Some patients tend to visit tertiary hospitals instead of non-tertiary hospitals for minor illnesses, which is a chronic problem within the Korean health care delivery system. In order to reduce the number of patients with minor severity diseases unnecessarily utilizing the tertiary medical services in Korea, the Ministry of Health and Welfare raised the outpatient co-insurance rate for the tertiary hospitals in July, 2009. Another increase in the prescription drug co-insurance rate by the general and tertiary hospitals is scheduled to take place in the second half of 2011. An increase in copayments may discourage the utilization rate of medical services among the underprivileged or patients who require complicated procedures. This study aims to analyze the diabetic patients' utilization rates of tertiary hospitals according to the Comorbidity score. Diabetic patients' data was gathered from the Health Insurance Claims Records in the Health Insurance Review & Assessment Service between 2007-2009. Comorbidity scores are measured by the Charlson Comorbidity Index and the Elixhauser Index. Chi-square and logistic regressions were performed to compare the utilization rates of both insulin-dependents (n=94,026) and non-insulin-dependents (n=1,424,736) in tertiary hospitals. The higher Comorbidity outcomes in the insulin-dependent diabetic patients who didn't visit tertiary hospitals compared to those who did, was expected. However, after adjusting the gender, age, location, first visits and complications, the groups that scored >=1 on the comorbidity scale utilized the tertiary hospitals more than the O score group. Non-insulin-diabetic patients with higher Comorbidity scores visited tertiary hospitals more than patients who received lower grades. This study found that patients suffering from severe diabetes tend to frequently visit the tertiary hospitals in Korea. This result implied that it is important for Korea to improve the quality of its primary health care as well as to consider a co-insurance rate increase.
Journal of Family Resource Management and Policy Review
/
v.16
no.4
/
pp.213-233
/
2012
This descriptive study about a community center for elderly users identifies factors influencing economic dependency. The objective of this study is to find factors that contribute to increased economic dependency and to provide basic data for preventing conflict between caregivers and elderly dependents. The subjects are 204 elderly persons who are community-center users in SongPa-Gu. Thirteen dongs (administrative areas) were chosen randomly in a cluster sample from among 26 dongs in Soungpagu containing a total of 158 community centers for the elderly. I obtained informed consents for my research from all subjects, and collected data by conducting interviews from June 28th, 2011 to August 7th, 2011. The data was analyzed by descriptive statistics, t-test, one-way ANOVA, Duncan test and multi regression analysis. The mean economic dependency score was 3.23, meaning that subjects with this score are dependent at a level that is "over intermediate". The level of formal education, homeownership, financial assistance from family and the number of families, financial assistance to the family and the number of families, economic life satisfaction, self efficacy and social support.
The need for preparation for old life has been further increased due to the increase of the elderly population and changes in economic conditions today. The purpose of this study is to analyze the relationship between income instability and the degree of preparation for old life and satisfaction of current life. The key variables were extracted through prior study review. And the data collected through the survey were statistically analyzed with a structural equation model. The analysis found that the indirect effect of the current income risk on the satisfaction of current life through the preparation for old life had a significant negative effect under the statistically significant level of 0.05. However, it was found that the direct effects of current income risk on the satisfaction of current life were not statistically significant. An additional analysis was conducted by dividing the age, the number of dependents by two groups respectively. To summarize the results, preparation for old life played a significant role as a prerequisite for improving the satisfaction of current life. And the variability(risk) of current income played an important role in preparing for old life. At this time, the degree of relevance between the factors(potential variables) differed somewhat between the two groups. The results of this analysis will be meaningful in providing basic source of data to prepare for a satisfactory life in each individual's current situation. This study, meanwhile, has limitations that have only been done with cross-sectional analysis and would like to analyze time-series changes in the future.
As many government policies have been announced today regarding real estate, especially housing, interest in prices in the housing market has increased significantly. In this study, I would like to present the direction of government policies by analyzing the relationship among income instability, the psychological condition of real estate price changes and willingness to adjust real estate holding ratio. First, major variables were extracted through the prior study review, and using a survey, data were collected and path analysis was conducted. According to the analysis, the current income instability had a negative impact on the psychological condition of real estate price changes, and a positive influence on the willingness to adjust real estate holding ratio, but the psychological condition of real estate price changes did not have a statistically significant impact on the willingness to adjust real estate holding ratio. Thus, the difference analysis was conducted between groups by dividing the ages and the number of dependents respectively. According to the analysis, the impact of income instability and psychological condition of real estate price changes on willingness to adjust real estate holding ratio differed between groups divided by ages and number of dependents. The results of this analysis will help the government to establish real estate policies and help each household to use the analysis as basic data when they make a decision about real estate. On the other hand, this study has limitations that have only been conducted cross-sectional analysis and analyzing time series changes and differences in perception between regions are going to be conducted in a future study.
During the application of shotcrete, a part of the concrete bounces back after hitting to the surface, the reinforcement or previously sprayed concrete. This rebound material is definitely not added to the mixture and considered as waste. In this study, a deep neural network model was developed to predict the rebound material during shotcrete application. The factors affecting rebound and the datasets of these parameters were obtained from previous experiments. The Long Short-Term Memory (LSTM) architecture of the proposed deep neural network model was used in accordance with this data set. In the development of the proposed four-tier prediction model, the dataset was divided into 90% training and 10% test. The deep neural network was modeled with 11 dependents 1 independent data by determining the most appropriate hyper parameter values for prediction. Accuracy and error performance in success performance of LSTM model were evaluated over MSE and RMSE. A success of 93.2% was achieved at the end of training of the model and a success of 85.6% in the test. There was a difference of 7.6% between training and test. In the following stage, it is aimed to increase the success rate of the model by increasing the number of data in the data set with synthetic and experimental data. In addition, it is thought that prediction of the amount of rebound during dry-mix shotcrete application will provide economic gain as well as contributing to environmental protection.
Purpose - This study aims to investigate and analyze the factors that affect women's work productivity based on ethnic in the food and beverage industry. Also, it is also to determine whether there are differences in the productivity of female workers based on these ethnic groups. Research design, data, and Methodology - The approach of this research is quantitative by using multiple linear regression analysis and analysis of different tests using SPSS and tested on 114 samples of female workers in various small-scale, medium-sized food and beverage industry categories and large in Makassar City, Indonesia. Determination of samples based on proportional stratified sampling. Industry sampling criteria based on some workers, assets and wealth. Results and Conclusions - The results of this study state that health, years of service, work ethic, age, wages, and work environment have a significant effect on work productivity. While the level of education, the number of dependents does not have a considerable impact, the fact that there is a difference in the productivity index of female workers in a significant sector is compared to small and medium scale enterprises, including the variables of government policies related to pension insurance, work accident insurance and health insurance.
The purpose of this study is to evaluate the effects of the acceptance commitment therapy program (ACT) on the psychological flexibility, self-compassion, recovery in alcohol dependents. The ACT program contains skills that establish acceptance and willingness, defusion, self-as-context, contact with the present moment, clarifying values, and committed action. This study was intended to enhance the effects on the psychological flexibility, self-compassion, recovery in alcohol dependents with ACT program. Fifteen inpatients with alcohol dependence were participated in the ACT group and the same number of participants were in the both CBT control group and TAU control group. The ACT program was held once a week, eight times, and each session was 90-minute long. Repeated measure of MANOVA and post-hoc were used to compare pre-test mean with post-test and with follow-up test mean. As a result of ACT program, positive changes were assured in the psychological flexibility including acceptance, cognitive defusion, being present, committed action and the increase of self-compassion and of recovery in alcoholics.
Nowadays, many people suffer from stress because of their jobs, studies, traffic, etc. Daily stress may cause many diseases (Garrett, 1991). One of the methods for reducing stress is experiencing a natural environment (Frumkin, 2001). Cibodas botanical garden (CBG) is one of the most famous travel destinations in Bogor, Indonesia. CBG has the potential for tourism activities. However, an economic assessment is required to verify their sustainability. The research objectives of this study were to identify the characteristics of tourism utilization in CBG, to analyze the economic tourism value of CBG, and to measure the effectiveness of traveling to a natural environment for reducing stress. The research method used was the survey. This study used three data analysis methods: (1) descriptive analysis which was used to identify the characteristics of tourists, (2) travel cost method (TCM), and (3) contingent valuation method (CVM). Results showed some differences in the characteristics of foreign and domestic tourists respondents in age, educational background, income level, number of dependents, and the frequency of their visits. CBG has a high economic value, amounting to IDR (Indonesian Rupiah) 5,508,932,605,405 or approximately USD (United State Dollar) 413,000,000. WTP (Willingness to Pay) of domestic tourist respondents was IDR 29,702 or USD 2.2 per visit, while the value of foreign tourist respondents reached IDR 39,700 or USD 2.9 per visit. Respondents found it preferable to pay more for tickets (WTP value) than to buy medication to reduce their stress.
Present study examines the gender disparity in terms of its beneficiaries or benefit amount of National Pension of South Korea from the perspective of gender sensitivity. National Pension system has been manipulated and developed in order to maximize its universality. However, substantial gender differences are still found in terms of beneficiary number and benefit amount in the program. Benefit condition and benefit structure are determined assuming that male is the primary breadwinner in household and the primary regular full time worker in labor market. Women are only counted as dependents or excluded as unstable workers. As a result, women are fully or partially excluded from the program as they are excluded in other public sector such as labor market. Women's work (such as caring and housekeeping) are not taken into account in National Pension program. Policy suggestions for the National Pension of South Korea are also provided as the last part of this paper.
In this study, multilateral conceptualizations of underemployment were measured in terms of wages, social status, skill utilization and permanence of the job, and then the effects of antecedents on underemployment and the effects of underemployment on organizational adaptation were examined. Data obtained by a longitudinally designed survey at intervals of 18 months with the reemployed(N = 153) after job loss were used. The underemployment measures include 1) the ratio of wage change 2) the ratio of status change 3) the ratio of education 4) the occurrence of change from the permanent job to temporary job, 5) overqualification - growth opportunity, 6) overqualification - mismatch. The first four measures are social-economic and objective measures and the last two measures are psychological and self-reported ones. Demographic variables(sex, age, education level, and period of unemployed), circumstantial variables(economic hardship, number of dependents), and psychological variables(job-seeking self-efficacy, depression/anxiety, latent function) are included in antecedents. In the effects of antecedents on underemployment, age increases the level of underemployment in the aspects of wage and job status. Economic hardship increases the possibility of underemployment in the aspects of education and number of dependents increases the possibility of underemployment in the aspects of job status. Job seeking self-efficacy decreases the possibility of underemployment in the overqualification - no growth. Retention of latent function during the period of unemployment lowers the possibility of underemployment in the overqualification - no growth. The level of depression and anxiety during the period of unemployment raises the possibility of underemployment in terms of education and in the overqualification - mismatch. In the effects of underemployment on organizational adaptation, the higher the level of underemployment in the aspect of education is, the lower the level of person-organization fit, emotional commitment, and job satisfaction are. And the transition from permanent job to temporary job makes emotional commitment and job satisfaction lower. No growth and mismatch exerted a significant influence on organizational adaptation generally.
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