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수록범위 : 1권1호(1991)~30권1호(2020) |수록논문 수 : 882
보건행정학회지
30권1호(2020년 03월) 수록논문
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KCI등재

1신종감염병의 선진적 관리를 위한 제언

저자 : 박은철 ( Eun-cheol Park )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 1-3 (3 pages)

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Coronavirus disease 2019 (COVID-19), which originated in Wuhan, China, is pandemic. It has occurred in more than 170 countries on six continents. In Korea, COVID-19's cases are more than 9,000. The reasons of pandemic COVID-19 are that COVID-19 can spread asymptomatic or early in symptoms although similar reproductive number to severe acute respiratory syndrome coronavirus (SARS), that there are more travelers in China and world than the SARS of 2003, and that the control of COVID-19 was contaminated to political considerations in China, World Health Organization (WHO), and Korea. Emerging infectious diseases such as COVID-19 will occur in the future. To prepare for control of emerging infectious disease, first, the Ministry of Health should be independent from Ministry of Health and Welfare and the department of disease management should be established. Second, experts for making evidence about the emerging infectious diseases should be trained and the plan that is the mobilization of manpower and facilities in large cases will be established. Third, the WHO should enhance its capacity to manage emerging infectious diseases and Korea will support the country of occurred emerging diseases through experts in the analysis of emerging infectious diseases.

KCI등재

2정부조직의 책임은폐와 문제해결의 역학: 가습기 살균제 사건을 중심으로

저자 : 현승효 ( Seung Hyo Hyeon ) , 이민규 ( Min Kyu Lee )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 4-14 (11 pages)

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Since the government is fully aware of the specificity and importance of the healthcare field, it operates bureaucracy and affiliated organizations composed of many government ministries and experts and is also handling the related bureaus. However, recent incidents of humidifier disinfectant not only make these government activities unreliable but also cause disappointment to many people. Why did not the government take active measures to ensure product safety? But why was the Korea Centers for Disease Control and Prevention (KCDC) able to speed up the identification of the cause and the recovery of the product? The purpose of this study is to clarify the behavioral mechanisms of government intervention by comparing the behaviors of the Ministry of Trade, Industry and Energy and the KCDC. Then, we will discuss the desirable government structure.

KCI등재

3보건의료 빅데이터에서의 자연어처리기법 적용방안 연구: 단어임베딩 방법을 중심으로

저자 : 김한상 ( Hansang Kim ) , 정여진 ( Yeojin Chung )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 15-25 (11 pages)

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While healthcare data sets include extensive information about patients, many researchers have limitations in analyzing them due to their intrinsic characteristics such as heterogeneity, longitudinal irregularity, and noise. In particular, since the majority of medical history information is recorded in text codes, the use of such information has been limited due to the high dimensionality of explanatory variables. To address this problem, recent studies applied word embedding techniques, originally developed for natural language processing, and derived positive results in terms of dimensional reduction and accuracy of the prediction model. This paper reviews the deep learning-based natural language processing techniques (word embedding) and summarizes research cases that have used those techniques in the health care field. Then we finally propose a research framework for applying deep learning-based natural language process in the analysis of domestic health insurance data.

KCI등재

4공간분석을 이용한 심뇌혈관질환 사망률에 영향을 미치는 지역요인 분석

저자 : 박영용 ( Young Yong Park ) , 박주현 ( Ju-hyun Park ) , 박유현 ( You-hyun Park ) , 이광수 ( Kwang-soo Lee )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 26-36 (11 pages)

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Background: The purpose of this study was to analyze the relationship between the regional characteristics and the age-adjusted cardio-cerebrovascular disease mortality rates (SCDMR) in 229 si·gun·gu administrative regions.
Methods: SCDMR of man and woman was used as a dependent variable using the statistical data of death cause in 2017. As a representative index of regional characteristics, health behavior factors, socio-demographic and economic factors, physical environment factors, and health care factors were selected as independent variables. Ordinary least square (OLS) regression and geographically weighted regression (GWR) were performed to identify their relationship.
Results: OLS analysis showed significant factors affecting the mortality rates of cardio-cerebrovascular disease as follows: high-risk drinking rates, the ratio of elderly living alone, financial independence, and walking practice rates. GWR analysis showed that the regression coefficients were varied by regions and the influence directions of the independent variables on the dependent variable were mixed. GWR showed higher adjusted R2 and Akaike information criterion values than those of OLS.
Conclusion: If there is a spatial heterogeneity problem as Korea, it is appropriate to use the GWR model to estimate the influence of regional characteristics. Therefore, results using the GWR model suggest that it needs to establish customized health policies and projects for each region considering the socio-economic characteristics of each region.

KCI등재

5지역 의료불평등 해소를 위한 미충족 의료지표 활용의 비판적 분석

저자 : 박유경 ( Yukyung Park ) , 김진환 ( Jin-hwan Kim ) , 김선 ( Sun Kim ) , 김창엽 ( Chang-yup Kim ) , 한주성 ( Joo-sung Han ) , 김새롬 ( Saerom Kim )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 37-49 (13 pages)

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Background: Unmet healthcare needs have many advantages for measuring inequalities in healthcare use. However, the existing indicator is difficult to capture the reality of unmet healthcare needs sufficiently and is not quite appropriate in comparing regional inequality. The purpose of this study is to critically analyze the utilization of the unmet healthcare need indicator for regional healthcare inequalities research.
Methods: We used the level of healthcare accessibility and healthcare need to categorize the regions that are known to cause differences in healthcare utilization between regions and verified how existing unmet healthcare need indicator is distributed at the regional level.
Results: Four types of regions were classified according to the high and low levels of healthcare needs and accessibility. The hypothesis about the regional type expected to have the highest unmet healthcare need was not proved. The hypothesis about the lowest expected regional type was proved, but the difference in the average rate of unmet healthcare needs among regional types was not significant. The standard deviation of the rate of unmet healthcare needs among regions within the same type was also higher than the overall regional variation, which also disproved the whole frame of hypothesis.
Conclusion: Failure to prove the hypothesis means the gap between the supposed meaning of the indicator and the reality. In order to understand the current state of healthcare utilization of people in various regions of Korea and to resolve inequality, fundamental research on the in-depth structure and mechanisms of healthcare utilization is needed.

KCI등재

6지역별 미세먼지 농도의 알레르기비염 외래이용에 대한 영향 분석

저자 : 박주현 ( Ju Hyun Park ) , 박영용 ( Young Yong Park ) , 이은주 ( Eunjoo Lee ) , 이광수 ( Kwang-soo Lee )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 50-61 (12 pages)

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Background: This study aims to analyze the effects of air pollutants, such as particular matter, to the number of outpatient visits for allergic rhinitis in eup, myeon, and dong administrative boundaries.
Methods: Dependent variable was the number of outpatient visits for allergic rhinitis per 10,000 people by region. Independent variables were air pollutants such as PM10, PM2.5, SO2, O3, CO2, NO2, and temperature that estimated by using Kriging analysis in all eup, myeon, and dong boundaries. Panel analysis was applied for the analysis to prove the relation between outpatient visits and the concentration of air pollutants.
Results: Analysis results showed that particular matter concentration varied by regions and season. Panel analysis showed that outpatient visits for allergic rhinitis had positive relationships with PM10, PM2.5, SO2, O3, and CO2 in all panel models.
Conclusion: Regional variation of particular matter concentration should be considered in establishing regional policies for allergic rhinitis.

KCI등재

765세 이상 노인의 척추·관절 수술별 의료이용에 미치는 영향요인 분석

저자 : 정순현 ( Soon Hyun Jeong ) , 구여정 ( Yeo Jeong Gu ) , 유기봉 ( Ki-bong Yoo )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 62-71 (10 pages)

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Background: The purpose of this study is to analyze the current status and factors of elderly patients' hospitalization for hip replacement, knee replacement, and general spine surgery.
Methods: National health insurance data in 2018 was provided by the National Health Insurance Service. We used multiple regression to analyze factors associated with the medical utilization of hip replacement, knee replacement, and general spine surgery in elderly patients over 65 years old. The dependent variables are the length of stay and total health expenditure. The independent variables are the demographic-social factors (sex, age, region, insurance type, income level) and surgery-related factors (institution type, location of the hospital, surgery classification).
Results: The most common factor affecting surgery was the location of medical institutions. Compared with the medical institutions located in metropolitan, the length of stay in rural medical institutions was higher and total health expenditure was lower. The lower quartile of income, the higher the length of stay and total health expenditure. In addition, the variables of age, type of health insurance, and type of medical institution were statistically significant.
Conclusion: In this study, we confirmed the effect of sociodemographic factors and medical institution factors on the Healthcare Utilization of spinal and joint surgery.

KCI등재

8본인부담상한제 적용 요양병원 환자의 의료이용가수요 예측요인 분석

저자 : 임승지 ( Seungji Lim ) , 신한나 ( Hannah Shin )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 72-81 (10 pages)

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Background: The out-of-pocket maximum is one of the distinctive healthcare systems which sets a ceiling on co-payment in order to reduce the burden of households from the unpredictable medical expenditure. However, this leads to an increase in the demand for healthcare services especially in long-term care hospitals (LTCHs) in Korea.
Methods: This study analyzed the influence factor of medical service overuse of 165,592 inpatients in LTCHs which out-of-pocket maximum is applied, by utilizing data from the National Health Insurance Service (2016). Based on Anderson Model, the medical service overuse, as a dependent variable, was defined as long-stay admission more than 180 days at the LTCHs. Independent variable was comprised of predisposing factors (gender, age), enabling factors (income level, types of out-of-pocket maximum) and need factors (illness level, patient use of tertiary hospital).
Results: The most powerful factor of medical service overuse in LTCHs was availability of pre-payment for the out-of-maximum (odds ratio [OR], 191.66; p<0.001). This tendency was found in high income level status (p<0.001). Furthermore, mild inpatients (OR, 1.50; p<0.001) which had no experience with the tertiary hospitals (OR, 2.06; p<0.001) were more relevant to the medical service overuse in LTCHs, compared to the severe inpatients.
Conclusion: It is suggested that a separate standard of out-of pocket maximum with regards to LTCHs is required to secure the beneficial functions of long-term hospitals and prevent unnecessary financial leakage to achieve sustainable and financially sound National Health Insurance.

KCI등재

9다수준 분석을 이용한 요실금수술과 자궁폴립제거술의 의료서비스 변이

저자 : 김상미 ( Sang Me Kim ) , 안보령 ( Bo Ryung Ahn ) , 김정림 ( Jeong Lim Kim ) , 이해종 ( Hae Jong Lee )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 82-91 (10 pages)

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Background: This study investigates the influence factors of medical service variations using medical charge and the length of stay (LOS) for urinary incontinence surgery and uterine polypectomy.
Methods: The National Health Insurance claims data and Medical Resource Report by the Health Insurance Review & Assessment Service in 2016 were used. Frequency analysis, one-way analysis of variance, and Bonferroni post-hoc tests were executed for each surgery. A multilevel analysis was executed to assess the factors to the medical charge and LOS for each surgery in patient, doctor, and hospital level.
Results: Fifty-two point eight percent of urinary incontinence surgery and 87.1% of uterine polypectomy were distributed in general and tertiary hospitals. Among three levels, the patient level variation was 61.5% or 77.2% in medical charge and 93.9% or 96.3% in LOS, respectively. The doctor level variation was 29.6% or 22.6% in medical charge and 0.6% or 0.0% in LOS, respectively. The institution level variation was 8.9% or 0.2% in medical charge and 5.5% or 3.7% in LOS, respectively. Number of other disease and organizational type were main factors that affected the charge and LOS for urinary incontinence surgery and uterine polypectomy.
Conclusion: Medical service variations of the urinary incontinence surgery and uterine polypectomy were the largest for the patient level, followed by doctor level for the medical charge, and the institution level for the LOS.

KCI등재

10요양보호사 처우개선비 정책이 임금인상에 미친 효과

저자 : 나영균 ( Young-kyoon Na ) , 정형선 ( Hyoung-sun Jeong )

발행기관 : 한국보건행정학회 간행물 : 보건행정학회지 30권 1호 발행 연도 : 2020 페이지 : pp. 92-99 (8 pages)

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Background: The purpose of this study is to analyze the effect of the income support allowance policy for the care workers on wage level.
Methods: The analysis data was constructed using database (DB) of long-term care institution, DB of long-term care personnel status, and DB of health insurance qualification and contribution possessed by National Health Insurance Services. We analyzed the wage status of care workers 2009 to 2016 through basic analysis. We used the difference-in-difference analysis method for the workers who worked in the same institution from 2012 to 2013, The effects of the income allowance policy on wage increase were analyzed.
Results: As a result of the net effect of the income support allowance policy, the monthly average wage of the care worker increased by 25,676 won and the hourly wage increased by 478 won. As a result of the analysis, it can be confirmed that the income support allowance policy has achieved some of the goals of raising the wage level of the care workers, and the effect of raising wages for other occupations in the long-term care business can be confirmed.
Conclusion: The low wage problem of long-term care workers such as care workers is not the only problem in Korea. In other countries, there are various wage support policies for employees. In particular, it is necessary to refer to the improvement in the treatment of care workers in Japan and wage pass-through in the United States. In addition to wages, there is a need to promote policies to provide employment motivation through efforts to improve their social status and improve their job status and career development for employees in long-term care facilities.

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1연안해역에서 석유오염물질의 세균학적 분해에 관한 연구

(2006)홍길동 외 1명심리학41회 피인용

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(2006)홍길동심리학41회 피인용

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(2006)홍길동41회 피인용

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