• 보건행정학회지
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• 제27권1호
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• pp.84-87
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• 2017

Catastrophic healthcare expenditure refers to out-of-pocket spending for healthcare exceeding a certain proportion of a household's income and can lead to subsequent impoverishment. The aim of this study was to investigate the proportion of South Korean households that experienced catastrophic healthcare expenditure between 2006 and 2015 using available data from the Korea Health Panel, National Survey of Tax and Benefit, and Household Income and Expenditure Survey. Frequencies and trend tests were conducted to analyze the proportion of households with catastrophic healthcare expenditure. Subgroup analysis was performed based on income level. The results of the Household Income and Expenditure Survey revealed that around 2.88% of households experienced catastrophic healthcare expenditure in 2015 and that this proportion was highest in the low income group. Results also showed a statistically significant increasing trend in the number of households with catastrophic healthcare expenditure (annual percentage change= 0.92%, p-value < 0.0001). Therefore, the findings infer a need to strengthen public health care financing and to particularly monitor catastrophic healthcare expenditure in the low income group.

• 보건의료산업학회지
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• 제12권4호
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• pp.31-41
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• 2018

Objectives: This study was designed to evaluate whether employment status is associated with the experience of unmet care needs. Methods: This study utilized the Korea Health Panel data from 2012 to 2016. A total of 4,083 workers were selected as baseline subjects in 2012 and were followed for four years. This study used the GLIMMIX procedure under the marginal model while adjusting for covariates. Results: A total of 12.4% of 4,083 people said they had failed at least once to have a treatment or checkup despite the needs. Those more likely to experience unmet care needs were women and people of lower income level, with worse health conditions and chronic disease. Precarious workers, the self-employed, and the unemployed were more likely to experience unmet care needs caused by economic burden than permanent workers (Odds Ratio: 2.14, 2.07, 2.74, respectively). Conclusions: This disparity means that precarious workers and the unemployed are more likely to face barriers in obtaining needed health services. Given their insecure employment status, meeting their needs for health care is an important consideration.

• Journal of Preventive Medicine and Public Health
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• 제49권1호
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• pp.69-78
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• 2016

Objectives: The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide. Methods: Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization. Results: The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size. Conclusions: It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.

• 한국콘텐츠학회논문지
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• 제17권2호
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• pp.230-238
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• 2017

본 연구는 여성장애인의 재취업에 영향을 미치는 요인을 살펴보고, 이들의 재취업을 활성화시키기 위한 방안을 제시하고자 계획되었다. 이를 위해 장애인고용패널조사(PSED) 1차(2008)~7차(2014) 자료를 활용하였으며, 인구학적 특성, 장애관련 특성, 인적자원 특성의 각 요인들이 재취업에 미치는 영향력을 검증하였다. 분석 결과, 기초생활수급자 유무, 장애정도, 건강상태, 자격증 유무, 고용서비스 경험이 재취업에 유의한 영향력을 보이고 있었다. 즉, 기초생활수급자가 아닐수록, 장애정도가 경증이고 건강상태가 좋을수록, 자격증이 있고, 고용서비스 경험이 있는 여성장애인일수록 재취업의 가능성이 높은 것으로 나타났다. 본 연구결과를 토대로 여성장애인의 재취업을 활성화시키기 위해, 여성장애인의 건강을 증진시키는 보건의료정책이 필요함을 강조하며, 특화된 직업훈련 시스템의 도입, 그리고 변화하는 노동시장에 적합한 직종 개발 등의 방안을 제안하였다.

• 보건의료산업학회지
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• 제9권3호
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• pp.221-232
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• 2015

Objectives : The purpose of this study was to analyze the relationships among social participation, self-rated health status, self-esteem and daily life satisfaction of the elderly with disabilities. It especially focused on the mediating effects of self-rated health status and self-esteem on the relationship between social participation and daily life satisfaction. Methods : From the fifth panel survey of employment for the disabled, data for 518 elderly over age of 65 were analyzed with SPSS 22.0, SmartPLS 2.0 M3 and the Sobel test. Results : First, social participation of the elderly with disabilities had a positive influence on the self-rated health status and self-esteem. The direct effect of self-rated health status and self-esteem on daily life satisfaction was statistically significant. However, the influence of social participation on daily life satisfaction was not statistically significant. Second, the self-rated health status and self-esteem had a mediating effect on the relationship between social participation and daily life satisfaction. Conclusions : This study shows that it is important to provide an integrated social participation support program that coincides with a variety of social programs to elderly with disabilities.

• Journal of Preventive Medicine and Public Health
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• 제46권1호
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• pp.1-9
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• 2013

Objectives: We examined the association between social expenditures of the local government and the mortality level in Korea, 2004 to 2010. Methods: We used social expenditure data of 230 local governments during 2004 to 2010 from the Social Expenditure Database prepared by the Korean Institute for Health and Social Affairs. Fixed effect panel data regression analysis was adopted to look for associations between social expenditures and age-standardized mortality and the premature death index. Results: Social expenditures of local governments per capita was not significantly associated with standardized mortality but was associated with the premature death index (decline of 1.0 [for males] and 0.5 [for females] for each expenditure of 100 000 Korean won, i.e., approximately 100 US dollar). As an index of the voluntary effort of local governments, the self-managed project ratio was associated with a decline in the standardized mortality in females (decline of 0.4 for each increase of 1%). The share of health care was not significant. Conclusions: There were associations between social expenditures of the local government and the mortality level in Korea. In particular, social expenditures per capita were significantly associated with a decline in premature death. However, the voluntary efforts of local governments were not significantly related to the decline in premature death.

• 보건의료산업학회지
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• 제11권4호
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• pp.115-132
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• 2017

Objectives : The purpose of this study was to investigate the depressive change and predictors of chronic illnesses and to examine whether depressive change predictors are different according to chronic disease types. Methods : Data from the 1st to the 10th year of the Korean Welfare Panel of 5,023 adults over 20 years of age who were treated for chronic diseases for more than three months were examined. We assessed demographic, sociological, and socioeconomic factors including depression predictors of chronically ill patients, and analyzed the data using latent growth modeling and multiple group analysis. Results : Depression symptoms of chronically ill patients gradually decreased, showing a linear relationship across time. In addition, multiple group analysis was performed for each type of chronic disease. Conclusions : We described the phenomenon of depression in chronically ill patients, and discussed the practical and policy interventions required to improve depression in chronically ill patients.

• The Journal of Asian Finance, Economics and Business
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• 제9권2호
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• pp.71-79
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• 2022

The aim of this study is to see how government spending on education, health, and social security affects ratios in Indonesia. The third sector has a critical role to play in reducing the dependency ratio. It also aims to lower unemployment and poverty rates. This study uses the GMM panel data model. This model can determine the dynamic response of the ratio that comes from a number of variables. This study uses data from 33 provinces from 2010 to 2018. The results show that government spending in the education and health sectors has a positive effect on the dependency ratio, both in the short and long term. Social security has a significant effect on the dependency ratio in the long term, but not in the short term. Government spending in the education sector and health sector and social security sector have a positive and significant effect on disease and illness. The study's findings show a high level of poverty with a large standard deviation. The high ratio value is due to the large number of restrictions placed on a number of regions. Each province has made a significant contribution to overcoming these challenges, particularly in terms of the comparative ratio.

• 대한가정학회지
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• 제38권10호
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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.

• Journal of Korean Biological Nursing Science
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• 제24권1호
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• pp.26-35
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• 2022

Purpose: The purpose of this study was to investigate the influencing factors on health-related quality of life according to body mass index (BMI) in middle age people. Methods: Using the 2017 Korea Health Panel Data, a total of 4,711 subjects age 40-64 were selected and classified into four groups based on BMI levels (underweight, normal weight, overweight, obese). Influencing factors according to BMI in middle age people was analyzed using multiple regression. Results: Activity limited was the most influential factor for health-related quality of life in middle age people. Walking and stress were factors influencing health-related quality of life in all weight groups. In the overweight and obese group, suicidal impulse was a significant influencing factor on health-related quality of life. Conclusion: To improve the health-related quality of life of middle age people, effective walking and stress management for maintaining and managing health, as well as managing suicide risk in the overweight group and obese group are required.