• 보건행정학회지
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• 제26권3호
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• pp.195-206
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• 2016

Background: Concentration of patients to large hospitals is serious problem in Korea. The purpose of this paper is to propose appropriate policy direction to relieve concentration of patients to large hospitals. It is focused on evaluation of the possibility of family doctor system as a policy alternative to relieve concentration of patients to large hospital by empirically analyzing the effect of usual source of care (USC) on large hospitals medical care use. Methods: Korea Health Panel conducted 2009, 2012, 2013 by KIHASA (Korea Institute for Health and Social Affairs) and NHIS (National Health Insurance Service) was used for analysis. For dependent variables, first, the ratio of the amount of using large hospital to total amount of using medical care, and second, the amount of using large hospital are estimated. Independent variables are having an USC and type of USC. Panel analysis was done with above variables. Results: Main results are as follows. First, having an USC increases using large hospital. Second, having a domestic clinic type USC decreases using large hospital and ratio of using large hospital. Third, the effect of domestic clinic type USC is greater in older group, less income group, worse health status group, not having private insurance group, and having chronic disease group. Conclusion: These results show that family doctor program can be a policy alternative to relieve concentration of patients to large hospital. Nonetheless, primary care system in Korea is unsatisfied. It is recommended to reinforce primary care system and family doctor system to relieve concentration of patients to large hospitals.

• 보건의료산업학회지
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• 제9권3호
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• pp.247-254
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• 2015

Objectives : The aim of this study was to analyze the influence of foreign and institutional investors in the pharmaceutical industry on R&D investments. Methods : The empirical analysis was done for the years 2009 to 2013 which examined the period after the influence of the financial crisis. Financial statements and comments in general and internal transactions were extracted from the TS-2000 of the Korea Listed Company Association. STATA 12.0 was used as the statistical package for the panel analysis. Results : The results show that the shareholding ratio of foreigner investors turned out to have a statistically significant influence on R&D investment. No statistical significance was found in the shareholding ratio of institutional investors. Conclusions : The findings of this study, which indicate that a higher shareholding ratio of foreigner investors leads to greater R&D investment, indicate that foreign investors directly or indirectly impose pressure on a manager to make R&D investments for the long-term.

• 한국병원경영학회지
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• 제24권1호
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• pp.48-56
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• 2019

Purpose: As an interest in the elderly medical expenses increases, elderly people are increasingly purchasing indemnity private health insurance. Authors tried to investigate factors of having the indemnity private health insurance among the elderly people aged 65-75 years. Methods: We conducted panel logit regression analysis on 2,465 subjects as of 2016 using Korean Health Panel from 2010 to 2016. The dependent variable was whether to enroll in the indemnity private health insurance. The explanatory variables included socio-demographic characteristics, economic factors, health status, and health behaviors. Findings: As a result of the analysis of factors of purchasing indemnity private health insurances, it was analyzed that people with larger family, educated, pensioner, high household income or no disability were more likely to have indemnity private health insurance. Practical Implications: Considering the results of this study, the factor of purchasing indemnity private health insurance among elderly people were more likely to be their economic than demographic characteristics such as sex, age, and marital status. Policy makers should make efforts to reduce the burden on the elderly medical expense and to improve equity of medical use through institutional improvement such as raising age limit and lowering premium of indemnity private health insurance and expansion of public health insurance.

• 디지털융복합연구
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• 제15권6호
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• pp.283-295
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• 2017

본 연구는 2013년도 한국의료패널 자료를 이용하여 에코세대의 정신건강 및 신체건강이 건강관련 삶의 질에 미치는 융복합적 영향을 파악하기 위하여 실시되었다. 2013년도 한국의료패널 자료는 2013년 2월에서 10월까지 조사되었고, 분석대상자는 2,261명이었다. 수집된 자료는 SPSS WIN Version 24.0을 이용하여 기술통계, Independent t-test, ANOVA, 위계적 중회귀분석을 실시하였다. 연구결과, 에코세대의 건강관련 삶의 질 평균은 0.98점이었다. 에코세대 건강관련 삶의 질 영향요인은 미충족의료 유무, 정신적 신체적 스트레스 유무, 기본적 욕구 미충족 유무, 미래에 대한 불안 유무, 우울감 유무 및 자살생각 유무, 흡연 여부, 주중 수면시간, 청력문제 유무, 섭식문제 유무, 활동제한 유무 및 주관적 건강상태로 나타났다. 에코세대의 건강관련 삶의 질을 향상시키기 위하여 에코세대의 정신건강 및 신체건강의 특성을 반영한 건강관리프로그램을 개발하고 지역사회 연계 체계를 구축하여 지속적인 상담과 교육이 필요하다.

• 보건행정학회지
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• 제24권3호
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• pp.242-253
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• 2014

Background: The low benefit coverage rate of South Korea's health security system causes catastrophic health expenditure. And catastrophic health expenditure can be the cause of the transition to and persistence of poverty. This study was conducted to ascertain the effect of catastrophic health expenditure on the transition to and persistence of poverty, using 6 years of the Korea Welfare Panel Study Data. Methods: This study was conducted among the 22,528 households that participated in the Korea Welfare Panel Study, 2007-2012. Catastrophic health expenditure was defined as equal to or exceeds thresholds (10%, 20%, 30%, and 40%) of household's capacity to pay. The effect of catastrophic health expenditure on the transition to and persistence of poverty was ascertained via multivariate logistic regression. Results: Four-point-seven percent to 20.6% of the households are facing catastrophic health expenditure. Rates of the transition to (relative risk [RR], 18.6 to 30.2) and persistence of (RR, 74.8 to 76.0) poverty of households facing catastrophic health expenditure was higher than households not facing catastrophic health expenditure. Even after adjusting the characteristics of the household and the household head, catastrophic health expenditure was found to affect transition to (odds ratio [OR], 2.11 to 3.04) and persistence of (OR, 1.53 to 1.70) poverty. Conclusion: To prevent catastrophic health expenditure and transition to and persistence of poverty resulting from catastrophic health expenditure, the reinforcement of South Korea's health security system including the benefit coverage enhancement is required.

• 보건의료산업학회지
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• 제10권1호
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• pp.131-142
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• 2016

Objectives : Using several waves of the Panel Study of Worker's Compensation Insurance(PSWCI), this study analyzed the effect of work hours on health and lifestyle of Korean workers in a sample from the 2013~2014 year (The first survey was completed in August-October 2013; the second survey was completed in August-October 2014). Methods : The research subjects were 1,312 men from among employees who responded to a 2013 PSWCI panel report. Statistical analyses were done with SAS version 9.3 (SAS Institute Inc., Cary, NC, USA). Results : According to the results of the analysis, the male subjects had differences in economic activity and health conditions based on the length of working hours. There was a significant relationship among working hours and life satisfaction, and the correlation coefficients were statistically significant. The results show that workplace conditions has a direct positive effect on life satisfaction as we anticipated in the hypothesis. Conclusions : Management should focus on the factors identified in this study when developing employment interventions programs to improve the the promotion of healthy lifestyles for adults over the age of 40.

• 사회복지연구
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• 제47권4호
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• pp.309-332
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• 2016

본 연구의 목적은 국민건강보험 지역가입자의 부담능력별로 수직적 형평성을 측정하고, 각 부담능력 및 인구학적 특성이 보험료의 변화와 인과관계를 보이는지 종단 분석하는 것이다. 분석대상은 한국복지패널 6차(2011년)-10차(2015년) 조사에 모두 참여한 지역가입자 가구주이다. 분석방법으로는 카크와니(Kakwani) 누적지수 산출 및 패널회귀분석을 적용하였다. 연구결과는 첫째, 2011년-2015년까지 카크와니 지수는 종합소득에 대한 보험료 부과가 역진적임을 나타내고 있다. 둘째, 패널회귀분석 결과 종합소득이 적은 가구일수록 보험료 부담이 통계상 유의미한 부(-)의 영향력을 보여 역진적임을 보였다. 이를 통해 국민건강보험 지역가입자의 보험료 부과체계 개편에 대한 정책적 함의를 제시하였다.

• 보건의료산업학회지
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• 제9권3호
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• pp.115-126
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• 2015

Objectives : This research was performed to investigate the characteristics and determination factors of health care policy satisfaction and welfare recognition for health insurance & health care financing. Methods : The utilized data were 4,174 cases who responded to a welfare recognition survey in the 8th wave of the Korea Welfare Panel Study (2013). The statistical methodology used in this study is the multiple regression model. Results : The significant affecting factors of health care policy satisfaction were age, education, household income, welfare attitudes, and health status. Medical utilization & private medical insurance were not related to health care policy satisfaction. The affecting factors of health insurance reinforcement were age, health status, welfare attitudes. The affecting factors of health care financing expansion were age, economic activity type, medical utilization, welfare attitudes. The affecting factors of welfare attitudes were age, economic activity type, household income, health insurance, and health status. Conclusions : Health care policy satisfaction, health insurance reinforcement, and health care financing expansion were all affected by age and welfare attitude; but this was not the case for private health insurance. This study recommended that the Korean government provide active planning for reinforcement of health insurance and publicity of the health care system in order to accord with the prospects of people.

• Journal of Preventive Medicine and Public Health
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• 제52권1호
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• pp.51-59
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• 2019

Objectives: The purpose of this study was to estimate the mediating effect of subjective unmet healthcare needs on poor health. The mediating effect of unmet needs on health outcomes was estimated. Methods: Cross-sectional research method was used to analyze Korea Health Panel data from 2011 to 2015, investigating the mediating effect for each annual dataset and lagged dependent variables. Results: The magnitude of the effect of low income on poor health and the mediating effect of unmet needs were estimated using age, sex, education level, employment status, healthcare insurance status, disability, and chronic disease as control variables and self-rated health as the dependent variable. The mediating effect of unmet needs due to financial reasons was between 14.7% to 32.9% of the total marginal effect, and 7.2% to 18.7% in lagged model. Conclusions: The fixed-effect logit model demonstrated that the existence of unmet needs raised the likelihood of poor self-rated health. However, only a small proportion of the effects of low income on health was mediated by unmet needs, and the results varied annually. Further studies are necessary to search for ways to explain the varying results in the Korea Health Panel data, as well as to consider a time series analysis of the mediating effect. The results of this study present the clear implication that even though it is crucial to address the unmet needs, but it is not enough to tackle the income related health inequalities.

• 노동경제논집
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• 제30권2호
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• pp.61-86
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• 2007

"한국노동패널" 원자료를 이용하여 2003년 이전에 은퇴한 것으로 확인된 50~69세(2003년 현재)의 건강상태를 살펴보았다. 은퇴자는 비은퇴자와 비교할 때, 주관적 건강상태(1년 전 대비 주관적 건강상태 변화 포함)와 객관적 건강상태(질환보유 여부, 아파서 쉰 경험, 활동 제한, 감각기관 장애, 육체적 제약, 활동 제약) 모두 좋지 않은 비율이 상대적으로 높은 것으로 나타났다. 이는 특히 건강을 이유로 은퇴한 경우에 두드러졌다. 건강 스톡(주관적 건강상태와 객관적 건강상태)과 건강 플로우(주관적 건강상태 변화)를 피설명변수로 한 임의효과 패널프로빗 분석을 시도한 결과, 은퇴 이유나 주관건 건강 인식에 따라 은퇴효과가 다르게 나타난다는 사실이 확인되었다.