• 디지털융복합연구
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• 제16권10호
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• pp.89-99
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• 2018

본 연구의 목적은 기초자치단체 간 사회복지지출의 공간적 자기상관성을 살펴보고, 사회복지지출 규모에 영향을 미치는 요인을 분석하는 데 있다. 본 연구에서는 공간적 자기상관성을 고려한 공간오차모형을 적용하여 복지지출에 영향을 미친 영향요인을 분석하였다. 분석결과 지자체 간 1인당 사회복지지출의 공간적 자기상관성이 나타났다. 그리고 공간회귀분석을 통해 선행연구에서 도출된 각 요인들이 1인당 사회복지지출에 미치는 영향을 살펴보면, 사회 경제적 요인, 행정적 요인 그리고 재정자주도 요인은 지자체 복지지출에 정(+)의 영향을 미치는 것으로 분석되었다. 반면 전년도 복지예산, 정치적 요인, 지방세 등은 복지지출에 영향을 미치지 않은 것으로 나타났다. 본 연구는 기존 선행 연구와는 달리 지자체 간 복지지출의 공간적 자기상관성을 확인하고 영향요인을 살펴본 데 의의가 있다. 본 연구에서는 횡단적 분석만을 실시하였기에, 향후에는 다년도 사회복지지출 자료를 활용한 시계열 분석이 이루어질 필요성이 있다.

• 보건행정학회지
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• 제28권4호
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• pp.378-391
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• 2018

Background: People who were born in different years, that is, different birth cohorts, grow in varying socio-historical and dynamic contexts, which result in differences in social dispositions and physical abilities. Methods: This study used age-period-cohort analysis method to establish explanatory models on healthcare expenditure in Korea reflecting birth cohort factor using intrinsic estimator. Based on these models, we tried to investigate the effects of ageing population on future healthcare expenditure through simulation by scenarios. Results: Coefficient of cohort effect was not as high as that of age effect, but greater than that of period effect. The cohort effect can be interpreted to show 'healthy ageing' phenomenon. Healthy ageing effect shows annual average decrease of -1.74% to 1.57% in healthcare expenditure. Controlling age, period, and birth cohort effects, pure demographic effect of population ageing due to increase in life expectancy shows annual average increase of 1.61%-1.80% in healthcare expenditure. Conclusion: First, since the influence of population factor itself on healthcare expenditure increase is not as big as expected. Second, 'healthy ageing effect' suggests that there is a need of paradigm shift to prevention centered-healthcare services. Third, forecasting of health expenditure needs to reflect social change factors by considering birth cohort effect.

• 한국콘텐츠학회논문지
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• 제13권12호
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• pp.357-368
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• 2013

본 연구는 사회복지정책의 운용에 있어서 형평성뿐만 아니라 효율성에 대한 관심이 높아지고 있는 추세를 반영하여 공급측면에서의 생산구조, 즉 생산효율성, 규모의 경제 및 생산요소의 대체탄력성을 산정하여 사회복지지출이 소득증대에 미치는 영향을 분석하였다. 분석결과에 의하면 우리나라의 경우 사회복지지출이 경제성장에 긍정적으로 기여하기는 하지만 생산효율성이 낮기 때문에 사회복지지출이 경제적인 생산요소로 기능하기 위해서는 개선되어야 할 부분이 많은 것으로 분석되었다. 특히, 사회복지지출의 효율성이 주로 공공지출을 통해 달성되고, 민간지출의 효율성이 낮은 특성도 복지정책에서 고려해야 할 요인이다. 이런 현상은 민간지출의 운용체계가 공공지출의 시행체계에 비해 상대적으로 체계적이지 못한 것에 기인한 것으로 판단된다. 따라서 공공지출을 중심으로 복지정책을 수행하면서 민간부문의 사회복지 관련 운용체계를 확립하는 것이 시급하다 하겠다. 즉, 민간부문에서 단순하게 사회복지지출의 양적인 확대만을 하게 되면 생산측면으로부터 비효율성을 초래하게 될 것이다.

• 호스피스학술지
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• 제5권1호
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• pp.26-32
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• 2005

Purpose: To know for what the medical expenditure had been used and to seek the way how it can be efficiently redistributed, I investigated total medical expenditure according to the time period to death in the expired patients for recent 2 years. Methods: 21patients were enrolled in this study. Total medical expenditure including benefit charge and non-benefit charge charged to patients in in-patient department(IPD) and out-patient department(OPD) was counted according to the period for one year by death. Results: 94.7% of the total medical expenditure had been payed for admission-related expenditure and 89% during period 3 and 4 for 6months before death, which may be due to the more days of admission during those periods. 70.1% of the total expenditure had been charged on the admission-fee, room charge, diet, and administration of the fluid, medicines, and blood etc. Conclusion: Majority of medical expenditure has been used in the affairs being unable to improve the survival or quality of life of patients and during the periods closer to death. Here, it would be needed heartily to look for the best ways in detail how the idea of hospice can come true through nation-wide and social consensus.

• International Journal of Human Ecology
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• 제14권2호
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• pp.69-78
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• 2013

This study analyzed the changes in household consumption expenditure of retired households using Korean panel data. We compared the pre and post retirement-consumption levels in different consumption categories using panel data. Paired t-test showed that changes in the consumption patterns before and after retirement were not significant except for the households in the third net worth quartile. Analyzing the effect of retirement on the level of household consumption expenditure, this study found that the effect of retirement was not significant in overall, although retirement had a negative effect on the level of consumption expenditure among households in the lowest net worth distribution. Understanding changes in consumption patterns of retiring households provides important information to design social security policies.

• 한국사회복지학
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• 제64권3호
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• pp.51-77
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• 2012

본 연구는 장애노인의 과부담 보건의료비 현황 및 영향요인을 밝히기 위한 목적으로 진행되었다. 과부담 보건의료는 지불능력 대비 가구 보건의료비 지출이 역치기준(10%, 20%, 30%, 40%)을 초과한 상태로 정의하였다. 본 연구는 장애인고용패널조사 1, 2, 3차년 통합자료를 활용하였으며, 연구대상으로 60세 이상의 장애노인 726명을 분석대상으로 삼았다. 장애노인가구의 과부담 보건의료비 영향요인을 밝히기 위하여 패널로짓분석을 사용하였다. 연구결과 연령이 높을수록, 배우자가 있을 때, 내부 장애인의 경우, 건강상태가 나쁠 때, 만성질환이 있을 때, 가구원 수가 많을수록, 장애가족비율이 높을수록, 노인가족비율이 높을수록, 빈곤유형 중 빈곤 비수급가구에 속할 때 과부담 보건의료비 위험이 높아지는 것으로 나타났다. 연구결과에 기초하여 우리나라의 장애노인 가구의 과부담 보건의료비 경감을 위한 제언을 제시하였다.

• 한국아동복지학
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• 제36호
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• pp.65-99
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• 2011

본 연구는 OECD 국가를 대상으로 복지국가의 아동 가족복지지출과 아동빈곤율의 관계를 분석한 탐색적 연구이다. 아동 가족복지지출은 복지국가의 아동 가족을 대상으로 한 복지 노력(welfare effort)을 나타내는 지표이며, 본 연구에서는 아동 가족복지지출 총량뿐 아니라 아동 가족을 대상으로 한 다양한 분야의 복지지출을 구분해서 분석함으로써 아동 가족에 대한 구체적인 복지국가의 복지노력과 아동빈곤율의 관계를 분석하였다. 본 연구에서 사용된 아동빈곤율 자료는 LIS와 OECD에서 계산한 데이터를 이용하였고 아동 가족복지지출 자료는 OECD SOCX 자료를 활용하였으며 23개국을 대상으로 상관관계 군집분석 방법을 이용하여 분석하였다. 이 분석을 통해 아동빈곤율에 대한 급여전략(benefit strategy)과 근로전략(work strategy)의 유효성을 파악할 수 있었다. 아동빈곤율이 높은 국가들은 대부분 전체빈곤율보다 아동빈곤율 수치가 더 높은 반면, 스칸디나비아 국가들은 아동빈곤율 수준이 전체빈곤율 수준보다 낮았다. 아동 가족복지총지출과 아동빈곤율의 상관관계는 매우 높았고, 특히 서비스지출, 휴가급여지출과의 상관관계가 높았으나 현금급여지출과 아동빈곤율의 상관관계는 통계적으로 유의미하지 않았다. 이상의 결과를 통해 우리나라 아동빈곤율 완화를 위해서는 무엇보다 아동 가족 분야 사회복지 예산과 지출을 증가시켜야 하며, 아동 가족복지지출 중에서도 서비스지출, 휴가급여지출을 증대시켜야 하며, 아동이 있는 가구 부모의 경제활동을 지원하는 적극적노동시장 정책 등 아동가구 부모에 대한 근로지원정책을 확대시켜야 한다는 정책적 함의를 도출할 수 있었다.

• 보건행정학회지
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• 제14권2호
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• pp.17-33
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• 2004

The present study attempts to examine the progressivity of health care financial sources based on the income approach, for which it decomposes redistributive effects into vertical, horizontal, and re-ranking components. The study data include Korean Household Expenditure Survey (2000) conducted every 5 year by Korea National Statistical Office. The data were sampled from the national population by the multistage probabilistic sampling method, and amounts to 23,270 households. For the better application of the income approach, the study employs household total expenditure in Korea instead of total income, because the former data source is more reliable and less fluctuated over time. Progressivity of health care financing was measured by Kakwani index. Aronson's decomposition equation was used in case of the analysis where differential treatment of health care expenditure needs to be considered. Despite the progressivity of Korea's governmental contributions, total expenditure of health care showed regressive pattern, which may largely be attributable to the higher regressivity in out-of-pocket money. With the result of negative Kakwani index, differential treatment increased income redistribution biased for better-off. It is worth to note that social insurance displays not only negative Kakwani index, but also horizontal inequality, suggesting that the first step of health care financing reform should be the revision of social insurance premium rates toward effective and equable way.

• 한국식품조리과학회지
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• 제30권3호
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• pp.291-306
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• 2014

The purpose of this study was to examine the use of social commerce restaurant products by college students according to demographic characteristics and eating out behavior. The questionnaire for the survey was distributed to 450 college students, who have experiences of purchasing a restaurant product on social commerce, with 286 responses used for analysis. From the result, college students frequently use smart phones and SNS for making such purchases. While the awareness of social commerce was high, they sometimes visited the websites and purchased products. The awareness and purchase experience of Coupang and Ticket Monster turned out to be the highest. The most frequently purchased product was restaurant discount coupons, followed by fashion/accessories, movie or concert tickets, food products, and beauty shop discount coupons. The discount rate was mostly 30 to 40% on average. The most significantly considered matter in purchasing products and services was product quality, followed by discount rate and consumer review. The respondents ate out at least 3 to 5 times a week, spent $100,000{\leq}200,000$ won, and were generally satisfied with the restaurant products from social commerce sites. The main satisfaction reason was price, whereas the dissatisfaction reason was false and puffy advertising. Service quality improvement and variety of category were the most necessary factors for improvement. Among the demographic characteristics, there was a difference in purchase expenditure of social commerce restaurant products, as well as purpose, companion, time used and word-of-mouth experience according to gender. According to grade, there was a difference in purchase expenditure, companion, area of use and impulsive purchase. Among the eating out behavior, there was a difference in purpose, companion and word-of-mouth experience according to the eating out frequency. Meanwhile, there was a difference in purchase expenditure, companion, time used, word-of-mouth experience and tool according to the eating out cost.

• 보건행정학회지
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• 제12권3호
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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.