• Health Policy and Management
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• v.12 no.3
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• pp.23-35
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• 2002

Fiscal crisis in the medical insurance system has put the pressure upon hospitals by increasing the rate of curtailment, since the implementation of the separation of prescription and dispensing of medicine. The purpose of this study is to analyse the curtailment of mdical and drug expenditure before and after the system of separation between prescribing and dispensing and to suggest the problems about current inspection system. Data were obtained from 13 general hospitals and used for analysis of trends on medical & drug expenditure, and curtailment in 1999-2000 at three months intervals. The results were as follows; The scale of curtailment for drug expenditure has been increased on outpatient and inpatient since 2000. For the curtailed drug cost with outpatient, the ratio of curtailed drug expenditure has been increased in the case of prescription within the hospital. These results suggest that review system in social insurance were over-focused to control the cost and it might to impede the validity of review function in insurance system. Therefore, it' s needed to develope the scientific and reasonable criteria for Inspection and evaluation of durg expenditure.

• Journal of Families and Better Life
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• v.21 no.3
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• pp.61-73
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• 2003

The purpose of this study was to compare the consumption expenditure patterns and the effects of socioeconomic variables on expenditure between single-mother families and two-parent families. From the 2001 Household Income and Expenditure Survey conducted by Korea National Statistical Office (KNSO), 693 single-mother families and 14,439 two-parent families were selected. A t-test was completed to examine how the expenditure patterns of two types of families differ. Total expenditures and expenditures on 11 consumption categories were modeled as functions of permanent income and other socioeconomic variables. Also, dummy variable interaction technique was used to examine whether the independent variables differently affected the expenditures between single-mother families and two-parent families. The results of this study indicated that there were differences between single-mother and two-parent families in the levels and shares of expenditures of each consumption category, and the effects of socioeconomic variables on expenditures. Single-mother families had spent less than did two-parent families in each consumption category. However, single-mother families had significantly higher expenditure shares for food at home, shelter, utilities, apparel and shoes, and education. Income elasticities for food at home, shelter, utilities, and education of single-mother families were significantly larger than those of two- parent families.

• Journal of the Korean Home Economics Association
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• v.40 no.7
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• pp.211-227
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• 2002

The issue of children′s education is the most important issue for all households in Korea. It is certain that the issue of private education for children is the first issue among household′s issues. This study is to recognize the current pictures of household primate education of Korean households. Also, whether the expenditure of private education effect the economic will-being of household. The data for this study was"the 3th Korean Labor Panal", conducted by Lobor in Korea. The sample was 1950 households from the panel data. The results of this study was as following: 1. The mean of monthly private education expenditure was 149273won for all households and 217,100won for households with high school students. 2. Almost 70% households had economic burden for private education expenditure. 0% households had no economic burden. 3. The factors of influencing the level of economic burden for private education were mother′s education level, mother′s job, the number of children, living location, monthly income, total asset of household′s. The factors of influencing the amount of monthly private education expenditure positively were living in 4. The economic well-being of household was analyzed by socio-economic variables, household′s financial variables, monthly private education expenditure, the level of economic burden of private education. The economic well-being were sub-categorized 4 divisions; the level of economic problem, the level of satisfaction for household′s income, the level of satisfaction for general living, the level of subject economic condition)

• Journal of Korean Medicine for Obesity Research
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• v.3 no.1
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• pp.95-105
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• 2003

The obesity is the matter of the energy balance in essential. The energy balance in human body is energy expenditure subtracted from energy intake. The energy intake is mainly supplied by carbohydrates, proteins and lipids in food, and the energy expenditure is composed of basal metabolic rate or resting energy expenditure, physical activity and thermogenesis including diet-induced thermogenesis. The resting energy expenditure is measured by direct calorimetry and indirect calorimetry. Generally we can simply use predictive equation with the variables of weight, height, age and fat-free mass to yield metabolic rate. But there is discrepancy between the estimate and real metabolic rate because the equations can not reflect individuality and environments. The resting energy expenditure is influenced by many factors but the fundamental factor is fat-free mass. We briefly reviewed the concept and evaluation of the energy balance, intake and expenditure, which are important parts in the study of obesity. Finally, we surveyed the correlation between metabolic rate and obesity and suggested applicable herb medication to increase metabolic rate.

• Health Policy and Management
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• v.28 no.4
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• pp.360-368
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• 2018

Background: The proportion of pharmaceutical expenditure out of total health-care expenditure in South Korea is high. In 2016, 25.7% of national health insurance (NHI) spending was for pharmaceuticals. Given the increasing demands for the access to newly introduced medicines and following increase in pharmaceutical spending, the management of NHI pharmaceutical expenditure is becoming more difficult. Methods: This study analyzed the data claimed to NHI for pharmaceutical reimbursement from 2010 to 2016. Results: The policy implications with respect to the trends and problems in spending by drug groups were elicited. First, the proportion of off-patent drugs spending which were treated to chronic disease was much higher than anti-cancer drug spending. Second, the spending to the newly introduced high-costed medicine increased, however, current price-reduction mechanism was not sufficient to manage their expenditure efficiently. Conclusion: Our system seems to need several revisions to improve the efficiency of pharmaceutical expenditure and to cope with high-costed medicines. This study suggested that the prices of off-patent drugs need to be regularly readjusted and the Price-Volume Agreement System should be operated more flexibly as well.

• The Korean Journal of Health Service Management
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• v.13 no.1
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• pp.31-42
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• 2019

Objectives: The purpose of this study is to analyze the relationship between the change gap in the perception of subjective hierarchy and medical expenditure and the factors influencing medical expenditure. Methods: An analysis based on the the data extracted from the Panel Study of Korea Health Panel for 2012-2013 (n=9,359) is conducted. Further in this study, data analysis included a chi-square test and logistic regression using SPSS version. 22.0 to analyze the factors influencing the turnover intention of industrial workers. Results: Model I showed decreases in medical expenditure by 1.247, 1.391, and 1.441 times in social classes one, two, and Model II showed an increase in medical expenditure by age, spouse, number of family members living together, insurance type, income class, economic activities, subjective health status, chronic illness and change on subjective recognition of social class. Conclusions: The study concludes that the state and community require psychological, social, and cultural support, in addition to individual efforts, to reduce medical expenditure.

• Health Policy and Management
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• v.33 no.3
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• pp.363-369
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• 2023

The term "catastrophic health expenditure" means assessing the extent to which medical costs cause financial hardship for households. The aim of this research is to analyze the percentage of households that faced severe financial strain due to medical expenses from 2006 to 2021. This was achieved by utilizing data obtained from the National Survey of Tax and Benefit (NaSTaB), Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). A trend analysis was conducted to examine the percentage of households that experienced catastrophic healthcare expenses. The households that experienced the catastrophic health expenditure was 2.49% in 2021 using the NaSTaB data. The trend analysis yielded a statistically significant result, indicating a decreasing trend (annual percent change [APC], -4.79; p<0.0001) in the proportion of households facing catastrophic health expenditures. Also, the results of the 2019 KHP and the 2021 HIES showed 1.09% and 2.44% for the households that experienced catastrophic health expenditure. The trend was increased according to the KHP (APC, 0.55; p=0.0004) and the HIES (APC, 7.04; p<0.0001). As a result, this study proposes that sustained attention and further interventions are necessary to ease the economic pressure caused by catastrophic health expenses, particularly for low-income households.

• Journal of Family Resource Management and Policy Review
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• v.16 no.4
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• pp.131-152
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• 2012

The aims of this study were to analyze middle-aged households' financial preparation for retirement. Specifically, this study surveyed the relation between human capital investment for children and the middle-aged households' financial preparation for retirement and investigated factors influencing financial preparation for retirement. Data were obtained from the 3rd Korean Retirement and Income Study (KReIS) in 2009, and a sample of 757 households was selected. The statistical methods were frequency, percentile, mean, standard deviation, ${\chi}^2$, t-test, Pearson's correlation coefficient, and logistic regression analysis. The findings of this study are as follows. First, the percentile of preparation for living costs for old age was 49.9% for the middle-aged households. In terms of the types of preparation for living costs for old age, the results showed 61.6% of personal preparation, 33.9% of pension system, and 1.3% for children and relatives. In relation to the adequacy of the preparations for living costs for old age, preparations made by 57.4% of the middle-aged households were inadequate. Observing the minimum living costs for old age and adequate living costs after retirement for single and couple, the minimum living costs of the middle-aged households was 1.46 million won for couple and 0.91 million won for single. The adequate living costs for old age was 2.07 million won for couple and 1.34 million won for single. Second, there were 757 households with total education expenditure. Of these, 208 incurred annual expenditure on public education, and the annual expenditure for public education was 7.28 million won. There were 170 households with annual expenditure for private education, and the annual expenditure for private education was 2.50 million won. 243 households of middle-aged households had annual expenditure for human capital investment, including both public and private education, with annual expenditure for human capital investment for children of 7.82 million won. Furthermore, in the human capital investment factor, there was a difference in the middle-aged households' financial preparation for retirement according to their annual expenditure for human capital investment including both public and private education. In addition, there was a difference in financial preparation for retirement based on their public education expenditure. Third, in the logistic regression model 1, which included human capital investment, the significant variables affecting the preparation for retirement of the middle-aged households were as follows : annual household income, total amount of annual household income, experience of inadequate living costs, existence of financial assets, total amount of annual household savings, financial independence, adequate living costs (for single) for old age, and human capital investment. In the logistic regression model 2, which included annual expenditure for public education and annual expenditure for private education, the significant variables affecting the preparation for retirement of the middle-aged households were as follows : annual household income, total amount of annual household income, experience of inadequate living costs, existence of financial assets, total amount of annual household savings, financial independence, adequate living costs (for single) for old age, and annual expenditure for public education.

• Science of Emotion and Sensibility
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• v.26 no.1
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• pp.3-16
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• 2023

This study investigated how COVID-19 imparted the fashion expenditure of households in Korea. During the COVID-19 pandemic, the ratio of fashion expenditure to household income and the ratio of fashion expenditure to household consumption expenditure were estimated using secondary data of national statistics. The household income and expenditure data in Korea were extracted from 2018 to 2021. The household was categorized by generations such as gen Z, gen M, gen X, Baby Boomer, and Silent generation, and the household income status was identified by the income quintile. The outcome revealed that the ratio of fashion usage expenditure to income decreased following COVID-19 equated to before COVID-19 and revealed the significant differences by income quintile. The ratio of fashion consumption to household expenditure significantly differed between the pre-COVID-19 and the post-COVID-19. The difference in the ratio of fashion consumption to household expenditure was important by generations, and it was not affirmed by the income quintile.

• Journal of the Korean Home Economics Association
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• v.35 no.5
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• pp.103-117
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• 1997

This study compared the consumption expenditure patterns and the effects of socio-demographic variables of elderly and nonelderly households in urban areas of Korea. The data were obtained from the 1994 Family Income and Expenditure Survey conducted by the National Statistical Office. The results showed the differences between elderly and nonelderly households in the expenditure levels of each consumption category, the shares of each consumption category of total expenditures, and the effects of socio-demographic variables on expenditures.