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KMID : 0365220210580020025
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Korean Journal of Public Health
2021 Volume.58 No. 2 p.25 ~ p.38
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A contemplation of local financial management issues in the process of responding to COVID-19 : Focusing on the Disaster Management Fund and the local health care system
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Lee Hye-Jung
Park Jeong-Soo
Lee Jae-Yoon
Han Seo-Young
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Abstract
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Objectives: The aim of this study was to examine the local financial management issues in the process of responding to COVID ?19 by focusing on the Disaster Management Fund and the local health care system.
Methods: Materials including articles, literature, and official literature published by the government were searched using RISS and Google Search engines. The search keywords were ‘Disaster Management Fund’, ‘Disaster Relief Fund’, ‘COVID-19’, ‘Local Finance’, ‘Regional Medical System’, ‘Net budget Surplus’, etc.
Results: In the absence of clear regulations on the accumulation and use of the Disaster Management Fund and the Disaster Relief Fund, various problems emerged. As the budget has been concentrated on responding to infectious diseases, the ability to prepare and respond to natural disasters has significantly decreased. Moreover, overlapping of the resources used in managing disaster leads to serious inefficiency in the local government's finance. Confusion in the using Local government's Finance made it difficult to establish Regional Medical System.
Conclusion: Establishing funds using Net budget Surplus would make each local government effectively construct Regional Medical System. This new fund operates through cooperative sharing between the central government and local governments. Since the subject and scope of information disclosure are not unified among local governments, quantitative comparison and analysis at the national level were virtually impossible in this study. But we propose this new Fund cooperated within governments would make a system that could manage Future infectious diseases more effectively than Covid-19.
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KEYWORD
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Disaster Management Fund, Disaster Relief Fund, COVID-19, Local Finance, Public Health Care, Regional Medical System, Net budget surplus, Fund
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