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Sang-Yi Lee 2 Articles
Analyzing the Historical Development and Transition of the Korean Health Care System
Sang-Yi Lee, Chul-Woung Kim, Nam-Kyu Seo, Seung Eun Lee
Osong Public Health Res Perspect. 2017;8(4):247-254.   Published online August 31, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.4.03
  • 2,765 View
  • 25 Download
  • 4 Citations
AbstractAbstract PDF
Objectives

Many economically advanced countries have attempted to minimize public expenditures and pursue privatization based on the principles of neo-liberalism. However, Korea has moved contrary to this global trend. This study examines why and how the Korean health care system was formed, developed, and transformed into an integrated, single-insurer, National Health Insurance (NHI) system.

Methods

We describe the transition in the Korean health care system using an analytical framework that incorporates such critical variables as government economic development strategies and the relationships among social forces, state autonomy, and state power. This study focuses on how the relationships among social forces can change as a nation’s economic development or governing strategy changes in response to changes in international circumstances such as globalization.

Results

The corporatist Social Health Insurance (SHI) system (multiple insurers) introduced in 1977 was transformed into the single-insurer NHI in July 2000. These changes were influenced externally by globalization and internally by political democratization, keeping Korea’s private-dominant health care provision system unchanged over several decades.

Conclusion

Major changes such as integration reform occurred, when high levels of state autonomy were ensured. The state’s power (its policy capability), based on health care infrastructures, acts to limit the direction of any change in the health care system because it is very difficult to build the infrastructure for a health care system in a short timeframe.

Citations

Citations to this article as recorded by  
  • Role of Primary Care and Challenges for Public–Private Cooperation during the Coronavirus Disease 2019 Pandemic: An Expert Delphi Study in South Korea
    Woo-young Shin, Changsoo Kim, Sei Young Lee, Won Lee, Jung-ha Kim
    Yonsei Medical Journal.2021; 62(7): 660.     CrossRef
  • The sociopolitical context of the COVID-19 response in South Korea
    Hani Kim
    BMJ Global Health.2020; 5(5): e002714.     CrossRef
  • Post-COVID healthcare reform in India: What to expect?
    SohamD Bhaduri
    Journal of Family Medicine and Primary Care.2020; 9(11): 5427.     CrossRef
  • The Story of Korean Health Insurance System
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2017; 8(4): 235.     CrossRef
Nurse-Perceived Patient Adverse Events depend on Nursing Workload
Jeong-Hee Kang, Chul-Woung Kim, Sang-Yi Lee
Osong Public Health Res Perspect. 2016;7(1):56-62.   Published online February 28, 2016
DOI: https://doi.org/10.1016/j.phrp.2015.10.015
  • 1,930 View
  • 18 Download
  • 27 Citations
AbstractAbstract PDF
Objectives
The purpose of this study was to investigate the correlation between nursing workload and nurse-perceived patient adverse events.
Methods
A total of 1,816 nurses working in general inpatient units of 23 tertiary general hospitals in South Korea were surveyed, and collected data were analyzed through multilevel logistic regression analysis.
Results
Among variables related to nursing workload, the non-nursing task experience had an influence on all four types of patient adverse events. Nurses with non-nursing tasks experienced patient adverse events—falls [odds ratio (OR) = 1.31], nosocomial infections (OR = 1.23), pressure sores (OR = 1.16), and medication errors (OR = 1.23)—more often than occasionally. In addition, when the bed to nurse ratio was higher, nurses experienced cases of pressure sores more often (OR = 1.35). By contrast, nurses who said the nursing workforce is sufficient were less likely than others to experience cases of pressure sores (OR = 0.78). Hospitals with a relatively high proportion of nurses who perceived the nursing workforce to be sufficient showed a low rate of medication error (OR = 0.28).
Conclusion
The study suggested that the high level of nursing workload in South Korea increases the possibility of patient adverse events.

Citations

Citations to this article as recorded by  
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    Sustainability.2022; 14(20): 13169.     CrossRef
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    Haneul Lee, Kyounga Lee, Seon‐Heui Lee
    Nursing Open.2022;[Epub]     CrossRef
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    Haitham Khatatbeh, Annamária Pakai, Dorina Pusztai, Szilvia Szunomár, Noémi Fullér, Gyula Kovács Szebeni, Adrienn Siket, Miklós Zrínyi, András Oláh
    Nursing Open.2021; 8(2): 982.     CrossRef
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    Hui Li, Xiangping Kong, Lulu Sun, Yuanyuan Zhu, Bo Li
    Nurse Education Today.2021; 98: 104738.     CrossRef
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    Stephanie A. Roydhouse, Jane E. Carland, Deborah S. Debono, Melissa T. Baysari, Stephanie E. Reuter, Alice J. Staciwa, Anmol P. K. Sandhu, Richard O. Day, Sophie L. Stocker
    British Journal of Clinical Pharmacology.2021; 87(11): 4273.     CrossRef
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    Leticia Alves Freitas, Alex Luís Fagundes, Patrícia Rezende Prado, Marta Cristiane Alves Pereira, Adriane Pinto Medeiros, Ligia Menezes Freitas, Thalyta Cardoso Alux Teixeira, Janine Koepp, Rhanna Emanuela Fontenele Lima Carvalho, Fernanda Raphael Escobar
    Nursing Open.2021; 8(5): 2509.     CrossRef
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    Deborah Elisabeth Jachan, Ursula Müller‐Werdan, Nils Axel Lahmann
    Nursing Open.2021; 8(2): 755.     CrossRef
  • Nurses’ perception of patient safety culture and its relationship with adverse events: a national questionnaire survey in Iran
    Edris Kakemam, Hojatolah Gharaee, Mohamad Reza Rajabi, Milad Nadernejad, Zahra Khakdel, Pouran Raeissi, Rohollah Kalhor
    BMC Nursing.2021;[Epub]     CrossRef
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    International Journal of Nursing Studies.2021; 115: 103860.     CrossRef
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    Journal of Korean Academy of Nursing.2021; 51(1): 27.     CrossRef
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    Annals of Global Health.2021; 87(1): 79.     CrossRef
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    Thom Taylor, Danielle Altares Sarik, Daria Salyakina
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PHRP : Osong Public Health and Research Perspectives