• The Journal of the Korea Contents Association
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• v.18 no.10
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• pp.99-110
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• 2018

As interest in adolescent and children's health risks increases, there is an increase in subscriptions to indemnity private health insurance. The purpose of this study was to investigate determinants of purchasing indemnity private health insurance. We conducted panel logit regression analysis on the sample of 4,567 adolescent and children using Korean Health Panel data from 2009 to 2015. As a result, it was analyzed that the participation of private health insurance for children and adolescents was affected not only by the characteristics of children and adolescents (age, birth order, residence, disability) but also by the characteristics of father (indemnity, disability, chronic disease) and mother (age difference between her and her children, indemnity, unmet needs) and the economic level of households (income). In views of this study, it is necessary to continuously implement policies to strengthen the healthcare of children and adolescents in order to alleviate the anxiety about the health risks of children and the burden of medical expenses caused by late marriages and maternal births. In particular, it is necessary to consider policies for multi-child families and vulnerable classes.

• The Korean Journal of Health Service Management
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• v.6 no.4
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• pp.143-152
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• 2012

This study analyzes Korea health panel data (2008) (beta version 1.2) of Korea Institute for Health and Social Affairs, and National Health Insurance Corporation to figure out determinants of healthcare expenditure. In result of Multiple Logistic Analysis, in-patents felt burden on the medical expenditure were 70.0%. As to the patients' payment of medical expenditure, patients over 65 years old had 4.765 times higher than those under 14 years, disabled patients 2.778 than non-disabled patients, chronic patients 1.632 times than non-chronic patients, patients belonging to 12 million won ~ 46 million won and under 12 million won in family income had 1.680 times and 2.168 times respectively than patients with over 46 million won, patients in professional recuperation facility 1.546 times than patients in hospital, patients in private medical institutions 1.700 times than patients in national and public medical institutions, patients using upper grade rooms 1.701 times than patients in non-upper grade rooms. As a health care safety net mechanism to protect people from medical expenditure burden, there is the patients' payment ceiling in the National Health Insurance System. Thus, in order to facilitate the patient's payment ceiling, it is required that the level of ceiling is to be specified according to the income level, and self-payment items is to be included.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2014.05a
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• pp.881-883
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• 2014

최근 고령화의 가속화로 인해 의료비의 부담이 증가하고 있는 가운데 의학기술의 발전과 소득 수준이 증가함에 따라 복지수요가 확대되면서 건강관리와 예방 중심의 헬스케어 서비스를 추구하고 있다. 그리고 이러한 헬스케어 트렌드와 스마트기기 보급의 확산이 맞물리면서 스마트기기와 개인건강 기기를 활용하여 의료서비스와 IT간의 융복합을 통한 스마트 헬스케어 서비스가 널리 주목받고 있다. 따라서 본 논문에서는 기존의 건강기기 표준에 따른 스마트TV를 기반으로 하는 여러 스마트 헬스케어 서비스를 제시하고자 한다.

• Proceedings of the Korean Society for Food Science of Animal Resources Conference
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• 2003.06a
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• pp.15-23
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• 2003

식품으로 인한 질병은 개인의 생명을 위협할 뿐 아니라 건전한 노동력의 상실로 생산성을 감소시키고 의료비를 증가시켜 개인의 행복 및 국가 경제에 부담을 준다 (Buzby et al. 1996, Mead et at. 2000). HACCP와 여러 식품안전에 관한 규제의 시행 등의 많은 노력에도 불구하고 Salmonella serotypes, Staphylococcus aureus, Camplobacter jejuni, Campylobacter coli, enterotoxigenic and enteroinvasive Escherichia coli, Clostridium perfringens, Bacillus cereus와 같은 식품기원 병원성 세균으로 인한 질병은 줄어들고 있지 않다. 오히려 외식 위주로 변해가는 생활습관은 식품을 통한 이들 병원성 세균의 전파가능성을 증가시키고 있다. 게다가 새로운 병원성균 (Yersinia enterocolitica, Listeria monocytogenes, E. coli 0157:H7, Aeromonas spp., Plesiomonas spp.) 의 출현 또는 특정 식품과 연관되어 나타나는 특정 subtype (Salmonella serotype Enteritidis) 의 출현은 이제까지 통용되어왔던 식품기원 세균을 위한 제어프로그램과는 다른 각도로 재원을 활용해야 할 동기를 부여하고 있다.

• KDI Journal of Economic Policy
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• v.10 no.4
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• pp.83-114
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• 1988

본고(本稿)의 목적은 서독(西獨) 일본(日本) 양국(兩國)의 의료보험제도(醫療保險制度)를 비교 검토하여 그들의 경험에서 배울 수 있는 교훈을 토대로 우리나라의 실정에 적합한 정책방안을 제시하려는 데 있다. 일반적으로 서독(西獨)은 제도내용이 효율성(效率性)보다는 형평성(衡平性)에, 일본(日本)은 비용효과(費用效果) 측면에 치중함으로써 서독(西獨)에서는 의료비 증가로 비용억제(費用抑制)가, 일본(日本)에서는 급여의 형평문제(衡平問題)가 중심과제로 되어있다. 이들 양국(兩國)의 경험을 토대로 한국제도(韓國制度)의 개선(改善)에 유용한 일련의 정책대안(政策代案)을 제시하면, 프로그램간 부담과 급여의 균등화를 추진하고, 정부(政府)의 보조금지원(補助金支援)은 목표인구(目標人口)를 대상으로 규모를 최소화하여 비용효과적으로 실시해 나가야 할 것이다. 소단위조합(小單位組合)의 지속적인 광역화(廣域化) 추진과 조합운영에 자율적인 기능을 부여해 나가는 한편 지역보험(地域保險) 보험료부과기준(保險料賦課基準)의 단순화 및 형평제고를 위해 자력조사(資力調査)를 조기에 실시할 것을 제안한다. 후송체계(後送體系)를 전국적으로 확대 적용시켜 나가면서 고소득계층에 대하여는 강제적용보다 임의적용으로 전환하여 민간보험시장(民間保險市場)의 개발을 꾀하고, 소득 있는 피부양자를 선별하여 보험료(保險料)를 부과(賦課)함으로써 보험재정(保險財政)의 안정을 도모하여야 할 것이다.

• Journal of Convergence for Information Technology
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• v.9 no.3
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• pp.140-145
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• 2019

With the development of IT technology, many changes are taking place in the health service environment over the past. However, even if medical technology is converged with IT technology, the problem of medical costs and management of health services are still one of the things that needs to be addressed. In this paper, we propose a model for hospitals that have established the IoT system to efficiently analyze and manage the personal information of users who receive medical services. The proposed model aims to efficiently check and manage users' medical information through an in-house IoT system. The proposed model can be used in a variety of heterogeneous cloud environments, and users' medical information can be managed efficiently and quickly without additional human and physical resources. In particular, because users' medical information collected in the proposed model is stored on servers through the IoT gateway, medical staff can analyze users' medical information accurately regardless of time and place. As a result of performance evaluation, the proposed model achieved 19.6% improvement in the efficiency of health care services for occupational health care staff over traditional medical system models that did not use the IoT system, and 22.1% improvement in post-health care for users who received medical services. In addition, the burden on medical staff was 17.6 percent lower on average than the existing medical system models.

• The Journal of Korean society of community based occupational therapy
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• v.10 no.1
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• pp.39-49
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• 2020

Objective : The aim of this study was to investigate the care burden and life quality in family caregivers of community-dwelling patients using home mechanical ventilator(HMV) in Yeognam region. Methods : Survey performed to family caregivers of the patients using HMV in Yeognam region, Korea. The questionnaire is composed with patient care and the burden on caring. Korean version of Short Form Zarit Burden Interview(K-ZBI-12) and 3-Level version of EuroQol-5 Dimension applying Korean weight(KEQ-5D-3L) were also investigated. Statistical significance was accepted for p<.05. Results : A total 98 out of 150 questionnaires were analyzed. The K-ZBI-12(33.08±10.34) had a correlation with KEQ-5D-3L(0.71±0.25) negatively(p=.038). Patients' age, duration of HMV, financial burden and professional caregivers' care time had correlations with K-ZBI-12 positively(p<.05). KEQ-5D-3L correlated duration of HMV negatively(p=.017). Invasive ventilator group had lower KEQ-5D-3L than the non-invasive ventilator group(p=.008). K-ZBI-12 was lower in more than one caregiver care of patients than in one(p=.001). Conclusion : This study revealed high care burden and low quality of life in family caregivers of the patients with HMV in Yeongnam region, Korea. Efforts are needed to continually identify the needs of patients and their families, and the socioeconomic support and medical services associated with HMV.

• Environmental and Resource Economics Review
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• v.29 no.2
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• pp.113-144
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• 2020

Throughout various data sources, it is widely observed that air quality in South Korea has become improved. Koreans, however, insist that their health status and economic burden due to worsened air quality get degenerated. This study aims to explain the mismatch between perception and measured data, air pollution-led medical expenses, and consumption behaviors in the economics perspectives. First, we demonstrated data-driven evidence of mismatch in the perceived severity of air pollution and its enhancement in measured data. Second, using the health demand model, we theoretically derived and empirically showed a co-rising relation between air pollution severity and medical expenses. Last, we analyzed that the perception led to increased defensive expenditures in consumption. This result implies the possibility of overestimation in air pollution impacts on socioeconomic losses and its possible reverse interpretation from increased social benefit after improved air quality. Our results recommend policy consideration to strengthen air quality standards, to support socially vulnerable groups regarding defensive expenditures, and to improve the accessibility and credibility of air pollution information.

• KDI Journal of Economic Policy
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• v.33 no.1
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• pp.125-148
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• 2011

Although the patient's problem with access to health information has been improved due to rapidly developing information technologies, such as the internet, some patients still do not have enough ability to understand, interpret, and analyze the health information. Given this view on the patient's asymmetric information problem, if a doctor provides sufficient effort to help patients understand and interpret medical information, the efficiency of patient's medical care use could be improved. This paper shows firstly that the patient's inefficient use of medical care originates from his information problems, such as the misperception of the effectiveness of medical care and secondly suggests that if the doctor makes sufficient effort to correct patient's information problems, the inefficiency can be ameliorated. This paper also suggests the manipulation of a doctor's payment method can lead a doctor to provide optimal level of efforts which can in turn lead patients to use the optimal level of medical care. With an optimal level of effort, a doctor can more easily achieve a patient's compliance with the newly recommended amount of medical care.

• Korean Journal of Social Welfare Studies
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• v.40 no.3
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• pp.327-348
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• 2009

The purpose of this study is to understand the diverse lifestyles of Korean older adults by analyzing the consumption pattern of older households and its determinants. The 9th wave of the Korea Labor and Income Panel Study(KLIPS) data was used for analysis. The twenty consumption items provided by the dataset was reduced to thirteen according to the consumption purpose inherent in the item. K-means cluster analysis and multinomial logistic regression was employed to categorize the consumption pattern of older households and to analyze the determinants. The results are as follows. The consumption pattern of Korean older adults was clustered into six distinctive groups named Breadwinner, Leisure-time pursuer, Friendly outgoes, Daily-life survivor, Illness sufferer and Shelter seeker. Breadwinner, Leisure-time pursuer and Friendly outgoes were lifestyles that earn and spend more compared to the other three. Nevertheless, they differed according to the family size, indicating that the parenting burden might have direct influence on the lifestyle of Korean older adults. Older adults without parenting burden and with high level of education and economic capacity were likely to show Friendly outgoes lifestyle. On the other hand, Daily-life survivor, Illness sufferer and Shelter seeker showed lower level of spending, indicating that for those lacking in economic capacity, urgent needs such as medical need or housing need dominates the lifestyle. The results call for adequate custom policies that best fit the needs of older adults.