• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3173-3177
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• 2016

Background: The Ministry of Public Health (MOPH) in Lebanon provides cancer drugs free of charge for uninsured patients who account for more than half the total case-load. Other categories of cancer care are subsidized under more stringent eligibility criteria. MOPH's large database offers an excellent opportunity to analyze the cost of cancer treatment in Lebanon. Materials and Methods: Using utilization and spending data accumulated at MOPH during 2008-2013, the cost to the public budget of cancer drugs was assessed per case and per drug type. Results: The average annual cost of cancer drugs was 6,475$ per patient. Total cancer drug costs were highest for breast cancer, followed by chronic myeloid leukemia (CML), colorectal cancer, lung cancer, and Non-Hodgkin's lymphoma (NHL), which together represented 74% of total MOPH cancer drug expenditure. The annual average cancer drug cost per case was highest for CML ($31,037), followed by NHL ($11,566). Trastuzumab represented 26% and Imatinib 15% of total MOPH cancer drug expenditure over six years. Conclusions: Sustained increase in cancer drug cost threatens the sustainability of MOPH coverage, so crucial for socially vulnerable citizens. To enhance the bargaining position with pharmaceutical firms for drug cost containment in a small market like Lebanon, drug price comparisons with neighboring countries which have already obtained lower prices may succeed in lowering drug costs.

• 보건행정학회지
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• 제16권1호
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• pp.17-40
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• 2006

With the prospect of rapidly growing health insurance expenditures, particularly spending for ambulatory care, the introduction of a case-based payment method is discussed as an alternative to the current fee-for-service based method. A system to measure case mixes of providers is a core component of such payment systems. The objective of this study were to develop a classification system for ambulatory care, Korean Ambulatory Patient Group (KAPG) based on the U.S. APG version 2.0 and to evaluate the classification accuracy of the system. A database of 64,258,386 records was constructed from insurance claims submitted to the Health Insurance Review Agency (HIRA) during three months from August 2002. A total of 41,347,307 records with a single visit was used for the development and 7% random sample of the database was used for the evaluation. Additional groups were defined to include both physician and hospital fees in the classification, age splits were added to classify the entire population as well as the population older than 65, and the definition of medical groups used by the HIRA was adopted. The variance reduction in charges achieved by KAPGs was computed to evaluate the accuracy of classification. A total of 474 KAPGs was defined compare to 290 groups in the U.S. APG. The variance reduction for charges of all visits ranged from 20% to 37% depending on the type of provider, and ranged from 22% to 42% for non-outliers, that were better than those achieved by the system currently used by the .HIRA for its internal review purpose. Although further study is required to improve the classification for complicated care in larger hospitals, the results indicated that KAPGs could be used for better management of costs for ambulatory care.

• 한국보건간호학회지
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• 제23권2호
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• pp.296-305
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• 2009

Purpose: The aim of this study was to examine body attitude, body mass index, and perceived stress among women's college students and decide the relationships among them. Method: A cross-sectional study design and convenient sampling method was utilized. Ultimately, 393 students participated in the study from October 8 to October 30, 2008. The measurements administered were comprised body attitude questionnaire and stress scale for college students and the students had filled out the questionnaires by themselves. The final data were analyzed with SPSS Win 16.0 statistics program, which was used to calculate the frequencies, percentages, ANOVA, and Pearson's correlations of the variables. Results: The major findings of this study were as follows; female students were mostly stressed by 'schooling task.' Stress scores were significantly different in accordance with spending money per month. Overall, significant differences were observed in body attitude scores according to each BMI group. There were significant relationships between body attitude, BMI, and perceived stress. Conclusion: Stress managements for women's college students should be developed and a program for modifying body attitude should be designed.

• Journal of Preventive Medicine and Public Health
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• 제57권4호
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• pp.407-419
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• 2024

Objectives: This study was conducted to measure financial toxicity (FT) among patients with cancer in Vietnam using the COmprehensive Score for financial Toxicity (COST) and to describe the cost management strategies employed by these patients. Methods: This comprehensive cross-sectional study enrolled 634 patients from 2 specialized oncology hospitals in Vietnam. Using COST cut-off scores, FT was classified as none/mild (≥26), moderate (14-25), or severe (≤13). Cost management strategies, or coping mechanisms, were classified into 4 groups: lifestyle changes, financial resource strategies, treatment modifications, and support seeking. Results: The prevalence of FT was 91.8%, with 51.7% of participants demonstrating severe and 40.1% exhibiting moderate FT. Severe FT was significantly associated with female, low education level, unstable employment, low household economic status, and advanced cancer stage. The most common coping strategies were as follows: among lifestyle changes, reducing spending on basic items and leisure activities (78.7%) and cutting back on essential household expenses (66.4%); among financial resource strategies, borrowing money from relatives or friends (49.1%) and withdrawing funds from retirement or savings accounts (34.1%); within treatment modifications, switching treatment facilities or doctors due to cost concerns (9.3%); and within support seeking, obtaining help from welfare or community organizations (18.8%). All strategies were significantly more likely to be used by patients with severe FT. Conclusions: FT was highly prevalent among patients with cancer. Most patients relied on lifestyle adjustments and coping strategies, underscoring the need for improved financial support systems to alleviate the economic burden associated with cancer care.

• 한국생활과학회지
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• 제7권1호
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• pp.53-60
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• 1998

The purposes of this study are to investigate the leisure life, focused on the leisure participation of the elderly living alone or living with their spouse in Chungbuk, and to provide some suggestions from the perspective of the well-being of the elderly. Two hundred fourty four elderly persons were selected, and questionnaire was utilized for collecting data. The results are as follows: The elderly who were living alone or living with their spouse frequently participated in time spending activities and family oriented activities. The structure of leisure participation differed significantly according to the respondent's age, educational level, health status, and monthly average income. The significant independent variables influencing the leisure participation of the elderly were educational level and monthly average income, and further, the most important variable in influencing the elderly leisure participation was the educational level.

• 가족자원경영과 정책
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• 제20권1호
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• pp.23-42
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• 2016

The purpose of this study was to explore a typology of leisure participation, investigate determinants of leisure participation types, and analyze differences in life satisfaction by the types of leisure participation of the elderly. The data source for this research was the 2014 Time Use Survey conducted by the Korea National Statistical office (KNSO). The statistical methods for the analysis were mean, standard deviation, ANOVA, Duncan test, cluster analysis, and logistic regression analysis. Leisure participation were classified into five types based on five categories; social activities, religious activities, media, sports, time-spending activity. The five types were named "general", "insufficient", "religious oriented", "media oriented", and sports oriented" type. Gender, health condition were identified as important determinants for the types. Life satisfaction was different according to leisure participation type of the elderly. Religious oriented type showed the highest score of life satisfaction and media oriented type showed the lowest.

• 대한가정학회지
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• 제45권10호
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• pp.45-57
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• 2007

The causes of indebted overspending were investigated by examining household expenditure patterns using the data from the 2002 Family Expenditure Survey. The five major expenditure categories were identified by factor analysis, and the six types of indebted overspending were clustered. About 28% of the indebted overspending was done out of necessity, and food, utilities, housing, and health care accounted for about 42% of the household expenditure. Luxury spending accounted for about 25% of the overspending by indebted households who spent about 24% of the household expenditure on clothing, entertainment, and private education. Cars (22%) and education (20%) were found to be other major causes of indebted overspending. Paying off debt and durable purchases were identified as the major causes of indebted overspending, but had a low frequency. Finally, the financial status of the four major types of indebted overspending households was evaluated.

• 노동경제논집
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• 제37권4호
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• pp.59-88
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• 2014

주5일 근무제도의 노동시장 외적 효과를 개인-일자리 고정효과 모형을 이용하여 추정한 결과 직장에서 주5일 근무제도의 실시는 근로자의 주관적 건강상태를 향상시키고 운동 횟수를 늘렸으며, 직업훈련 외의 교육이나 연수를 받을 확률을 늘리고 근로자의 주관적 삶의 질을 향상시킨 것으로 나타났다. 또한 문화 활동이나 여가에 사용하는 지출을 늘렸으며 근로자가 일과 직장에 대해 갖는 만족도도 높인 것으로 나타났다. 효과의 상당 부분은 단순한 근로시간의 단축보다는 휴일이 추가된 것에 기인한 것으로 추정되었다.

• 식품과학과 산업
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• 제50권4호
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• pp.2-11
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• 2017

The external factors of global flavor market include the world economy, population growth, urbanization, consumer spending, raw material availability, pricing, and regulatory issues. And the internal factors as product pricing and technology development may lie the flavor house's competitiveness and cost considerations. In developing countries, rising preference for packaged food and beverages and increasing personal expenditures will drive demand for flavor market. Increasing consumer demand for natural products, driven in part by health concerns and a desire for transparency in labeling will impact the demand. The increasing demand for salt and sugar reduction will boost demand for flavors to maintain the overall taste. The use of quality and innovative flavors in the beverages and the multifunctional flavors has a positive influence on the global market. The global flavor industry has the presence of several drivers and positive trends, with its future expected to be promising.

• 기본간호학회지
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• 제18권4호
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• pp.529-537
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• 2011

Purpose: This study was done to identify the relationship of perceived health status, depression, meaning of life, and family function and to ego integrity, and to investigate the main factors influencing ego-integrity in community dwelling elders. Method: The research design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 157 community dwelling elders located in 3 cities, Seoul, Seosan and Gyungju. Data analysis was done using SPSS 15.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: There were significant differences between ego-integrity according to gender, religion, economic level and amount of spending money. Ego-integrity had significant positive correlations with perceived health status, meaning of life, family function and a negative correlations with depression. The major factors that affect ego-integrity in community dwelling elders were self-awareness and acceptance, contentedness with past and present, gender and family function, which explained 62.7% of ego-integrity. Conclusion: Findings from this study provide a comprehensive understanding of ego-integrity and related factors for community dwelling elders.