• Korean Journal of Social Welfare Studies
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• v.49 no.3
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• pp.35-60
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• 2018

This paper investigates the effects of fiscal decentralization on public welfare finance, focusing that welfare status experienced a post-industrial society has proposed decentralization as a response. The decentralization includes local government responsibilities and expanded roles under the background of fiscal distress of center governments and new social risks. For the analysis, the first theory is established to find out the effect of fiscal decentralization on social expenditure. Also, the second theory is set up for the relationship between the level of fiscal decentralization and composition of social expenditure. Findings indicate that the level of social expenditure of state would decrease as the level of fiscal decentralization increases. Also, the more the level of fiscal decentralization increases, the more the in-kind benefits among total welfare expenditure increase.

• Journal of Preventive Medicine and Public Health
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• v.28 no.2 s.50
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• pp.347-363
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• 1995

The increase of health care expenditures is an important problem in the almost countries. Also, suppression of the health care expenditures is an important problem in the health field of Korea since the national health insurance for total people in 1989. Thus, it is very important to grasp the change of the health care expenditures of family and proportions of the health care expenditures to total expenditures of family, because they are the basis of national health care expenditures in Korea. While the health care expenditures of urban family were increased during 1980-1993 by 12.8% annually, the total expenditures of urban family were increased by 14.8% annually. Consequently, the proportions of health care expenditures to total expenditures were decreased from 5.98% to 4.76%. The proportions of health care expenditure for 3 years to come were predicted to 4.75% in 1994, 4.67% in 1995, and 4.63% in 1996 by the time-series analysis. That is, it was predicted that they would be decreasing slowly. The product elasticity of health care expenditure was less than 1 in the multiple regression analysis. so the health care is normal good rather than superior good. Therefore, it seems that the household economy is able to bear the expense pursuing the improvement of quality of health care by actualizing the medical insurance fee.

• Health Policy and Management
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• v.24 no.1
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• pp.13-23
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• 2014

Background: A need arises to efficiently control health expenditure for medical aid due to a sharp increase in medical aid expenditure. This study experimently analyzes the impact of physician behavior on medical use for medical aid beneficiaries using supplier induced demand (SID) theory. Methods: This study looks into analyze SID effect using expenditure factor analysis of medical aid for the years between 2003 and 2010 in comparison with health insurance. Moreover, this study analyzes the existence and scale of SID using econometrics modeling with panel data on 16 cities and provinces's health expenditure data for medical aid from 2003 1/4 to 2010 4/4. Results: This study finds that the growth rate of visit days per capita and treatment amount per visit days for medical aid is higher than health insurance. Furthermore, the result of econometrics modeling analysis shows the existence of SID in general hospital, hospital, clinic, oriental clinic. Conclusion: In order to efficiently control expenditure for medical aid, it is required to reinforce macro polices such as the introduction of 'target management' and micro policies such as the strengthen of management on medical institutes in the perspective of suppliers as well as regulations of demanders.

• Health Policy and Management
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• v.33 no.3
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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.

• Journal of the Korean Regional Science Association
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• v.31 no.3
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• pp.19-37
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• 2015

The purpose of this study is to confirm a structural relationship on factors affecting ratio of public transportation spending to a car-owning household's total transportation expenditure. For this purpose, informations of household's attributes and activities were gathered using the 13th Korean Labor and Income Panel Study (KLIPS), and information of land-use and transportation conditions on their residential locations was collected and processed. A structural equation model (SEM) on determinants affecting ratio of public transportation expenditure was constructed, based on an execution result of factor analysis using the analyzing database. The latent variables were derived as land-use/transportation characteristic, household's attribute and household's activity. In the analyzing result of the SEM, the entire latent variables were significant. And, the first two latent variables had positive influences, and the last latent variable had a negative impact. To promote public transportation use of the car-owning households, this study suggests that the policies such as enhancement of convenience in public transportation use for the household's activities and improvement of the land-use/transport conditions are required.

• The Journal of the Korea Contents Association
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• v.13 no.2
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• pp.378-389
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• 2013

Health care expenditure might be understood as a core source of social welfare. It is mainly due to the fact that the health care expenditure is closely related to the level of social welfare. And, therefore, the paper is basically designed to investigate the effect of social welfare improvement resulted from an increasing in per capita, private, public, and total health care expenditures during 1995-2009 periods. Empirical evidence reveals that the improvement of social welfare in middle income group reveals the highest improvement in social welfare, and the other income groups maintain a quite similar pattern in improvement of social welfare. As far as category of health care expenditure concerns, the effect of social welfare improvement by per capita health care expenditure is in general lower in all case. And, private sector achieves the highest improvement of social welfare in comparing with public and total health care expenditures. To this end, it could be tentatively concluded that the private health care expenditure has to be substituted for the public sector to induce market-oriented operational system. Accordingly, it would be better to build an institutional basis more elaborately in setting up the market system.

• Journal of Preventive Medicine and Public Health
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• v.43 no.5
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• pp.423-435
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• 2010

Objectives: The low benefit coverage rate of South Korea's health security system has been continually pointed out. A low benefit coverage rate inevitably causes catastrophic health expenditure, which can be the cause of the transition to poverty and the persistence of poverty. This study was conducted to ascertain the effect of catastrophic health expenditure on the transition to poverty and the persistence of poverty in South Korea. Methods: To determine the degree of social mobility, this study was conducted among the 6311 households that participated in the South Korea Welfare Panel Study in both 2006 and 2008. The effect of catastrophic health expenditure on the transition to poverty and the persistence of poverty in South Korea was assessed via multiple logistic regression analysis. Results: The poverty rate in South Korea was 21.6% in 2006 and 20.0% in 2008. 25.1 - 7.3% of the households are facing catastrophic health expenditure. Catastrophic health expenditure was found to affect the transition to poverty even after adjusting for the characteristics of the household and the head of the household, at the threshold of 28% or above. Conclusions: 25.1% of the households in this study were found to be currently facing catastrophic health expenditure, and it was determined that catastrophic health expenditure is a cause of transition to poverty. This result shows that South Korea's health security system is not an effective social safety net. As such, to prevent catastrophic health expenditure and transition to poverty, the benefit coverage of South Korea's health security system needs to the strengthened.

• Journal of the Economic Geographical Society of Korea
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• v.25 no.4
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• pp.629-640
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• 2022

This study analyzed the relationship between local government size and regional economic growth using regional data from 2002 to 2020. By dividing local government expenditure into social development expenditure and economic development expenditure, economic growth and the inverted U-shaped Armey curve were verified, and the optimal size of local government expenditure was examined. In particular, the AMG estimation method considering the cross-sectional dependence and regional heterogeneity existing in the panel data was utilized. As a result of the analysis, it was found that there was an inverted U-shaped relationship between local fiscal expenditure and regional economic growth. When the proportion of total local fiscal expenditure is 7.63% of GRDP and social development expenditure is 3.45%, it is found that the optimal size of expenditure can maximize the regional economic growth rate. Local governments should increase the effectiveness of public expenditure policies by considering these points.

• Human Ecology Research
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• v.56 no.5
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• pp.461-472
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• 2018

Using a sample of third grade middle school students from the forth wave of Children and Youth Panel Survey in 2012, the mediation effects of private educational expenditure between parenting styles and children's academic performance were investigated by applying factor, cluster, tobit, and two stage regression analysis. The major results were as follows. First, four types of parenting style were identified. The most frequent parenting style was ambivalent parenting (tiger parenting) which was followed by authoritative parenting. Second, compared to permissive parenting style, ambivalent, authoritative, and authoritarian parenting styles were significantly associated with more private educational expenditures. Third, more private educational expenditures were significantly associated with higher academic performance of children. I found both a full mediation effect of private educational expenditure for ambivalent and authoritarian parenting styles, and a partial mediation effect for authoritative parents. Authoritative parenting style has a negative moderating effect on the relationship between household income and private educational expenditure, along with a positive direct effect on the academic performance of children. The results suggested that an authoritative parenting style was related with higher academic performance of children with less private educational expenditures compared to other parenting styles. The results also implied that the public policies to enhance authoritative parenting style among parents would be effective to reduce household's private educational expenditures.

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.23 no.3
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• pp.211-230
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• 2012

The purpose of this study is to identify the influence of the change on librarian number of local governments on the lump-sum personnel expenditure system. Data were collected and analyzed from the Enhanced local laws and regulations information system and local government home pages of 15 local governments where opened more than two public libraries from 2008 to 2010. Results show that the number of 15 government employees was increased but the number of librarian was slightly increased. Also, the number of administrative positions was increased using plural series position system. It shows that the number of librarian can be increased under the lump-sum personnel expenditure system.