• 보건행정학회지
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• 제29권3호
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• pp.288-302
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• 2019

Background: The one-person households (OPH) are rapidly increasing and vulnerable to socioeconomic and health problems. Because it is predicted to be inequitable to health care utilization, we would like to find out about the equity of health care utilization of the OPH by comparison with the multi-person households (MPH). Methods: This study followed the theoretical framework of Wagstaff and van Doorslaer (2000), O'Donnell and his colleagues (2008), where the horizontal inequity index is the difference between the concentration indices of actual health care utilization and health care needs. This study employed the 9th Korea Health Panel survey, and a total of 10,807 cases were analyzed. Health care needs were measured by age, sex, subjective health status, chronic disease count, Charlson's Comorbidity Index, limitation of activities, and disability. Results: Compared with the MPH, there were pro-poor inequities in hospitalization, emergency utilization, hospitalization out-of-pocket payments, and pro-rich inequities in outpatient out-of-pocket payments for the OPH. The decomposition of the concentration index revealed that chronic disease count made the largest contribution to socioeconomic inequality in outpatient utilization. Age, health insurance, economic activities, and subjective health status also proved more important contributors to inequality. The variables contributing to the hospitalization and emergency utilization inequity were age, education, Charlson's Comorbidity Index, marital status, and income. Conclusion: Because the OPH was more vulnerable to health problems than the MPH and there were pro-poor inequities in medical utilization, hospitalization, and emergency costs, it is necessary to develop a policy that can correct and improve the portion of high contribution to medical utilization of the OPH.

• Journal of Preventive Medicine and Public Health
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• 제46권5호
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• pp.237-248
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• 2013

Objectives: The purpose of this study is to examine and explain the extent of income-related inequity in health care utilization and expenditures to compare the extent in 2005 and 2010 in Korea. Methods: We employed the concentration indices and the horizontal inequity index proposed by Wagstaff and van Doorslaer based on one- and two-part models. This study was conducted using data from the 2005 and 2010 Korean National Health and Nutrition Examination Survey. We examined health care utilization and expenditures for different types of health care providers, including health centers, physician clinics, hospitals, general hospitals, dental care, and licensed traditional medical practitioners. Results: The results show the equitable distribution of overall health care utilization with pro-poor tendencies and modest pro-rich inequity in the amount of medical expenditures in 2010. For the decomposition analysis, non-need variables such as income, education, private insurance, and occupational status have contributed considerably to pro-rich inequality in health care over the period between 2005 and 2010. Conclusions: We found that health care utilization in Korea in 2010 was fairly equitable, but the poor still have some barriers to accessing primary care and continuing to receive medical care.

• 지적과 국토정보
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• 제50권2호
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• pp.133-153
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• 2020

우리나라의 공시지가 제도는 1989년 도입되어 각종 조세와 복지 등 여러 분야에 걸쳐 활용되어 왔다. 공시지가는 부동산의 보유세를 대표하는 재산세에 대한 과세평가액으로 활용되고 있으며, 국민 공평과세에 있어서 공시지가의 형평성은 가장 중요한 요소라고 할 수 있다. 이에 본 연구는 서울특별시의 토지의 실거래가격을 활용하여 2016~2018년 공시지가의 형평성을 분석하고 검증하였다. 그 결과 서울특별시의 현실화율은 해마다 점진적으로 상승하는 것으로 나타났으며, 3년 전체 현실화율은 60.64%로 나타났다. 수평적 형평성은 2017년이 가장 양호한 것으로 나타났으며, 해마다 자치구별 수평적 형평성이 개선되는 것으로 나타났다. 수직적 형평성은 대부분 지역에서 역진적 불형평성이 존재하는 것으로 나타났지만 강남구, 서초구, 강동구 등 강남권역에서 누진적 불형평성으로 나타나 자치구별 균형성 측면에서의 개선이 필요한 것으로 확인되었다. 분위 회귀분석 결과는 대부분 분위에서 역진적 불형평성이 나타났지만, 분위별 계수 값에 차이가 존재하여 공시지가 분위별 형평성 개선이 필요한 것으로 확인되었다. 공시지가 형평성 검증 결과 연도별, 자치구별, 용도지역별 형평성이 결여된 것으로 분석되었으며, 이를 보완하기 위해 정부는 비율 연구를 도입하여 수평적·수직적 형평성을 검증하고 부동산 공시 제도를 체계적으로 보완·점검해야 한다.