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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Health Policy and Management
Journal Basic Information
Journal DOI :
The Korean Society of Health Policy and Administration
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Volume & Issues
Volume 23, Issue 4 - Dec 2013
Volume 23, Issue 3 - Sep 2013
Volume 23, Issue 2 - Jun 2013
Volume 23, Issue 1 - Mar 2013
Selecting the target year
Lessons from Generic Promotion Policies in Other Countries
Kim, Dong-Sook ; Bae, Seungjin ; Jang, Sunmee ;
Health Policy and Management, volume 23, issue 3, 2013, Pages 210~223
DOI : 10.4332/KJHPA.2013.23.3.210
Backgrounds: Escalating pharmaceutical expenditure has threatened the sustainability of National Health Insurance system in Korea. Generic medicines allow patients to access safe, effective, high-quality medicines at low cost, thus insurers could achieve significant financial savings by promotion of generics, if they are priced much lower than the originator. The purpose of this study was to review generic pricing as well as promotion policies in other countries and assess the implication of those policies. Methods: We reviewed the main measures adopted by the developed countries such as Austria, Belgium, Denmark, Finland, France, Germany, Italy, Japan, Netherlands, Norway, Sweden, United Kingdom, especially in countries where governments are the largest third-party payers or insurance finance resource is the national health insurance. Results: The foreign countries's experience with generic medicine policy shows that demand-side policies such as physician budgets, international nonproprietary name prescribing, generics substitution, patients co-payment as well as supply-side policies relating to pricing and reimbursement seems to play a critical role in developing the generic medicines market. Conclusion: Various strategy should be implemented to promote generic drug use.
A Comparison on Major Curriculum of 2-Year, 3-Year, and 4-Year Health Administration Colleges in Korea
Hwang, Chung-Il ; Hwang, Jeonghae ;
Health Policy and Management, volume 23, issue 3, 2013, Pages 224~232
DOI : 10.4332/KJHPA.2013.23.3.224
Background: This study was a comparative analysis of the major curriculum for 2-year, 3-year, and 4-year colleges of the department of health administration in Korea. Methods: Among 45 Korean colleges registered with the department of health administration as of 2012, finally 25 colleges were selected by establishing the department of health administration more than 5 years ago, excluding government's financial support, and taking regional locations into account. Results: First, generally 2-year colleges was not the relationships between organizational philosophy/purposes and major course in comparison to those of 3-year or 4-year colleges. Second, the composition of credits in the major course appears to be higher for 3-year, 2-year, and 4-year colleges, respectively. Third, subjects related to basic medicine and medical records were included more often in 2-year, 3-year, and 4-year colleges, respectively, and health policy issues were covered more in 4-year, 3-year, and 2-year colleges, respectively. Fourth, the number of students per full-time professor in 2-year colleges was much higher than that in 3-year and 4-year colleges, and the employment rate of graduates for 4-year colleges was found to be higher than that for 2-year and 3-year colleges. Conclusion: Although this study has limitations with regard to the selection of research subjects, it provides baseline data for establishing the health administration required for training competent future professionals.
Multilevel Analysis on Factors Influencing Death and Transfer in Inpatient with Severe Injury
Choi, Young Eun ; Lee, Kang Suk ;
Health Policy and Management, volume 23, issue 3, 2013, Pages 233~243
DOI : 10.4332/KJHPA.2013.23.3.233
Background: This study was conducted to evaluate the individual and community level factors which were influencing the severe injury patients' death and transfer at discharge. Methods: Analysis data is based on Korean National Hospital Discharge In-depth Survey Data released by the Korea Center for Disease Control and Prevention from 2006 to 2008. Study subjects was 11,026 inpatients with of severe injury. For multi-level analysis, socio-demographic characteristics, injury related characteristics, hospitalization related characteristics were used as individual level factors, and socio-environmental characteristics and health care resource characteristics were used as community level factors. Results: As to community level factors affecting mortality of severe injury, the possibility of death was also high in cases of less numbers of surgeons per a population of 100,000 and more number of operation beds. As to community level factors affecting transfer of severe injury, vulnerable areas with higher social deprivation index and low population density had higher possibility of transfer. Conclusion: Both individual level factors and community level factors affected clinical outcomes of treatment for severe injury. In particular, since there happened higher death and transfer of severe injury in socioeconomic and medical vulnerable areas, special efforts for establishing preventive policy and care system for injury in national and area level should be directed toward such areas.
The Moderation Effect of Organization Trust on the Relationship between Perceptions of Organizational Politics and Job Attitudes in Hospital Employees
Lee, Keun Hwan ; Chang, Young Chul ;
Health Policy and Management, volume 23, issue 3, 2013, Pages 244~259
DOI : 10.4332/KJHPA.2013.23.3.244
This study investigates the moderation effect that organizational trust had on the relationship between perceptions of organizational politics and organizational commitment, intention to turnover, organizational citizenship behavior by analyzing the empirical data of 716 personnels collected from university hospital in Korea. We hypothesized that perceptions of organizational politics would tended to negatively related to a high level of organizational commitment and intention to turnover, organizational citizenship behaviors, and that organizational trust would moderate the relationship between perceptions of organizational politics and outcomes. These results suggest that organizational politics of perceptions had negative impacts on organizational commitment and organizational citizenship behaviors, while perceptions of organizational politics had positive impact on intention to turnover. Furthermore, the level of organizational trust moderated the relationship between perceptions of organizational politics and outcomes. Based on these findings, implications of the research findings are discussed, and recommendation for future research and practice are provided.
Daily and Monthly Death Pattern an Intentional Self-harm by Hanging, Strangulation and Suffocation in Korea, 2011
Park, Sang Hwa ; Lim, Dar Oh ;
Health Policy and Management, volume 23, issue 3, 2013, Pages 260~265
DOI : 10.4332/KJHPA.2013.23.3.260
Background: The aim of this study was to examine the seasonal variation of death from intentional self-harm by hanging, strangulation and suffocation (HSS: Korean Standard Classification of Diseases-6 code: X70) using the 2011 death registry data. Methods: The analysis was based on data of 8,359 HSS deaths from 2011 national vital statistics in Korea. Daily, weekly, and monthly death pattern on HSS were used to examine the relationship seasonal variation and HSS deaths. Results: A total of 8,359 HSS deaths occurred in 2011, with a mean age of 50.6 years. The HSS death rate (per 100,000) was 25.5 in male and 10.8 in female. In one day 17.6 males and 8.0 females occurred HSS death on average. The number of HSS death per day was the highest on 8th June (45 deaths), and lowest on 1st February (7 deaths) during the period. The variations of daily HSS death showed wide fluctuation from a peak of 34 to 45 deaths (29th May to 9th June) to a trough of 17-26 deaths (10th-13th September: the Korean thank-giving consecutive holidays), 13-20 deaths (2nd-5th February: the new year's day by the lunar calendar) and 8-9 deaths (24th-25th December: Christmas holidays). There were no significant difference between gender and seasonal variation (month, season, and week). Conclusion: The mean number of HSS death per day was highest in June (30.6 deaths), and months with the lowest number of deaths was January and December (range, 19.4 to 19.6 deaths). HSS death were more prevalent during summer and spring and were less likely to occur during winter. On Saturdays (21.0 deaths), the number of HSS death per day was the lowest, and Monday (27.9 deaths) was the highest. HSS death was less likely to occur on holidays (21.4 deaths). There was significant seasonal variation in HSS death by weekly and monthly (p<0.01).
Information Searching Behavior for Medical Institutions of Spine Patients and Searching Outcomes
Jung, Tae Young ; Jung, Kee Taig ; Kim, Yong Min ;
Health Policy and Management, volume 23, issue 3, 2013, Pages 266~280
DOI : 10.4332/KJHPA.2013.23.3.266
Background: Information asymmetry between physicians and patients is one of the most unique characteristics of health care. But as consumerism spreads in health care sector, health care consumers are searching comparative information about quality and cost of providers from many information sources. Providing comparative information to health care consumers not only makes consumers choose hospital rationally, but also invigorates the health care market by providers' competition. However there are few studies regarding information searching behavior of health care consumers, then this study is carried out. Methods: The purpose of this study is to understand the information searching behavior of health care consumers based on their characteristics and the types of medical institutions. For this purpose, 313 spinal patients' data of 11 medical institutions (university hospital, spine specialized hospital, clinic) located in Seoul were collected by self-administered surveys. Results: The results of this study are as follows: 1) t-test/analysis of variance analysis showed that according to various characteristics of health care consumers and the types of medical institutions, the level of information searching of each source and the amount of information searching and searching outcomes are statistically different. 2) Regression analysis showed that influence on searching outcomes are statistically different according to the level of information searching of each source and searching content and the amount of information searching has positive effects on searching outcomes. Conclusion: The significance of this study is to provide empirical basis for establishment of health care policy reflecting information needs and preference of health care consumers.
The Impact of Hospital Selection Factors between Internal and External Customers on Hospital Image
Lee, Hyun Sook ;
Health Policy and Management, volume 23, issue 3, 2013, Pages 281~288
DOI : 10.4332/KJHPA.2013.23.3.281
Background: The purpose of this study is to grasp the factors forming hospital image and to measure evaluation of internal and external customers towards hospital choice factors. Methods: This study is based 4 types of choice factor such as physical, human, accessibility, and connection. Data were assessed using 98 patients and 96 internal employees who work at A general hospital in Seoul and 116 patients and 97 internal employees at B general hospital in Chunkcheongbuk-do. Data were collected with self-administered questionnaires from February 17 to April 29 in 2012 and analyzed SPSS ver. 18.0 by using frequency, t-test, analysis of variance, correlation, and multiple regression. Results: The results of this study show that factors affecting hospital image is significant different between internal and external customers of hospital A and B. Expecially the finding of this study will be applied to improve connection factors in administrative department of hospital for hospital image. Conclusion: This study presents primary data for correct decision making to authorities of local hospitals that have concern about marketing strategy for hospital image.
Relationship between Experience of Requesting Verification of Healthcare Benefit Coverage and Patients' Trust in Physicians and Hospitals
Hahm, Myung-Il ; Min, Insoon ;
Health Policy and Management, volume 23, issue 3, 2013, Pages 289~300
DOI : 10.4332/KJHPA.2013.23.3.289
Background: Patients' trust in their physicians or hospitals is important to guarantee the effectiveness of care and to encourage revisits. This study aimed to identify the relationship between the experience of requesting verification of healthcare benefit coverage via the Health Insurance Review Agency (HIRA) and patients' trust in their physicians or hospitals. Methods: For this population-based study, 800 adult respondents aged 20 to 65 years were recruited using random sampling and telephone surveys. Respondents were divided into two groups: 1) 400 people had experience in requesting the HIRA verification service for the purpose of confirmation of whether the costs they paid were appropriate among metropolitan habitants, and 2) 400 people comprised members of the public who had no experience requesting the verification service. Results: Experience with requesting verification services was likely to lower the patients' trust in medical institutions, but not in their physicians (p<0.05). In addition, patients who were satisfied with their physicians and hospitals were more likely to trust the physicians and hospitals than dissatisfied patients. Conclusion: Patients' trust might be an important factor influencing hospital success. Patients' trust in medical suppliers, such as physicians and hospitals, encourages a positive relationship between medical suppliers and patients. Therefore, medical suppliers must provide appropriate care to patients to improve patients' trust in them.