• Title/Summary/Keyword: public financial expenditure

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Determinant Factors for Expenditure of the Medical Insurance Program for Self-Employeds (지역의료보험(地域醫療保險) 재정지출(財政支出)의 결정요인(決定要因))

  • Kam, Sin;Park, Jae-Yong;Yeh, Min-Hae
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.1 s.49
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    • pp.153-174
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    • 1995
  • This study was conducted to examine the determinant factors for expenditure of the medical insurance program for self-employeds based on the analysis of 1991 'The Medical Insurance Program for Self-Employeds Statistical Yearbook', and also similar yearbooks in the metropolitan and other provinces. The major findings are as follows : We have divided benefits into these four components such as the utilization rate for out-patients, expenses per claim for out-patients as paid by the insurer, utilization rate for in-patients, and the expenses per claim for in-patients as paid by the insurer, in order to examine the determinant factors for it. The results of the study revealed the following findings, in urban areas, the supply of medical care had more influence on the benefits than other demographic and economic variables, while, in county areas, both the supply of medical care and the rate of those aged over 65 affected the provision of benefits. The determinant factors for financial balance of the medical insurance program for self-employeds are, first, the determinant factor for administrative expenses was the number of households. The more the number of households, the less the administrative expenses per the insured. This shows that the economy of scale is being. And so, the administrative district must be taken into consideration in the incorporation of small regional medical societies and should be re-organized for more efficient management. Second, in urban areas, the supply of medical care had more influence on utilization rate and expenses per claim as paid by insurer, and therefore it is necessary to control it. In county areas, the supply of medical care and the rate of those aged over 65 raised the utilization rate and expenses per claim as paid by insurer. For the financial stability of county areas, a common fund for medical care for the aged and expansion of finance stabilization fund would be necessary. But, in county areas, it would be unnecessary to control the supply of medical care because it was much more insufficient than in urban areas. The vitalization of public health facilities must be carried out in county areas, for they reduced benefits. Sice the more insured in a single household, the less the utilization of the medical insurance program, benefits for habilitation at home should be given consideration. The law of majority and the economy of scale were applied here, and therefore the incorporation of regional medical societies must be taken into consideration. In integrating regional medical societies, it would be absolutely necessary to review the structural differences among all regional medical societies, the medical demand of each region, and also the local characteristics of each region.

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Household, personal, and financial determinants of surrender in Korean health insurance

  • Shim, Hyunoo;Min, Jung Yeun;Choi, Yang Ho
    • Communications for Statistical Applications and Methods
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    • v.28 no.5
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    • pp.447-462
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    • 2021
  • In insurance, the surrender rate is an important variable that threatens the sustainability of insurers and determines the profitability of the contract. Unlike other actuarial assumptions that determine the cash flow of an insurance contract, however, it is characterized by endogenous variables such as people's economic, social, and subjective decisions. Therefore, a microscopic approach is required to identify and analyze the factors that determine the lapse rate. Specifically, micro-level characteristics including the individual, demographic, microeconomic, and household characteristics of policyholders are necessary for the analysis. In this study, we select panel survey data of Korean Retirement Income Study (KReIS) with many diverse dimensions to determine which variables have a decisive effect on the lapse and apply the lasso regularized regression model to analyze it empirically. As the data contain many missing values, they are imputed using the random forest method. Among the household variables, we find that the non-existence of old dependents, the existence of young dependents, and employed family members increase the surrender rate. Among the individual variables, divorce, non-urban residential areas, apartment type of housing, non-ownership of homes, and bad relationship with siblings increase the lapse rate. Finally, among the financial variables, low income, low expenditure, the existence of children that incur child care expenditure, not expecting to bequest from spouse, not holding public health insurance, and expecting to benefit from a retirement pension increase the lapse rate. Some of these findings are consistent with those in the literature.

A study using spatial regression models on the determinants of the welfare expenditure in the local governments in Korea (공간회귀분석을 통한 지방자치단체 복지지출의 영향요인에 관한 연구)

  • Park, Gyu-Beom;Ham, Young-Jin
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.89-99
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    • 2018
  • The purpose of this study is to analyse the determinants of the change in the welfare expenditure of local governments in 2015. This study analyzed the spatial correlation of welfare expenditure among neighboring local governments and determined the factors affecting the welfare expenditures. According to the results of the study, spatial correlation of welfare expenditure among local governments appears. Determinants, such as socio-economic factors, administrative factors, public financial factors are affecting the amount of the welfare expenditures, but local political factors, and local tax, last year's budgets are not correlated with the amount of local welfare expenditures. In this study, it is significant to found out that the spatial correlation of welfare expenditure among the local governments and to examine the determinants. If possible, it is necessary to analyze the time-series analysis using the multi-year welfare expenditure data, expecially self-welfare expenditures.

Examining Incentives to License Technology in U.S. High-Tech Industries

  • Kim, Young-Jun
    • Management Science and Financial Engineering
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    • v.10 no.1
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    • pp.43-52
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    • 2004
  • This paper empirically investigates potential factors that might affect firms' incentives to license out technology. The analysis is done with the help of a panel data set of observed licensing transactions involving U.S. public companies in high-technology industries. The important explanatory factors relate to the firm characteristics such as the company's stock of technological knowledge (patent stock). prior involvement in technology licensing. the company size, R&D intensity and capital expenditure. The results suggest that there seems to be significant inter-sectoral differences as well as similarities in determinants of the propensity to transfer technology through licensing agreements.

The Effect of Occurrence and Reoccurrence of Catastrophic Health Expenditure on Transition to Poverty and Persistence of Poverty in South Korea (재난적 의료비 발생과 재발생이 빈곤화와 빈곤지속에 미치는 영향)

  • Kim, Eunkyoung;Kwon, Soonman
    • Health Policy and Management
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    • v.26 no.3
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    • pp.172-184
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    • 2016
  • Background: The objective of this study was to examine the effect of occurrence and reoccurrence of catastrophic health expenditure (CHE) on transition to poverty and persistence of poverty in South Korea. Methods: The data of the year 2008-2011 from the Korea Health Panel were used. CHE was defined as the share of total health expenditure in a household out of a household's total income at various threshold levels (more than 5%, 10%, 15%, and 20%). The effect of catastrophic expenditure on transition to poverty and persistence of poverty was analyzed through multivariate logistic regression. Results: The shares of households facing CHE at various threshold levels have increased gradually with 37.7%, 21%, 13.1%, and 9.5% in 2011. Households facing CHE were more likely to experience transition to poverty at thresholds level of more than 5% and 20% in 2010 set. Households facing CHE seemed to experience persistence of poverty, but it was not statistically significant. About 40% of households facing CHE in 2009 encountered another shock of CHE in 2010. Households without CHE seemed to experience more transition to poverty and persistence of poverty, but it was not statistically significant. For household with multiple CHE, those with medical aid were more likely to experience transition to poverty with statistical significance, but the statistical significance disappeared in case of persistence of poverty. Conclusion: The Korean health system needs to be improved to serve as a social security net for addressing transition to poverty and persistence of poverty due to facing CHE.

Effect of Expanding Benefit Coverage for Cancer Patients on Equity in Health Care Utilization and Catastrophic Expenditure (암 질환 대상 산정특례제도가 의료이용 및 의료비 부담 형평성에 미친 영향)

  • Kim, Ji Hye;Kim, Su Jin;Kwon, Soon Man
    • Health Policy and Management
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    • v.24 no.3
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    • pp.228-241
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    • 2014
  • Background: The purpose of this study is to evaluate the effect of health insurance coverage expansion for cancer patients on equity in health care utilization and catastrophic expenditure. Methods: To analyze the causal relationship between the policy to expand benefit coverage and the change in health care utilization and out-of-pocket payments of cancer patients, this study employed a difference-in-differences (DID) method. In the DID model, the change in health care utilization, such as health care expenditure, visit days and length of stay, of cancer patients was compared with that of liver disease patients, using Korea Health Panel Data in 2009 and 2010. Results: The policy of reducing cost sharing from 10% to 5% for cancer patients did not have significant effects on equity in health care utilization. The results of this study were different from those of the previous study that showed that the reduction of cost sharing from 20% to 10% significantly improved the equity in health care utilization of cancer patients. In addition, the result of catastrophic expenditures analysis showed the policy did not change the probability of catastrophic expenditures. Conclusion: The results of this study imply that payment for non-covered services account for high out-of-pocket payments, and the reduction in cost sharing for covered services alone may have a limited effect on total financial burden on patients.

An Empirical Study on Investment Effects as Investment Expenditure Patterns of Telecommunication Companies : Focused on Foreign Telecommunication Firms (통신사업자 투자지출액 변화에 따른 투자효과 실증분석 연구 : 해외 사례를 중심으로)

  • Park, Hye Su;Ji, Sung Hyun;Park, Sun-Young
    • Journal of Information Technology Applications and Management
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    • v.20 no.4
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    • pp.67-81
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    • 2013
  • Domestic telecommunication companies have increased in marketing expenditures and capital investments in their plants and equipments. Their expectation for their investment sometimes results in the shrinking of their ARPUs(average revenues per user) as well as decreasing of net profits. Those financial efforts have not always been positive relation with their ARPUs. Since western and european telecommunication industry recently have similar situation with our market where their mobile and network users have been saturated so that no more increased users are estimated. Therefore, this paper aims for first to explore methods maximizing the investments efficiency for the telecommunication company so that we choose bechmarked telecommmunication companies to explore their investment managing situation with resepct to their marketing and capital expenditure. Secondly this paper tried to suggest several public policy guidelines for domestic telecommunication industry. Total seventeen foreign telecommunication companies were selected and data set through official IR as well as AR were chosen. Curvilinear logarithmic regression analysis were tested to obtain elasticities as well as marginal effects. As a result, overspending on the marketing investment showed more negative indicators to their revenues, on the other hand, more investment in the Capex such as network infrastructures and other service facilities were more likely related to positive revenues.

An Analysis on the Economic Structures of Low-income Households: Policy Suggestion for Their Economic Well-being (저소득층 가계의 경제구조 분석: 경제적 복지를 위한 정책 제언)

  • Shim, Young
    • Journal of Consumption Culture
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    • v.15 no.2
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    • pp.213-247
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    • 2012
  • The purpose of this study was to analyze the economic structures of low-income households, and to provide the policy suggestions for their economic well-being. The data for this study was from the 2009 year of the Korea Welfare Panel Survey (KOWEPS). The results are as follows: As for income structure, the low-income households had lower amounts in earned income, business and side-work income, and property income, but a higher amount in transfer income. They had a lower amount in private transfer income, but a higher amount in public transfer income. They had the highest rate of transfer income, showing that the rate of public transfer income was higher than that of private transfer income, and the government assistance was the highest rate in public transfer income. The households in extreme poverty had the lowest amounts in earned income, financial income, private transfer income, but the highest amount in public transfer income. The households in poverty had the lowest amount in transfer income. The households in extreme poverty, poverty and near poverty showed the highest rate in transfer income. As for asset structure, the low-income households had a lower amount in every type of assets. They showed the highest rate in total debt, and had a higher rate in housing asset, but lower rates in real-estate asset, financial asset and other asset. The households in extreme poverty had a lower amount in every type of assets than the households in near poverty. Three types of the low-income households showed the highest rate in housing asset, but the households in extreme poverty was the highest among them. As for expenditure structure, the low-income households had lower amounts in all of the expenditure items. They showed the highest rate in food expenditure, the second highest in other consumption expenditure. The households in extreme poverty showed lower amounts in almost all of the expenditure items than the households in near poverty, but the households in extreme poverty showed a higher amount in monthly rent than the households in neat poverty. Three types of the low-income households showed the highest rate in food expenditure. The expenditure rates of food, monthly rent and light·heat·water for households in extreme poverty were higher than those for the households in near poverty.

Financial Burden of Cancer Drug Treatment in Lebanon

  • Elias, Fadia;Khuri, Fadlo R;Adib, Salim M;Karam, Rita;Harb, Hilda;Awar, May;Zalloua, Pierre;Ammar, Walid
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3173-3177
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    • 2016
  • Background: The Ministry of Public Health (MOPH) in Lebanon provides cancer drugs free of charge for uninsured patients who account for more than half the total case-load. Other categories of cancer care are subsidized under more stringent eligibility criteria. MOPH's large database offers an excellent opportunity to analyze the cost of cancer treatment in Lebanon. Materials and Methods: Using utilization and spending data accumulated at MOPH during 2008-2013, the cost to the public budget of cancer drugs was assessed per case and per drug type. Results: The average annual cost of cancer drugs was 6,475$ per patient. Total cancer drug costs were highest for breast cancer, followed by chronic myeloid leukemia (CML), colorectal cancer, lung cancer, and Non-Hodgkin's lymphoma (NHL), which together represented 74% of total MOPH cancer drug expenditure. The annual average cancer drug cost per case was highest for CML ($31,037), followed by NHL ($11,566). Trastuzumab represented 26% and Imatinib 15% of total MOPH cancer drug expenditure over six years. Conclusions: Sustained increase in cancer drug cost threatens the sustainability of MOPH coverage, so crucial for socially vulnerable citizens. To enhance the bargaining position with pharmaceutical firms for drug cost containment in a small market like Lebanon, drug price comparisons with neighboring countries which have already obtained lower prices may succeed in lowering drug costs.

A Study of Home Informatization and it′s Effect on the Family Resource Management - focused on the Internet Use- (가정정보화와 이로 인한 가정자원관리의 변화에 대한 연구 - 인터넷사용을 중심으로 -)

  • 이기영;이현아
    • Journal of Families and Better Life
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    • v.20 no.1
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    • pp.17-31
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    • 2002
  • The purpose of this study is to investigate the effects of home informatization on the family resource management. For this purpose we analyze the level of home informatization focused on the Internet use and it's effects on the family resource management through time management and financial management. Data were collected from 582 housewives who use the Internet at home. The results show that home informatization through the Internet use has changed family resource management totally. It contributes to improve planning and efficiency of resource management, but simultaneously it causes the imbalance of resource management. And the Internet use of housewives also affects time allocation and household expenditure. These changes depend on socio-demographics variables, home informatization related variables, and personal resource variables. The results show that the ability to manage time and finance have much more importance to improve the level of planning and efficiency and to decrease the level of imbalance in managerial subsystem. The results of this research suggest several implications for public policy.