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      • 韓國과 日本 政府의 病院政策 比較 硏究

        南銀祐,西垣克 高神大學校保建科學硏究所 1996 보건과학연구소보 Vol.6 No.-

        This article reviews the hospital policies of Korea and Japan using some relevant data.Health services are quasi-public goods since some health services are good examples of what economists call "public goods," The purpose of this study is to compare hospital management. The results are as follows: 1.The private hospital,in number, amount to 85% of the total in Korea and 75% in Japan. It is found that,in both countries,medium-size hospitals, which have beds less than 300, account for 75%. Hoeever, Korea has more hospitals which have beds over 500 than does Japan. 2.The structure of hospitals in Korea is not quite different from that in Japan. Both structures are based on the dual power system. Per 100 beds, there are 104.3 hospital staffs in Korea and 96.7 in Japan. 3.It is found that 28% of the private hospitals in Korea show a financial deficit where as in Japan 55.4% suffer a defici, indicating a more serious situation in case of Japan. 4.In order to improve financial status of medium-size hospitals, it is suggested to introduce specialty hospitals and an open-hospital system, and to expand deregulation of hospital policies. Especially,loans from banks and government support through tax reduction should be extended.We believe that the information described above will be helpful to manage hospitals and for both governments to formulate hospital policies.

      • 日本의 醫藥分業推進政策의 考察

        南銀祐,朴永澤,西垣克 고신대학교 보건과학연구소 2000 보건과학연구소보 Vol.10 No.-

        Korean government decided to implement the separation policy of prescribing from July in 2000. The separation policy of Prescribing and dispensing belongs to public policy, and it is agreed important policy that is necessary system for improvement of public health. However, in case of Korea, there is not made a sense of its necessary and implementing period to both of providers and consumers yet. In spite of that, Korean government has a plan to enforce the separation of prescribing and dispensing without the result of proper pilot project in July 2000. Therefore, this study looked over the process separation politic implementation of prescribing and dispensing in Japan which is similar with medical care system of Korea. Especially this study was emphasized about the pilot project and support policy of government to the separation of prescribing and dispensing, and evaluation to the operation of separative system of prescribing and dispensing. The consequence of this study will be referred for the separation politic implementation of prescribing and dispensing in Korea. As a result, the core of the separation policy of prescribing and dispensing of Japan was the achievement of the separation of prescribing and dispensing through gradually expansive project. The pilot project was practiced at the demonstration area. Through this consequence, there used the supplement method from the problem of separation prescribing and dispensing. The present practiced rate of separation of prescribing and dispensing is 30%, and there was evaluation system of separation of prescribing and dispensing in order to promote efficiency of separation of prescribing and dispensing. Department of Drug Administration in Ministry of Health and Welfare was in charge of the evaluation of separation of prescribing and dispensing and dispensing based unit on the Promotive Conference of Separation of Prescribing and Dispensing in each area. The expense for the evaluation of separation of prescribing and dispensing was from national budget.

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