• Journal of Korean Society of Transportation
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• v.33 no.4
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• pp.357-367
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• 2015

This study aims to propose integrated management strategies based on the relationship between co-benefits and total benefits of greenhouse gases and air pollutant emissions for establishing a transport and environmental policy. The results show that the integrated management of the following policies: 'Car Free Day' and 'Early Scrapping of Decrepit Diesel Vehicle', which are used for reducing reduce gasoline and diesel, can together reduce both PM and $CO_2$ emissions and increase total benefits. In addition, the integrated management of 'Car Free Day' with environment policies and 'Congestion Charge' with environment policies simultaneously controls the three factors which influence emissions, including travel volume, travel speed and emissions factor, and was found to be effective in terms of co-benefits. This study reduces both air pollutants, which are harmful to health, and greenhouse gas emissions, which influence climate change, and improves the efficiency of policy through the integrated management of policies.

• Korea journal of population studies
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• v.28 no.1
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• pp.133-147
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• 2005

본 연구는 1998년에서 2003년 기간 동안의 통계청의 도시가계 원시자료를 활용하여 담배수요와 보건의료수요와의 가격탄력성을 추정하였다. 도시흡연기구의 월별지출에 각 년도의 가격지수를 일치시켜 선형 점근 준이상수요체계를 추정한 결과 담배가격인상이 보건의료수요에 분명한 부의 영향을 주는 것으로 나타났다. 구체적으로 담배의 가격탄력성은 -0.39 보건수요의 가격 탄력성은 -0.96으로 추정되었다. 특히 담배가격인상에 따른 보건수요의 교차 가격탄력성이 -0.32로 추정되어 담배가격의 두 배 인상에 따른 보건의료비의 감소율이 32%나 되는 것으로 파악되었다. 이상의 연구결과는 향후 담배가격 인상정책의 타당성 및 흡연감소에 따른 장 단기 편익산출에 기초 자료를 제공하게 된다. 즉 정부의 지속적인 담배가격인상은 국민건강에 엄청난 유익함으로 나타나게 될 것임을 암시하고 떠 2010년 까지의 국민건강증진목표의 달성에 구체적인 정책방향을 제시하고 있다.

• Journal of agricultural medicine and community health
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• v.44 no.1
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• pp.28-38
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• 2019

Objectives: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in South Korea. Method: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in Korea. Results: There are three types of home care nursing in Korea. Public health center provides home visit nursing to vulnerable population by registered nurses for free, based on community health act in public health center. As of 2017, 1,261,208 people were enrolled in the visiting health program of public health center. Health behavior and disease management has been improved and showed having cost-benefit effect among the enrolled people in visiting health program. Visiting nursing care in long-term care services is provided by registered nurses or nurse aid, based on long-term care act. The cost is paid as the unit price according to service time. 1,095,764 older people used long-term care services in 2017, only 0.2% of total cost used for home visiting nursing. Even though the number of user of home visiting nursing, it was reported that users spent less medical cost and hospitalized shorter. Hospital-based home care nursing is provided to patients and their families under the prescription of a doctor by family nurse specialists who are employed by medical institute based on medical law. Four hundred sixty family nurse specialists worked for hospital-based home care nursing and hospital-based home care services accounted for 0.038% of total medical expenses in 2017. Conclusion: Even though home visit nursing care services are different in aspect of legal basis, personnel, running institutes, and cost basis, home visit nursing care showed cost-benefit effect and good health outcomes. In order to advance home visit nursing care, the integrated home visiting care, improvement of working condition, and revision of legal basis should be considered.

• Journal of dental hygiene science
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• v.6 no.2
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• pp.133-138
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• 2006

To find out influence of water fluoridation program on the economic benefit effect, this study analyzed comparatively dental treatment indicators obtained from dental clinics at Sangdang-gu in Chenongju City, fluoridated community and Manan-gu in Anyang City, non-fluoridated community, from January 1, 2003 to the end of June, and the results are as follows: 1. If water fluoridation program is carried out in Anyang, non-fluoridated community, the number of treatment from caries and disease of tissues around dental pulp and root apex from age 6 to 18 for the first half of year 2003 is expected to decrease by 1,272, 636 for low estimation, and 1,908 for high estimation. And the treatment cost is expected to decrease by 40,888,000 Wons, 20,444,000 Wons for low estimation, and 61,333,000 Wons for high estimation. 2. Assuming that water fluoridation program is spread to all over the country, the number of treatment per year is expected to decrease by 2,492,018, 1,246,009 for low estimation, and 3,738,027 for high estimation. And the treatment cost is expected to decrease by 80,105,075,000 Wons, 40,052,537,000 Wons for low estimation and 120, 157,612,000 Wons for high estimation respectively. 3. For Yeong-un water supply management office which has 48,925 water supply personnel, the benefit/cost rate was 2.9 times, and for Jibuk water supply management office which has 239,751 water supply personnel, the benefit/cost rate was 9.0 times. As the water supply personnel increased, the cost increase of water fluoridation program was little and as the scale got large, the economic effect was very large. Improving national oral health is thought to be associated with expense retrenchment of oral health insurance financial. So it may need to extend using tap water to all the area of the country and additionally establish confidence through an active public relations and education of water fluoridation program.

• Journal of Korean Society of Transportation
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• v.34 no.1
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• pp.43-54
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• 2016

Although there are continuous demands for activating BSSs(Bicycle Sharing Systems) due to the convenience and positive health effects, it is difficult to make a decision to support the existing systems and build more systems because of the deficit resulting from the operation of BSSs. Consequently, this study estimated the economic effects(WTP; Willingness to Pay) of BSS and analyzed the impact factors of WTP to support the above decision making in Daejeon. For this, we conducted a survey and collected 668 samples from the users and non-users of TASHU that is the BSS operated in Daejeon. Also, we used CVM(Contingent Valuation Method) for the estimation of WTP. The results show that the number of bicycle uses is a determinant factor having a positive relationship with WTP and car ownership and age are also determinant factors having a negative relationship with WTP. On the other hand, income and sex have no significant statistical relationship with WTP. Also, the economic benefit of TASHU was estimated as much as 49.9 billion KRW to 63.6 billion KRW. Considering the operation cost of 2.5 billion KRW, it is quite big benefit. Based on the results, it needs to support TASHU from a user perspective for the efficient operation of the system.

• Environmental and Resource Economics Review
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• v.17 no.4
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• pp.845-873
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• 2008

This study estimates the VSL(value of a statistical life) as well as the WTP(willingness to pay) for mortality risk reduction using sample selection model with data on liver cancer examination which is associated with little possibility of multi-purpose(i.e. joint production) in averting behavior. The marginal benefits of mortality risk reduction are estimated by applying for household production function model with medical expense and the time required for medical examination of liver cancer. Individuals are more likely to take liver cancer test if they are male, older, higher educated, those with spouse, smoker, more income of household, and more anxious about their health. The costs of liver cancer examination are statistically significantly affected with expected signs by size of mortality risk reduction, sex, period of eduction, those with spouse, and household income. The marginal effect of mortality risk reduction owing to taking liver cancer examination is estimated at 321,097 won. The costs of liver cancer examination are increased by 905 won with more one year of education period and by 1,743 won with more one million won in household income. On liver cancer examination, male spends more 12,310 won than female and those with spouse pay more 7,969 won than those without spouse. Therefore the VSL from mortality risk reduction due to liver cancer examination is 321.10 million won at mean size of mortality risk reduction and mean cost of liver cancer examination. The results of sensitivity tests on costs and effects of liver cancer test shows that the VSLs are estimated in a range from 160.55 million won to 642.19 million won.

• Journal of agricultural medicine and community health
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• v.34 no.2
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• pp.214-222
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• 2009

Objectives: This study was performed to evaluate the effect of navigator education program for cancer screening, which is designed for improvement in knowledge of cancer, perceived self efficacy and communication skill of the breast and cervical cancer screening for middle-aged and aged women in urban areas. Cancer screening navigator is lay health advisor who are educated for providing information, emotional support about cancer screening at the community. Methods: The subjects were 33 women at the age of 40-69 and educated for 12 hours through the education program. The control group subjects were 30 women. For statistical analysis, descriptive statistics and paired t-test were used with SPSS WIN 14.0. Results: Contents of education program were case of cancer early detection, benefit of breast cancer screening, benefit of cervical cancer screening, health care system for cancer screening, role of cancer screening navigator, communication skill, transtheoretical model and role play. Knowledge of cancer(t=4.267, p=0.000) and communication skill(t=4.947, p=0.000) of the women increased significantly after implementing the 12 hours education program. Conclusion: The results suggest that navigator education for cancer screening has an effect in increasing knowledge of cancer, and communication skill scores.

• Asia-Pacific Journal of Business Venturing and Entrepreneurship
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• v.8 no.1
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• pp.193-203
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• 2013

The social welfare service is expanding to different field as the social welfare budget is increasing. By this opportunity, it needs to make clear of the basis of argument that the necessity of development of korean government's support and aid by social policy should be worked. Welfare economics perspective, this study used by the operating expenditure in welfare facilities for the elderly old people to effect social benefits to be gained, in other words, business value analysis. Local elderly people, provide opportunities to participate in the economic activities of the family welfare services offered to attainment of the elderly welfare policy, and provide disease prevention and health promotion opportunities, to enhance the satisfaction of life, including a wide range of impact will cause. In this study, elderly people use the welfare facilities for the elderly when they get the benefits by applying the AHP analysis techniques operating value was calculated. Elderly Welfare Center operated by the result of applying P senior welfare center Case of the metropolitan area value was estimated 248.4 billion won. Contribute to the effects caused by the cost factor of the analysis was 23.1% of the total 57.3 billion won. Independence elements 57.6 billion (23.2%), the analysis of the therapeutic elements 133.4 billion (53.7%) of the net was. The result of the study anticipates the role of basic research material for the necessity of intervention, support, and aid by the Welfare facilities for the elderly field at this point in time where the welfare budget policy in terms of universal social service is reinforced, rather than the trend, until recently, of realizing the Elderly welfare budget and service as Consumption expenditure and consumable benefits and the function of performing the effect and evaluation in tentative action of social conflict.

• Proceedings of the Korea Water Resources Association Conference
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• 2020.06a
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• pp.7-8
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• 2020

지속가능한 국가 발전을 위한 물관리 정책은 항상 국정 과제의 중심에 있다. 물관리는 수재해예방, 양질의 안정된 물이용, 충분한 식량생산, 수생태계와 물환경의 보호, 효과적 재정투자 등과 같이 다양한 분야에 계층적이면서도 상호연계성 있는 전문성을 요구한다. 동시에 물관리의 효과와 편익은 경제활동의 기반이 되고 환경보전의 원천이므로 정책의 수요는 정부뿐만 아니라 국민과 더불어 자연으로부터 기인한다. 특히 기후변화의 불확실성 또는 감염병 대발생과 국가적 위기에도 지속가능한 국가 발전을 이행하기 위해서는 시의성 있고 유효한 물관리 정책은 필수이다. 그동안 우리나라 물관리 정책의 세분화 또는 파편화는 물관리 전문성 강화의 효과보다는 비효율성의 결과를 더 크게 생산해 왔었다. 특히 부족한 협력과 조정은 과잉·중복 투자, 비일관적 정책, 비효율적 성과라는 왜곡된 통합물관리 정책 순환이 반복되게 하였다. 최근 정부는 국토교통부의 하천수량(홍수 포함) 및 광역상수도 관리 기능을 환경부로 이관하는 물관리일원화를 추진하여 통합물관리의 발판을 마련하는 계기를 달성하였다. 하지만 비록 정부조직법 개정과 물관리기본법 제정으로 통합물관리 정책의 틀은 마련되었으나, 국토교통부가 하천법 상의 일부 사무를 담당하므로서 하천관리 정책의 복잡성과 다원화는 높아졌다. 따라서 하천의 이용 및 관리에 관한 만족도, 관리주체, 미래상, 물관리일원화 후 정책수요, 기후변화에 관한 인식, 하천관리 참여 의향 등을 조사하는 연구는 시급한 실정이며 향후 하천기본계획, 생태하천복원사업, 소하천정비사업 등과 같은 재정사업의 추진 방향에도 매우 중요한 주제라고 할 수 있다. 본 연구에서는 현재와 미래 하천의 이용 및 관리, 그리고 정책방향에 대하여 일반 시민(4,500명)과 전문가(168명) 대상의 설문조사를 실시하였으며 인식의 공통점과 차이를 비교분석하였다. 설문조사의 내용은 3가지 부문(하천이용, 하천관리, 하천정책)으로 구분하여 각 부문별로 세부문항으로 구성하였다. 일반 시민과 전문가 간의 인식조사 비교 결과, 공통적으로 시민과 전문가는 하천의 바람직한 미래상으로 '깨끗한 수질의 하천'을 가장 높게 선호하였다. 하천관리 우선순위를 묻는 질문에 대한 시민과 전문가의 응답도 대하천, 도랑이나 개울, 중하천, 소하천 순으로 동일하였지만, 1순위와 2순위의 격차는 시민(26.1%)보다 전문가(1.2%)가 낮았다. 또한 시민과 전문가는 하천관리의 주체로 '물전문기관'을 가장 높게 선호하였지만, 전문가는 '물전문기관' 다음으로 중앙부처(20.2%)를 선호하였지만, 시민은 중앙부처(6.8%)를 가장 선호하지 않는 하천관리 주체로 응답하여 두 집단 간의 큰 인식의 차이를 알 수 있었다. 물관리일원화 후 보다 큰 관심을 가져야할 정책으로는 '건강하고 깨끗한 수질'을 시민(38.9%)과 전문가(47.0%)는 1순위로 선택하였으나, 2순위는 시민은 '생태서식공간'(11.6%)을 전문가는 '안정적 수량확보'(20.2%)를 선택하여 두 집단의 인식 차이가 있음을 알 수 있었다.

• KDI Journal of Economic Policy
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• v.30 no.2
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• pp.129-155
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• 2008

The rate of antibiotics prescription for an acute airway infection significantly varies depending upon the diagnosis type, specialty, and the location of the hospital along with many other related factors. The objective of this study is to empirically investigate the possible relationship between the antibiotics prescription rates for an acute airway infection and the degree of competition in the hospital market regions of mainly the providers of primary medical care services such as clinics, internal medicines, pediatrics and otorhinolaryngology department. Using the data from Health Insurance Review and Assessment Service (HIRA) regarding the hospitals' antibiotics prescription rates for the acute airway infection and controlling for selected variables of demand and supply sectors, this study tries to figure out that the degree of competition in the hospital market, regardless of what type of competition indexes we employed, has a statistically significant effect on the variations of antibiotics prescription rate of the clinics in local areas. This result implies that as an economic consideration itself, the change in the degree of competition in the hospital market can play a crucial role influencing the treatment behaviors of the medical doctors. More specifically, this study reveals that as the degree of competition increases the antibiotics prescription rate goes up. This result means that if the market becomes more competitive in a specific region so that it might cause a reduction in doctor's income, doctors with rational decision-making process, recognize that the benefit created from inducing patients' seemingly unnecessary demand for medical care (income effect) would be higher than the costs associated with sustaining their targeted income (substitution effect). It is because that the doctors are more likely to prescribe antibiotics which create relatively higher margins than other medical care services in order to sustain their targeted income when the hospital market competition becomes tighter. Even though this study empirically confirms that antibiotics prescription can be affected by the economic incentives, it still raises following issues as limitations of the study: first issue is about the representativeness of the hospital regions segregated for this study, which might be weak in explaining whether these regions are mutually exclusive in reality. Patients actually consider the quality of services, transportation cost, time costs, and any other related factors choosing the doctors or hospitals, and in that sense, this study rules out 'border-crossing' in using the medical care services. Second issue arises in capturing the data of antibiotics prescription rate. Since we use the average rate for each medical institution, we cannot figure out the average rate for each patient so that we are not able to control for the variation of patients' medical conditions. It is because of the unavailability of data regarding each patient's medical condition from HIRA. Thirdly, since this study mainly analyzes the medical institutions providing primary care such as clinics, internal medicines, pediatrics, and otorhinolaryngology department, it is skeptical of whether those institutions can represent the hospital market in respective regions and truly reflect the degree of competition. It needs to extend the study areas and disease types as well as any micro data for future studies.