• Title/Summary/Keyword: Financial Burden

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A Study on a Coping Method of the Family Caregivers of Demented Patients (치매노인 가족부양자의 대처방법에 관한 연구)

  • You, Kwang-Soo
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.648-667
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    • 2002
  • This was a descriptive study designed to identify the level of coping method and its influencing factors on the family caregivers of demented patients, and resolve the family caregivers' level of stress. The data were collected from September 10 to October 10, 2001. Subjects for this study were recruited from four clinics, which were chosen from 15 clinics located in Chunbuk-Do as the study sites because of their cooperation for the study. They were similar in terms of size, the characteristics of the local community. and the population and registration status of the demented patients. The instruments used for the study were as follows: 1. Problematic behaviors of demented patients are measured by the Memory and Behavior Problem Checklist (Zarit, 1980), and the Linguistic Communication Symptoms Questionnaire (Bayles and Tomoeda, 1991) 2. The ability to carry out daily activities was measured using the Barthel Index (1965) and Katz Index (1963), which as well-known ADL assessment methods. 3. Burden was measured using Cost of Care Index by the Kosberg and Cairl (1986). 4. Coping strategy was measured Bell's 18 methods (1977). The data were analyzed using SPSS/PC. The study results were as follows: 1. The total stress score was 2.90 out of a maximum score of 5. The highest score reported was 3.09 on the dimension of restriction of individual and social activities, and the lowest region reported was 2.58 on the dimension of mental and physical health. 2. The total score of the coping method was 2.65 out of a maximum score of 5. The highest score reported was 4.01 on the dimension of thinking that includes an ideation such that it is better than any possible worst case, and the lowest score reported was 1.45 on the dimension of the self-image as a scapegoat. 3. There were significant differences in coping method among the subjects by age (F=2.752 p=0.04), caregiver (F=4.33 p=0.003), care-giving period (F=2.68 p=0.049), and dementia stage (F=2.87 p=0.034). 4. There were highly negative correlations ($\gamma$=-0.301 p=0.000) between problematic behaviors of demented patients and the coping method of their family caregivers. The highest correlation coefficient ($\gamma$=-0.339 p=0.000) was found between aggressive behaviors of the demented patients and the coping method of their family caregivers. 5. There was a low negative correlation ($\gamma$=-0.201 p=0.019) between the ADL of the demented patients and the coping method of their family caregivers. 6. There were highly negative correlations ($\gamma$=-0.213 p=0.005) between stress and the coping method of the family caregivers. The highest correlation was found between financial burden ($\gamma$=-.327 P=.000) and the coping method of the family caregivers. There was no significant correlation among unpleasant aspects of the demented patients, willingness to the demented patients, and the coping method of the family caregivers.

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Costing of a State-Wide Population Based Cancer Awareness and Early Detection Campaign in a 2.67 Million Population of Punjab State in Northern India

  • Thakur, JS;Prinja, Shankar;Jeet, Gursimer;Bhatnagar, Nidhi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.791-797
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    • 2016
  • Background: Punjab state is particularly reporting a rising burden of cancer. A 'door to door cancer awareness and early detection campaign' was therefore launched in the Punjab covering about 2.67 million population, wherein after initial training accredited social health activists (ASHAs) and other health staff conducted a survey for early detection of cancer cases based on a twelve point clinical algorithm. Objective: To ascertain unit cost for undertaking a population-based cancer awareness and early detection campaign. Materials and Methods: Data were collected using bottom-up costing methods. Full economic costs of implementing the campaign from the health system perspective were calculated. Options to meet the likely demand for project activities were further evaluated to examine their worth from the point of view of long-term sustainability. Results: The campaign covered 97% of the state population. A total of 24,659 cases were suspected to have cancer and were referred to health facilities. At the state level, incidence and prevalence of cancer were found to be 90 and 216 per 100,000, respectively. Full economic cost of implementing the campaign in pilot district was USD 117,524. However, the financial cost was approximately USD 6,301. Start-up phase of campaign was more resource intensive (63% of total) than the implementation phase. The economic cost per person contacted and suspected by clinical algorithm was found to be USD 0.20 and USD 40 respectively. Cost per confirmed case under the campaign was 7,043 USD. Conclusions: The campaign was able to screen a reasonably large population. High to high economic cost points towards the fact that the opportunity cost of campaign put a significant burden on health system and other programs. However, generating awareness and early detection strategy adopted in this campaign seems promising in light of fact that organized screening is not in place in India and in many developing countries.

A Study on the Improvement of Law Analysis of Venture Preferential System on Technology-based Startups (기술기반 창업기업 중심의 벤처우대제도 법령에 관한 연구)

  • Hong, Eun-Young;An, Gi-Don;Sung, Eul-Hyun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.15 no.2
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    • pp.111-125
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    • 2020
  • In the rapidly changing era of the Fourth Industrial Revolution, the business environment surrounding venture companies is also changing rapidly. In recent years, the government has reorganized the venture verification system, including expanding the types and scope of venture companies. This study analyzes the current status of venture preferential system from the perspective of technology-based start-up companies and in addition, this paper proposes a plan for improving the legal system. For analysis, The relevant provisions were confirmed through a search using "venture" as a keyword in the National Legal Information Center and the Korean Court of General Law. Then, meaningful texts were extracted along with relevant data to secure basic data and analyzed by benefits, by means and by content. As a result of the study, Venture preferential treatment system is focused on 'reduction of burden' by the means of benefits, and on 'financial' and 'production' by benefits. In conclusion, four suggestions for improvement are presented. First, efforts are needed to increase the practical applicability of venture-related clauses. Second, the venture preferential treatment system is mainly focused on mitigating the burden, so efforts are needed to find a balance. Third, the venture preferential treatment system is mainly focused on the 'non-research' field, so the benefits of the 'research' field should be expanded. Finally, efforts to discover and overcome blind spots in the venture preferential system should be supported.

Current Circumstance and Issues in Traditional Korean Healthcare Sector : What are Public Policy Options for Future Society? (우리나라 한방의료의 현황과 과제 : 미래사회를 위한 정책적 선택)

  • Han, Dong-Woon;Kim, Hyang-Ja;Yoon, Tae-Hyung;Woo, Hye-Kyung
    • Journal of Society of Preventive Korean Medicine
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    • v.9 no.1
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    • pp.77-89
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    • 2005
  • Since 1990's, the Korean society, experiencing the low fertility and aging society, has been confronting with the threats in health care sector. The threats are the increases in the demand for health care, health care financial burden, and so on. In particular, the change of disease pattern and aging population result in the increases patients' demand for not only western medical services but also oriental medical services and complimentary medicine. Recently, the increases in availability of oriental medical services and the health care resources related to oriental medicine are raising some issues and conflicts in the Korean health sector. Theses circumstance required policy makers, central and local government, and public health sector to develop health policies related to oriental medicine and interface or integrate of traditional Korean medicine and Western medicine. For the near future, these issues will probably remain the focus of integration of traditional Korean medicine and Western medicine in public health sector. To cope with the threats in health care sector, one of the opportunities is to scale-up e public role of traditional Korean medical services. The main purpose of this study was to develop strategies to scale-up the Public role of traditional Korean medical services for the future society. The research questions are: what are the trends and problems in traditional Koran medical sector; what are the causes of or associated factors to the problems; how to cope with the problems and how to resolve the cause?; what are the health policy directions and its strategies that the government should take to cope with the future demand and the burden on health care sector? The results of this study are as follows. In order ta scale-up the public role of traditional medicine, this research offered health policy directions for traditional Korean medicine in response to a change environment of health care sector. There are four directions to be addressed: 1) the development of and investment in public oriental medicine infra-structure; 2) the development of public policy on oriental medicine; 3) modernization and globalisation of traditional Korean medicine; 4) the expansion of academic exchange between Western medicine and traditional Korean medicine. Finally, we discussed stakenholders' on traditional Korean medicine in the health care market. Then, public policy options for future society was suggested.

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Study on service and Use the Actual conditions of Day care Center for the elderly - with A Focus on Adult Day Care Facilities - (노인주간보호시설의 프로그램운영과 공간구성관계연구 - 경기도 노인주간보호시설을 중심으로 -)

  • Kim, Yong-Woong;Park, Kyung-Jin
    • Journal of the Korea Safety Management & Science
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    • v.15 no.2
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    • pp.135-141
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    • 2013
  • As the country's elderly people who are 65 years or older recently exceeded 10% of the total population with development of medical technology and improvement of living standards, Korea has turned into an aging society. Especially in Gyeonggi-do, as of late December 2012, elderly people who were 65 years or older were 1,135,242 persons, taking up 18.98% of the region's population and registering the largest number of elderly people in the nation's cities or provinces. Due to such a sharp rise in elderly population, support for the elderly is increasing the burden on families and communities. The study aims to take as its subjects elderly people staying at authorized elderly welfare facilities, who are weak in mind and body and have difficulty in daily life with disabilities, or adult day care facilities that take care of elderly people during the day or at night, examine the concept of adult day care facilities and instances in foreign countries, and study the status of the adult day care facilities located in Gyeonggi-do, their services, and safety by figuring out space arrangement based on program implementation. Spacial arrangement in program operation should satisfy fuction and purpose from the manager and user's perspective, and a desirable program operation should provide separate spaces for the elderly with Alzheimer's and those without Alzheimer's. Compared to residential care facilities, adult day care facilities incur less financial burden and, compared to other authorized services, have many right functions that can upgrade the quality of users and satisfy their desires. Major countries like Japan, the UK, and Sweden recognize the right functions of day and night care services and aggressively support and utilize adult day care facilities. For adult day care facilities, quality services should be developed and use and choices should be enhanced as regards services. Development of special programs for the elderly with dementia and stroke, instead of simple protective functions of a program, must be actively promoted, while manpower training is required for program operation, conveniences, and safety. By developing and providing space arrangement models that focus on efficiency, convenience, and safety of program operation, adult day care operation can be revitalized, while quality of elderly care may be enhanced and welfare budget can be saved.

Factors Affecting the View of marriage and Intention to marriage of Female University Students (여대생의 결혼관 및 결혼의향에 영향을 미치는 요인: 경기지역 일부 여대생을 중심으로)

  • So, Mi-Hyun;Kang, Hyun-Sook
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.2
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    • pp.53-64
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    • 2021
  • Objectives: The objective of this study is to understand the factors having effects on the view of marriage of female university students, and also to present the reference data for establishing the measures for having the positive view of marriage of female university students. Methods: An online survey was conducted targeting total 254 female university students of two universities in Gyeonggi region, from October 1 st to November 13th 2020. The results of this study are as follows. Results: First, to the question related to the intent to marry, total 70% of them responded that they had intent to marry. In the time of marriage, they said they would marry when getting financially stable. The 30% of subjects said that they would choose non-marriage because they wanted to continuously enjoy free life and they did not want to bear burden related to childbirth and child-rearing. Second, in the results of analyzing differences in the view of marriage according to the general characteristics, the students with intent to marry showed the higher romantic view of marriage, instrumental view of marriage, and exclusive view of marriage than the students without intent to marry, which showed significant differences. Third, the view of marriage were the factors having the greatest effects on the intent to marry of female university students. Conclusion: Based on such results of this study, it would be necessary to focus on the policies that could positively change the view of marriage of female university students. It would be needed to establish the social·institutional support measures for work-life balance by reducing women's burden of childbirth and child-rearing. To the question about the time of marriage, the most subjects responded that they would do so when the economic ability and stable job were equipped. Thus, there should be the systematic youth employment support system that could help the students to quickly and stably enter society and to become financially independent after graduation. Also, for the formation of positive family relation, it would be necessary to develop·operate the educational programs for forming positive family relation and desirable communication methods for each subject(spouse, parents, children, siblings, and etc.).

A Research on Housing, Economic Conditions and Housing Satisfaction of Working College Students in Seoul - Focus on comparison according to the financial stress level and types of housing - (서울지역 자력형 대학생의 주거·경제생활 실태 및 주거환경 만족도 - 임대료 마련 스트레스 수준과 주택유형별 비교를 중심으로 -)

  • Lee, Yeun sook;Ko, Ji yeong;Oh, Chan ohk;Lee, Eu ddeum
    • Design Convergence Study
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    • v.14 no.6
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    • pp.29-55
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    • 2015
  • This study aimed to examine and compare housing conditions and satisfaction degree of working college students in Seoul metropolitan area, depending on their stress level from economic burden and living housing type. The interview using the questionnaire was conducted. The subjects were 199 working college students aged between 19 and 35. The two-tier cluster sampling method were used, the region and representative university within the region. The comparison of satisfaction degree per type of housing of working college students has been conducted to find 3 characteristic patterns of satisfaction degree per housing condition from the stress of preparing the fund for rent, and students with high degree of stress from arranging rent showed relatively low degree of satisfaction in most items. 6 patterns have been identified in terms of housing types, and most of the students living in the Gosiwon, the poorest condition and housing type, showed the lowest degree of satisfaction, while those residing in the officetel turned out to the most satisfied. This study gives implications of housing welfare for working college students.

Why can't Newly-Married Household be independent of their Parents Household? (신혼부부 가구는 왜 독립적이지 못하는가? - 주거경제적 요인을 중심으로 -)

  • Park, Jonghoon;Lee, Seongwoo
    • Journal of the Korean Regional Science Association
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    • v.33 no.3
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    • pp.31-47
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    • 2017
  • The purpose of this study is to identify determinants of economic aid regarding housing and cost of living for the newly-married households. This study applied the binary logit model to figure out the determinants of economic aid from their parents for the households. With utilizing the Newly-Married Housing Survey data in 2015, this study found that housing characteristics and level of housing expenditure leads to the economic aid from their parents. In particular, the housing price and transportation condition increase probability the financial aid from parents when the newly-married household starts their housing career. In addition, this study found that the items of housing expenditure increase the probability of economic aid for their cost of living. To improve the independence of newly-married household, the government should adopt the housing policy for stable housing price and alleviate the burden of housing expenditure. The significance of this study is analyzing the economic aid from their parents on newly-married household regarding housing economic issues and suggest the policy for independence of living from their parents.

Development of the Operating Cost Estimation Models to Evaluate the Validity of Urban Railway Investment (도시철도 투자타당성 평가를 위한 운영비용 추정모형 개발)

  • KIM, Dong Kyu;PARK, Shin Hyoung;KIM, Ki Hyuk
    • Journal of Korean Society of Transportation
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    • v.34 no.5
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    • pp.465-475
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    • 2016
  • Since inaccurate demand estimation for recent urban rail construction may result in financial burden to cities, precise prediction for operating cost as well as construction costs is necessary to avoid or reduce budget loss of the local or central government. The operating cost is directly related to the public fare and affect a policy to determine the rate system. Therefore, there is a pressing need to develop an estimating model for reliable operating cost of urban railway. This study introduces a new model to estimate the operating cost with new variables. It provides a better prediction in accuracy and reliability compared to the existing model, considering the feature of urban railway. For verification of our model, railway operation data from a few cities for the last five years were comprehensively examined to determine variables that affect the operating cost. The operating cost was estimated in a dummy regression model using five independent variables, which were average distance between stations, daily trains distance, total passenger capacity of a train in a train, driving mode(manned/unmanned), and investment type(financial/private).

The impacts of Allowance for Doubtful Bank loans on the cost of equity: an empirical study of Korean Banks (은행 대손충당 적립과 자기자본 비용의 관계)

  • Yoon, Jong-Chul;Lee, Sang-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.245-251
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    • 2017
  • The purpose of the study is to empirically investigate how the higher allowance ratio for bank loans affects the cost of equity using Korean banks from 2002- 2015. First of all, we analyzed the impact of the higher allowance ratio on the cost of equity for Korean banks. Secondly, from the perspective of governance structure, we analyzed the existence of different impacts whether banks were affiliated with financial holding companies. The results showed an increasing impact of higher allowance ratio on the cost of equity for Korean banks. Also, we found these impacts differ whether the banks are affiliated with financial holding companies. The results indicate that the burden of higher allowance ratios for bank loans may provide negative impacts on capital markets. The higher the allowance ratio, which means the greater risk for banks, may help to increase the cost of equity concerning Korean banks.