• 보건행정학회지
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• 제30권1호
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• pp.126-130
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• 2020

Catastrophic health expenditure refers to measure the level of the economic burden of households due to medical expenses. The purpose of this study was to examine the proportion of households that experienced catastrophic health expenditure between 2006 and 2018 using available data from the National Survey of Tax and Benefit (NaSTaB), Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). Trend test was used to analyze the proportion of household with catastrophic healthcare expenditure. The households experienced the catastrophic health expenditure 2.08% in 2018 using the NaSTaB data. Trend analysis was significant with the decreasing trend (Annual Percentage Change [APC], -4.88; p<0.0001) in the proportion of households with the catastrophic health expenditure. On the other hand, the results of the HIES showed 2.92%, and KHP showed 2.48% of households experienced the catastrophic health expenditure in 2016. The trend was significantly increased in HIES (APC, 1.43; p<0.0001) and KHP (APC, 6.68; p<0.0001). Therefore, this suggests that further interventions to alleviate the burden of catastrophic health expenditure to the low-income group are needed.

• 보건행정학회지
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• 제31권1호
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• pp.140-144
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• 2021

Catastrophic health expenditure refers to measure the level of the economic burden of households due to medical expenses. The purpose of this study was to examine the proportion of households that experienced catastrophic health expenditure between 2006 and 2019 using available data from the National Survey of Tax and Benefit (NaSTaB), Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). Trend test was used to analyze the proportion of households with catastrophic healthcare expenditure. The households experienced a catastrophic health expenditure of 2.44% in 2019 using the NaSTaB data. Trend analysis was significant with the decreasing trend (annual percentage change [APC], -4.49; p<0.0001) in the proportion of households with catastrophic health expenditure. Also, the results of the 2017 KHP and the 2016 HIES showed 2.20% and 2.92%. The trend was significantly increased in the KHP (APC, 1.79; p<0.0001) and the HIES (APC, 1.43; p<0.0001). Therefore, this study suggests that further public healthcare interventions to alleviate the burden of catastrophic health expenditure, especially for low-income households, are needed.

• 보건행정학회지
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• 제32권1호
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• pp.107-112
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• 2022

Catastrophic healthcare expenditure refers to out-of-pocket spending for healthcare exceeding a certain proportion of a household's income and can lead to subsequent impoverishment. The aim of this study was to investigate the proportion of South Korean households that experienced catastrophic healthcare expenditure between 2006 and 2020 using available data from the National Survey of Tax and Benefit (NaSTaB), Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). Trend test was used to analyze the proportion of household with catastrophic healthcare expenditure. In the NaSTaB 2020 data, households who experienced catastrophic health expenditure was 1.73%. Trend analysis was significant with the decreasing trend (annual percentage change [APC], -5.55; p<0.0001) in the proportion of households with the catastrophic health expenditure. Also, in the 2018 KHP and the 2016 HIES, households who experienced catastrophic health expenditure was 2.21% and 2.92% respectively. In contrast, the trend was significantly increased in the KHP (APC, 0.55; p<0.0001) and the HIES (APC, 1.43; p<0.0001). Therefore, the findings suggest the need to strengthen public health care financial support and monitor catastrophic healthcare expenditures, especially for low-income group.

• 보건행정학회지
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• 제33권3호
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• pp.363-369
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• 2023

The term "catastrophic health expenditure" means assessing the extent to which medical costs cause financial hardship for households. The aim of this research is to analyze the percentage of households that faced severe financial strain due to medical expenses from 2006 to 2021. This was achieved by utilizing data obtained from the National Survey of Tax and Benefit (NaSTaB), Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). A trend analysis was conducted to examine the percentage of households that experienced catastrophic healthcare expenses. The households that experienced the catastrophic health expenditure was 2.49% in 2021 using the NaSTaB data. The trend analysis yielded a statistically significant result, indicating a decreasing trend (annual percent change [APC], -4.79; p<0.0001) in the proportion of households facing catastrophic health expenditures. Also, the results of the 2019 KHP and the 2021 HIES showed 1.09% and 2.44% for the households that experienced catastrophic health expenditure. The trend was increased according to the KHP (APC, 0.55; p=0.0004) and the HIES (APC, 7.04; p<0.0001). As a result, this study proposes that sustained attention and further interventions are necessary to ease the economic pressure caused by catastrophic health expenses, particularly for low-income households.

• 한국감성과학회:학술대회논문집
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• 한국감성과학회 2000년도 춘계 학술대회 및 국제 감성공학 심포지움 논문집 Proceeding of the 2000 Spring Conference of KOSES and International Sensibility Ergonomics Symposium
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• pp.81-85
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• 2000

The present study investigated the processes of selecting and modeling of design variables based on HIEs for developing the evaluational model on the physical suitability of office chairs. Evaluational model can be used for development of the new products or improvement of the old products. For the best utilization of the evaluational model, the process of scrutinizing the variables and the complex interactions among the variables is indispensible. Also, for this, it is necessary to select only the right HIEs which influence the physical suitability of products greatly.The present study suggested analytical processes for making the evaluational model on the physical suitability (Comfortability, Suitability, Stability, Adjustability, Clearance) of office chairs.

• 한국정보과학회:학술대회논문집
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• 한국정보과학회 2000년도 가을 학술발표논문집 Vol.27 No.2 (1)
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• pp.234-236
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• 2000

최근 국내의 모든 병원에서 PACS(Picture Atchiving and Communication System) 도입에 관한 관심을 보이고 있다. PACS가 구축이 되면 병원 내 모든 진료 과에서 디지털 데이터의 전송으로 정보를 공유할 수 있고, 진료가 자동화 되는 장점이 있다. 하지만, 환자가 다른 병원으로 이송될 경우 과거 진료 내역을 다른 병원으로 함께 전송하여야 되는데, 다른 병원의 시스템과 연계할 방법이 현재로는 존재하지 않는다. HIES 시스템은 의료 데이터 전송의 표준문서로 XML(eXtensible Markup Language)을 제안하고 있다. XML은 문서를 정의하는 메타 마크업(meta-markup) 언어로써 DICOM 프로토콜을 통하여 산출된 의료 데이터를 표현하기에 적당하다. 또한 병원 간 이질 데이터베이스 시스템 통합을 위하여 일관된 스키마 정보를 유지하는 정보 공유 관리자를 설계, 구현하였다.

• 한국조사연구학회지:조사연구
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• 제5권1호
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• pp.103-130
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• 2004

통계청에서 매월 실시하는 주요 가구부문 경상조사에는 경제활동인구조사와 가계조사가 있다. 이 두 조사의 표본은 인구주택총조사 자료를 표본틀로 하여 5년마다 개편되고 있다. 이 논문에서는 2000년 인구주택총조사를 바탕으로 2002년에 실행한 표본개편에 관한 내용을 수록하였다. 이번 표본개편의 주요 개선사항으로는 연동표본(Rotation Sampling)의 도입, 도시가계조사를 전국가계조사로의 확대, 고용통계의 소지역통계 생산을 위한 기반마련이다. 또한 조사구 내의 표본가구수를 24가구에서 20가구로 축소하고, 표본 조사구수를 증가시킴으로써 정도 높은 자료를 생산할 수 있는 기반을 마련하였다. 대표성 있는 표본조사구 추출을 위한 분류지표 선정 과정에서는 지역별로 대표성이 높은 분류지표를 선정하여 대표성 있는 표본을 추출하는 데 기여하였다.

• 응용통계연구
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• 제22권1호
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• pp.141-151
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• 2009

제공되는 마이크로자료가 어떤 형태인지에 따라 응답자의 개인정보를 보호하는 방법도 다르게 적용된다. 본 연구에서는 연속형자료의 비밀보호에 효과적인 잡음(noise)을 이용하는 방법을 소개하고, 통계청에서 실시한 2005년 가계조사 자료에 이 방법을 적용하여 응답자의 정보노출이 제한된 마이크로자료를 작성하는 과정을 설명한다. 잡음의 생성을 위해 삼각분포와 절단된 삼각분포, 사다리꼴분포 그리고 이중삼각분포를 이용하고 소지역 추정에 필요한 공식도 유도한다. 아울러 각 분포별로 얻어진 잡음을 이용하여 가계조사 자료를 변환하여 비교 분석한 결과도 보여준다.

• 보건행정학회지
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• 제29권1호
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• pp.86-89
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• 2019

Catastrophic health expenditure refers to spending more than a certain level of household's income on healthcare expenditure. The aim of this study was to investigate the proportion of households that experienced catastrophic health expenditure between 2006 and 2017 with the National Survey of Tax and Benefit (NaSTaB) and between 2011 to 2016 using Households Income and Expenditure Survey (HIES) data. The results of the NaSTaB showed 2.16% of households experienced the catastrophic health expenditure in 2017. In trend analysis, the NaSTaB revealed a statistically significant decreasing trend (annual percentage change [APC] = -2.01, p<0.001) in the proportion of households with the catastrophic health expenditure. On the other hand, the results of the HIES showed 2.92% of households experienced the catastrophic health expenditure in 2016. Also, there was a slightly increasing trend (APC= 1.43, p<0.001). In subgroup analysis, groups with lower income levels were likely to experience catastrophic health expenditure. In conclusion, further public support system is needed to lower experience these healthcare expenditures and monitor the low income group.

• Clinical and Experimental Pediatrics
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• 제53권4호
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• pp.592-597
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• 2010

고 IgE 증후군은 만성 습진성 피부병변, 반복적인 호흡기 감염과 고 IgE 혈증이 특징인 드문 면역결핍질환이다. 환아는 객혈을 주소로 내원한 16세 여아로, 과거력상 신생아시기서부터 시작된 반복적인 피부발진, 잦은 상기도 감염 및 폐렴으로 외부병원에서 지속적인 치료를 받은 바 있었다. 가족력 상에는 특별한 이상이 없었다. 신체검진상 전신의 만성 습진성 피부병변, 크고 뭉특한 코, 아구창 등을 관찰할 수 있었고, 청진상의 양폐야의 부잡음 및 우측 하엽의 호흡음이 감소되었다. 전신 흉부방사선 촬영상 양측 폐야의 기관지확장성 변화를 동반한 우하엽의 흉수 및 경화가 관찰되었으며, 말초혈액검사상 호산구수치($750/{\mu}L$) 및 면역글로불린 E 수치(5,001 U/mL)가 증가되었다. 환아는 임상적으로 고 IgE 증후군이 의심되었으며, 유전자 검사를 통해 확진하였다(Arg382Trp). 최근의 연구에 따르면, 고 IgE 증후군의 주된 원인으로 STAT3 유전자의 이상이 알려져 있으며, 이를 유발하는 여러 돌연변이가 보고되어 있다. 저자들은 STAT3 유전자의 돌연변이 중 잘 알려진 Arg382Trp 돌연변이를 우리나라에서 최초로 유전자 검사를 통해 본 환아에게서 확진하였기에 문헌고찰과 함께 보고하는 바이다. 고 IgE 증후군은 만성 습진성 피부병변, 반복적인 호흡기 감염 등 특징적인 병력이 있는 환자에서 고 IgE 혈증이 동반될 때 임상적으로 의심할 수 있으며, 유전학 검사로 확진이 가능하다.