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수록정보
25권2호(2015) |수록논문 수 : 10
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25권2호(2015년) 수록논문
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KCI등재

1중동호흡기증후군(MERS) 유행과 공중보건위기 예방을 위한 보건의료체계 개편에 관한 사회적 논의

저자 : 박윤형 ( Yoon Hyung Park )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 63-66 (4 pages)

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2lymphREVIEW ARTICLE : The Feasibility and Future Prospects of Robot-Assisted Surgery in Gastric Cancer: Consensus Comments from the National Evidence-based Collaborating Agency Round-Table Conference

저자 : Eunhee Shin , Jieun Choi , Seongwoo Seo , Seonheui Lee

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 67-70 (4 pages)

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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.

KCI등재

3과학기술지식정보서비스의 보건의료 분야 연구· 개발과제: 분포와 연구비용 비중 분석

저자 : 고영곤 ( Younggon Goh ) , 정태영 ( Taeyoung Jung ) , 정혜주 ( Haejoo Chung ) , 차선화 ( Xianhua Che ) , 유사라 ( Sarah Yu ) , 조민진 ( Minjin Jo ) , 차수진 ( Sujin Cha ) , 문다슬 ( Daseul Moon ) , 서지영 ( Jiyoung Suh ) , 조규진 ( Kujin Cho )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 71-79 (9 pages)

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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.

KCI등재

4공적연금유형에 따른 은퇴자들의 보건의료비지출 결정요인

저자 : 최령 ( Ryoung Choi ) , 황병덕 ( Byung Deog Hwang )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 80-89 (10 pages)

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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.

KCI등재

5신규 고혈압 환자의 치료지속성과 고혈압 조절 여부가 심뇌혈관질환 합병증에 미치는 영향

저자 : 한진옥 ( Jinok Han ) , 임준 ( Jun Yim ) , 임정수 ( Jeongsoo Im ) , 이희영 ( Heeyoung Lee ) , 박종헌 ( Jongheon Park ) , 오대규 ( Daekyu Oh )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 90-96 (7 pages)

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Background: This study aimed to research on how adherence and blood control could make a difference when it comes to develop complications. Methods: The study's subjects were 255,916 patients who were newly diagnosed with hypertension in 2009 using data collected by National Health Insurance Cooperation. Patients are considered as a group under adherence if visit days and prescription days are more than 300 days. Patients are considered to have successfully controled their hypertension based on actual value measured by National Health Insurance Cooperation and the study takes a look at whether they were diagnosed with complications of cerebrocardiovascular disease in 2012. Chi-square test and logistic regression was used to analyze. Results: Patients who were able to control their hypertension show 0.80 times chance of developing cerebrovascular disease, and 0.89 times chance of developing cardiocerebrovascular disease. The group of adherence shows lower chance of developing complication in general than the group of non-adherence. Conclusion: The study revealed that hypertension's constant treatment could control the blood pressure and prevent complications. It is important that encourages patients to effort for persistent treatment for reducing complication.

KCI등재

6Stochastic Frontier Analysis를 이용한 제약회사의 효율성과 그 결정요인분석

저자 : 사공진 ( Jin Sakong ) , 김정규 ( Jeongkyu Kim )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 97-106 (10 pages)

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Background: In 2012, Ministry of Health and Welfare announced 5-year plan of the development of the pharmaceutical industry, which pointed out the problems of the pharmaceutical industry as the insufficient investment in research and development (R&D) and the unfair business practice, and suggested the technological innovation, market transparency and nurturing global enterprises as solutions. It is quite interesting to study which factors determine the efficiency of the pharmaceutical firms. Methods: To estimate the efficiency of the pharmaceutical firms and the determinants of their efficiency, methods of the stochastic frontier analysis and the panel study are applied to the data of 60 domestic pharmaceutical firms from 2006 to 2012. The efficiency is derived by the distance between the decision making units and the most efficient frontier curve. Results: First, the result of the stochastic frontier analysis shows that overall efficiency of the pharmaceutical firms is increasing as time goes by. If classified by the scale, the larger firms show higher efficiency and if classified by the degree of innovation, the innovative firms show higher efficiency compared to the less-innovative ones. Second, the result of estimation of the determinants of efficiency shows that the firms with larger expenses of the sales promotion and the entertainment, show lower efficiency. Conclusion: The first result implies that the scale of the firm and the investment in R&D explain the efficiency of the pharmaceutical firms. Therefore, it is necessary to increase the investment on the fundamental researches to vitalize R&D of the new drugs. The second result can be explained by the structural characteristics of the small pharmaceutical firms which produce generic drugs. Therefore, the government tries to make the pharmaceutical firms to optimize of the expenses of the sales promotion and the entertainment, and to increase R&D with the policies such as to boost up the R&D investment and to prohibit rebates, etc.

KCI등재

7치과의원 의사의 틀니진료 원가 분석

저자 : 정설희 ( Seolhee Chung ) , 이혜진 ( Hyejin Lee ) , 오주연 ( Juyeon Oh ) , 우경숙 ( Kyungsuk Woo ) , 김한상 ( Hansang Kim )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 107-117 (11 pages)

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Background: The purpose of this study is to analyze the cost for the denture treatment in accordance with the government's plan to expand the National Health Insurance coverage for dental prothesis from July 1, 2012. Methods: We developed the draft of classification of the treatment activities based on the existing researches and expert's review and finalized the standard procedures through confirming by Korean Dental Association. We also made the list of input at each stage of treatments. We conducted survey of 100 dental clinics via post from April 4 to May 20 in 2011 and 37 clinics took part in the survey. The unit of cost calculation is the process from the first visit for denture treatment to setting of denture and adjustment. The manufacturing process performed by dental technician was not included in the cost analysis. Results: The process for the complete denture treatment was classified with 10 stages. The partial denture treatment was classified with 8 stages. The treatment time per each denture is about 5.6 hours for complete dentures and about 6.6 hours for partial dentures. The treatment cost were from 591,108 won to 643,913 won for complete denture and from 670,219 won to 738,840 won for partial denture in 2011, depending on the location, type of the clinics and the types of physician's income. Conclusion: This study shows the example of cost analysis for the treatment to set the fee schedule. Measures to get representative and accurate information need to be made.

KCI등재

8Malmquist 생산성지수와 Luenberger 생산성지수의 이론적 관계와 실증적 분석

저자 : 박현숙 ( Hyunsuk Park ) , 양동현 ( Donghyun Yang )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 118-128 (11 pages)

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Background: We measured productivity changes of regional public hospitals using both global Malmquist productivity index?based on global production possibility set over all the periods? and the traditional Malmquist productivity index and analyzed the factors of productivity change. Methods: The data used in this study is two annual inputs and two annual outputs of 32 regional public hospitals in Korea from 2005 to 2009 and the results such as distances and Malmquist productivity index and global Malmquist productivity index are obtained by an R program written for this study. Results: The results can be summarized as follows. Firstly, technical efficiencies of regional public hospitals are affected largely by scale efficiency than pure technical efficiency. Second, productivity progressed and technological change has more significant influence on productivity advance over the period between 2005 and 2009. Third, the circularity problem of the traditional Malmquist index is confirmed, and so the global Malmquist index without this problem are valid for the analysis. Conclusion: Though this study also has some limitations with the data of regional public hospitals with a short time span, it is the first study of hospitals using global Malmquist productivity index and later it can be expanded to private hospitals and longer time periods.

KCI등재

9정책네트워크 이론을 이용한 간호사 확보를 위한 정책과정 분석

저자 : 고유경 ( Yukyung Ko ) , 박보현 ( Bohyun Park )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 129-139 (11 pages)

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Background: Policy network theory was proved to be an appropriate analytic tool for the current social welfare policy making process. This study aimed to analyze policy making process related to the nurse expansion and policy output while focusing on the interactions and activities among various policy actors. Methods: In this study, we used reports related to the need for expansion of nursing personnel journals, dissertations, newspaper articles, for hearings and debate policies for securing nurse data, and interviews. We examined three components of policy network, that is, policy actors, interactions, linkage of interest. Results: For that to expand the nurse before the 2000s in expanding the supply of medical supplies have been conducted without much disagreement among policy actors under the government's initiative. However, there was lacked a close relationship between the expanding supply of nurses and inaccurate analysis of supply and demand. As the policy is applied between the various policy actors' needs and claims, conflict was intensified and many policy options had been developed. Government only took a role as a coordinator among policy actors in the 2000's. Also, it was difficult to find sufficient and clear evidence that policy-making process based on fair judgment. Conclusion: Therefore, it is urgently required to determine the policy through a social consensus to address the appropriate policy means and the process by correct analysis of the policy issues.

KCI등재

10델파이기법을 활용한 국가 공공(公共)백신 연구개발 정책수립 기초조사

저자 : 이소민 ( Somin Lee1 ) , 여상구 ( Sanggu Yeo ) , 강신정 ( Shinjung Kang ) , 한순영 ( Soonyoung Han ) , 이상원 ( Sangwon Lee )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 25권 2호 발행 연도 : 2015 페이지 : pp. 140-148 (9 pages)

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Background: Vaccination is the most powerful and useful preparation against infectious diseases. However, developing vaccines costs a lot and requires extensive long-term efforts. Therefore, the government should research and develop vaccines with a national-level policy. To greatly enhance the success rate of vaccine development, the policy should be set up considering priorities such as the current status of domestic research, the importance for public health, the urgency of research. Methods: The Delphi technique was utilized to draft this survey, through a brainstorming stage, then two inquiries, and finally the final panel meeting where unresolved items were discussed, to draw the conclusion. Results: Among the results, firstly, the highest ranked item on centralized fields for vaccine development by the Ministry of Health was 'self-sufficiency of vaccines.' Secondly, 'emerging infectious disease' was most highly ranked in prioritized fields of vaccine development and research. Thirdly, for the vaccine that needs to be improved and developed further by the government to improve its efficacy and safety, BCG (Bacille de Calmette) for tuberculosis was ranked the highest on both types (intradermal and subcutaneous injection) from National Immunization Programme (NIP) and non-NIP. As for the high risk pathogens, 'anthrax' and 'smallpox' were first and second, consecutively. Lastly, 'development and control of vaccine candidates' was ranked the highest for the area in need for technique development in order to improve domestic vaccine's research level. Conclusion: The results of this study will be put to good use as basic data for the national vaccine research and development (R&D) policy of the country. This study was first step and more studies should be carried out for the final decision of the national vaccine R&D priority.

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