• 한국병원경영학회지
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• 제22권2호
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• pp.44-57
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• 2017

The objective of this study is to investigate financial integrity strategies for sustainable development of local public medical centers, and particularly focus on seeking ways to enhance its financial efficiency and publicness. The data which was collected from 33 local public medical centers was analyzed by Data Envelopment Analysis to measure its financial efficiency. Then, Matrix Analysis was used to examine the association of financial efficiency and publicness of local public medical centers with related factors. In the aspects of facilities and location, according to the results, the local public medical centers which have larger number of available hospital beds or located in bigger cities were examined to have higher degree of publicness. In the aspect of human resources, greater number of doctors made both financial efficiency and the degree of publicness decreased, whereas higher participation rate of educational program for doctors affects increasing its financial efficiency and publicness. Lastly, in the aspect of costs, higher labor, material, and administrative cost diminished financial efficiency, but enhanced the degree of publicness. Based on these results, this study concluded that enhancing the publicness of local public medical centers should be pursued by increasing the accessibility with better facilities and location, and also concurrently organizing rational expenditure structure with appropriate cost investment to the resources of local public medical centers. Also, it is necessary to enhance both financial efficiency and publicness simultaneously by improving the quality of health care services through the educational programs for medical staffs.

• 대한가정학회지
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• 제36권1호
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• pp.129-142
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• 1998

The purposes of this study were to identify education expenditure and to analyze contributing factors to total education expenditure for two children among married couples. For these purposes, total sample of 1,256 married couples those having two children of both pre-school aged and school aged were selected, and total sample was divided into four groups by first child's school aged; those were pre-school aged(375), elementary school aged(385), middle & high school aged(248) & college aged(248). Statistics used for the analysis were frequencies, means, percentile, and tobit and OLS analysis. The results were as follows. First, the households those having the first child of pre-school aged didn't spent for public education expenditure, while public education xpenditure of school aged increased continuously. The households having the first child of high school aged spent the most private education expenditure among four groups, however, total education expenditure of the households having the first child in college aged spent the most education expenditure were household head's age, family size, home ownership and financial asset amount, and elementary school-aged's factors were household head's age, education level, home ownership and total household income. Also, household head's education level, wife's expectation of future economy, residence, total household income had significant effects on total education expenditure in middle and high school-aged, and household head's job, home ownership, contact with neighborhood, residence and Engel's coefficient were significant variables in college aged.

• Asian Journal of Business Environment
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• 제8권2호
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• pp.33-41
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• 2018

Purpose - This study aims to examine the determinants of income management of the public servant. Three independent variables are examined such as attitude towards money, financial capability and debt management while the dependent variable is financial wellbeing of public servants. Research design, data, and methodology - Quantitative research is applied in this study, and data are collected by using cross sectional approach. Survey questionnaires are obtained from 270 respondents, which represents 79% response rate. The multiple regressions are used to examine the influence of attitude towards money, financial capability and debt management towards financial wellbeing. Results - The result of the multiple regression indicated positive influences of attitude towards money and financial capability on financial wellbeing. However, debt management found no significant influence on financial wellbeing. Conclusions - Research findings show that people have different attitudes towards money and different trends of expenditure. It is also crucial to be highlighted that employees' attitude and financial capability have a greater influence on overall satisfaction with employees' financial wellbeing. Some would want to show off their luxury items they bought to close friends or relatives and some are very prudent in making expenditures even for necessity items.

• 보건행정학회지
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• 제22권2호
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• pp.275-296
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• 2012

Graduate School of Public Health, Seoul National University The national health insurance system in Korea is characterized as relatively high out-of-pocket payments, which are the principal source of catastrophic health expenditure (CHE). The objectives of this study are to estimate the incidence of household CHE and to clarify the characteristics that affect the occurrence and recurrence of household CHE using the Seoul Welfare Panel Survey database for 2008 and 2010. Thresholds to estimate CHE were 10% and 20% of the total household income (T/X), and 25% and 40% of the income excluding food share (T/Y). Determinants of the occurrence and recurrence of CHE at the threshold of T/X=10% were analysed using multiple logistic regression models. Out of the 3,665 households that responded in 2008 survey, households with CHE were 12.07% (T/X${\geq}$10%), 5.34% (T/X${\geq}$20%), 6.84% (T/Y${\geq}$25%), and 4.44% (T/Y${\geq}$40%). Risk factors associated with household CHE included living with a spouse, non-Medicaid beneficiary, householder unemployment, low household income, the number of disabled members, poor subjective health, and the number of chronic diseases. A total of 41.78% of households with CHE in 2008 repeatedly experienced CHE in 2010. Risk factors of CHE recurrence included decreased household income and an increase in chronic diseases over the two time periods, the number of members with disability or chronic diseases, and the presence of cancer patients in 2008. Households with lower socioeconomic and health status had a higher financial burden on health care than do their counterpart households. There is a need to enhance society-wide financial protection from health spending among vulnerable citizens in Seoul, particularly, households with low income, disabled members or cancer patients.

• 한국병원경영학회지
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• 제3권1호
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• pp.238-260
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• 1998

This article describes the theoretical foundations of government policy for hospitals in terms of correcting market failure and enhancing equity. It then discusses the characteristics that desirable payment systems should have, and the effects of the DRG-based prospective payment system on hospital behavior, its financial performance, hospital industry, and health care expenditure. The rationales and impacts of other public policies for hospitals such as antitrust and fair trade regulation, dissemination of practice guidelines and hospital mortality information, regulation of hospital capital investment, and tax policy are also discussed.

• 한국인구학
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• 제14권2호
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• pp.1-17
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• 1991

While various fiscal measures have been used to influence regional capital inflow or industrial location, the effect of fiscal variables on labor mobility has been little understood. Understanding the relationship between the composition of local public and urban migration would enhance the city govenment's ability to pursue an appropriate population policy. In order to examine the potential for local public finance to be utilized as a policy tool in directing urban population growth, this paper analyzes the impact of local government financial structure on urban migration. In examining the data on local government finance and the changes in population of Korean cities during the last ten years, it was found that cities with high per capita expenditure in regional development have experienced high population growth rates. In this study migration equations were constructed using various fiscal variables such as the proportion of special account expenditures which are mostly spent for local development purposes, per capita regional development expenditure, degree of local financial independence and per capita net fiscal benefit, along with other explanatory variables. The results of regression analysis showed that city government's regional development expenditure variables have a positive effect on urban net migration and a negative effect on outmigration. Fiscal independence and per capita net fiscal benefit had mixed effects on in and out migration variables, implying that local tax burden does not consistently deter inmigration or induce outmigration. Based on the results of this study some important policy implications can be found regarding local government's fiscal policies. Those cities seeking to attract higher population inflow should make a greater effort in appropriating local expenditures for regional development purposes such as infrastructure, housing, and transportation. city governments should not be too concerned about high local tax burden or necessarily seek to enhance financial independence for these factors do not exert a clear influence on urban population growth or labor supply.

• 한국사회정책
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• 제23권2호
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• pp.1-24
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• 2016

본 연구는 서구 국가들이 최근의 연금개혁을 통해서 전통적인 베버리지형 연금체제와 비스마르크형 연금체제 구분에서 벗어나 재정적 지속가능성과 적절성 측면에서 유사해지고 있는지를 영국, 독일, 스웨덴의 비교를 통해 살펴본다. 지난 20여 년간의 연금개혁을 통해서 베버리지형과 비스마르크형 연금체제의 격차는 줄어들 것으로 보이며, 특히 급여의 적절성 기준으로 세 국가의 연금제도가 수렴하고 있는 경향이 발견된다. 재정적 지속가능성의 경우에는 세 국가의 공적연금 지출 수준이 수렴하고 있다고 단정할 수는 없으나, 10여 년 전의 추계에 비해서 향후 지출 수준의 차이는 크게 줄어들었으며, 각 국의 인구고령화 정도의 차이를 고려하는 경우 재정적 지속가능성 측면에서도 수렴 경향이 발견된다. 이 연구는 우리나라 연금 논의에서도 재정적 지속가능성과 적절성에 대한 소모적 논쟁 대신, 선진국에서 수렴하고 있는 지출과 소득대체율 범위에서 재정적 지속가능성과 적절성 사이의 합의가 필요함을 시사한다.

• 사회복지연구
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• 제42권2호
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• pp.97-122
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• 2011

최근 글로벌 경제위기 직후 각국은 경기부양책의 일환으로 일제히 복지지출을 늘렸으나 재정위기가 불거지면서 복지지출을 급속히 축소시켰다. 그렇다면 경제위기 이후 복지국가는 어떠한 역사적 변곡점을 통과하고 있는 것일까? 빈곤과 양극화로 복지와 이를 책임지는 국가 역할에 대한 요구는 높아지고 있지만, 국가의 위기 대응은 사실상 금융산업 구제와 감세에 집중되었다. 국가는 시장 조정과 개입 능력에 많은 한계를 보였다. 대규모 구제금융 등으로 인한 재정 압박, 정치적 개인주의의 증대와 계급정치 변화 경향, 그리고 복지제도와 금융부문의 혼합 등과 같은 요소들로 볼 때 향후 복지국가 진로에 대해 낙관적 전망을 하기는 어렵다. 경제위기 이후 신자유주의적 자본축적 전략과 국가전략이 유지되고 있는 가운데 중간층 대상의 현금급여 위주로 복지 축소가 진행되고 있다. 따라서 과거와 같은 계급타협보다는 복지국가가 최소수준 보장을 통해 빈민에 대한 포섭을 강화하는 것이 유력하게 전망 된다. 이러한 최소주의 복지국가로의 진행을 막는 관건은 아래로부터의 연대를 통해 자본을 압박하는 것이지만, 그 전망은 불투명하다.

• 보건행정학회지
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• 제25권2호
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• pp.80-89
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• 2015

Background: This study aims to identify the monthly average medical expenses of public pension recipients, and analyze the determinants of total health and medical expenses and Western and Oriental medicine expenses, medical service expenses, and medical supplies expenses. Methods: This study used the fifth year data of 2013 out of the raw data of the Korean Retirement and Income Study collected by the National Pension Research Institute. This study conducted t-test, analysis of variance, and linear regression to verify publicly the relevance between pension recipients' general characteristics and health and medical expenses status using IBM SPSS ver. 21.0 for data analysis. Results: It was analyzed that there is a difference in the spending of expenditure and health care costs according to public pension recipients. Medical expenses of the national pensioners was higher compared to the special corporate pensioners. The national pensioner is related expenditure size, education level, family members living together, residential areas, status of spouse, number of chronic illness, and status of limitation in daily life with psychological health status. Conclusion: Therefore, fairness does not occur fire to the medical use between the special corporate pensioners and national pensioners, aggressive of government such as health policy and financial support for the retiree pension policy that reflects the reality intervention would be required.

• 보건행정학회지
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• 제23권2호
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• pp.112-123
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• 2013

Background: Under the risk of financial sustainability of National Health Insurance, Korean government attempted a series of regulations over pharmaceutical prices. The first price-cut was implemented to the hyperlipidemial treatments, and the prices of statins were reduced on 15th, April in 2009. The purposes of this study are 1) to investigate the impact of this price-cut on pharmaceutical expenditure, and 2) to identify the factors associated with drug-switch among statins. Methods: Using the national patients sample data, this study conducted time series analysis on the expenditures, prices, and volumes of statin drugs. To understand the factors associated with drug-switch, the multinomial logit model was analyzed at the patients level. Results: The results of time series analysis demonstrated that the price-cut of hyperlipidemic medicines did not lead to the reduced expenditure, suggesting the increased volume was the major cause. The multinomial logit analysis identified the switch of healthcare provider as the significant factor that was highly associated with drug-switch, implying the physicians' preference was the major motivation of drug-switch. Conclusion: Without control of utilization, price regulation itself could not reduce pharmaceutical expenditure. This suggests that the pharmaceutical regulations should be implemented on the basis of understanding of provider behaviors. The findings of this study will form the first step for further empirical studies.