scholarly journals Current Status of Traditional Korean Medicine Services in Public Sector: A Study for Integrating Traditional Korean Medicine into Community Care System

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 493
Author(s):  
Soo-Hyun Sung ◽  
Minjung Park ◽  
Jihye Kim ◽  
Sun-Woo Jeon ◽  
Angela Dong-Min Sung ◽  
...  

Korea is currently executing a pilot program for community care of its aging population and aims to implement community care systems on a national scale by 2025. This study examines the traditional Korean medicine (TKM) service to be provided within community care by understanding the current status of TKM services. The Ministry of Health and Welfare (MoHW) sent official letters to 242 local governments (cities, districts, and counties) from October to November 2019 to survey the status of the public TKM services provided in 2018. The items of the survey included basic demographic information as well as information that could reveal how the program was implemented. In 112 local government jurisdictions (response rate 46.3%), a total of 867 TKM service programs were in place. As a result of the survey, it was revealed that they did not have any service manuals or evaluation results. To provide home-care-based TKM service for the elderly as an integrated part of a community care system, it is necessary to develop, distribute, and evaluate a standard service manual including an evaluation index by the central government.

2018 ◽  
Vol 159 (8) ◽  
pp. 312-319
Author(s):  
Anett Mária Tróbert ◽  
Zsuzsanna Széman

Abstract: According to statistical data, the number of healthy life years is not increasing in proportion with the longer average life expectancy. In the ageing societies, the long-term care systems are increasingly overburdened; cost-efficient operation and the related coordination of services is one of the key questions for their sustainability. The present separation of the health care and social care systems causes numerous difficulties. One aim of the online research by questionnaire was to survey the attitude of general practitioners – who play a very important part in care for the elderly – towards their elder patients, the patients’ family members, and social workers providing eldercare. The other aim was to gather information on shortcomings experienced by doctors in the care system and on what possibilities general practitioners see for the improvement of eldercare. Semi-structured questionnaires were applied and analysed by descriptive and content methodology. The questionnaires were sent out to 5060 addresses around the country: a total of 145 were returned filled in. The respondents made many recommendations for the improvement of eldercare in the categories of development of social services, family support, development of health services, and societal cooperation. The areas in need of development named by the general practitioners are closely interrelated: the reform of social care would support the health care system and vice versa. More effective operation of the health and social care systems would ease the burdens of families, and at the same time encourage more active participation of families in the care process. And the systematic education of society and communities is a long-term investment that would strengthen a positive attitude towards old age and a value-oriented view of the ageing process that is one of the basic conditions for successful social integration of the elderly. Orv Hetil. 2018; 159(8): 312–319.


Author(s):  
Sangjin Han ◽  
Hyejin Lee

More than two-thirds of road fatalities in the Republic of Korea (hereafter Korea) occur on roads managed by local governments. There is also a big difference in road traffic death rates between local governments. This study aims to develop indicators to evaluate the current status of road safety management systems (RSMS) of local governments, which can result in different road safety performance. The indicators for RSMS will be categorized into: institutional management, intervention, intermediate outcome, and final outcome. A comparison of those indicators will help local governments to identify the pros and cons of their RSMSs. It will also help to benchmark good practices of other local governments and eventually contribute to reducing the gap of road safety outcomes between local governments. Indicators have been developed for both quantitative and qualitative aspects. The former includes road mortality rates for various road user types and budgets for road safety, and the latter includes the existence of a road safety team and the level of cooperation between relevant organizations. The overall road safety score is calculated based on the weighted sum of the selected indicator scores. The weights are derived through the analytic hierarchy process (AHP). A comparison of developed indicators between local governments shows many local governments in Korea need to set up a responsible organization for road safety. This comparison will also provide useful information on how the central government can help local governments with low scores.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Bernadett Juhász ◽  
Éva Bácsné Bába

Development of talents care systems plays an important role in handball today. The goal of the Hungarian Handball Association is to ensure that all children of the same age receive the same training throughout the country. The Association recently introduced a standard feed-back education system. The aim of this research was to demonstrate the evolution of the talent care system, especially the innovations introduced by the Association. The research method was interviewing handball experts. Five experts answered our questions, former elite players, currently coaches. Based on their responses, it was possible to compare the old and the current status of the training programmes. We may conclude, that the structure of handball training has significantly developed both technically and tactically. Professionals agree, that there are a number of changes have occurred in the theory and methodology of handball. The newly introduced regional, electronic control system – described in the Age Handbook were considered to be useful by the interviewees. According to the results of our pilot study, the new unified educational training system may result in a more successful international presence in the long term.


Author(s):  
Bui Quang Phat

The paper analyzes the current status of local government revenues in Vietnam base on two indicator groups: The size and The structure of local government revenues. In addition, the paper also compares the revenue among local governments, analyzes the causes that led to the differences. Some recommendations are proposed to enhance local government revenues in Vietnam. This is an important basis to promote local government revenues through decentralized revenues and at the same time reduce the burden for central government.


2016 ◽  
Vol 23 (5) ◽  
pp. 435-452 ◽  
Author(s):  
Henriette Roscam Abbing

Demographic changes (ageing populations) are a challenge for European health systems. Innovative solutions must ensure elderly patients equitable access to good quality, affordable healthcare. De-centralisation and de-institutionalisation in healthcare for the elderly have become policy priorities for European countries. Local governments must have sufficient experience for the necessary integration of health and social services. New ways of looking at health care systems are necessary for reasons of quality, accessibility, and costs-effectiveness. The implementation and co-ordinated monitoring of the health- and care rights of the aged in Europe should be given full attention. There needs to be a handbook on elderly as well as an ombudsman. The exchange of experiences and best practices, oversight of the quality and effectiveness of the health- and care services and the system as such are indispensable.


Author(s):  
Soo-Hyun Sung ◽  
You-Sang Baik ◽  
Ji-Eun Han ◽  
Eun-Jin Lee ◽  
Jihye Kim ◽  
...  

Objectives: The aim of this study was to examine the status of community care services regarding traditional Korean medicine (TKM) for older adults and raise awareness on current opinions and services of TKM institutions. Methods: The National Development Institute of Korean Medicine conducted a survey of 16 local governments by sending official letters through an electronic document system from October 2020 to November 2020. The survey items included basic demographic information and information about TKM service. Results: Eleven (68.8%) of the 16 local governments provided TKM home care services. A total of 136 TKM clinics provided home care services for 598 older adults with musculoskeletal disorders. The number of TKM services provided in five or more local governments were cupping 11 (100.0%), acupuncture 11 (100.0%), education and consulting 10 (90.9%), and moxibustion 9 (81.8%). Moreover, pain (recorded on visual analogue scale) and quality of life significantly improved following TKM services (p < 0.001). Conclusions: Covered under medical policy, TKM homecare services could function as a viable alternative for continued medical care disrupted during the coronavirus disease 19 pandemic. In addition, standardisation and legalisation of these services could ensure and improve their efficiency.


2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Bernadett Juhász ◽  
Éva Bácsné Bába

Development of talents care systems plays an important role in handball today. The goal of the Hungarian Handball Association is to ensure that all children of the same age receive the same training throughout the country. The Association recently introduced a standard feed-back education system. The aim of this research was to demonstrate the evolution of the talent care system, especially the innovations introduced by the Association. The research method was interviewing handball experts. Five experts answered our questions, former elite players, currently coaches. Based on their responses, it was possible to compare the old and the current status of the training programmes. We may conclude, that the structure of handball training has significantly developed both technically and tactically. Professionals agree, that there are a number of changes have occurred in the theory and methodology of handball. The newly introduced regional, electronic control system – described in the Age Handbook were considered to be useful by the interviewees. According to the results of our pilot study, the new unified educational training system may result in a more successful international presence in the long term.


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