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A Case Study on Health Care Financing Efficiency
A Case Study on Health Care Financing Efficiency

Author Ko, Sukja

Due to the aging population, rapid increase in medical expenses, sustainability of government finances, access to health care, there are challenges for health care reform. This study aims to examine the financial system for medical security in Finland and Sweden, and to consider and draw policy mplications for efficiency of medical financial expenditure and management.
In Finland, municipalities are primarily responsible for organizing and financing the healthcare system. It is increasing the economic burden of local governments, and a plan to change health care expenditure through Kela to direct support from the central government for public health services has been discussed, but the fiscal system remains complex. However, since the SOTE legislation has been passed, and changes should be carefully observed in the future.
The Swedish medical system provides medical services to the residents using the local finances of the region. In terms of medical finance, this acts as an incentive for local governments to provide medical services that residents need within the scope of each year's tax revenue with high efficiency. The central government is seeking ways to manage the quality of services. By integrating treatment, caring, and welfare services into the municipality, the fragmentation of the delivery system is reduced, and the responsibility for payment for social hospitalization is also imposed, thereby reducing social hospitalization and providing appropriate care for the local community.
It can be said that Korea is in a transitional period in the sustainability of health and medical finances, coupled with changes in the economy, society, and population structure. In order to prepare for the increase in financial demand to expand social welfare, it is necessary to prepare a plan to secure a sufficient tax base. It will be necessary to clearly separate the mandates and duties between the central and local governments so that they can focus on providing high-quality medical and welfare services for residents.

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Historical reflection on Korean health and welfare and the task of policy paradigm shift
Historical reflection on Korean health and welfare and the task of policy paradigm shift

Author Kang, Hyekyu

The recent global spread of COVID-19 has a ripple effect that heralds a great change in human civilization. Due to this, the fundamental changes in daily life are expected where no one can be exempt from. Therefore, it is indispensable to transform the state responsibility and the levels of intervention for the welfare of people, and the design and the operation of welfare policies and system. It is also necessary to examine and reset the fundamental social policy paradigm.
This study consists of two major parts. First, it is intended to identify the characteristics of Korea which could be described by process of policy formulation and current status by systematically and comprehensively analyzing the development history of health and welfare policies. Based on this, the study suggests changing factors and related policy tasks that should be noted and studied for policy paradigm shift. In particular, the aspect of health and welfare policies and short- and long-term tasks to cope with the crisis of great transformation by COVID-19 pandemic will be the focus of discussion.
Second, the study intended to develop the history of health and welfare policy and related research materials into digital contents which could increase the universal understanding and awareness of health and welfare policy by improving the public accessibility of health and welfare policy information. In order to be prepared for a future research environment where the zero contact(non-contact) is expected to become a new normal, it is intended to provide an online space for examining the past, present, and future of health and welfare policies and research from KIHASA by establishing an archive of research records at the online space.

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Research in Brief
The Impact of Covid-19 on Homeless Persons and Jjokbahng Dwellers and Its Policy Implications
2022-01 No.90 The Impact of Covid-19 on Homeless Persons and Jjokbahng Dwellers and Its Policy Implications

Author Lim, DeokYoung, Hong, Sungwoon

JJokbahng (“sliced room”) dwellers and homeless persons are referred to legally as “the homeless, etc.”, as specified in the Act on Support for Welfare and Self-Reliance of the Homeless.” The Act defines homeless persons as people who have “lived without stable housing for a considerable period of time” (street homeless persons), “used or lived in a facility for the homeless for a considerable period of time” (sheltered homeless persons) or “lived for a considerable period of time in a place substantially unfit for habitation” (jjokbahng dwellers).
Social welfare services for homeless persons, delivered mostly at homeless facilities, have as their legal basis the Act on Support for Welfare and Self-Reliance of the Homeless Welfare. Facilities that are intended for homeless persons are of two types. Homeless residential facilities provide a long-term shelter. They also provide services that are intended to assist homeless persons for their self-support, rehabilitation, and long-term care. Drop-in facilities include comprehensive support centers, temporary protection facilities, and jjokbahng counselling centers.
This study examines the living conditions of homeless persons, who in the current Covid situations, in particular, are among the most vulnerable and on whom the impact of the pandemic is likely to fall especially heavily, and draws implications as to what to do to improve policies on those groups. As covid-19 persists, the death toll surges and the economic damage piles up. It has repeatedly been pointed out that the impact of the pandemic has unevenly affected different social groups. Homeless persons and jjokbahng dwellers usually live in housing conditions that are extremely poor, have in many cases underlying health conditions and are often ailed by economic problems. They make up groups that are at especial risk in a situation of infectious disease, as most of them live in places that are cramped and insanitary where it is difficult to adhere to quarantine rules.

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Periodicals
  • The 2022 Outlook and Challenges for Health and Welfare Policies
  • The Need for a New Theory
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