fairness does not occur fire to the medical use between the special corporate pensioners and national pensioners, aggressive of government such as health policy and financial support for the retiree pension policy that reflects the reality intervention would be required.
Academies and Institutes ; Chronic Disease ; Education ; Equipment and Supplies ; Financial Support ; Fires ; Health Care Costs ; Health Expenditures ; Health Policy ; Humans ; Linear Models ; Medicine, East Asian Traditional ; Pensions* ; Retirement ; Spouses ; Statistics as Topic

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An Analysis of Heath-Related Research and Development Registered at the National Technical Information Services.

Young Gon GOH ; Tae Young JUNG ; Hae Joo CHUNG ; Xian Hua CHE ; Sarah YU ; Min Jin JO ; Su Jin CHA ; Da Seul MOON ; Ji Young SUH ; Ku Jin CHO

Health Policy and Management.2015;25(2):71-79. doi:10.4332/KJHPA.2015.25.2.71

With the growth of aging population in Korea, a better care of chronic and other degenerative illnesses is urgently needed. Evidences suggest that this can be achieved through incorporating a wide range of care options, expanding beyond medical interventions. The aim of this study is to analyze the distribution of publically funded research to understand if the Korean research and development funding system matches various approaches and purposes to successfully tackle the chronic care needs of an aging society. We complied the list of funded projects to be analyzed by searching the National Technical Information Service database with key words such as aging society/senescence, chronic diseases, disability, and health promotion. Most projects were based on the biomedical approach with the purpose of establishing the etiology and clinical (treatment) interventions. Health promotion projects showed a distinctive distribution with more percentage of projects based on psycho-behavioral approaches while research on chronic diseases predominantly biomedical. It would be necessary to diversify publically-funded research projects to develop effective and efficient care technologies for the future.
Aging ; Chronic Disease ; Financial Management ; Health Promotion ; Information Services* ; Korea

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The Feasibility and Future Prospects of Robot-Assisted Surgery in Gastric Cancer: Consensus Comments from the National Evidence-based Collaborating Agency Round-Table Conference.

Eunhee SHIN ; Jieun CHOI ; Seongwoo SEO ; Seonheui LEE

Health Policy and Management.2015;25(2):67-70. doi:10.4332/KJHPA.2015.25.2.67

To establish an appropriate policy for robotic surgery in Korea, the National Evidence-based Collaborating Agency (NECA) and the Korean Society of Health Policy and Administration held a round-table conference (RTC) to gather opinions through a comprehensive discussion of scientific information in gastric cancer. The NECA RTC is a public discussion forum wherein experts from diverse fields and members of the lay public conduct in-depth discussions on a selected social issue in the health and medical field. For this study, representatives from the medical field, patient groups, industry, the press, and policy makers participated in a discussion focused on the medical and scientific evidence for the use of robotic surgery in gastric cancer. According to the RTC results, robotic surgery showed more favorable results in safety and efficacy than open surgery and it is similar to laparoscopy. When the cost-effectiveness of robotic surgery and laparoscopy is compared, robotic surgery costs are higher but there was no difference between the two of them in terms of effectiveness (pain, quality of life, complications, etc.). In order to resolve the high cost issue of the robotic surgery, a proper policy should be implemented to facilitate the development of a cost-effective model of the robotic surgery equipment. The higher cost of robotic surgery require more evidence of its safety and efficacy as well as the cost-effectiveness issues of this method. Discussions on the national insurance coverage of robotic surgery seems to be necessary in the near future.
Adenosine-5'-(N-ethylcarboxamide) ; Administrative Personnel ; Consensus* ; Health Policy ; Humans ; Insurance Coverage ; Korea ; Laparoscopy ; Quality of Life ; Stomach Neoplasms*

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The Political Agenda of the Health Care System Reform to Prevent Public Health Emergency in Post-Middle East Respiratory Syndrome Epidemic.

Yoon Hyung PARK

Health Policy and Management.2015;25(2):63-66. doi:10.4332/KJHPA.2015.25.2.63

No abstract available.
Delivery of Health Care* ; Emergencies* ; Public Health*

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Empirical Analysis of Supplier Induced Demand in Korea: Distinction between Induced Demand Effect and Availability Effect.

Ji Young YEO ; Hyoung Sun JEONG

Health Policy and Management.2015;25(1):53-62. doi:10.4332/KJHPA.2015.25.1.53

BACKGROUND: Supplier induced demand (SID) indicates the case when doctors increase the demand of the patients, following their (physicians') own best interests rather than patients'. This may occur when asymmetry of information exists between suppliers and consumers. This study aims to confirm whether SID exists in the Korean setting, particularly by dividing SID into both 'induced demand effect' and 'availability effect.' METHODS: Induced demand effect and availability effect are differentiated following Carlsen & Grytten's theoretical frame which divides doctor density regions into high and low ones. RESULTS: Positive correlation between doctors' density and utilization of their services was found, which could be interpreted as 'availability effect.' CONCLUSION: The result suggests that additional medical use for additional doctor, particularly in the area of low doctor density, can be interpreted to occur to meet the basic medical need of the people rather than as a result of unnecessary induced demand. It is important to make more medical doctors provided and to distribute them appropriately across the region in such a country like Korea where doctor's density is relatively low.
Humans ; Korea* ; Sudden Infant Death

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Study on Factors Associated with the Rise in Grade of Nursing Management Fee among Korean Hospitals.

Hyun Min CHOI ; Nam Kyung HAN ; Sang Kyu LEE ; Han Sung KIM ; Sungkyoung CHOI ; Woojin CHUNG

Health Policy and Management.2015;25(1):40-52. doi:10.4332/KJHPA.2015.25.1.40

BACKGROUND: The purpose of this study was to analyze the increase in Grade of Nursing Management Fee of medical institutions and establish a reasonable government policy by examining which factors affect the increase of nurse staffing. METHODS: Analyzing data collected from the Health Insurance Review & Assessment Service resource management department with targets of 1,104 medical institutions. The study period was 5 years from June 30, 2008 to June 30, 2013. SAS ver. 9.2 (SAS Institute Inc., Cary, NC, USA) was used for statistical analysis. The data was analyzed by a chi-square test and also conducted muiltivariate logistic regression analyses for variables of basic characteristics, human resource characteristics, and material resources. RESULTS: Adjusted odds ratio (AOR) of the rise in Grade of Nursing Management Fee among other hospitals compared to hospitals owned by government or universities was 0.264. The AOR in hospitals established after November 2006 compared to those before June 1995 was 2.383. The AOR in Gangwon, Chungcheng South, and Jeolla South Provinces compared to Seoul was 0.084, 0.036, and 0.194, respectively. The AOR in hospitals with more than 6.75 specialists per 100 beds compared to those with less than 6.75 specialists per 100 beds was 7.514. The AOR in hospitals with more than 17.48 nurse per 100 beds compared to those with less than 17.48 nurse per 100 beds was 3.300. The AOR in hospitals with 50% to 75% bed utilization, 75% to 90% bed utilization and more than 90% bed utilization compared to those with less than 50% bed utilization was 5.428, 9.884, and 10.699, respectively. The AOR in hospitals with one magnetic resonance imaging (MRI) and more than two MRI compared to those with no MRI was 2.018 and 2.942, respectively. CONCLUSION: This result has showed policies to induce the rise in Grade of Nursing Management Fee among old hospitals and the incentive system for local medical institutions are needed. Also we need to develop a governmental policy for medium-small hospitals with low operation rate of beds and insufficient medical personnel and number of equipment in hospitals.
Chi-Square Distribution ; Fees and Charges* ; Gangwon-do ; Human Characteristics ; Insurance, Health ; Logistic Models ; Magnetic Resonance Imaging ; Motivation ; Nursing* ; Odds Ratio ; Seoul ; Specialization

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Factors Affecting the Outcome Indicators in Patients with Stroke.

Sun Hee KIM ; Hae Jong LEE

Health Policy and Management.2015;25(1):31-39. doi:10.4332/KJHPA.2015.25.1.31

BACKGROUND: The purpose of this study is comparison of the results between regression and multi-level analysis to find out factors influencing outcome indicators (in-hospital death, length of stay, and medical charges) of stroke patients. METHODS: By using patient sample data of Health Insurance Review & Assessment Service, patients admitted with stroke were selected as survey target and 15,864 patients and 762 hospitals were surveyed. RESULTS: For the results of existing regression analysis and multi-level analysis, models were assessed through model suitability index value and as a result, the value of results of multi-level analysis decreased compared to the results of regression, showing it is a better model. CONCLUSION: Factors influencing in-hospital death of stroke patients were analyzed and as a result, intra-class correlation (ICC) was 13.6%. In factors influencing length of stay, ICC was 11.4%, and medical charges, ICC was 17.7%. It was found that factors influencing the outcome indicators of stroke patients may vary in every hospital. This study could carry out more accurate analysis than existing research findings through analysis of reflecting structure at patient level and hospital level factors and analysis on random effect.
Humans ; Insurance, Health ; Length of Stay ; Multilevel Analysis ; Regression Analysis ; Stroke*

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Health behavior of North Korean, multicultural and Korean family adolescents in Korea: the Korea Youth Risk Behavior Web-based Survey, 2011-2013.

Hyoju KIM ; Mi Ah HAN ; Jong PARK ; So Yeon RYU ; Seong Woo CHOI

Health Policy and Management.2015;25(1):22-30. doi:10.4332/KJHPA.2015.25.1.22

BACKGROUND: This study investigated the health behaviors of North Korean, multicultural, and Korean family adolescents in Korea. METHODS: The study subjects were from the Korea youth risk behavior web-based survey (2011-2013) dataset. We identified 1,954 multicultural family adolescents and twice as many Korean family adolescents. Frequency analysis was used to assess nativity and nationality of the parents, and the chi-square test was used to compare the general characteristics and health behavior of the multicultural and Korean families. Conditional multiple logistic regression was used to compare health behavior between multicultural and Korean families. RESULTS: Of the 5,862 multicultural and Korean family adolescents, current smoking in North Korean family adolescents was higher than Korean family adolescents (adjusted odds ratio [aOR], 2.32; 95% confidence interval [CI], 1.60-3.35) after adjusting for sex, school year, perceived school record, family structure, father's education, mother's education, perceived economic status, place of residence, and survey year. A high drinking rate was significantly greater in North Korean family adolescents compared to Korean family adolescents (aOR, 2.94; 95% CI, 1.89-4.57). Odds ratios for sufficient physical activity of vigorous intensity (aOR, 1.82; 95% CI, 1.31-2.54) were significantly higher in North Korean family adolescents than in Korean family adolescents. Fast food intake (aOR, 1.96; 95% CI, 1.34-2.86) was significantly higher in North Korean family adolescents compared to Korean family adolescents. CONCLUSION: There were differences in health behavior between North Korean, multicultural, and Korean family adolescents. Further studies are needed to investigate the factors associated with these differences.
Adolescent* ; Chi-Square Distribution ; Cultural Diversity ; Dataset ; Democratic People's Republic of Korea ; Drinking ; Education ; Ethnic Groups ; Fast Foods ; Health Behavior* ; Humans ; Korea* ; Logistic Models ; Motor Activity ; Odds Ratio ; Parents ; Risk-Taking* ; Smoke ; Smoking

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