• KDI Journal of Economic Policy
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• v.9 no.3
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• pp.45-66
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• 1987

본고(本稿)의 목적(目的)은 우리나라의 국민의료비추계치(國民醫療費推計値)를 제시하고 OECD제국(諸國)의 자료(資料)를 이용하여 국제비교(國際比較)에 의한 추이분석(推移分析)을 행함에 있다. 이를 위하여 우선 각국 의료비(醫療費)의 결정요인(決定要因)에 대한 최근의 논쟁(論爭)을 재조명(再照明)하고 "각국간(各國間)의 소득격차(所得隔差)로서 의료비변동(醫療費變動)을 충분히 설명할 수 있으며 의료비의 소득탄력도(所得彈力度)는 1보다 크다"는 Newhouse의 주장을 검증(檢證)하였다. 그 결과 소득수준(所得水準)이 각국의 의료비 변동을 설명하는 중요한 변수(變數)임을 확인할 수 있었다. 그러나 소득수준이 높다고 해서 반드시 국민의료비(國民醫療費)의 GNP비율(比率)이 제고(提高)되지는 않는다는 점이 국제비교결과(國際比較結果) 밝혀졌다. 이는 소득 이외에도 의료비지불제도(醫療費支拂制度)등 제도적(制度的) 요인(要因)이 의료비 변동에 영향을 준다는 점을 시사해 준다. 한국의 의료비(醫療費)는 비교적 급속히 증가하고 있는데 우리나라의 의료비동향(醫療費動向)은 소득(所得) 이외에도 고령인구비율(高齡人口比率) 및 의료보험제도(醫療保險制度)의 실시(實施) 등을 가지고 유의(有意)하게 설명할 수 있었다. 국민의료비(國民醫療費)의 지속적인 고율성장(高率成長)은 국민개보험(國民皆保險)을 앞두고 국민의료비(國民醫療費)의 안정화노력(安定化努力)을 요청하고 있는바 이 점에 있어서는 호주, 덴마크, 노르웨이 등 최근 의료비증가율(醫療費增加率)이 진정되고 있는 국가들로부터 지불제도(支佛制度)의 개선을 중심으로 유익한 교훈을 얻을 수 있다.

• The Journal of the Korea Contents Association
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• v.16 no.8
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• pp.366-375
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• 2016

This study evaluates the degree of the inequality of medical care expenditure and private health insurance benefits and the relation with household income inequality in korea health care system. This study used the 2014 korea Health Panel survey, and study method is Gini coefficient. The main results are as follow. First, average household income in 1st income quartile is 6,290,000won and 10st income quartile is 101,930,000won. And Gini coefficient of Korea household income is 0.3756. In other words, family income inequality is quite serious. Second, the Gini coefficient of the public institution supported medical care expenditure, such as health insurance and public assistance, is 0.0761, and the Gini coefficient of the expenditure of transportation fee and medical materials etc that don't supported is 0878. The inequality in medical care expenditure in public health care system and without public support aren't serious all. Third, Gini coefficient in excluding household medical care expenditure from household income slightly increased. That is, the medical care expenditure of our country household is the factor of aggravating the inequality of household income. Fourth, Gini coefficient of private health insurance benefits is 0.0927. Therefore, the ineqality in private insurance benefits is low. In addition, the Gini coefficient of the sum of private insurance benefits and household income is 0.3672. it decrease from Gini coefficient(0.3756) of household's. Private health insurance perform the functions somewhat weaken household income inequality. However, it is very little improvement.

• Journal of Digital Convergence
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• v.16 no.10
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• pp.49-57
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• 2018

This study aims to identify the inequalities and characteristics of health care expenditure of the elderly and non-elderly households by income level. As a result, health care expenditure of elderly households was statistically significantly higher than that of non-elderly households. As a result of calculating the concentration index of health care expenditure by income level, inequality was higher in order of non-elderly households, elderly households, and total households. In order to confirm the effect of health expenditure on household income inequality, we calculated the concentration index of income excluding total health care expenditure from total income. As a result, inequality was higher in order of elderly households, whole households, and non-elderly households. There was not much difference in inequality of health care expenditure among elderly households and non-elderly households. And, the health care expenditure of elderly households was much higher than that of non-elderly households. Also, inequality of health care expenditure by income group was serious. There should be no cases where the medical care support policy for elderly households can not use necessary medical services.

• The Journal of the Convergence on Culture Technology
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• v.2 no.2
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• pp.51-63
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• 2016

The aim of this study was to investigate medical expenses and productivity lost costs associated with medical use of arthropathy disease. For this study, Using by Korea Medical pannel 5434 family and 15872 people in 2012, the enrolled 19-year-old arthropathy were considered and 1370 people were analyzed. Research Method was medical management calculation formular. Emergency medical using cost was 42,128,870 won per year, productivity lost costs was 98,640,000 won per year. Admission medical using times were 4.79, medical cost was 42,128,870 won, productivity lost cost was 945,036,820 won. Out patient clinic using time per year were 12.7, medical cost was 42,128,870 won, productivity lost cost was 91,252,728,000 won. According to this study, athropathy disease could affect to medical cost increasing and productivity decreasing, therefore I suggest that exercise and management for decreasing athropathy disease.

• The Journal of the Convergence on Culture Technology
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• v.1 no.4
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• pp.87-101
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• 2015

This study was aimed to make data how much spent money of medical utilization and direct medical cost. In order to research we were using Korea Health panel 2012 Statistics which data contained Diabetes mellitus client 812 people in age 19. The method of this study was emergency cost, admission medical cost, out patient department cost(client own due, National Health insurance service due, not insurance fee). The result of this study, Diabete Mellitus client were using 198 times during 1 year per 100, total medical direct cost were 859,942 won, 447,359 won, 363,255,508. And admission times were 5.6 times per year, total direct cost was 772,240 won, 4,061,982 won, and 3,298,329,384 won, and out patient clinic using number was 10 times, medical cost total direct cost containing total direct cost was 11,978 won, 26,020 won, and 21,129,240 won. From this research we conclusion that the occurrence of diabetes mellitus can be increased medical cost and direct medical cost and it can be huge burden to client including their family and quality of life in the future. We suggest that in order to prevention and management of diabetes mellitus healthy diet, activity, blood sugar, and blood management should be encouragement.

• 한국노년학
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• v.39 no.3
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• pp.467-484
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• 2019

The purpose of this study is to explore latent classes of longitudinal medical expenses of older people and to analyze its predictors and its effects on subjective health. Among participants of the Korean Health Panel, the sample of this study includes 1,119 people who is 65-year-old or older and reported their medical expenses for nine consecutive years. The analyses were conducted in three steps. First, Growth Mixture Model (GMM) was applied to find distinct subgroups showing similar patterns in medical expenses. The results showed four groups which were classified as high medical expenditure maintenance group, medical expenditure increase group, low medical expenditure maintenance group, and medical expenditure reduction group. Second, the multinominal logistic regression found that the presence of spouse, economic participation, the number of chronic diseases, and the type of health insurance were significant predictors of latent classes in medical expenses. In particular, the greater the number of chronic diseases, the higher the likelihood of belonging to the high medical expenditure maintenance group. In addition, medical benefit recipients are more likely to belong to the low medical cost maintenance and medical cost reduction groups. Third, multiple regression analysis revealed that the older people in the groups with low or reducing expenses reported better subjective health than people with higher expenses. This study has its meanings in exploring the heterogeneity in longitudinal medical expenses among older people and its predictors and its associations with health outcome. The results of this research provide background information in establishing public health policy for older people.

• Journal of Korean Society of Forest Science
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• v.99 no.6
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• pp.785-790
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• 2010

The paper aims to estimate the external effects of mountaineering on medical expenses within national economy. Though there is no difference in the participation ratio of mountaineering among sexes or income levels, the ratio of the elderly is higher than that of younger. The medical expenses have negative correlation with mountain climbing times and climbing frequencies, but this correlation is insignificant statistically. Without mountaineering, the medical expenses of Korea would increase by 2.8 trillion Won (4.6%). Therefore the policy to support usual mountaineering must save the medical expenses more than other policies. and the increase of public expenditure on mountaineering can decrease the deficit of government budget through the positive external effects on national medical expenses.

• Proceedings of the Korean System Dynamics Society
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• 2008.05a
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• pp.11-24
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• 2008

의료의 산업화는 의료비의 상승을 가져올것인가. 이것은 전세계적으로 중요한 문제이다. 국민의료비가 지속적으로 상승할 경우 국가의 발전에 적지 않은 부담이 되기 때문이다. 이에의료산업화의 한 큰 조류인 병원영리화와 의료비의 상승의 관계를 연구하였다. 찬성과 반대의 논의가 한 시스템에서 어떻게 조화를 이루고 상생을 할 수 있을지에 대해서 연구를 하였다. 찬성과 반대가 별도의 주장이 아닌 한 시스템내에서 조화롭게 선순환에 참여 될 수 있는 연구결과를 제시한다. 본 연구를 통해서 다음과 같은 사항을 알 수 있다. 의료와 민간의료를 분리시키고, 영리병원이 아닌 연구중심의 민간영리병원이 더욱 효과적이며, 전국민의료의 실시는 상승하는 의료비를 완화시키고 동시에 서비스의 다양화와 고급화를 이룰 수 있으며 국부창출에도 도움이 될 것이다.

• Korean Journal of Social Welfare
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• v.56 no.3
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• pp.5-35
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• 2004

This research is about the change of the occupation and the income of the subscriber of the medical expenditure due to the economic influence on them. The data of this study are based on 4,215 of medical cost payers among respondents of the survey on "Health and Retirement", which was the fourth additional research of Korea Labor and Income Panel Survey. The main findings of this study are as follows: First, the average medical cost is 5.5% of the income. The ratio of the medical cost to an earned income is highly different between low-income group and high income group. For the low income group, the medical cost reaches up to 1/3 of the total family income. That proves that the medical cost si a heavy burden on them. The group with the high medical expenditure seems to be supported by their own private property and other family members whenever it is needed. But it doesn't show the exact sources of the property, which includes the fund from the interests and real estates. On the other hand, only 14.4% of the subscribers changed their job status on the 5th year, and 85.6% of those kept their job status until the 5th year from the 4th year. This shows that the amount of the medical cost could be the important factor for them to change their job; for example, it is crucial whether the medical expenditure is over the average rate or not. Furthermore, the change of the occupation caused by the medical cost has the negative influence on the gross income. It makes the economic conditions of the family get worse. Therefore, the health insurance in Korea is lack of the compensational function, which substitutes the family income reduced by the change of the job status due to the high medical cost.

• Therapeutic Science for Rehabilitation
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• v.12 no.1
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• pp.51-63
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• 2023

Objective : This study aimed to analyze the association between lifestyle and medical expenses of older adults with mental illness using claims data. Methods : We conducted secondary data analysis using the older adult cohort database provided by the Korea National Health Insurance Service. The lifestyle and medical expense variables were extracted from the cohort database. We used a generalized linear model to examine the association between lifestyle and medical expenses. Results : In total, 32,853 records were extracted. The results showed that smokers had medical expenses (estimate = -218,255, p = .037). As the number of days of walking increased, medical expenses significantly decreased (estimate = -58,843, p < .0001). Furthermore, as the number of days of drinking decreased, medical expenses increased (estimate = 692,289, p < .0001). Conclusion : This study analyzed the estimates of medical expenses according to lifestyle among older adults with mental illness. Smoking and exercise were negatively associated with medical expenses. These results suggest the importance of a healthy lifestyle for older adults with mental illness. In addition, this study can be used as clinical evidence for lifestyle management programs to improve physical and mental health.