• Health Policy and Management
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• v.11 no.3
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• pp.46-70
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• 2001

Medical Aid expenditure Increased rapidly at a higher rate than that of Medical Insurance during the period 1992-1999. To establish an effective cost containment strategy, knowledge of the cause and the nature of the increase of Medical Aid expenditure is required. The purpose of this study was to analyze increasing rates of Medical Aid expenditure by the components of medical expenses. Data were collected using the Medical Aid Statistical Yearbook during the period of 1992-1999. The major findings were as follows: 1. The annual mean increasing rate of Medical Aid expenditure between 1992 and 1999 was 22.8%, which exceeding that of Medical Insurance expenditure (17.5%) between 1992 and 1999. Since 1998, Medical Aid expenditure increased even more rapidly than in previous years, with the increase in number of Medical Aid beneficiaries. 2. Of Medical Aid expenditure, that of inpatient and outpatient annually increased 24.2% and 22.8% respectively and that of type 1 and type 2 increased annually 28.8% (outpatient) ∼29.9% (inpatient), 14.3% (outpatient) ∼ 15.5% (inpatient). Therefore, Medical Aid expenditure of inpatient and type 1 led the increase of Medical Aid expenditure. 3. Between 1992 and 1997, the frequencies of utilization per beneficiary and the charges per case positively contributed to the increase of Medical Aid expenditure while the number of beneficiaries contributed negatively, but since 1998, the number of beneficiaries increased and positively contributed to the increase of Medical Aid expenditure. 4. According to the analysis of the charges per case, the increase of the price index led to the increase of the charges per case but the days of medication and service intensity also contributed to the increase of the charges per case variably by year. Considering the above findings, factors associated with the Medical Aid system affected the increase of Medical Aid expenditure in addition to the general factors of the increase in medical expenditure. In conclusion, it appears that a more intensive cost containment strategy is required to control rapidly increasing Medical Aid expenditure. For this, more precise analysis and development of policy considering the effect of the number of beneficiaries and the increase of price index is needed.

• Journal of Technology Innovation
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• v.11 no.1
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• pp.79-97
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• 2003

R&D expenditure of Korean firms has been increasing drastically since 1980 and occupied 84% of total R&D expenditure in 1994. After 1994, however, the growth rate of industry R&D expenditure has dropped below single digit. R&D concentration rate of upper 20 companies declined from 61.9% in 1999 to 49.8% in 2001. The technology trade balance has diverged by 2.8 billion dollars in 2000 compared to around 0.3 billion dollars in 1985. We find several reasons on declining the industry R&D growth rate in Korea. First, we carefully say there might be an crowding out effect in increasing government R&D investment from Granger causality test between industry R&D and government R&D. Second, the decreasing benefit of tax credit since 1992 on industry R&D expenditure has caused the decrease of industry R&D growth rate. Third, the type of R&D cost becomes to similar to matured countries type of cost, which means the portion of capital expenditure has been decreased since late of 1980s. Therefore, industry R&D growth rate gets to saturation point. We draw several policy implications from the changing structure of business R&D of Korean company. Firstly, to stimulate industry R&D investment Korean government needs to strengthen tax credit policy. Secondly, to induce foreign direct investment Korean government needs to establish technology infrastructures and high quality of manpower. To utilize foreign technology resources Korean government need to introduce global R&D program executed by foreign scientist as an Project Leader.

• Korea Journal of Hospital Management
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• v.15 no.4
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• pp.1-26
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• 2010

We achieved both industrialization and democratization during the shortest period in the world. We also achieved good performance in national health insurance: universal coverage, solidarity in financing, equitable access of health care. However, national health insurance system has faced the problem of sustainability: various expenditure and financing problems. The problem of sustainablity has two facets of economic sustainability and fiscal sustainability. Economic sustainability refers to growth in health spending as a proportion of gross domestic product(GDP). Rapid increasing rate of health spending exceeds the growth rate of domestic product. Growth in health spending is more likely to threaten other areas of economic activity. Concern on fiscal sustainability relates to revenue and expenditure on health care. Health care financing face demographic and technical obstacles. Democratic obstacle is aging problem. Technical obstacle is collection of contribution. Expenditure of health care has various problems in benefit structure and efficiency of health care system. In this article, I suggest several policy reforms to enhance sustainability: generating additional revenue from value added tax, changing method of levying contribution, increasing efficiency of health care system by introducing the competition principle. restructuring of benefit scheme of health insurance. contracting with health care institutions to provide health care services.

• Health Policy and Management
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• v.12 no.3
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• pp.23-35
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• 2002

Fiscal crisis in the medical insurance system has put the pressure upon hospitals by increasing the rate of curtailment, since the implementation of the separation of prescription and dispensing of medicine. The purpose of this study is to analyse the curtailment of mdical and drug expenditure before and after the system of separation between prescribing and dispensing and to suggest the problems about current inspection system. Data were obtained from 13 general hospitals and used for analysis of trends on medical & drug expenditure, and curtailment in 1999-2000 at three months intervals. The results were as follows; The scale of curtailment for drug expenditure has been increased on outpatient and inpatient since 2000. For the curtailed drug cost with outpatient, the ratio of curtailed drug expenditure has been increased in the case of prescription within the hospital. These results suggest that review system in social insurance were over-focused to control the cost and it might to impede the validity of review function in insurance system. Therefore, it' s needed to develope the scientific and reasonable criteria for Inspection and evaluation of durg expenditure.

• Korea Journal of Hospital Management
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• v.8 no.2
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• pp.93-110
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• 2003

Fiscal crisis in the medical insurance has put the pressure upon hospitals by increasing the rate of curtailment, since the implementation of the separation between prescription and dispensing of Drug. The purpose of this study is to analyze the curtailment for antibiotics, injected drug and other drugs expenditure before and after the system of separation between prescribing and dispensing. Data were gathered from 13 general hospitals and used for analysis of trends on antibiotics and injected drug expenditure, and curtailment in 2000-2001 at three months intervals. The results were as follows; The curtailment rate of antibiotics expenditure has been increased in outpatient and inpatient since 2000. The curtailed antibiotics cost and injected drug cost in outpatient under the prescription within the hospital and in inpatient increased. The ratios of curtailment versus expenditure had increased in antibiotics, injected drugs, anticancer drugs, antiulcer drugs, albumine, antiinflammatory drugs. These results suggest that claim review system in social health insurance were over-focused mainly to control the cost and it might to impede the validity of claim review function in health insurance system. Therefore, it's needed to develope the scientific and reasonable parameter & criteria for claim review of drug expenditure.

• Health Policy and Management
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• v.2 no.2
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• pp.221-237
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• 1992

The reasons for cost inflation in medical insurance expenditure are classified into demand pull inflation and cost push inflation. The former includes increase in the number of beneficiaries and utilization rate, while the latter includes increase in medical insurance fee and the charges per case. This study was conducted to analyze sources of increases of expenditure in medical insurance demonstration area by the period of 1982-1987 which was earlier than national health insurance and the period of national health insurance(1988-1990). The major findings were as follows: Medical expenditure in these areas increased by 9.4%(15.1%) annually between 1982 and 1990 on the basis of costant price(current price) and for this period, the yearly average increasing rate of expenses for outpatient care[10.5%(15.8%)] was higher than that of inpatient care [7.3%(12.6%)]. Medical expenditure increased by 6.3%(8.9%) annually between 1982 and 1987, the period of medical insurance demonstration, while it increased by 10.7%(18.9%) after implementing national health insurance(1988-1990). Medical expenditure increased by 35.9%(45.9%) between 1982 and 1987. Of this increase, 115.2%(92.1%) was attributable to the increase in the frequencies of utilization per beneficiary and 61.0%(68.1%) was due to the increase in the charges per case, but the expenditure decreased by 76.2%(60.2%) due to the reduction in the number of beneficiaries. Beteen 1988 and 1990, the period of national health insurance, medical expenditure increased by 21.2%(41.4%). Of this increase, 87.5%(46.4%) was attributable to the increase in the frequencies of utilization per beneficiary and 52.4%(73.4%) was due to the increase in the charges per case, and of the increase in the charges per case, 69.6%(40.8%) was attributable to the increase in the days of visit per case. Medical expenses per person in these areas increased by 78.2%(89.0%) between 1982 and 1987. Of this increase, 76.6%(69.1%) was attributable to the increase in the frequencies of utilization per beneficiary and 23.4%(30.9%) was due to the increase in the charges per case. For this period, demand-pull factor was the major cause of the increase in medical expenses and the expenses per treatment day was the major attributable factor in cost-push inflation. Betwee 1988 and 1990, medical expenditure per person increased by 31.2%(53.1%). Of this increase, 60.8%(37.2%) was attributable to the demand-pull factor and 39.2%(62.8%) was due to the increase in the charges per case which was one of cost-push factors. In current price, the attributalbe rate of the charges per case which was one of cost-push factors was higher than that of utilization rate in the period of national health insurance as compared to the period of medical insurance demonstration. In consideration of above findings, demand-pull factor led the increase in medical expenditure between 1982 and 1987, the period of medical insurance medel trial, but after implementing national health insurance, the attributable rate of cost-push factor was increasing gradually. Thus we may conclude that for medical cost containment, it is requested to examine the new reimbursement method to control cost-push factor and service-intensity factor.

• Journal of Family Resource Management and Policy Review
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• v.13 no.3
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• pp.181-205
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• 2009

The purpose of this study is to investigate some Influencing factors related to the wealth perception and property increase of 519 women in Seoul. The research was conducted from the end of February 15 to the beginning of January 20, 2009. The figures obtained were analyzed by frequency, percentage, mean, x-test, t-test, F-test, chi-square, and Duncan's F-test with SPSS pc+ The major findings of who study are summarized as follows: l.There were significant differences between the wealth recognition (economic plan affirmative and negative perception of wealth) for women according to social and psychological variables; economic plans have a higher value for married women, older women, those who have followed a postgraduate university course, those with higher income and expenditure, higher life satisfaction, and high and middle satisfaction with their economic life. In particular, economic plans varied significantly according to expectation of wealth in old age, and future economic prospects in the middle group. 2. Increased wealth and economic according to social and psychological variables (marital status, age, education, income, expenditure, life satisfaction, satisfaction with economic life, expectation of wealth in old age, future economic prospects) were shown to be associated with the following methods of increasing property: use of savings banks (p<.001) showed a rate of deposit of 20%-40% (p<.001) saving and thrift was a practice (p<001) that was related to the cost of living; and education expenditure (p<.001) as a property preparation period was exhibited in women aged 25-30 (p<.001). 3. There were significant differences in the recognition of wealth according to strategies for increasing wealth. There were no significant differences between mean of property acquisition and point of expenditure or the property preparation period in the perception of wealth. The related variables in rate of deposits were under 20% according to economic plan and negative wealth perception. In contrast, in the middle and high group, the economic plan and negative wealth perception were 20%-40% in relation to the rate of deposits. Variables related to the action of saving and thrift and property acquisition were practiced in the low and middle group of affirmative wealth recognition and the high group of negative wealth perception. The high group for wealthrecognition and the low group for wealthnegation exhibited little savings, thrift, and property accumulation. Those variables which point an expenditure the cost of living were education expenditure in all groups of negative wealth perception. The women in the study practiced more soundness economic planning according to their increased wealth and economic strategy. This study suggests that women should have positive wealth perception in their lives.

• Health Policy and Management
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• v.19 no.4
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• pp.53-65
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• 2009

Purpose: This study was conducted to identify the prenatal heath care utilization and expenditure among pregnant women. Method: This was a 5-month follow-up study using a stratified sampling and the data were drawn from the "nationwide claim database of Korean National Health Insurance Corporation". Result: This study found that pregnant women were first diagnosed with pregnancy when they were 7.1 weeks pregnant, received 12.7 times of prenatal examinations and 10.6 times of ultrasonogram. It was revealed that 67.5% of the subjects continued to receive prenatal care at the same medical institutions from the diagnosis of pregnancy to the delivery. The study also showed that the total expenditure of prenatal care per pregnant woman was 700,000 Korean Won (KRW) on average and the insurance coverage rate stood at only 20%. Pregnant women living in metropolitan area spent more on prenatal healthcare expenditure than those who living in medium-sized city or rural area. Conclusion: The results of this study implies that the government needs to provide pregnant women with continuous support by increasing health insurance coverage for prenatal care. Especially, it is considered to provide more support to the pregnant women residing in medically underserved areas.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.20 no.44
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• pp.163-169
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• 1997

Due to the increasing of the number of cars and bad road conditions, car accidens are increasing every you in Korea. When a person meets a car accident, it is necessary for him to analyze and determine whether applying insurance or not, because standard discount rate and special increasing rate change with accident types and the amount of accident expenditure. When we consider insurance rate that includes more then ten elements, we need a decision making, In this paper, S insurance company investigated previous car causers in 1988, 1989, 1990 to 1996 with 600,000 real data. We investigate probability density functions and cumulative distribution functions for each year using ARENA software. We can apply the results of this study to various accidents that occur under uncertainty in our life. I hope that this paper contribute to strengthening competitive power of companies and developing new insurance rate systems in future.

• Journal of the Korean Home Economics Association
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• v.8 no.1
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• pp.181-197
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• 1970

Farm households consumption pattern from 1960 to 1968 was analized as follows. First, the influence of the price on the consumption pattern was observed by year for 9 years. Second, the influence of farm households and by size of the consmption pattern was analized by year for whole household and by size of the arable land. Third, the present status and problems of farm families consumption pattern was attempted to be found out compared with the pattern of all families of Seoul. Forth, the pattern of food expenditure which has the largest proportion in the living expenditure was analized. Following results and conclusions are obtained from the above analysis.1. The average nominal increase rate of all farm households has been increased gradually for 9 years, mostly due to the rise in household goods prices paid by farmers. 2. The living expenditure varies with the price and the disposal income, The influence of the latter is greater than that of the former. 3. The Engel's Coefficient of farmers. the average of which was 54.9%, recently tends to decrease gradually. The larger is the size of arable land, the lower is the Coefficient of farm households. But the Coefficient of farm households is higher than that of city families. 4. In general the proportion of food expenditure has a great influence on the consumption pattern, The average percentage of miscellaneous expenditure is 23.9% and it is next to food expenditure. The relationship between them is going reversely. Housing expenditure has usually the constant proportion. But the difference of the proportion between farm households (4.0%) and city families (17.1%) is considerable. Clothing expenditure and fuel and light expenditure have small variations. The former tends to increase with the income, and the latter tends to decrease with it or is constant. 5. Considering the food expenditure pattern, the average percentage (78.4%)of staple food of farm household is remarkably high compared with Seoul (48.3%) and other cities (54.0%). The decrease of the percentage of staple food expenditure in farm households is not so much as cities. 6. The propertion of the staple food expenditure of Farm families don't have so much differences by the size of arable land. But the rice proportion of staple foods has the tendency to increase with the income level. Subsidery food expenditure doesn't increase by year and by size of the land, while the consumption of meat and manufactured foods tends to increase with size of the land. But even big farm households don't reach to the level of cities in consumption of them. 7. Food consumption pattern may be influenced by the factors such as the knowledge of wife about nutrition, customs, consumption habits, and so on. The difference between farm households and city families in food consumption pattern is inferred from the above factors. Presently, the increasing income of the people promote the consumption of all items of living expenditure both in cities and farm households. But the Engel's Coeffcient and the proportion of the staple food expenditure is expected to decrease in farm households more than in cities.