• 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.

• 한국문헌정보학회지
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• 제48권3호
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• pp.137-168
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• 2014

본 연구에서는 정책정보서비스의 활성화를 위해 정책정보 수요자의 요구를 파악하고 그 이용행태를 분석함으로써 향후 우리나라 정책정보서비스 발전방향을 모색하고자 하였다. 이를 위해 설문조사 및 면담분석방법을 통해 정책정보이용자의 요구 및 이용행태를 분석하였으며, 그 결과는 다음과 같다. 첫째, 정책정보이용목적은 연구과제 수행과 정책동향 파악이 가장 높게 나타났고, 입수경로는 인터넷이 가장 높게 나타났다. 둘째, 전자자료를 이용하는 비율이 높게 나타났고, 국내자료 이용비율이 높았으며, 해외 자료 중에서는 미국자료 이용률이 매우 높게 나타났다. 셋째, 이용하는 자료의 최신성에 있어서 최근 2-5년 사이에 생산된 자료를 많이 이용하고, 많이 활용하는 자료유형은 Web DB(학술지, 학술기사, 전자저널 및 전자형태의 논문 포함) 및 보고서로 나타났으며, 요구도도 가장 높게 나타났다. 넷째, 정책정보활용 효율성 고도화 방안에 대한 조사에서는 정부기관 소속 자료실간 협력, 정책정보 생산기관간 협력, 정책정보의 총체적 관리기관을 중심으로 한 국가정책정보의 총체적 수집이 매우 높게 나타났다.

• 보건행정학회지
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• 제13권3호
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• pp.104-128
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• 2003

Equity in health care has taken priority in the Korean government's policy agenda after the government-led national health insurance achieved universal coverage in 1989 along with the final inclusion of the self-employed as beneficiary. The purpose of this study is to examine the extent to which there exists difference or inequality in the utilization of health care, especially cancer inpatient services among income classes. We analysed the utilization of cancer inpatient services of residents in Jeju Island for a year of 2000, using the national health insurance data for qualification of beneficiaries and utilization of health care. The independent variable are 10 income classes based on the national health insurance fee imposed on each household for a year of 2000. The dependent variables of this study are an amount of cancer inpatient health care utilization measured by cancer admission days and cancer treatment costs. Also, cancer inpatient health care utilization is analysed by three categories divided into utilization in medical care institutions (1) within Jeju Island, (2) outside Jeju Island, and (3) all within and outside Jeju Island. We measured concentration index of cancer inpatient health care utilization. This analysis showed negative concentration index within Jeju Island and positive outside Jeju Island, and positive in all within and outside Jeju Island. This results suggest inequality against the relatively poor income groups in utilization of cancer inpatient health care services. Especially, inequity of cancer inpatient health care would be more serious in Jeju Island of Korea, considering that lower income groups reportedly have higher incidence rates in most of cancer and thus use more health services.

• 보건행정학회지
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• 제1권1호
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• pp.19-26
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• 1991

Demographic variables have a great deal of impact on the utilization of health services. In this paper, the use of segmented polinomials is shown to be superior to the simple use of dummy variables and simple polinomials in explaining differences in health care utilization with respect to sex and age differences.

• 통상정보연구
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• 제15권4호
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• pp.171-192
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• 2013

현재 우리나라의 FTA 활용률은 선진국의 경우에 비해 전반적으로 활용률이 낮다. 특히 한-ASEAN FTA의 경우 30% 대에 그치는 등 FTA 활용 제고가 시급한 과제로 부상하고 있다. 또한 무역기업이 FTA 특혜관세를 적용받는 비율도 저조한 것으로 평가되고 있어 활용률 제고가 최대 정책현안으로 나타나고 있다. 본 연구는 무역기업의 FTA 활용률을 높이기 위하여 실태분석을 실시하였다. 무역기업의 FTA 애로사항을 파악하였고, 무역기업의 FTA 활용교육과 컨설팅의 개선방안도 검토하였다. 이는 정부의 FTA 활용제고 시책 마련에 유용한 자료를 제공하는데 목적이 있다. 본 연구결과로 FTA를 활용한 무역기업의 수출확대, FTA 정책의 내실화, FTA 정책지지 기반강화에 기여할 것을 기대한다.

• 보건행정학회지
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• 제25권1호
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• pp.3-10
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• 2015

Background: Previous studies showed differences in healthcare utilization among insurance types. This study aimed to analyze the difference in healthcare utilization for percutaneous transluminal coronary angioplasty inpatients by insurance types after controlling factors affecting healthcare utilization using propensity score matching (PSM). Methods: The 2011 national inpatient sample based on health insurance claims data was used for analysis. PSM was used to control factors influencing healthcare utilization except insurance types. Length of stay and total charges were used as healthcare utilization variables. Patients were divided into National Health Insurance (NHI) and Medical Aid (MA) patients. Factors representing inpatients (gender, age, admission sources, and Elixhauser comorbidity index) and hospitals (number of doctors, number of beds, and location of hospitals) were used as covariates in PSM. Results: Tertiary hospitals didn't show significant difference in length of stay and total charges after PSM between two insurance types. However, MA patients showed significantly longer length of stay than that of NHI patients after PSM in general hospitals. Multivariate regression analysis provided that admission sources, Elixhauser comorbidity index, insurance types, number of doctors, and location of hospitals (province) had significant influences on the length of stay in general hospitals. Conclusion: Study results provided evidences that healthcare utilization was differed by insurance types in general hospitals. Health policy makers will need to prepare interventions to influence the healthcare utilization differences between insurance types.

• Asian Journal of Innovation and Policy
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• 제12권2호
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• pp.200-215
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• 2023

The purpose of this paper is to analyze the Korean government's investment priorities for the establishment of a supercomputer joint utilization system using AHP. The AHP model was designed as a two-layered structure consisting of two areas of specialized infrastructure, a one-stop joint utilization system service, and four evaluation items for detailed tasks. For the weight of each evaluation item, a cost efficiency index considering the annual budget was developed for the first time and applied to the weight calculation process. AHP analysis conducted a survey targeting supercomputer experts and derived priorities with 22 data that had completed reliability verification. As a result of the analysis, the government's investment priority was high in the order of dividing infrastructure for each Specialized Center and building resources in stages. In the future, the analysis results will be used to select economic promotion plans and prepare strategies for the establishment of the government's supercomputer joint utilization system.

• 한국치위생학회지
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• 제20권5호
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• pp.611-621
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• 2020

Objectives: This study aimed to verify the impact of dental health care insurance coverage policy by analyzing the changes in dental care utilization and expenditures over 5 years from 2012 to 2016, when the dental health insurance coverage expansion policy was implemented. From the national cohort data collected by the Korea Health Panel Survey, a retrospective study was conducted for all household members using dental services. Methods: This study statistically verified the difference in the dependent variables by frequency analysis, chi-square test, t-test, and one-way analysis of variance (SPSS version 22, IBM Co. USA, p<0.05). Results: The annual utilization rate steadily increased from 23.4% to 26.1% between 2012 and 2016. Although there were differences in utilization rates by gender, age, and income level, patients kept using the dental services in 2016 regardless of the type of health insurance. The average annual copayment for patient expenditures (out-of-pocket amount) increased from ￦463,844 to ￦537,401 in 2012 and 2016, respectively. Of the dental care expenditures over 5 years, the ratio of uninsured expenses by the elderly decreased from 38.5% to 25.9%, and the national health insurance service coverage increased from 40.3% to 49.1%. Conclusions: Although this policy did not reduce overall patient expenditures, it has been found that there was a positive effect on the elderly and low-income groups; it increased the utilization and access to dental services.

• 보건행정학회지
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• 제24권2호
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• pp.128-135
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• 2014

Background: With ageing and growing importance of disease management system, it is necessary to investigate the extent of regional difference in service utilization for chronic diseases among the elderly and to reflect it in designing the system. Methods: A multiple regression analysis and descriptive statistics analyses were employed using patient survey, which covers nationwide health facilities and their users. Results: While the differences in the rate of service utilization/utilization outside living area between urban and rural areas or between income levels are not large, considerable variations are observed within urban or rural areas and within income groups. Conclusion: This results suggest that it is important to subsidize economically disadvantaged segments of the population and residents of less-favored areas to be better-equipped for chronic disease management in order to prevent the development of severe ailments and the need for treatment at higher-level medical institutions. Improvements to the service infrastructure in vulnerable regions are essential.

• Journal of Periodontal and Implant Science
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• 제46권6호
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• pp.405-414
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• 2016

Purpose: This study aimed to evaluate the effects of a policy change to expand Korean National Health Insurance (KNHI) benefit coverage to include scaling on access to dental care at the national level. Methods: A nationally representative sample of 12,794 adults aged 20 to 64 years from Korea National Health and Nutritional Examination Survey (2010-2014) was analyzed. To examine the effect of the policy on the outcomes of interest (unmet dental care needs and preventive dental care utilization in the past year), an estimates-based probit model was used, incorporating marginal effects with a complex sampling structure. The effect of the policy on individuals depending on their income and education level was also assessed. Results: Adjusting for potential covariates, the probability of having unmet needs for dental care decreased by 6.1% and preventative dental care utilization increased by 14% in the post-policy period compared to those in the pre-policy period (2010, 2012). High income and higher education levels were associated with fewer unmet dental care needs and more preventive dental visits. Conclusions: The expansion of coverage to include scaling demonstrated to have a significant association with decreasing unmet dental care needs and increasing preventive dental care utilization. However, the policy disproportionately benefited certain groups, in contrast with the objective of the policy to benefit all participants in the KNHI system.