• 제목/요약/키워드: economic hardship

검색결과 89건 처리시간 0.033초

2021년 재난적 의료비 경험률 현황 및 추이 (Catastrophic Health Expenditure Rate and Trend in 2021 and before)

  • 김수영;정성훈;박은철
    • 보건행정학회지
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    • 제33권3호
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    • pp.363-369
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    • 2023
  • The term "catastrophic health expenditure" means assessing the extent to which medical costs cause financial hardship for households. The aim of this research is to analyze the percentage of households that faced severe financial strain due to medical expenses from 2006 to 2021. This was achieved by utilizing data obtained from the National Survey of Tax and Benefit (NaSTaB), Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). A trend analysis was conducted to examine the percentage of households that experienced catastrophic healthcare expenses. The households that experienced the catastrophic health expenditure was 2.49% in 2021 using the NaSTaB data. The trend analysis yielded a statistically significant result, indicating a decreasing trend (annual percent change [APC], -4.79; p<0.0001) in the proportion of households facing catastrophic health expenditures. Also, the results of the 2019 KHP and the 2021 HIES showed 1.09% and 2.44% for the households that experienced catastrophic health expenditure. The trend was increased according to the KHP (APC, 0.55; p=0.0004) and the HIES (APC, 7.04; p<0.0001). As a result, this study proposes that sustained attention and further interventions are necessary to ease the economic pressure caused by catastrophic health expenses, particularly for low-income households.

독일의 고용유연성 확대와 고용안정 (Increasing Employment Flexibility and Job Stabilization in Germany)

  • 이정언
    • 한국콘텐츠학회논문지
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    • 제13권12호
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    • pp.966-973
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    • 2013
  • 본 연구는 독일의 고용 모델을 바탕으로 고용유연성의 확대가 고용안정성을 침해하지 않고 오히려 근로자와 기업 간 장기적 상생의 목표를 달성할 수 있는 배경과 관련 요인을 탐색하였다. 독일의 고용 및 실업정책의 핵심은 고용유연성의 확대에 있으며, 노사간의 양보와 합의가 주요한 역할을 하는 가운데 정부의 적절한 지원이 이를 성공으로 이끌었다. 특히 효율적인 고용시장정책을 통한 성과 창출과 유지의 이면에는 합리적인 사회적 대화가 자리를 잡고 있다. 독일의 앞선 경험은 우리나라 근로자와 기업의 고용유연성 제고를 위한 모범적인 사례가 될 수 있을 것이다. 제도 활용에 앞서 독일 노사관계의 바탕이 되는 노사간 존중의 관행을 이해하는 것이 필요하며 문화적 배경이 상이한 우리나라에 어떠한 방식으로 적용되는 것이 바람직할 것인지 다각적인 고찰이 선행되어야 한다.

전기, 후기 여성노인의 삶의 질 및 영향요인 비교연구 (The Study of Comparing the Factors of Affecting on the Quality of Life for Young-Old Women and Old-Old Women)

  • 김미령
    • 한국사회복지학
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    • 제58권2호
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    • pp.197-222
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    • 2006
  • 본 연구는 노인의 범주를 60세 혹은 65세 이상으로 구분할 때 동질적이라고 보기 힘든 전기노인과 후기노인으로 구분하여 노인의 신체적, 심리적, 사회적, 경제적, 환경적인 요인들과 삶의 질의 차이 및 하위영역이 삶의 질에 미치는 영향력을 각각 조사하였으며, 전 후기여성노인의 삶의 질에 영향을 주는 요인들의 차이를 비교하였다. 연구대상은 대구, 경북지역의 노인 310명이며 전기, 우기노인들의 특성을 비교하기 위하여 t-test와 $X^2$검증을 사용하였다. 또한 각 변인들의 삶의 질에 미치는 영향을 조사하기 위하여는 위계적 다중회귀분석을 사용하였다. 연구결과에 의하면 전기, 후기노인 모두 배우자, 건강인지, 자긍심, 사회적 지지는 유의미하게 삶의 질에 긍정적인 영향을 주었으며 전기노인의 경우 역할수행은 삶의 질에 영향을 미치지 않았고 경제적 어려움은 삶의 질에 부정적인 영향을 주었다. 또한 사회참여는 긍정적인 영향을 주었다. 반면에 후기노인의 경우 역할수행은 삶의 질에 긍정적인 영향을, 사회참여는 삶의 질에 부정적인 영향을 미쳐 전기와 후기노인의 삶의 질 영향요인에 차이점을 나타내고 있다.

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가정안전에 대한 사회자본의 효과 분석: 1인가구와 한부모가구를 중심으로 (A Study on the Effect of Social Capital on Family Safety of One-Person and Single-Parent Households in Korea)

  • 서지원
    • 가족자원경영과 정책
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    • 제21권2호
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    • pp.25-50
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    • 2017
  • Recently, concern about family safety is rising again as an important issue with the context of family healthiness and well-being in Korean society despite of the dramatic economic growth. The purpose of this study is to examine the status of family safety of singles and single-parent households and to investigate the effect of social capital on the level of their family safety. Data are from the 10th wave of Korea Welfare Panel Study analysing one-person households(N=2,017) and single-parent households(N=172). One-person households were categorized as three groups by age(the youths/middle-aged/the elderly) and single-parent households were also three by family types(mother-child/fahter-child/grandparent-child). The major results were as follows: First, the mean of family safety index was highest among middle-aged, while single youths had the fewest problems in terms of family safety. Second, social capital was found to vary by family structure. In the one-person households, all the levels of the social capital variables, including trust, bond, acceptance, and participation, differed significantly; only two variables, bond and embracement, differed in the single-parent households. Third, social capital differed between the low-income households and others significantly. Forth, the positive effects of social capital on overcoming family safety problems were investigated. In conclusion, social capital represents an alternative resource for overcoming economic hardship for low-income one-person/single-parent households, especially for middle-aged singles and father-child single-parent households. Based on these empirical results, theoretical implications were discussed with regard to family policy and programs.

다문화가정 여성결혼이주자의 한국생활 어려움에 관한 질적(CQR) 연구 (A Qualitative Study on Multicultural Families Female Marriage Immigrants Difficulties Life in Korea)

  • 이현심
    • 농촌지도와개발
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    • 제21권1호
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    • pp.143-176
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    • 2014
  • 본 연구는 다문화가정 여성결혼이주자들의 한국생활 경험의 어려움을 알아보고자 하였다. 이를 위해 경기도지역에 거주하며 다문화 가정을 이룬 여성결혼이주자 8명을 선택하여 심층면접을 실시하여 합의적 질적 분석 방법(CQR)을 사용하여 분석하였다. 연구 결과는 3개의 범주에서 12개 영역 및 그에 따른 49개의 내용에 따라 빈도분석을 하였다. 여성결혼이주자의 한국생활에서 심리 정서적 경험의 어려움에서 배우자와 관계, 시댁과의 관계, 의사소통 문제, 표현의 어려움, 정서적 어려움으로 나타났다. 사회 경제적 경험의 어려움은 차별적 시선, 경제적 어려움, 다문화가정으로서 위축감, 생활 관습 문화 차이로 나타났다. 이러한 경험들을 대처하는 과정으로는 자조모임, 다문화프로그램 참여, 지역사회체계를 이용하였다. 본 연구 결과에 의하여 다문화 가정 결혼이주여성들이 어려움을 잘 극복할 수 있도록 실질적인 도움이 되는 사회복지 서비스와 지역사회체계를 통하여 지속적인 지원이 필요함을 제언하였다.

장기 보호 여성노인의 수발에 관한 연구 - 수발특성과 우울을 중심으로 - (Caregiving for the Long-Term Care Elderly Women - Focusing on Caregiving Characteristics and Depression -)

  • 김태현
    • 대한가정학회지
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    • 제41권6호
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    • pp.143-156
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    • 2003
  • The present study was initially designed to figure out the general condition of care giving system for the elderly women who need long term care and the level of their depression according to the conditions of care. And This research is intented to present appropriate policy that could help the establishment of supporting system for the fragile elderly women.1 used the data from <2001 National Study on the Needs for the Long-Term Care Elderly> by Korea Health and Population Institute. The results are as follows: First, Two third of all the respondents had serious problems (2-9 activities limits) in Instrumental Daily Living Ability(DAL). Most respondents reported “low” in satisfaction level related to receiving care, meaning the elderly had negative perception for the care from the family. The elderly expected their children to be as the primary care giver and mostly wanted to live with them in the future. Second, The majority of the long term care elderly women haven't used community service facilities very often and said they are not likely going to use the facilities in the future. Third, The respondents reported high in depression level as to lower satisfaction with their children's support, poorer health condition, more reluctant to use service facilities due to the cost, and fewer friends and neighbors resources around them. Therefore I could say that negative factors for the elderly women's psychological health were having unsatisfactory relationship with intimate people, developing physical illness, being in economic difficulties. That is, receiving less help from close family members, shrinking social network, and experiencing economic hardship would have negative effects on elderly women's psychological health. In the basis of these results, I suggest that in the mean time we shouldn't overlook the importance of the private support when we develop the public elderly support system.

자영업 지속기간의 결정요인 (An Empirical Study on the Duration of Self-employment)

  • 안주엽;성지미
    • 노동경제논집
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    • 제26권2호
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    • pp.1-30
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    • 2003
  • 한국의 노동시장에서 자영업이 차지하는 비중이 상당함에도 불구하고, 자영업에 대한 연구는 몇몇 연구자들에 의하여 진행되었고 기업가 정신(entrepreneurship)을 가진 개인의 자영업 창업 과정, 자영업의 성장 과정, 자영업의 소멸 과정에 대한 연구는 거의 없다고 보아야 할 것이다. 본 연구는 자영업의 소멸 과정에 초점을 두고 경과기간 모형을 "한국노동패널" 1차(1998)~4차(2001) 자료에 적용하여 자영업 지속기간이 결정요인을 분석하였다. 자영업 지속기간은 농림어업 및 제조업에서 길게 나타나고 숙박 및 음식점업에서는 상대적으로 진입과 퇴장이 빈번한 것으로 나타난다. 훈련경험이 있는 경우는 자영업의 지속성에 긍정적인 효과를 미치는 것으로 나타나며, 훈련의 주관자를 기준으로 볼 때, 특히 공공직업훈련이 미치는 효과가 눈에 띄게 나타난다. 이는 자영업 창업지원에서 정보 및 자금 측면뿐 아니라 자영업을 유지하기 위한 다양한 컨설팅이 주효할 수 있다는 것을 시사하는 것으로 간주할 수 있다.

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불완전고용의 선행요인 및 불완전고용이 조직 적응에 미치는 영향 (Underemployment of the Reemployed: Antecedents and Effects on Organizational Adaptation)

  • 노연희 ;김명언
    • 한국심리학회지 : 문화 및 사회문제
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    • 제17권1호
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    • pp.19-49
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    • 2011
  • 본 연구의 첫 번째 목적은 불완전고용에 영향을 미치는 선행요인에 대해 살펴보는 것이고, 두 번째 목적은 불완전고용이 조직 적응에 미치는 영향을 살펴보는 것이다. 연구는 종단으로 설계되어 2회의 설문조사를 통해 자료가 수집되었으며, 1차 조사 시점에서 미취업 상태에 있었으나 2차 조사 시점에서는 재취업한 153명으로부터 자료를 얻었다. 불완전고용의 측정치는 임금, 사회적 지위, 기술활용도 및 고용형태변화의 차원에서 여섯 개의 측정치-'임금변화비(현재 임금/실직 전 임금)', '지위변화비(현재 직업지위/실직 전 직업지위)', '학력격차비(요구학력/실제학력)', '정규직에서 비정규직으로 고용형태가 변화했는지의 여부' 및 자기보고방식의 지각된 과잉자격 척도의 '성장가능성부재'와 '자격불일치' 요인-로 측정되었다. 먼저 불완전고용에 영향을 미치는 선행요인의 효과를 살펴보고자, 선행요인으로 인구통계변인(성별, 연령, 학력 및 실업기간), 상황변인(경제적 곤란도와 부양가족 수), 개인특성변인(구직효능감, 우울·불안, 잠재적 기능)을 설정하였다. 주요 결과로는 연령이 높을수록 임금과 지위는 하향 변화하였고, 경제적 곤란도가 높을수록 자신의 학력보다 낮은 학력이 요구되는 직업에 재취업하였으며, 부양가족 수가 많을수록 직업지위가 하향 변화하였다. 개인특성변인 중 실업기간 동안 취업의 잠재적 기능을 유지할수록, 성장가능성부재로 측정된 불완전고용의 가능성을 낮추었고, 구직효능감이 높은 경우에도 마찬가지 결과를 보였다. 실업기간 동안 우울·불안 수준이 높을수록 자신의 학력보다 낮은 학력이 요구되는 직업에 재취업할 가능성이 높아지는 것으로 나타났다. 다음으로 불완전고용이 직무-조직 적합도 지각, 조직몰입, 직무만족 및 이직의도로 측정된 조직 적응에 미치는 영향을 살펴본 결과 학력격차비 측면에서 불완전고용의 정도가 높을수록 개인-조직 적합도, 정서몰입 및 직무만족을 낮게 지각하였다. 또한 정규직에서 비정규직으로 변화할수록 정서몰입과 직무만족을 낮게 지각하였다. 그리고 성장가능성부재와 자격불일치는 조직 적응 전반에 걸쳐 유의한 영향을 미치는 것으로 나타났다.

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암 환아 부모의 경험에 대한 질적 연구 (The Experience of Parents Whose Child is Dying with Cancer)

  • 조영숙;김수지
    • 대한간호학회지
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    • 제22권4호
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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사회경제적 위치에 따른 청소년의 건강과 건강 관련 행태의 차이 : 한국청소년패널 조사 결과 (Socioeconomic Differentials in Health and Health Related Behaviors: Findings from the Korea Youth Panel Survey)

  • 조성일;양승미;이무송;강영호
    • Journal of Preventive Medicine and Public Health
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    • 제38권4호
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    • pp.391-400
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    • 2005
  • Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.