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고든솔 한국보건사회연구원 2023 보건복지포럼 Vol.324 No.-
자살은 개인과 환경의 다양한 요인의 상호작용으로 발생한다. 자살률 감소를 위해 예방 정책의 효과와 중요도가 높은 만큼, 예상되는 복합적인 사회 요인을 파악하고 정책의 계획과 시행 전반의 과정에 이를 반영해야 한다. 자살에 영향을 미치는 한국 사회의 여건을 인구·사회적 여건, 경제적 여건, 환경적 여건, 개인적 여건으로 구분하여 살펴보았다. 자살 위험에 취약한 고령인구의 증가와 1인가구의 증가로 나타나는 사회적 여건과 더불어 사회적 관계망은 자살 위험을 감소시키는 데 집중해야 할 요인이다. 최근의 경제성장 둔화와 계층 간 불평등의 심화는 미래 상황에 대한 부정적 생각으로 이어질 가능성이 높아 눈여겨볼 요인이다. 또한 선제적으로 대응이 필요한 여건과 정책 대상으로는 마약류 등의 중독에 따른 위험군 관리와 기후변화에 따른 위험군 관리이다. 기술의 발전은 국가의 자살률에 긍정적인 영향을 줄 것으로 기대되는 여건이다. 자살에 영향을 주는 사회 여건은 변화하고, 그 영향력 또한 시간에 따라 다르게 나타난다. 사회 여건의 변화에 따라 위기군으로 포함되는 대상은 확대될 수도 있고, 대상별 관리 방안은 새로워질 수도 있다. 정책의 대상이 되는 위기군을 지속적으로 모니터링하고 선제적으로 발굴하여 대상자의 특성별, 단계별 차별화된 접근 전략을 수립할 필요가 있다.
고든솔,윤석준 한국보건의료기술평가학회 2017 보건의료기술평가 Vol.5 No.1
To prevent and detect inappropriate payments for health insurance claims, the government imple- ment policies at all levels of the national health insurance system, which occur despite reviews con- ducted by Health Insurance Review and Assessment Service and payments made by the National Health Insurance Service. The Ministry of Health and Welfare can investigate a health care provider for suspected fraudulent claims and impose administrative measures and penalties such as mone- tary fines and suspension in case there is proof of indiscretion. Payers also identify potentially false claims by reviewing whether more services than necessary were provided. However, the system has also been criticized for being restriction oriented and not performing ordinary functions because of the occurrence of numerous untreated cases. We identified current state by reviewing policies and laws that attempted to combat healthcare fraud and abuse in national health insurance system and suggested new directions.
국내 보건의료기관 기반 청소년 비만관리 프로그램 현황 -만성질환 관리모형을 중심으로-
고든솔 ( Dun Sol Go ),최민재 ( Min Jae Choi ),홍석원 ( Seok Won Hong ),이선희 ( Seon Heui Lee ),김영은 ( Young Eun Kim ),노진원 ( Jin Won Noh ) 한국병원경영학회 2016 병원경영학회지 Vol.21 No.1
Obesity of adolescents causes mental and physical problems as well as social problems, which need prevention and management. Although a number of systematic reviews and meta-analyses on obesity programs for adolescents were conducted, there is no study evaluating the programs based on CCM(Chronic Care Model), an organizing framework for improving chronic illness care. This study was conducted to review the features of studies in obesity management programs and interventions of the selected studies were evaluated in terms of inclusion of components of the Chronic Care Model. 4 databases were searched for relevant studies in obesity management programs, which were published from 1994 to 2014 in Korea. Results were analyzed in a qualitative way. 14 studies were satisfied inclusion criteria. The interventions most frequently utilized the elements of self-management support(66.7%) and only 1 of the studies included more than three components of CCM. This study presents the direction of health policies about managements of metabolic syndrome, which means that we identified effective process of the obesity management programs for adolescents in Korea and also this study will be used as a basic information for the development of obesity management program.
성인기와 노년기별 암 경험자의 유병기간이 우울감 변화에 미치는 영향
고경민,문성제,손민성,이솔,고든솔,윤석준 한국병원경영학회 2020 병원경영학회지 Vol.25 No.2
Purpose: The purpose of this study is to identify the effect of the disease duration on depression change in cancer survivors between the middle and old age groups. Methodology: To that end, we analyzed 275 patients using the Korea welfare panel survey from 2011 to 2016 jointly developed by the Korea Institute for Health and Social Affairs and Seoul National University. The duration of the elapsed and the experienced was measured as a independent variable. CES-D was used as a dependent variable. Frequency, paired t-test, ANOVA, and logistic regression analysis were conducted using Stata 14.0 for statistical analysis. Findings: Studies have shown that as the duration of the elapsed and the experienced increases, people under 65 are 1.17 times and 1.84 times each more likely to be included in depression-increase group than in depression-reduction group. The group that has been maintaining economic activities continuously since 2011 was significantly less likely to belong to the depression-increase group than the group that did not have economic activities in 2016. For those aged 65 and older, there was no significant difference in the duration of the elapsed and the experienced. The higher the likelihood of low-income households being included in the family of depression was 2.58 times higher than for ordinary households. Practical Implications: It is suggested that close policy management of the employment and working environment of cancer survivors is necessary, as both cancer survivors of productive age as well as older cancer survivors are analyzed to be beneficial to depression management. In addition, a systematic management program related to the mental health of cancer survivors is believed to be necessary for normal social recovery in the future.