Journal Detail Information

1

Cite

Share

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

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

2

Cite

Share

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

3

Cite

Share

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*

4

Cite

Share

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*

5

Cite

Share

Compare Patient Right and Consumer Right in Medical Field.

Younghoon JUNG

Health Policy and Management.2017;27(1):3-17. doi:10.4332/KJHPA.2017.27.1.3

In the traditional medical field, the patient was a person to receive protection from the doctor because there are vertical relationship between the patient and the doctor. But in modern medical field, patients change their role to health-care consumer to be guaranteed their rights more actively. This study compare patient's rights in doctor's vocational ethics and patient's rights in law, consumer rights. This study analyzes what is type of law-relationship between patients and doctor and how can they act health-care as health-care consumer.
Ethics ; Humans ; Jurisprudence ; Patient Rights*

6

Cite

Share

The Role of Academic Journal in Health Policy.

Eun Cheol PARK

Health Policy and Management.2017;27(1):1-2. doi:10.4332/KJHPA.2017.27.1.1

Health policy is the governmental decision contained with the objectives to achieve the desirable health and the tools to achieve them. The academic journal in health policy could be involved in all stages of the health policy process–agenda setting, policy making, policy implementing, and policy evaluating. ‘Health Policy and Management’ has been undertaking the role of an academic society in health policy. ‘Health Policy and Management’ will strengthen its role in health policy.
Health Policy* ; Mortuary Practice ; Policy Making

7

Cite

Share

Effects of Spatial Accessibility on the Number of Outpatient Visits for an Internal Medicine of a Hospital.

Eun Joo LEE ; Kyeong Jun MOON ; Kwang Soo LEE

Health Policy and Management.2016;26(3):233-241. doi:10.4332/KJHPA.2016.26.3.233

BACKGROUND: This study purposed to analyze and understand how spatial accessibility of patients influenced the number of outpatient visits for the internal medicine of a hospital. METHODS: A hospital with 100 beds in Seoul, South Korea provided data from 2013 January 1 to 2013 June 30. Euclidean distance and road ares were used to represent the spatial accessibility. Patient level data and dong level data were collected and used in spatial analysis. Dong level data was converted into grid level (500×500 m) for the multivariate analysis. Hot-spot analysis and generalized linear model were applied to the data collected. RESULTS: Hot-spots of outpatient visits were found around the study hospital, and cold-spots were not found. Number of outpatient visits was varied by the distance between patient resident and hospitals, and about 80% of total outpatient visits was occurred in within the 5 km from study hospital, and 50% was occurred in within 1.6 km. Spatial accessibility had significant influences on the outpatient visits. CONCLUSION: Findings provide evidences that spatial accessibility had influences on the patients' behaviors in utilizing the outpatient care of internal medicine in a hospital. Results can provide useful information to health policy makers as well as hospital managers for their decision making.
Ambulatory Care ; Decision Making ; Health Policy ; Humans ; Internal Medicine* ; Korea ; Linear Models ; Multivariate Analysis ; Outpatients* ; Seoul ; Spatial Analysis

8

Cite

Share

The Influence of Community Characteristics on Food Insecurity Korean Adults.

Jun PARK ; Gilwon KANG ; Yangju TAK ; Sounghoon CHANG ; Kunsei LEE ; Hyeongsu KIM

Health Policy and Management.2016;26(3):226-232. doi:10.4332/KJHPA.2016.26.3.226

BACKGROUND: This study was conducted to analyze the influence of socioeconomic characteristics of community on the food insecurity under the control of personal socioeconomic factors which may be influence to the food security. METHODS: Food insecurity and individual socioeconomic characteristics were obtained from 2012 community health survey. Socioeconomic characteristics of communities were extracted from the data of Statistics Korea and local governments. Personal socioeconomic factors were sex, age, educational status, job, and monthly family income. Socioeconomic characteristics of communities were administrative district (urban vs. rural), senior population rate, degree of financial self reliance, degree of financial independence, portion of welfare budget, number of welfare facilities, and unemployment rate. We analysed the relationships between the food insecurity and socioeconomic characteristics of community using multi-level analysis under the control of personal characteristics. RESULTS: On personal level age, sex, education status, and monthly family income were related with food insecurity. On community level administrative district (urban vs. rural), degree of financial independence, unemployment rate, and proportion of welfare budget among local general government accounts were related to individual food insecurity. Rural area, district with low levels of financial independence, low portion of welfare budget, and greater unemployment rate showed a higher level of food insecurity. CONCLUSION: To reduce the level of food insecurity in a community it is necessary to decrease the unemployment rate, in addition to providing support from the central government by increasing the proportion of the welfare budget so that both factors contribute to raising the degree of financial independence.
Adult* ; Budgets ; Education ; Educational Status ; Food Supply* ; Health Surveys ; Humans ; Korea ; Socioeconomic Factors ; Unemployment

9

Cite

Share

Effects of Job Participation on Intention to Leave among Physicians Working in Public Health Center.

Hyunjong SONG ; Hyong Won CHO ; Sok Goo LEE ; Hyunkyung PARK

Health Policy and Management.2016;26(3):219-225. doi:10.4332/KJHPA.2016.26.3.219

BACKGROUND: Intention to leave was an important managerial issue among physicians working in public health centers. This study was conducted to explore the relationship between job participations and intention to leave among physicians working in health centers. METHODS: A cross-sectional questionnaire survey was conducted to gather information about job participation, intention to leave and demographics among physicians (n=243) in public health centers in Korea. Job participation was measured by 15 items categorized 3 dimensions. Multiple regression analysis was performed to determine the effect of job participation on intent to leave among physicians working in public health center. RESULTS: Participation of medical treatment and administrative job were significantly associated with intention to leave adjusted for sex, age, income, working area, working duration, tenure, and overall job satisfaction. Therefore, physicians who actively participated in administrative job showed a lower turnover intention. Physicians who actively participated in medical treatment job had a higher quit intention. CONCLUSION: To retain qualified physicians in public health center, education should be reinforced to physician for administrative capacity building.
Capacity Building ; Demography ; Education ; Intention* ; Job Satisfaction ; Korea ; Public Health Practice ; Public Health*

10

Cite

Share

The Associated Factors with Utilization of Tests for Diabetes Complication and Hemoglobin A1c among Some Diabetes Patients.

Young Eun SON ; So Yeon RYU ; Jong PARK ; Mi Ah HAN ; Hyae Min GU

Health Policy and Management.2016;26(3):207-218. doi:10.4332/KJHPA.2016.26.3.207

BACKGROUND: This study was performed to identify factors associated with the utilization of tests for diabetes complication and hemoglobin A1c (HbA1c) among diabetes patients in Jeollanam-do, Korea. METHODS: The study subjects were 2,310 diabetes patients participated in 2014 community health survey in Jeollanam-do, Korea. Dependent variables were the utilizations of fundus examination, microalbuminuria test, and HbA1c test. The used statistical analysis methods were chi-square test and hierarchical regression analysis with weight in consideration of complex sample design. RESULTS: The utilization rates of fundus examination, microalbuminuria test, and HbA1c test were 25.8%, 27.4%, and 12.3%, respectively. In the results of hierarchical regression, fundus examination was significantly related to age, education level in predisposing factors, residential area in enabling factors and recognition of blood sugar, drug therapy, and subjective health status in need factors. Microalbuminuria examination was significantly related to monthly income, residential area in predisposing and health screening, recognition of blood sugar, drug therapy, diabetic education, number of chronic disease, and subjective health status in need factors. HbA1c examination was significantly related to age, education level, marital status in predisposing factors, residential area in enabling factors and drinking, recognition of blood sugar, drug therapy, and diabetic education in need factors. CONCLUSION: The results of this study were shown that perception of their disease seriousness, education about diabetes management, and accessibility of tests were important to utilization of test for diabetes complication and HbA1c. It might be necessary to the develop and strength strategies for enhancing the utilization of tests for diabetes complication and management in diabetes patients.
Asian Continental Ancestry Group ; Blood Glucose ; Causality ; Chronic Disease ; Diabetes Complications* ; Diagnostic Self Evaluation ; Drinking ; Drug Therapy ; Education ; Health Surveys ; Humans ; Jeollanam-do ; Korea ; Marital Status ; Mass Screening ; Patient Acceptance of Health Care ; Risk Factors

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share