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Antibiotic Consumption and Expenditures for Acute Upper Respiratory Tract Infections in Outpatients (외래 급성 상기도 감염에서의 항생제 사용량 및 약품비 추계)

  • Chae, Su-Mi;Park, Eun-Ja;Park, Sylvia
    • YAKHAK HOEJI
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    • v.57 no.3
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    • pp.199-204
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    • 2013
  • This study aimed to quantify antibiotic consumption and expenditures for acute upper respiratory tract infections (URIs) (J00-J06) in outpatients from 2009 to 2011. We used WHO ATC classification and DDDs in measuring antibiotic consumption. National Health Insurance and Medical Aid claims data were analyzed. Antibiotic consumption has decreased from 4.44 DDD/1,000inhabitants/day in 2009, to 4.43 in 2010 and 3.74 in 2011. The estimated expenditures were 8,206 won/1,000inhabitants/day in 2009, 8,379 in 2010, and 7,004 in 2011. Clinics accounted for 89.8% and 86.0% of antibiotic consumption and expenditures respectively for the acute URIs in 2011. We need to monitor antibiotic consumption consistently, and promote judicious antibiotic use.

Factors Which Determine the Amount of Private Educational Expenditures of urban Households in Korea: With Special Reference to Extra-class Private Educational Expenditures of General High School Students (도시가계의 사교육비 지출규모의 결정요인 -일반계 고등학생의 과외사교육비를 중심으로-)

  • 윤정혜
    • Journal of Families and Better Life
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    • v.17 no.4
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    • pp.159-172
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    • 1999
  • Relationships between socio-demographic variables and parents' education invest-ment motivation variables and extra-class private education expenditures were examined using a sample of 602 households in Inchon Korea. Tobit analysis was used. Singal-cognitive motivation parents' duty motivation household income housing asset father's occupation class and number of children had significant effects on extra-class private education expenditures on general high school students. To alleviate overspending in extra-class private education diploma pursuing society has to be changed and formal school education need to be properly functioning. Finally parents seek new child education paradigm for the creative labor demand in the next millenium.

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An Analysis of the Financial Performance According to Private Education Expenditures (자산계층별 사교육비지출과 재무성과의 관련성)

  • Park, Jin-Yeong
    • Journal of Families and Better Life
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    • v.24 no.6 s.84
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    • pp.61-77
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    • 2006
  • This study was to analyze the effect of private education expenditures on financial performance. The data from 1,669 households were taken from the Korean labor and Income Panel Study. The major findings were as follows: (1) The mean of monthly private education expenditure was 257,400 won for all households. Almost 66% of households encountered an economic burden in paying for private education. (2) The mean of financial performance in all households was 31,420,000 won and those with higher assets showed the greatest financial performance (112.8 million won net gain). (3) The variables that significantly influenced on private education expenditures and the financial performance were different in all households. (4) The relationship between financial performance and private education expenditures was verified partially. The association was proved in the middle assets group.

Estimation of lifetime dental expenditures for periodontitis (치주질환 유병자의 생애 치과의료비 추정)

  • Kim, Yun-Jeong;Kwang, Jung-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.3
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    • pp.245-253
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    • 2021
  • Objectives: The objective of this paper was to estimate a South Korean's lifetime dental expenditures for periodontitis. Methods: For our study, we collected data from the Korea Health Panel Survey (KHPS), from 2010 to 2016. The outpatient dental care data of 1,919,608 samples of periodontitis were extracted using R version 3.0 and estimations of lifetime dental expenditures for them were generated using Excel. Results: Over 50% of the lifetime dental expenditure of South Koreans was spent for periodontitis, and incurred after the age of 40. The results showed that an estimate of average per capita lifetime dental expenditure for men (approximately 13 million won) was greater than that for women (approximately 8.8 million won) for periodontitis. Conclusions: Efficient methods for the prevention and management of periodontitis are necessary, and a new paradigm of health care system is required to reduce dental expenditure through its prevention.

The Relationship between Household Income, Consumption Wants for Education, Private Education Expenses, and Old-Age Economic Preparation Behaviors in Mothers with School-Aged Children (학령기 어머니의 가계소득, 교육소비욕구 및 사교육비와 경제적 노후준비행동 간의 관계)

  • Lee, Na-Young;Jang, Yoon-Ok;Jeong, Seo-Leen
    • Journal of Family Resource Management and Policy Review
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    • v.20 no.1
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    • pp.159-182
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    • 2016
  • The purpose of this study was to investigate the relationship between household income, consumption wants for education, private education expenses, and old-age economic preparation behaviors in mothers with school-aged children. The participants in this study comprised 393 mothers living with children aged 8.19 in Daegu. All participants had wage-earning husbands. A questionnaire was used to collect the data. Factor analysis was conducted using SPSS and structural regression analysis was performed using AMOS. The main results of this study were as follows: The participants' old-age economic preparation behaviors were influenced by their household income, the proportion of private education expenditures they paid, and the perceived burden the participants had of these private education expenditures. The consumption wants for education in mothers with school-aged children had no significant impact on the proportion of private education expenditures paid by the participants. Household income, proportion of private education expenditures, and perceived burden of the private education expenditures had a direct effect on the old-age economic preparation behaviors of the participants. When the perceived burden of the private education expenditures was mediated, the consumption wants for education in mothers with school-aged children had an indirect effect on their old-age economic preparation behaviors.

Distribution and Determinants of Out-of-pocket Healthcare Expenditures in Bangladesh

  • Mahumud, Rashidul Alam;Sarker, Abdur Razzaque;Sultana, Marufa;Islam, Ziaul;Khan, Jahangir;Morton, Alec
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.2
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    • pp.91-99
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    • 2017
  • Objectives: As in many low-income and middle-income countries, out-of-pocket (OOP) payments by patients or their families are a key healthcare financing mechanism in Bangladesh that leads to economic burdens for households. The objective of this study was to identify whether and to what extent socioeconomic, demographic, and behavioral factors of the population had an impact on OOP expenditures in Bangladesh. Methods: A total of 12 400 patients who had paid to receive any type of healthcare services within the previous 30 days were analyzed from the Bangladesh Household Income and Expenditure Survey data, 2010. We employed regression analysis for identify factors influencing OOP health expenditures using the ordinary least square method. Results: The mean total OOP healthcare expenditures was US dollar (USD) 27.66; while, the cost of medicines (USD 16.98) was the highest cost driver (61% of total OOP healthcare expenditure). In addition, this study identified age, sex, marital status, place of residence, and family wealth as significant factors associated with higher OOP healthcare expenditures. In contrary, unemployment and not receiving financial social benefits were inversely associated with OOP expenditures. Conclusions: The findings of this study can help decision-makers by clarifying the determinants of OOP, discussing the mechanisms driving these determinants, and there by underscoring the need to develop policy options for building stronger financial protection mechanisms. The government should consider devoting more resources to providing free or subsidized care. In parallel with government action, the development of other prudential and sustainable risk-pooling mechanisms may help attract enthusiastic subscribers to community-based health insurance schemes.

Out-of-pocket Health Expenditures by Non-elderly and Elderly Persons in Korea (우리나라 성인과 노인의 개인부담 의료비용 지출의 관련요인)

  • Kim, Sung-Gyeong;Park, Woong-Sub;Chung, Woo-Jin;Yu, Seung-Hum
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.408-414
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    • 2005
  • Objectives : The purpose of this study was to determine the impact of the sociodemographic and health characteristics on the out-of-pocket health spending of the individuals aged 20 and older in Korea. Methods : We used the data from the 2001 National Public Health and Nutrition Survey. The final sample size was 26,154 persons. Multiple linear regression models were used according to the age groups, that is, one model was used for those people under the age of sixty-five and the other was used for those people aged sixty-five and older. In these analyses, the expenditures were transformed to a logarithmic scale to reduce the skewness of the results. Results : Out-of-pocket health expenditures for those people under the age of 65 averaged 14,800 won per month, whereas expenditures for those people aged 65 and older averaged 27,200 won per month. In the regression analysis, the insurance type, resident area, self-reported health status, acute or chronic condition and bed-disability days were the statistically significant determinants for both age groups. Gender and age were statistically significant determinants only for the non-elderly. Conclusions : The findings from this study show that the mean out-of-pocket health expenditures varied according to the age groups and also several diverse characteristics. Thus, policymakers should consider the out-of-pocket health expenditure differential between the elderly and non-elderly persons. Improvement of the insurance coverage for the economically vulnerable subgroups that were identified in this study should be carefully considered. In addition, it is necessary to assess the impact of out-of-pocket spending on the peoples' health care utilization.

Association Between Local Government Social Expenditures and Mortality Levels in Korea

  • Ko, Hansoo;Kim, Jinseob;Kim, Donggil;Kim, Saerom;Park, Yukyung;Kim, Chang-Yup
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.1
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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.

Comparative analysis of medicinal expenditure archives in Korean medicine : Focusing on survey methods and expenditure of Korean medicine clinics in 2012 (한의의료비 자료원의 비교 분석 연구 : 조사 방법 및 2012년 한의원 의료비를 중심으로)

  • Kim, Dongsu;Chong, Myongsoo;Lee, Eunkyoung;Ko, Seong-Gyu
    • Journal of Society of Preventive Korean Medicine
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    • v.19 no.2
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    • pp.37-50
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    • 2015
  • Objective : In order to understand the scale of medicinal expenditure in the Korean medicine, an analysis has been made of Korean National Health Account and statistic archives used to estimate the Korean National Health Account and also of such archives as are contributory to learn the scale of total health expenditures in the Korean medicine. Method : From the Korean National Health Account archives, an analysis has been made of National health insurance statistic annual reports, National health insurance non-payment items, Korean Economic Census (The Service Industy Survey), and Korea Health Panel data. Moreover, in order to know the sales of overall Korean medicine clinics, relevant data have been utilized and cited from investigations into National tax statistics, Korean medicine medical institutions and Korean medicines used, and current states of medicinal herbs and Korean medicine industry. Results : It is found that the average scale of each section of the medical expenditures archives in the Korean medicine in 2012 was KRW 3.5638 billion and that the average medical expenditures in the Korean medicine derived from Total Health Expenditure, The Service Industy Survey, National tax statistic, and Korean medicine industry are approximately KRW 3.3901, 3.4796, 3.7218 and 3.9634 billion. And the average expenditures derived from National health insurance patients and Korea Health Panel data are 2.5162 and 2.2292 billion won and those from the users and consumers of Korean medicines and herbs are 5.6,461 billion won. In order to verify the appropriateness of estimated medical expenditures in the Korean medicine included in the archives, an analysis has been made of uninsured costs which come from the aggregate sales amount surveyed minus health insurance treatment expenditures and it is found that the ratio of insured costs against total health expenditures in 2006 was 50.67% and 41.92% in 2012 and that the ratio based on National tax statistics and The Service Industy Survey was 52.19% and 49.28% in 2006 and 50.54% and 50.64% in 2012 and that the ratio of uninsured costs against Korean medicines and herbs and Korean medicine industry was 37.5% and 58.27% in 2013. Conclusion : It calls for the improvement of the accuracy of an investigation into Total Health Expenditure which comprise the actual conditions of health insurance and Korea Health Panel, the development of statistic schemes for understanding and classifying medical expenditures of all the Korean medicine medicinal institutions like medicinal clinics, and enhanced methods for independent panels to comprehensively collect and analyze the number of sampled Korean medicine medical institutions.

R&D Financing through Cash and Cash Equivalents in Firms under Financial Distress (재정적으로 어려움에 처한 기업의 현금성 자산을 이용한 R&D 자금 조달에 대한 실증 분석)

  • Lee, A-Ram;Cho, Seong-Pyo;Seo, Ran-Ju
    • Journal of Technology Innovation
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    • v.19 no.2
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    • pp.25-51
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    • 2011
  • This study examine the firms fund R&D expenditures through cash and cash equivalents under financial distress in order to avoid huge adjustment costs that can be brought after R&D expenditures cut-down. Other study divided the firms' financial condition by only firms' year. This study identifies the firms' financial condition not only by a firm's year but also by firm size and Altman's Z-Score and K-Score. The results show that there are statistically negative relationship between R&D expenditures and cash and cash equivalents when firms are under financial distress. The results are same regardless of criteria of classification of firms' financial condition, which is consistent to the hypothesis. Young and small firms and firms with moderate possibility of bankruptcy fund R&D expenditures through cash and cash equivalent compared to the other firms. We can find the new evidence when we classify the firm by Z-Score and K-Score of Altman. The firms with high possibility of bankruptcy can not fund for R&D activities from cash, but only the firms with moderate possibility of bankruptcy fund R&D expenditures through cash and cash equivalent in the condition of financial distress. The evidence suggests that firms fund R&D expenditures by cash and cash equivalent when they are under financial distress. Findings provide an implication on the management of R&D expenditures and liquidity in the firms.

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