• 제목/요약/키워드: head of household

검색결과 152건 처리시간 0.026초

재난적 의료비 지출이 빈곤화 및 빈곤 지속에 미치는 영향: 복지패널 2007-2012년 자료 분석 (The Effect of Catastrophic Health Expenditure on the Transition to and Persistence of Poverty in South Korea: Analysis of the Korea Welfare Panel Study Data, 2007-2012)

  • 송은철;신영전
    • 보건행정학회지
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    • 제24권3호
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    • pp.242-253
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    • 2014
  • Background: The low benefit coverage rate of South Korea's health security system causes catastrophic health expenditure. And catastrophic health expenditure can be the cause of the transition to and persistence of poverty. This study was conducted to ascertain the effect of catastrophic health expenditure on the transition to and persistence of poverty, using 6 years of the Korea Welfare Panel Study Data. Methods: This study was conducted among the 22,528 households that participated in the Korea Welfare Panel Study, 2007-2012. Catastrophic health expenditure was defined as equal to or exceeds thresholds (10%, 20%, 30%, and 40%) of household's capacity to pay. The effect of catastrophic health expenditure on the transition to and persistence of poverty was ascertained via multivariate logistic regression. Results: Four-point-seven percent to 20.6% of the households are facing catastrophic health expenditure. Rates of the transition to (relative risk [RR], 18.6 to 30.2) and persistence of (RR, 74.8 to 76.0) poverty of households facing catastrophic health expenditure was higher than households not facing catastrophic health expenditure. Even after adjusting the characteristics of the household and the household head, catastrophic health expenditure was found to affect transition to (odds ratio [OR], 2.11 to 3.04) and persistence of (OR, 1.53 to 1.70) poverty. Conclusion: To prevent catastrophic health expenditure and transition to and persistence of poverty resulting from catastrophic health expenditure, the reinforcement of South Korea's health security system including the benefit coverage enhancement is required.

응급환자 이송 서비스의 이용 특성과 예측 인자: 한국의료패널 2009년 데이터를 중심으로 (Predictors of Emergency Medical Transports Use Based on 2009 Korea Health Panel)

  • 강경희
    • 한국화재소방학회논문지
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    • 제28권3호
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    • pp.80-86
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    • 2014
  • 본 연구에서는 한국보건사회연구원과 국민건강보험공단(2013)의 한국의료패널 2009년 데이터를 이용해 응급환자 이송 서비스의 이용과 관련된 사회경제적 임상적 특성을 조사하고, 예측 인자를 분석하였다. 분석 결과를 요약하면, 첫째, 119 구급차, 민간 구급차 등 응급환자 이송 수단을 이용한 경우가 자가용, 택시, 도보 등 응급환자 이송 수단을 이용하지 않은 경우보다 많았다. 둘째, 개인 및 가구 특성 변수 중 연령, 교육 수준, 세대 구성, 주거 형태, 월 평균 가구 소득, 가구주와의 관계 등에서, 응급 상황 특성 변수 중 의료 보장 형태, 장애 유무, 만성질환 유무, 응급실 방문 이유, 응급실 이용 후 조치 등에서 응급환자 이송 수단을 이용한 경우와 이용하지 않은 경우에 통계적으로 유의한 차이를 나타냈다. 셋째, 개인 및 가구 특성 변수 중에서는 연령과 월 평균 가구 소득, 응급 상황 특성 변수 중에서는 장애 유무, 응급실 방문 이유, 응급실 이용 후 조치 등이 응급환자 이송 서비스의 이용에 통계적으로 유의한 예측 인자로 나타났다. 따라서 병원 전 응급환자 이송 단계에서 응급 처치의 적절성 제고와 함께 응급환자 이송 서비스의 이용 특성과 예측 인자를 감안한 효과적 대응이 필요하다.

농촌 노인단독가구의 가정경영 실태와 문제 (Home Management Performance and Problem of Rural Elderly Living Alone)

  • 채옥희
    • 대한가정학회지
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    • 제38권3호
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    • pp.85-97
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    • 2000
  • The goal of this study is mainly to improve the quality of life for the elderly by understanding the actual condition of the home management which includes their family relationship, family finance, and household work carried out in their domestic lives and diagnosing problems possibly restated from the condition. The result includes the following. The characteristics of rural elderly living alone: They have lived in rural area since their marriage which is over 40 years long in average, The tend to be satisfied with living apart themselves. The majority of the families are the first son in their family. In home management regard: First, in family relationship, the way the elderly in their nuclear family state communicate with their spouse is limited, and they hardly speaks together. So it is encouraged for couples to forge their own specific relationship and to plan for their odd age in their younger age. Also, they tend to be satisfied with living separated from their children, but at the same time, the closer they live in distance from their children, the more often they meet their children as well as they talk on the phone. They especially depend on their first son for offerings for ancestors and matters to occur after their death, while they get emotional support from daughters. Second, in family finance, their income varies in range from 200,000 to 3,000,000 won. In the majority f the famines, the wives are in charge of finance. The cost of living is mainly spent on flood, clothing, and housing, or the cost of offerings for ancestors if they are the head family. Third, Meanwhile, the housewives under 70 years old are positive about household work and tend to consider it pleasant for their children and their husband. Generally, the older they are, the more they dislike household labor. For example, food preparation is especially considered a major problem. Community dinning rooms, food delivery service, volunteers, and home helper and neighborhood could be help.

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도시(都市) 저소득층주민(低所得層住民)의 의료이용실태(醫療利用實態) (A Study On Medical care Utilization of Low Income People in Designated Areas)

  • 김진순
    • 농촌의학ㆍ지역보건
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    • 제15권1호
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    • pp.28-40
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    • 1990
  • Rapid industrialization has induced the migration of rural people to urban areas. Such migration has created enlarged the existing low income group. Residents of low income area have increased health risk owing to their poor living environment, low income. overwork and inappropriate health care. The general objective of this study was to group the pattern of medical care utilization of low income group. The specific objectives were to identify disease prevalence and medical care utilization of low income group. To meet the objectives of this study, household interview method was applied. A total of 1845 households in 5 areas such as Bongchon 5th Dong, Bongchon 2nd Dong, Sanggae 5th Dong, Sanggae 4th Dong, and Shinrim 7th Dong were visited and interviewed by field team during the period from April 19 to May 3. 1989. The major findings obtained from the information collected were as follows : The Number of room per household used was one to two rooms. The employment state of the head of household disclosed that 88.6% had a job and the remaining 11.4% were unemployed. The average monthly income was 502,770won. however, 30% of the total income was less than 300,000 won in Bongchon 5th dong area. and 34.5% in Shinrim 7th Dong area. 41.3% of households had debts, which was consisted of household expense(33.4%), income formulation(22.7%) and medical care cost(15.9%) etc. Prevalence rate of diseases during the preceding 30days before the date of the household interview was 387.7 per 1000 persons. The prevalence rate of female was higher than that of male. 8.9% of the sick persons wasn't receiving any medical treatment, and the main reasons of which were lack of economic availability(43.3%) and feeling of non treatment needed(33.7%). According to the study results it was found that the prevalence rate of chroic diseases and the disabled in low income resident areas was higher than that in the other areas. Therefore, the health status of this group should be improved through PHC approaches. In addition. in order to prevent the diseases and promote the health of those people, the health center as well as health subcenter should be strengthened.

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주택정보요구에 관한 연구 - 부산.울산지역 아파트 거주 주부를 중심으로 - (Types and Sources of Housing Information in Pusan and Ulsan)

  • 오찬옥
    • 한국주거학회논문집
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    • 제5권2호
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    • pp.51-63
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    • 1994
  • The purpose of this study are to examine the types and sources of information used for housing choices and to figure out the related factors. Data are collected through self-administered questionnaires designed for this study, and the sample consists of 396 households in Pusan and Ulsan. The purposes are accomplished through descriptive statistics and multiple regression analyses. Based on the results of analysis, housing information are divided into four specific types : economic. technical, housing unit, and neighborhood information. It is found that housing unit information including housing quality and economic information such as housing prices are identified as the most important ones for current and future housing choices. The most useful sources of housing information utilized for current housing are friends, relatives and neighbors. In addition, model house, real estate office, newspaper and adverizement are the another useful sources for housing information. Among them, the model house is the most helpful one for variety of housing information. Young households and those with a head whose occupation is professional/managerial tend to have higher recognition of the importance of housing information than do the other groups. The households currently living in small apartment and with a young eldest child are likely to have higher recognition of the importance of econimic information. Tenure type, the occupation of the household head, the age of the eldest child, and length of residence are the significant explanatory variables of the recognition of the importance of housing unit information.

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와이어 부동형 CD 광학헤드용 2축 구동부 설계 (Design of 2-Axis Actuator of Wire Suspension Type for CD Optical Head)

  • 최영석
    • 전자공학회논문지T
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    • 제35T권1호
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    • pp.40-47
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    • 1998
  • 광학헤드는 디지털 오디오 및 비디오 장치의 핵심부품으로서 일반 가전제품에서부터 컴퓨터 기억장치 및 게임기까지 광범위하게 응용되고 있으며, 광미디어의 수요가 확대됨에 따라 그 수요도 급속도로 증가되는 추세이다. 본 논문에서는 광학헤드의 핵심 구성요소인 포커스 및 트랙킹 서보용 2축 구동부를 와이어 부동형 외팔보 형태로 설계하고, 시뮤레이션 및 시제작 특성 분석을 통하여 그 설계 타당성을 검증하였다. 또한, 시제작 특성 분석을 통하여, 설계상의 원인외에 2축 구동부의 성능에 악영향을 미치는 조립공정의 인자를 파악하였다.

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승용차용 LED 전조등 방열 성능 최적화에 관한 연구 (A Study on Optimization of Thermal Performance of a LED Head Light for Passenger Cars)

  • 박상준;이영림
    • 한국산학기술학회논문지
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    • 제13권1호
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    • pp.27-32
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    • 2012
  • LED(Light Emitting Diode) 조명기기는 장수명, 저탄소, 고효율의 장점을 가지고 있어 현재 가정용 램프, 자동차 조명등, 신호등에 널리 사용되고 있다. 본 연구에서는 자동차 LED 전조등용 MCPCB LED를 제작한 후 방열성능 최적화를 수행하였다. 개발된 LED 전조등은 히트파이프와 팬의 조합시 목표 방열성능 달성이 가능하였고 팬의 on-off 제어를 통해 팬의 수명 또한 3배 정도 연장 가능함을 보였다.

저소득층 방문간호 관리를 위한 제안 - 강북구 방문간호 대상자를 중심으로- (A Proposal on a Management Model Applicable to Visiting Nursing Program for a Low-income Group)

  • 고미자
    • 한국보건간호학회지
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    • 제10권1호
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    • pp.118-138
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    • 1996
  • Because of accelerated urbanization public body visiting nursing project that started according as matter of health on urban class in the lower brackets of income was concentrated on Social interests has a unsatisfied points to propel project efficiently from the lack of rating materials. Therefore centering around written contents in documentary literature of citizen health by household in five years from starting year of project to now. visiting frequency by medical manpower was evaluated quantitatively and qualitatively in aspect of management hereupon. for the sake of giving a basic materials for public health project of this field. This research presents documentary literature of citizen health which become materials is that as one person's charged region of nurse in duty scale. district is Kang-Buck Gu. the object is resident in the lower brackets of income grounded livelihood protection law and who is admitted by the head of organ~chief of health care). and the number of material centering around the head of a household is 415 copy. The result of research is summarized. as follow. 1. Average visiting frequency examinated by medical manpower show difference according to valuables of supervision characteristics namely average visiting. Frequency of nurse has long term residence in case registration season is early and supervision season is the first year and is high incase a kind of house is unlicdnsed mountain town. Average visiting frequency with doctor is high incase supervision season is the first year and the medical insurance system is admitted by chief of health care. That shows that a man of discomfort behavior left alone are yet many in local society. The meaning of this result shows that the continuity of official relation about class in the lowest brackets of income of long term residence goes well between househole who is a user of visiting nursing service of the object according to midway income under management influences a given duty of nurse s and so causes quantitative decrease. 2. In case behavier and condition of health that nurse diagnoses are bad. as the type matter is a lack of health and the number of patient is large. the average visiting frequency of nurse is high. because average visiting frequency with doctor is high as the condition of health is bad and the number of patient is large. That is similar with that of nurse. CD Average visiting frequency of nurse s seen by matter of disease is very high only in apoplexy by 39.50 and is confined within limits from 7.63 to 11.36 in other disease. But average visiting frequency with doctor is double as many as that of nurse but defined in apoplexy hypertension and articulate. (1) Average visiting frequency of nurse by existence in inoculation of hepatitis is low by 6.73 in unidentified group and very high by 26.89 in group of non-inoculation and the case of the antigenic positive man of B type hepatitis or epileptic who can't be inoculated shows 13.00 and that even family nursing service is needed to them. That result shows that though one person nurse of local charge has a large scale of duty. as visting nursing service is given a class who has a large demand preferentially by respectively accurate nursing diagnosis. the number of diagnosis service is similar with it. 3. During five years. average visiting frequency of nurse is 10.84 and average visiting frequency with doctor is 76.50 seeing from the official scale of nurse. visiting by household is performed two more per year to the average. Seeing this by type of service. average visiting frequency of nurse is higher in indirectly nursing than in directly nursing and that suggests that at the time of visiting household nurse performs education of protection lively save patient but at the time of contrastedly visiting with doctor. directly nursing is more contents of service show no difference by man power and medication dressing by demand is 14.3 and 18.6 the aid of hardship term of doctor and nurse is high by 18.7 and 17.00 in the request of hospitalization when seeing by demands. 4. Action by turns exemplified 1994 is well in sequence of 2/4 turn. 3/4 turn. 1/4 turn. 4/4 turn. When seen by average visiting frequency of nurse but gradually is even. Without difference by turns. average visiting frequency of doctor is much higher in 1/4 turn than other turns. Type of service by turns is all even but directly nursing is inactive in 4/4 and indirectly nursing. Very increases in 4/4 and so. Nurse's quantity of duty is plentiful that shows that by evaluation of last turn and plan of project. Contents of service follows that medication and dressing is the highest by' 5.57 in 1/4turn. goes down gradually by turn. becomes 3.57 in 3/4 turn. and increases again by 4.83 in 4/4 turn. the rest service is higher in 2/4 turn than other turns. 5. Total visiting frequency of nurse is explained to total $37.5\%$ by six valuables of visiting frequency of doctor. nursing demand. demand of diagnosis. condition of behavior. year. Special terms and magnitude of influential power is the same as sequence of enumerated valuables. Namely. the higher the visiting frequency of doctor. the bigger nursing and demand of diagnosis is. the worse the condition of behavior is. the older the object is and the more the household of special terms is. the high total visiting frequency of nurse is.

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도시 근로자가계의 주생활비 소비지출구조분석 -1982년부터 1992년까지- (An Analysis of housing Consumption Expenditure in Urban Salary and Wage-earners' Households -From 1982 to 1992-)

  • 김영숙
    • 대한가정학회지
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    • 제32권2호
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    • pp.1-16
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    • 1994
  • This paper analysis the structure of Housing Consumption Expenditure of urban salary and wage-earners' households from 1982 to 1992 by employing Time-series. Data was based on " Annual report on the Family Income and Expenditure Survey" of the National Bureau of Statistic Planning Board, Republic of Korea. Percentile marginal-propensity to consume(MPC) and income elasticity of consumption expenditure are estimated by their socio-economic and demographic variables. The results are as follows: 1. The proportion of the expenditure for furniture and utensils and house mending has increased with the increase of income in urban salary and wage-earners' households, while fuel light and water charges and rents paid has decreased. 2.1) Engel Function by income group; MPC associated with rents paid and fuel light and water charges is higher in the lower income group than in the rest. The income elasticity estimates in rents paid and fuel light and water charges is less than 1 in all group while larger than 1 in furniture and utensils and house mending. 2) Engel Function by occupation of household head; The highest MPC in rents paid is associated with the sales profession. The income elasticity of fuel light and water charge is found be inelastic. The groups other than the sales group show irregular MPC. 3) Engel Function by family size; MPC in house mending and fuel light and water charge is increased while is decreased in rents paid in accordance with family size. The income elasticity of rents paid and fuel light and water charge is less than 1 in all groups while that of house mending and furniture and utensils is larger than 1. 4) Engel Function by age of housegold head; MPC in rents paid is decreased according to the age of housefold head. The income elasticity of rents paid and fuel light and water charge is less than 1 in all group while it is larger than 1.

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Modelling protection behaviour towards micronutrient deficiencies: Case of iodine biofortified vegetable legumes as health intervention for school-going children

  • Mogendi, Joseph Birundu;De Steur, Hans;Gellynck, Xavier;Makokha, Anselimo
    • Nutrition Research and Practice
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    • 제10권1호
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    • pp.56-66
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    • 2016
  • BACKGROUND/OBJECTIVES: Despite successes recorded in combating iodine deficiency, more than 2 billion people are still at risk of iodine deficiency disorders. Rural landlocked and mountainous areas of developing countries are the hardest hit, hence the need to explore and advance novel strategies such as biofortification. SUBJECTS/METHODS: We evaluated adoption, purchase, and consumption of iodine biofortified vegetable legumes (IBVL) using the theory of protection motivations (PMT) integrated with an economic valuation technique. A total of 1,200 participants from three land-locked locations in East Africa were recruited via multi-stage cluster sampling, and data were collected using two, slightly distinct, questionnaires incorporating PMT constructs. The survey also elicited preferences for iodine biofortified foods when offered at a premium or discount. Determinants of protection motivations and preferences for iodine biofortified foods were assessed using path analysis modelling and two-limit Tobit regression, respectively. RESULTS: Knowledge of iodine, iodine-health link, salt iodization, and biofortification was very low, albeit lower at the household level. Iodine and biofortification were not recognized as nutrient and novel approaches, respectively. On the other hand, severity, fear, occupation, knowledge, iodine status, household composition, and self-efficacy predicted the intention to consume biofortified foods at the household level; only vulnerability, self-efficacy, and location were the most crucial elements at the school level. In addition, results demonstrated a positive willingness-to-pay a premium or acceptance of a lesser discount for biofortification. Furthermore, preference towards iodine biofortified foods was a function of protection motivations, severity, vulnerability, fear, response efficacy, response cost, knowledge, iodine status, gender, age. and household head. CONCLUSIONS: Results lend support for prevention of iodine deficiency in unprotected populations through biofortification; however 'threat' appraisal and socio-economic predictors are decisive in designing nutrition interventions and stimulating uptake of biofortification. In principle, the contribution is threefold: 1) Successful application of the integrated model to guide policy formulation; 2) Offer guidance to stakeholders to identify and tap niche markets; 3) stimulation of rural economic growth around school feeding programmes.