금연정책에 있어서의 가격정책의 효과 및 정책방향

감신 한국보건사회연구원 2006 보건복지포럼 Vol.116 No.-

시계열분석을 통하여 금연을 위한 가격정책과 비가격정책들의 개입효과에 대해 알아본 결과, 20세 이상 성인 1인당 담배소비량에는 2004년 이후의 담배가격 인상 및 비가격정책 강화(교육홍보강화, 금연상담전화, 보건소 금연클리닉 등)와 1994년의 담배가격 인상이 유의한 개입변수였고, 남자 성인의 흡연율 감소에는 2002년의 담배가격 인상 및 이주일 효과와 2004년의 담배가격 인상 및 비가격정책 강화로 비가격정책보다 가격정책이 담배소비량과 흡연율 감소에 효과가 있었다. 가격인상 효과를 피부로 느낄 수 있는 정도인 500원이 인상된 2004년 말의 담배가격 인상과 비가격정책의 강화는 담배소비량과 흡연율 모두를 의미 있게 감소시키는 효과를 가져왔다. 2004년 말의 담배가격 인상(소비자담배물가지수가 129.30에서 164.50으로 인상: 129.30 기준으로 27.2% 인상) 및 비가격정책 병행으로 성인 1인당 연간 담배소비량은 149.81갑에서 114.35갑으로 감소(149.81갑 기준으로 23.7% 감소)하였고, 흡연율은 58.3%에서 51.2%로 7.1% 감소하였다. 따라서 흡연율을 감소시키면서 담배소비량을 동시에 감소시키기 위해서는 세계보건기구가 제시하는 바와 같이 가격 인상 시 20%정도는 되어야 하겠으며, 지속적으로 가격 인상이 추진되어야 하겠다. 이와 함께 비가격정책이 강화되어야 할 것으로 생각되는데, 가격정책과 아울러 교육홍보를 강화하고 가격정책만으로 금연이 어려운 대상에게는 금연클리닉에서의 금연서비스 등이 제공되면 금연정책의 효과를 높일 수 있을 것으로 생각된다.

대학생들에서의 헌혈행위에 영향을 미치는 요인

감신,김성아,강윤식,박기수,손재희,예민해,이경은,김종규,송달효 大韓輸血學會 1997 大韓輸血學會誌 Vol.8 No.2

만성질환관리에 있어서 건강보험의 역할 -심뇌혈관질환, 고혈압, 당뇨병을 중심으로-

감신 건강보험심사평가원 심사평가연구소 2008 HIRA 정책동향 Vol.2 No.10

병행 세션 토론회 : 세션4 ; 발제2 : 만성질환 관리와 주치의제도

감신 한국보건행정학회 2008 한국보건행정학회 학술대회 논문집 Vol.2008 No.2

지역의료보험(地域醫療保險) 재정지출(財政支出)의 결정요인(決定要因)

감신,박재용,예민해,Kam, Sin,Park, Jae-Yong,Yeh, Min-Hae 대한예방의학회 1995 Journal of Preventive Medicine and Public Health Vol.28 No.1

This study was conducted to examine the determinant factors for expenditure of the medical insurance program for self-employeds based on the analysis of 1991 'The Medical Insurance Program for Self-Employeds Statistical Yearbook', and also similar yearbooks in the metropolitan and other provinces. The major findings are as follows : We have divided benefits into these four components such as the utilization rate for out-patients, expenses per claim for out-patients as paid by the insurer, utilization rate for in-patients, and the expenses per claim for in-patients as paid by the insurer, in order to examine the determinant factors for it. The results of the study revealed the following findings, in urban areas, the supply of medical care had more influence on the benefits than other demographic and economic variables, while, in county areas, both the supply of medical care and the rate of those aged over 65 affected the provision of benefits. The determinant factors for financial balance of the medical insurance program for self-employeds are, first, the determinant factor for administrative expenses was the number of households. The more the number of households, the less the administrative expenses per the insured. This shows that the economy of scale is being. And so, the administrative district must be taken into consideration in the incorporation of small regional medical societies and should be re-organized for more efficient management. Second, in urban areas, the supply of medical care had more influence on utilization rate and expenses per claim as paid by insurer, and therefore it is necessary to control it. In county areas, the supply of medical care and the rate of those aged over 65 raised the utilization rate and expenses per claim as paid by insurer. For the financial stability of county areas, a common fund for medical care for the aged and expansion of finance stabilization fund would be necessary. But, in county areas, it would be unnecessary to control the supply of medical care because it was much more insufficient than in urban areas. The vitalization of public health facilities must be carried out in county areas, for they reduced benefits. Sice the more insured in a single household, the less the utilization of the medical insurance program, benefits for habilitation at home should be given consideration. The law of majority and the economy of scale were applied here, and therefore the incorporation of regional medical societies must be taken into consideration. In integrating regional medical societies, it would be absolutely necessary to review the structural differences among all regional medical societies, the medical demand of each region, and also the local characteristics of each region.

일부 의사들의 직무스트레스와 관련 요인

감신,이상원,천병렬,예민해,강윤식,Kam, Sin,Lee, Sang-Won,Chun, Byung-Yeol,Yeh, Min-Hae,Kang, Yune-Sik 대한예방의학회 2001 Journal of Preventive Medicine and Public Health Vol.34 No.2

Objective : To investigate the sources, extent and related factors in South Korean doctors. Methods : The study subjects were 934 doctors in Taegu, Kyungpook Province, Korea(540 independent practitioners, 105 employed at hospitals and 289 residents in training). Information concerning job stress was obtained using a 9-item questionnaire. Information regarding related factors such as demographic characteristics(age, sex, marital status), perceptions on the socioeconomic status of doctors and working conditions(work time, on-call days per week) was also obtained by self-administered questionnaire during April and May, 2000. Results : Major sources of job stress included clnical responsibility/judgement factor, patient factor and work loading factor. The job stress score of residents was the highest among three groups. The score was lower in older doctors. The score was low among those who thought doctors' socioeconomic status was not good. The longer the work time, the higher the job stress score was. Multiple regression analysis was conducted to control for the mutual influence of independent variables. In regression analysis, the score of residents was higher than practitioners. Work time and socioeconomic status perception had negative effects on job stress score. Conclusion : The average job stress score of the doctors was high. Age, work type, working conditions and perceptions of socioeconomic status were found to besignificantly related to job stress score. Although the job stress of doctors is somewhat inevitable due to the nature of the doctor's job, control of work time, development of coping tools and other intervention methods are needed to reduce job stress of doctors. Further studies are required to understand the characteristics of iob stress and reduce the job stress of doctors.

폐암환자의 치료순응도와 관련요인

감신,박재용,채상철,배문섭,신무철,예민해,남시현,Kam, Sin,Park, Jae-Yong,Chae, Sang-Chul,Bae, Moon-Seob,Shin, Moo-Chul,Yeh, Min-Hae,Nam, Si-Hyun 대한예방의학회 2002 예방의학회지 Vol.35 No.1

Objectives : To investigate the therapeutic compliance and its related factors in lung cancer patients. Methods : The subjects of this study comprised 277 patients first diagnosed with lung cancer at Kyungpook National University Hospital between Jan 1999 and Sept 1999. Of these, 141(50.9%) participated in the study by properly replying to structured questionnaires. The data was analyzed using a simplified Health Decision Model. This model includes categories of variables covering therapeutic compliance, health beliefs, patient preferences, knowledge and experience, social interaction, sociodemographic and clinical characteristics. Results : The therapeutic compliance rate of the 141 study subjects was 78.0%. An analysis of health beliefs and patient preferences revealed health concern (p<0.05), dependency on medicine (p<0.05), perceived susceptibility and severity (p<0.05) as well as preferred treatment (p<0.01) as factors related to therapeutic compliance. Factors from the sociodemographic characteristics and clinical factors that were related to therapeutic compliance were age (p<0.01), monthly income (p<0.05), histological type (p<0.05) and clinical stage (p<0.05) of cancer. Conclusions : In order to improve therapeutic compliance in lung cancer patients it is necessary to educate the aged, low-income patients, or patients who have small cell lung cancer or lune cancer of an advanced stage for which surgery is not indicated. Additionally, it is essential for medical personnel to have a deep concern about patients who have poor lifestyles, a low dependency on medicine, or a high perceived susceptibility and severity. Practically, early diagnosis of lung cancer and thoughtful considerations of low-income patients are important. By means of population-based education in a community, we may promote attention to health and enhance the early diagnosis of lung cancer.

학회별세션 1/ 후원기관별 세션 : 한국의 보건,의료 수준과 재정의 균형 (비판과 대안을 위한 건강정책학회) ; 메르스 사태로 본 보건·의료 수준과 재정의 균형

감신 한국사회보장학회 2015 한국사회보장학회 정기학술대회 Vol.2015 No.2

의사인력 및 전문의 양성

甘信 대한의사협회 1999 대한의사협회지 Vol.42 No.11

금연정책과 금연정책의 사회적 효과

감신 대한암예방학회 2005 Journal of cancer prevention Vol.10 No.3

Tobacco use is a worldwide public health issue with enormous costs in morbidity and mortality. Especially, the prevalence of smoking in Korea is among the highest in the world, making Korea an important target market by multinational tobacco companies. The purpose of this paper is to provide anti-tobacco policies and its social effects in developed countries and to present of opinions of future tobacco control policies in Korea. Many countries have mounted tobacco control programs financed with dedicated tobacco tax revenues. Many anti-tobacco policies were effective, mainly because the laws were not obeyed, and there were many actions promoting lifestyle without a cigarette. Korea ranked the highest in the amount of tobacco consumption but the lowest in price regulation among study nations. These findings implied that the most effective method for reducing smoking population was an economic regulation through price control. (Cancer Prevention Res 10, 166-172, 2005)