• Title/Summary/Keyword: Self-insurance

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Exploratory Study on the Trends in Employment Rate of Engineering Graduates (공학계열 졸업생의 취업률 변화추이에 대한 탐색적 연구)

  • Ryu, Heeyoung;Jang, Jiyoung
    • Journal of Engineering Education Research
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    • v.23 no.5
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    • pp.26-39
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    • 2020
  • The purpose of this study was to compare and analyze the employment rate of engineering graduates in the last eight years (2011-2018) by gender and majors. Using the statistical yearbook for employment of higher education graduates provided by the Korea Educational Development Institute (KEDI), the employment rate and retained employment rate of engineering graduates were investigated. As results, first, the employment rate has been decreasing since 2011, and the gender employment rate gap has not narrowed and women have always been lower than men. Second, most of the engineering graduates were workers with employee health insurance. On the other hand, women were higher than men in works with self-employee health insurance. Third, from 2016 to 2018, the retained employment rate of engineering graduates was similar, and as the survey progressed, the retained employment rate decreased. In particular, women had lower retained employment rate than men. The study is meaningful in that it suggested ways to bridge the gap between gender and majors employment rates of engineering graduates.

Factors Affecting the Burden of Medical Costs for Inpatients (입원환자 의료비 부담에 영향을 미치는 요인)

  • Kwon, Lee-Seung;An, Byeung-Ki
    • 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.

Factors on Healthcare Utilization by Asian Immigrants in the United States (미국내 아시아 이민자들의 의료서비스 이용에 영향을 미치는 요인)

  • So, Aeyoung;De Gagne, Jennie C.;Oh, Jina
    • Journal of Korean Public Health Nursing
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    • v.29 no.1
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    • pp.53-66
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    • 2015
  • Purpose: This study was considered in order to identify the factors affecting healthcare utilization by Asian immigrants in the United States. Methods: From February to April 2011, a descriptive survey study was conducted in a convenience sample of 250 Korean and Asian Indian immigrants aged between 40 and 64 in the Triangle area of North Carolina. An author-developed instrument was used to assess predisposing, enabling, and need factors according to Anderson's Behavioral Model of Health Services. Utilization Data analysis was performed by $X^2$-test, t-test, and binary logistic regression. Results: Participants' healthcare services experiences were significantly different when they had a longer stay in the U.S., had been employed, had higher income, were Asian Indians, had better English-speaking skills, better health status, more knowledge of health system and health insurance, had higher satisfaction with the healthcare system, and when they were taking prescribed medications and having health insurance. The strongest association with experience of healthcare services was having health insurance with an adjusted odds ratio (OR) of 15.37 (95% CI 4.95-47.71, p<.001) and self-reported English proficiency (OR=1.99, 95% CI 1.00-3.96, p=.05). Conclusion: Intervention strategies to increase accessibility to healthcare services should focus on these significant predictors.

A Difference in Utilization of Cancer Inpatient Services by Income Class of Residents in Jeju Island (제주도 주민의 소득계층에 따른 암 입원 의료이용의 차이)

  • 김철웅;이상이;홍성철
    • Health Policy and Management
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    • v.13 no.3
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    • pp.104-128
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    • 2003
  • Equity in health care has taken priority in the Korean government's policy agenda after the government-led national health insurance achieved universal coverage in 1989 along with the final inclusion of the self-employed as beneficiary. The purpose of this study is to examine the extent to which there exists difference or inequality in the utilization of health care, especially cancer inpatient services among income classes. We analysed the utilization of cancer inpatient services of residents in Jeju Island for a year of 2000, using the national health insurance data for qualification of beneficiaries and utilization of health care. The independent variable are 10 income classes based on the national health insurance fee imposed on each household for a year of 2000. The dependent variables of this study are an amount of cancer inpatient health care utilization measured by cancer admission days and cancer treatment costs. Also, cancer inpatient health care utilization is analysed by three categories divided into utilization in medical care institutions (1) within Jeju Island, (2) outside Jeju Island, and (3) all within and outside Jeju Island. We measured concentration index of cancer inpatient health care utilization. This analysis showed negative concentration index within Jeju Island and positive outside Jeju Island, and positive in all within and outside Jeju Island. This results suggest inequality against the relatively poor income groups in utilization of cancer inpatient health care services. Especially, inequity of cancer inpatient health care would be more serious in Jeju Island of Korea, considering that lower income groups reportedly have higher incidence rates in most of cancer and thus use more health services.

Principle of Insurance or a Social Right? : Centering on the Development of Individual Learning Accounts in Korea (보험원리인가 사회적 권리인가? : 우리나라 계좌제 훈련의 발전과정을 중심으로)

  • Jang, Sinchul
    • Journal of Practical Engineering Education
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    • v.12 no.1
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    • pp.187-202
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    • 2020
  • Can job training be considered a social right? Who must bear the costs of individual job training? This paper studies these two issues by examining the Korean Individual Learning Accounts (ILA) revised in 2020 and proposes future policy directions. Although there is no explicit legal provision stipulating job training as a lawful right in Korea, such absence does not negate the government's role of providing vulnerable people, etc with necessary training. Korean ILA heavily depends on the Skills Development Scheme under the Employment Insurance System which succeeded the past mandatory training levy system and it becomes harder to maintain principle of insurance because of sizable volume of atypical workers who are not insured. For future policy directions, it is desirable to increase the burden of general budget and self-financing as they are below 30% combined and the coverage of the ILA needs to be steadily expanded to all economically active people. Also, labor-management should step up joint efforts to stimulate the use of already existing policies such as paid training leave and request for reduction of working hours.

Health Care Utilization and Its Determinants of Public Officials with Detected Diseases through Periodic Health Examination Program In Health Insurance (일개 시지역 공무원 건강진단 유소견자의 의료이용양상과 결정요인)

  • Moon, Sang-Youn;Park, Jae-Yong;Kam, Sin;Han, Chang-Hyun
    • Health Policy and Management
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    • v.10 no.3
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    • pp.1-18
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    • 2000
  • This study was conducted to find medical care utilization pattern and to examine the affecting factors on medical facilities utilization using Andersen's medical care service behavioral model. Three hundreds and five public officials with detected disease through the health examination in 1998 were surveyed using self-administered questionnaire. And 230 data were available and analyzed. The results of this study were summarized as follows: Among variables of predisposing factors, knowledge for disease, confidence about periodic health examination program in health insurance, and the attitude toward medical utilization in the usual showed significant relations with the medical utilization. Other variables were not related with the medical utilization. Variables of enabling factors did not show significant relations with the medical utilization. Recognition of family members for detected disease had significant relations with the medical utilization. Among variables of need factors, absence caused by detected disease was significantly related with the medical utilization. The number of non-occupational diseases detected, but untreated people were 75(32.6%) of total subjects, mainly because detected diseases seemed insignificant to them. With multiple logistic regression analysis, the significant variables having an effect on the medical facilities utilization were 'knowledge for disease', 'attitude toward medical utilization in the usual', 'recognition of family members for detected disease' and 'experience of absence caused by detected disease'. On considerations of above findings, counselling for detected disease and its treatment, health education for individuals and program for family support promotion are needed for health management of public officials with diseases detected in health examination.

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Physicians' behavior and attitude toward Review system of National Health Insurance claim in Korea (진료비 심사제도에 대한 개원의 들의 태도 및 만족도)

  • Jo, Heui-Sug;Jeong, Heon-Jae;Hwang, Moon-Sun
    • Korea Journal of Hospital Management
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    • v.10 no.2
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    • pp.45-63
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    • 2005
  • The purposes of this study are to understand the doctors' attitude and satisfaction about the review system of national health insurance claim in Korea and to suggest the way to improve this system This study conducted a survey of the doctors registered in the medical association in Seoul city. The survey was performed as a form of self-administered questionnaire from January 2004 to February 2004. The contents of questionnaire dealt with doctors' attitude and satisfaction about the review system of medical service claim. Totally, 1,037 members replied to our survey and we analysed 981 doctors' data, excluding incomplete responses. As a result, 89.7% of repliers showed a negative attitude about the influences of the review system on improvement of medical service quality, 98.0% of repliers have had experiences that they have given distorted insufficient medical services in order to evade the curtailment of service claim. Also, 91.6% of repliers stated that they have had experiences of intentional modification or alteration of diagnostic code to shun the curtailment. Most of the doctors showed negative attitude to the curtailment procedure and the review system of service claim originally intended to be one of the quality control methods of medical service in Korea also, the development of both scientific and reasonable parameters and criteria for claim is needed. 'Through the improvement of review system for appropriate medical service, there is a need of a way to increase the satisfaction of medical service providers, and to encourage the motivation for quality control. Also, education is strongly needed to provide doctors with sufficient information about review criteria and curtailment cases.

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The Analysis of the Herding Behavior of Korean Institutional Investors: Evidence from the Intraday (일중거래자료를 사용한 기관투자자 군집거래의 분석)

  • Lee, Jae-Hyun;Lee, Ho-Sun
    • Management & Information Systems Review
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    • v.32 no.3
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    • pp.83-105
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    • 2013
  • There are many literatures about the herding behavior of institutional investors but there is lack of literatures about the relation among several investor groups consisting of institutional investors. So we investigate the relation among sub-institutional investor groups like bank, insurance companies, pension funds using KRX intraday trading data of 2009. As the result, we find that foreign, individual, and securities firm investors trade in the opposite direction of other investor groups including pension funds. And pension, insurance, asset management, private equity funds, other companies, government, and banks are cross-mimicking each other, so we conclude that these investors make herding behavior. In 2009 institutional investors except securities firms make herding in a short period, and insurance, asset management, pension funds and other companies make herding and self-mimicking in all period, but there is no herding and mimicking after foreign investors.

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Validity and Reliability of Cognitive Performance Scale in Long Term Care Hospital in Korea (인지수행척도(Cognitive Performance Scale)의 타당도와 신뢰도)

  • Lee, Ji Yun;Kim, Sun Min;Kim, A Reum
    • 한국노년학
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    • v.30 no.1
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    • pp.81-91
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    • 2010
  • The purpose of this study was to test a validity and reliability of Cognitive Performance Scale(CPS), a cognitive measure generated from 5 items(comatose status, decision making, short-term memory, making self understood, and eating). Method: 393 patients in 2 hospitals for the elderly with dementia were measured with CPS by two nurses independently. The inter-rater agreement was tested by comparing two scores. The CPS score was compared with GDS, which was measured by doctors and nurses, and MMSE score which was drawn from the claim data of Health Insurance Review & Assessment Service. Result: The correlation coefficient between CPS and GDS was 0.742(p<0.0001), CPS and MMSE was -0.794(p<0.0001). The Cronbach's coefficient alpha of CPS was 0.742, Kappa value was 0.772~1.000. The CPS showed high validity and reliability in long term care hospitals of Korea.

Study on Long-Term Care Insurance on Consumption & Expenses among Beneficiary Households (노인장기요양보험제도가 제도 이용자 가구의 소비·지출에 관한 연구)

  • Lee, Hyunjoo;Kim, Ji-hyun
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.343-349
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    • 2019
  • This study used data from the 3rd and 11th year of the Korean Welfare Panel to evaluate the effects of the Long-Term Care Insurance(LTCI) system on the consumption and expenditure of LTCI users' households. The study consisted of program group using LTCI and control group not using. Chi-square and t-test were used for the characteristic differences among the groups, and the difference of consumption expenditure was identified by multiple regression analysis. As a result, LTCI had a statistically significant effect on the health care costs of LTCI users' households, resulting in an increase in health care costs(${\beta}=3.06$). However, there was no statistically significant effect on the total cost of living, basic cost, education cost, and recreation/entertainment cost. Therefore, in order to show the effect of LTC system, we should try to reduce of self-pay and improve the contents and quality of the service of the LTC system.