• 사회복지연구
• /
• 제40권3호
• /
• pp.213-242
• /
• 2009

본 연구에서는 사회복지서비스의 이용여부에 영향을 미치는 요인과 이용수준에 영향을 미치는 요인을 소인성 요인, 가능성 요인, 욕구요인으로 구분하여 각각의 영향관계를 살펴보고 이를 일반계층과 저소득층으로 나누어서 비교해 보았다. 분석결과, 사회복지서비스 이용여부에 있어서는 일반계층과 저소득층 모두 배우자가 있는 경우, 동거가족이 많을수록, 건강이 안좋다고 느낄수록, 만성질환이 없는 경우에 사회복지서비스를 이용할 가능성이 높았다. 사회복지서비스 이용수준에 있어서는 배우자가 없는 경우, 가구소득이 일반계층에서는 적을수록, 저소득층에서는 높을수록, 동거가족수는 많을수록, 건강이 좋지 않다고 느낄수록, 만성질환이 있는 경우가 사회복지서비스 이용수준이 높았다. 이 외에 저소득층에서는 여자보다 남자일 경우, 연령이 적을수록, 고졸이상보다는 중졸이하 집단이, 취업자보다는 미취업자가, 거주지역이 서울 광역시일 경우, 생활만족도가 낮을 경우 서비스 이용수준이 높아졌다. 이상의 연구결과는 각 계층별 특성과 욕구가 다르며, 서비스의 목적과 내용에 따라 잠재적인 대상자들의 욕구조사를 통해 보다 체계적이고 적절한 서비스를 제공할 필요가 있음을 시사한다.

• 지역사회간호학회지
• /
• 제13권2호
• /
• pp.272-279
• /
• 2002

Objectives: The purpose of this study was to analyze health service utilization, and its related factors in low income families who earned half of the average Korean household income. Methods: This was a cross-sectional descriptive survey study in which a nationwide randomization sampling technique was used. The data were collected from July 12 to August 7, 1999, and the total sample size was 5,819 individuals, belonging to 1.753 households. Results: 1) In the utilization of health services for the last 3months, the pharmacy was the type of service that was the most utilized (32.0%), and the health center was the one that was the least utilized (10.3%). About 29% (29.2%) of the respondents could not utilize the health service at all. and 19.8% of the respondents terminated their medical treatments half way to completion because of financial difficulty (89.4%). 2) Analysis of the data using logistic regression showed that living with spouse, level of education, occupation, and income had statistically significant effects on health service utilization. Conclusion: The parameters of health care policies are equity and efficacy for health status, and the health service utilization by low income families. The conclusive resolution for these is the improvement of public health centers for an increased utilization rate of their services.

• 보건행정학회지
• /
• 제28권4호
• /
• pp.339-351
• /
• 2018

Background: The purpose of this study is to estimate empirically whether there is a difference in medical use among income groups, and if so, how much. This study applies econometric model to the most recent year of Korean Medical Panel, 2015. The model consists of outpatient service and inpatient service models. Methods: The probit model is applied to the model which indicate whether or not the medical care has been used. Two step estimation method using maximum likelihood estimation is applied to the models of outpatient visits, hospital days, and outpatient and inpatient out-of-pocket cost models, with disconnected selection problems. Results: The results show that there was the inequality favorable to the low income group in medical care use. However, after controlling basic medical needs, there were no inequities among income groups in the outpatient visit model and the model of probability of inpatient service use. However, there were inequities favorable to the upper income groups in the models of probability of outpatient service use and outpatient out-of-pocket cost and the models of the number of length of stay and inpatient out-of-pocket cost. In particular, it shows clearly how the difference in outpatient service and inpatient service utilizations by income groups when basic medical needs are controlled. Conclusion: This means that the income contributes significantly to the degree of inequality in outpatient and inpatient care services. Therefore, the existence of medical care use difference under the same medical needs among income groups is a problem in terms of equity of medical care use, so great efforts should be made to establish policies to improve equity among income groups.

• 한국가정과학회지
• /
• 제7권1호
• /
• pp.131-143
• /
• 2004

The purpose of this study was to examine the consumption expenditure structure for leisure & recreational service in urban households. For these purpose, the data collected 175 households in Pusan metropolitan city. Statistics employed for the analys were frequencies, means, one -way ANDVA, and multiple regression analysis. The major results of this study were as follows; Average monthly expenditure for leisure, recreational service was 190,342 won. And their expenditure for leisure & recreational service share was 12.89 % of total expenditure. Those expenditure with high income elasticity were hobby & culture education, and journey. And those with low income elasticity were play & inspection, and health & sports. In leisure & recreational service expenditure, the variables which influence were job and degree of household head, and income.

• Journal of Preventive Medicine and Public Health
• /
• 제11권1호
• /
• pp.49-58
• /
• 1978

To try to determine the type of medical service wanted by the rural population, in Chungnam Province, a survey amongst the populations of 6 counties was conducted; Within the 6 counties, 2 local communities, which had no access to local medical services, were surveyed. The 12 communities were actively involved in Sae-maul activities, and total number of households surveyed, was 822. The survey was conducted over a 1 month period, from July 16th, 1976, thru August 20th, and the followings are the results, summarised. 1. The largest number of respondents desired a combination of Public Health Center and Country Hospital, followed in order by Private Clinic and Modern Medical Facility. 2. The respondents, aged under 40 years, desired the Private Clinic type medical service, whilst those over 40 years of age, wanted the County Hospital, and as the numbers in this age bracket, were larger, so the ratio was much higher. 3. Sex, educational background, and occupation did not play any particular emphasis in the decisions. 4. Monthly income affected the responses to the survey. These in the lower-income bracket, wanted the County Hospital, and the ratio was high. These in the high income bracket desired the Modern Medical Service, accordingly. Those with an income of 50,000 won or less, amongst the low-income bracket, favored the Public Health Sub-center type of service. The ratio for this service was very high.

• 대한가정학회지
• /
• 제31권2호
• /
• pp.141-157
• /
• 1993

The purpose of this study were to collect the data for searching the better day care service programs among the employed mothers of the urban low income class. The Subject were 280 low income class employed mothers with the child under age of six, who lived at the Gwang-ju City. The frequency, percentage, and χ2test were calculated for the analysis of the collected data. The Results were as follows ; 1) Most of the urban low income class employed mothers needed day care facilities. 2) Urban low income class employed mothers preferred a center-based day care program to any other type of day care program. They also preferred the whole-day day care service 8 A.M. to 6 pp.M. rather than the half-day care service. Mothers with the child at the age of 3 to 6 years mostly wanted day care program service. 3) They expected the government or their companies to support considerable amount of day care service fee. Most of mothers emphasized the child's every day life's and love for the children was most preferred. Mothers also wanted 14-16 years for teacher's education career.

• 지역사회간호학회지
• /
• 제12권3호
• /
• pp.589-599
• /
• 2001

The purpose of this study was to analyze the relation amongst health status, health care costs. health service utilization among the low income elderly who were 60 years of age or older, earning a half of the average Korean family income. The cross-sectional descriptive survey research we conducted used families randomly sampled nationwide. The data were collected from July 12 to August 7, 1999 and the total sample was 1.259 household members (421 households). These were the major findings. 1. As for the health status. 72.4% of respondents fell ill in the last 1 month; 54% of respondents had chronic disease. 2. As for the health care cost. the cost of hospitalization and the medical treatment were 1.069,000 won and 226.000won. respectively. 59.3% of respondents experienced a burden from the monthly health care expenses. 3. As for the health service utilization for the last 3months. 28.5% of respondents didn't utilize the health service. In addition, 22.2% of respondents gave up a medical treatment because of economic situation (88.8%). 4. The statistically significant determinants of health service utilization are old age, female, living with a spouse, unemployed state, medicare, and more days sick. 5. It is shown conclusively that equity and efficacy of the health care policy are to be considered for lower income older adult.

• International Journal of Human Ecology
• /
• 제6권2호
• /
• pp.73-83
• /
• 2005

The purpose of this study was to analyze the needs of future users for services at senior congregate housing and to look into the development directions of the service standards for senior congregate housing. A survey was conducted among middle-aged people in their fifties, who lived in Seoul, using the systematic random sampling method. The final sample included 498 respondents. The survey was conducted from November 3, 2003 to November 14, 2003. The results of this study were as follows. Firstly, as the need for housing services were high, it was quite clear that various services at senior congregate housing should be provided. Secondly, a service differentiation strategy should be proposed to meet the characteristics of the users. Thirdly, it was hereby suggested that service standards should be established in the following manner considering the relationship between the needs for services and the income level directly influencing the provision of services: 'Basic services' to be provided regardless of income, 'Optional services' to be selectable among the preferable services per income level, and 'Supportive services' to be provided for low-income people.

• 한국병원경영학회지
• /
• 제26권3호
• /
• pp.13-27
• /
• 2021

Purpose: We examined the relationship between operating income and volume of medical services provided at general hospitals in 2018 according to characteristics of general hospitals and measured as operating income(net income) and volume(adjusted inpatient days) covered or non-covered by National Health Insurance(NHI). Methodology: Finance data from income statement reports in 212 general hospitals and the national health insurance claim data of these hospitals were used. The characteristics of the general hospital were divided into structural, operational, financial, and patient aspects. Operating income and volume were divided into covered and non-covered by NHI. Findings: The results showed high volume hospitals tended to be more profitable than low volume hospitals, especially in non-covered services. Operating income was more likely to be sensitive to non-covered services volume than to covered services volume. Practical Implications: It is necessary to understand the volume of services in non-covered, in order to obtain reliable cost information to be used for the fee schedule. Researches on small size hospitals(<160 beds) are needed, with a large variation in the volume of services and a strong tendency to compensate for the loss in the covered part in non-covered part.

• 보건행정학회지
• /
• 제27권2호
• /
• pp.139-148
• /
• 2017

Background: The purpose of this study is to investigate family caregivers' opinions about out-of-pocket payment for long-term care (LTC) facilities, and find the differences in the opinions for family caregivers of all different levels of income. Methods: We used the data of the study on out-of-pocket payment in national long-term care insurance, including 1,552 family caregivers with the elderly in long-term care facilities. Results: The average out-of-pocket payment per month was 511,635 Korean won and distributed from 230,750 to 1,365,570 Korean won. The amount of out-of-pocket payment might be affected by not co-payment but the cost of non-covered service. There were differences in them for family caregivers of all different levels of income. Opinions were surveyed about 5 issues. By levels of income, there were differences in their opinions about 3 issues, the financial burden on LTC, the necessity of reducing out-of-pocket payments, and to be willing to pay more for a high quality service. But there were not different opinions about the interruption of LTC service and staying with LTC facilities. Conclusion: These findings suggest that the range of out-of-pocket payment for LTC facility is wide and it can be a burden to lower income group. It should be to prepare the policies to ease the financial burden and support the appropriate LTC use.