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기초지방자치단체 보건의료 지출수준의 결정요인

Factors of Health Care Expenditure of Local Government

  • 박삼영 (건양대학교 의과대학 예방의학교실) ;
  • 장민영 (건양대학교 의과대학 예방의학교실) ;
  • 박선희 (한국건강증진재단) ;
  • 나백주 (건양대학교 의과대학 예방의학교실) ;
  • 김은영 (건양대학교 의과대학 예방의학교실) ;
  • 김순영 (대전보건대학교 간호학과)
  • Park, Sam Young (Department of Preventive Medicine, Konyang University College of Medicine) ;
  • Jang, Min Young (Department of Preventive Medicine, Konyang University College of Medicine) ;
  • Park, Sun Hee (Korea Health Promotion Foundation) ;
  • Na, Baeg Ju (Department of Preventive Medicine, Konyang University College of Medicine) ;
  • Kim, Eun Young (Department of Preventive Medicine, Konyang University College of Medicine) ;
  • Kim, Soon Young (Department of Nursing, Daejeon Health Sciences College)
  • 투고 : 2012.09.13
  • 심사 : 2013.01.22
  • 발행 : 2013.03.31

초록

Background: The purpose of this study was to analyze the related factors which decide the percentage of health care expenditure of the total fiscal expenditure of local governments and to provide the basic data to contribute for the efficient allotment of healthcare budget. Methods: This study was conducted by the percentage of health care expenditure for 3 years by classifying a total of 230 local governments into the metropolitan cities (gu, 69), the counties (si, 75), and the boroughs (gun, 86) all over the country. With the collected data, the general characteristics of independent variables and the dependent variable were analysed using SPSS ver. 18.0, The correlation analysis and multivariate regression analysis were conducted for the characteristics of variables according to regions by year. Results: In correlation between health care expenditure by year and other variables, there was a significant positive correlation with unemployment rate, metropolitan cities (gu) and other regions, the percentage of health center personnel, health care expenditure in last year as a independent factors. On the other hand there was no correlation with social assistance recipients and the percentage of aging population, financial self-reliance, industrialization rate, suicide rate, cardiac disease mortality, cerebrovascular mortality on health care expenditure. Conclusion: The study clearly shows that health care expenditure of local governance was not correlated with health care need factors comparing social welfare expenditure.

키워드

참고문헌

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