• Title/Summary/Keyword: Health economics

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Prevalence and Determinants of Catastrophic Healthcare Expenditures in Iran From 2013 to 2019

  • Abdoreza Mousavi;Farhad Lotfi;Samira Alipour;Aliakbar Fazaeli;Mohsen Bayati
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.1
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    • pp.65-72
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    • 2024
  • Objectives: Protecting people against financial hardship caused by illness stands as a fundamental obligation within healthcare systems and constitutes a pivotal component in achieving universal health coverage. The objective of this study was to analyze the prevalence and determinants of catastrophic health expenditures (CHE) in Iran, over the period of 2013 to 2019. Methods: Data were obtained from 7 annual national surveys conducted between 2013 and 2019 on the income and expenditures of Iranian households. The prevalence of CHE was determined using a threshold of 40% of household capacity to pay for healthcare. A binary logistic regression model was used to identify the determinants influencing CHE. Results: The prevalence of CHE increased from 3.60% in 2013 to 3.95% in 2019. In all the years analyzed, the extent of CHE occurrence among rural populations exceeded that of urban populations. Living in an urban area, having a higher wealth index, possessing health insurance coverage, and having employed family members, an employed household head, and a literate household head are all associated with a reduced likelihood of CHE (p<0.05). Conversely, the use of dental, outpatient, and inpatient care, and the presence of elderly members in the household, are associated with an increased probability of facing CHE (p<0.05). Conclusions: Throughout the study period, CHE consistently exceeded the 1% threshold designated in the national development plan. Continuous monitoring of CHE and its determinants at both household and health system levels is essential for the implementation of effective strategies aimed at enhancing financial protection.

The Effects of Leisure Satisfaction on the Quality of Life in the Elderly (노년기 여가만족이 삶의 질에 미치는 영향)

  • 박미석
    • Journal of the Korean Home Economics Association
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    • v.40 no.5
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    • pp.133-146
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    • 2002
  • The purpose of this study was to verify a Structural Equation Model that constructed the causations among the leisure resources, health perception, leisure attitude, leisure satisfaction and the quality of life in the elderly. For the purpose, 208 elderly who were over sixty years old and inhabited in Seoul were given questionnaires. Questionnaires were distributed by means of a 1:1 personal interview method. A Measurement model and a structural equation model estimates by Maximum Likelihood method(ML method) utilizing LISREL 8.51 ver. The major results are summarized as follows: 1) A Goodness of fit is good of structural equation model presented in the study. 2) The higher their leisure resource is, the higher health perception is, the higher leisure attitude is the more leisure satisfaction. 3) The important valuable factor which affected the quality of life in the elderly was the leisure satisfaction. It showed powerfully if the elderly participate enjoyment, self-development and positive leisure activity, their leisure satisfaction would increase, consequently the Quality of life would be improved.

The Effects of Border Shutdowns on the Spread of COVID-19

  • Kang, Nahae;Kim, Beomsoo
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.5
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    • pp.293-301
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    • 2020
  • Objectives: At the beginning of the coronavirus disease 2019 (COVID-19) pandemic, some countries imposed entry bans against Chinese visitors. We sought to identify the effects of border shutdowns on the spread of the COVID-19 outbreak. Methods: We used the synthetic control method to measure the effects of entry bans against Chinese visitors on the cumulative number of confirmed cases using World Health Organization situation reports as the data source. The synthetic control method constructs a synthetic country that did not shut down its borders, but is similar in all other aspects. Results: Six countries that shut down their borders were evaluated. For Australia, the effects of the policy began to appear 4 days after implementation, and the number of COVID-19 cases dropped by 94.4%. The border shutdown policy took around 13.2 days to show positive effects and lowered COVID-19 cases by 91.7% on average by the end of February. Conclusions: The border shutdowns in early February significantly reduced the spread of the virus. Our findings are informative for future planning of public health policies.

A Study on the factors which influence of stress and method in coping with stress of old age (노인의 스트레스에 대한 영향 요인과 대처방법에 관한 연구)

  • 최정혜
    • Journal of the Korean Home Economics Association
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    • v.28 no.4
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    • pp.119-133
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    • 1990
  • This study attempts to expore factors which influence of stress. Date were obtained from structed interview conducted with 373 men and women who were 60 years over and living in Kyungnam. Data were analyzed through X2, ANOVA, T-TEST, FACTOR ANALYSIS, MULTIPLE REGRESSTION techniques. The results are summarized as follow: 1. Stress of old age were showed over middle level. The domains of stress showed that health problem is first, later life problem is second, trouble of communication is third, dependency problem is fourth, alienation is last(p<.001). 2. Of the variables health status, family type, economic status, self-esteem, mastery were significant with stress(p<.001). 3. Of the variables sex, religious, self-esteem, mastery were significant of used method in coping with stress. 4. The most of effective variables of stress were mastery, health status, self-esteem.

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Influencing Factor on Social Support perceived by Patients with Rheumatoid Arthritis (류마티스 관절염 환자가 지각하는 사회적 지지와 영향요인에 관한 조사연구)

  • Yoo, Kyung Hee
    • Journal of muscle and joint health
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    • v.21 no.2
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    • pp.145-152
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    • 2014
  • Purpose: The purpose of this study was to investigate the influencing factors on the social support perceived by patients with rheumatoid arthritis. Methods: The subjects for this study were 468 patients registered in 2 general hospitals and the period of data collection was from October 20, 2013 to February 20, 2014. The data were analyzed with t-test, ANOVA and Pearson's correlation coefficients. Results: The mean of item of social support was 3.31 in patients. For social support, there were significant differences by gender and economics in patients with rheumatoid arthritis. Conclusion: Managing social support was important for patients with rheumatoid arthritis to promote health. To enhance social support of patients with rheumatoid arthritis, nursing intervention strategies must be developed for increasing economics or giving information about their activity of daily living.

A Study on the Marital Conflic and Depression in Old Age (노년기 부부갈등과 우울에 관한 연구)

  • 전길양
    • Journal of the Korean Home Economics Association
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    • v.36 no.6
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    • pp.1-12
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    • 1998
  • The purpose of this study was to investigate the perceived depression and conflict bvetween married couple in old age. The subject of this study was married couple over 60 years old who live in Seoul. The sample was composed of 201 cases. The data were analyzed using a SPSS statistics analysis program. The major findings were as follows: 1) The marital conflict in old age showed that there was a significant difference according to visiting and contact frequency of adult children. 2) The depression in old age show that therer was a significant difference in health condition, age, standard of living, educational level, duration of marriage, and leisure activity patterns. 3) The depression in old age was influenced by health condition, marital conflict, educatonal level. Health condition was the most powerful indicting the depression.

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The Effect of Dating on the Psychological Well-Being of Elderly Koreans: Focusing on the Single Elderly (노인의 이성교제가 심리적 복지감에 미치는 영향 -이성교제를 하는 홀로된 노인을 대상으로 -)

  • 이예종;장진경
    • Journal of the Korean Home Economics Association
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    • v.40 no.7
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    • pp.141-156
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    • 2002
  • The purpose of this study was to examine the dating of the elderly, focusing on the necessity of dating, intimacies with a data, and difficulties on the process of dating, and to explore the effect of those variables on the psychological well- being of the elderly. The data were collected from 162 elderly who were more than 60 year ages, currently data with oppoaite sex, lived in Seoul. The major findings from this study were as follows; (1) The necessity of dating showed a significant difference in their age, religion, health, family closeness. (2)The intimacies with a data showed a significant difference in their econmic provider. (3) The difficulties on the process of dating showed a significant difference in their gender, age, health, the eldest son who live together. (4) The psychological well-being of the elderly showed a significant difference in the intimacies with opposite-sex friend, family closeness, residing with the couple of the eldest son, health, use of social education /welfare service, and erligon.

The Determinants of Job Satisfaction and Work Condition of Married Women -Focus on the Comparison of Salaried with Self-employed- (기혼취업여성의 취업특성과 직업만족도 영향요인 - 자영업자와 봉급생활자의 비교를 중심으로 -)

  • 홍성희
    • Journal of the Korean Home Economics Association
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    • v.38 no.10
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    • pp.143-156
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    • 2000
  • The purpose of this study were to compare the job satisfaction of married salaried women with that of self-employed, and to identify the determinants of job satisfaction of both of them. The sample consisted of 176 salaried women and 123 self-employed from data of 1998 Korea Household Panel Study, and analyzed into Frequencies, Percentile, t-test, $\varkappa$$^2$-test, and Multiple Regression. The findings showed that self-employed had larger proportion of home-based worker, worked more hours, and had more earnings than the salaried, and that the job satisfaction of salaried worker were higher than that of self-employed. The determinants of job satisfaction of total working women were educational level, perception of present economic status, health status, number of eamers, weekly working hours, and their income. In case of salaried worker, educational level, health status, number of earners, weekly working hours, and their income had effect on their job satisfaction, while the factors contributing job satisfaction of self-employed were health status, region, weekly working hours, and income.

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The Influence of Health Outcomes on Work Compensations for Elderly Workers (장년근로자의 건강수준이 근로보상에 미치는 효과분석)

  • Lee, Sunkuk;Jeo, Yongil
    • Journal of Labour Economics
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    • v.40 no.3
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    • pp.29-55
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    • 2017
  • We examine the effects of the self-reported subjective and the objective health indexes on work compensations. The compensations consist of monetary factors, such as wages, and non-monetary factors reflecting job risks such as the workplace accidence. The wages and workplace injuries are clearly affected by gender and age differences as the subjective and objective health factors of elderly workers are combined with physical and systematic work environments. Mental health problems such as work depression are more serious especially for high income elderly groups. The elderly workers experienced with physical problems and chronic illnesses are led to the decrease in wages and the increase in safety accident risks at work sharply. Therefore, we need to provide supporting services, retirement planning designed by companies, supported by the government enhanced risk working conditions and the weakness on protecting jobs.

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Financing of Healthcare Facilities in Pension System Assets of Ecologically Problematic Regions in Kazakhstan

  • YESSENTAY, Aigerim;KIREYEVA, Anel A.;KHALITOVA, Madina;ABILKAYIR, Nazerke A.
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.7
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    • pp.531-541
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    • 2020
  • The purpose of the study is a theoretical and practical justification for building a mechanism for financing health facilities based on public-private partnerships from a pension fund in regions with environmental problems. The theoretical background is built on works of local and foreign authors on state and non-state pension provisions issues, pension funds' assets management. This study provides an analysis of the health status of the population of the Kyzylorda region; it analyzes also the worldwide and Kazakhstan practice of investing pension funds and implementing projects. There has been legislative and methodological framework for financing health projects based on public-private partnerships in Kazakhstan. The scientific methods considered in this study made it possible to develop a mechanism for financial support for the modernization of a healthcare facility using the budget of pension funds. The authors point out possible risks in the implementation of projects in the field of healthcare and make recommendations on the construction a mechanism for financing healthcare facilities in the regions of Kazakhstan with environmental problems. In addition, they underline the key insights of the analysis, which are requisites for identifying the profitability of project for business and social effects for the public. Factors influencing efficacy, effect and implementation risks identified.