Osong Public Health and Research Perspectives

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

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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

2,167 View
18 Download
29 Citations

Abstract 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

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