• Journal of Preventive Medicine and Public Health
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• 제55권4호
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• pp.379-388
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• 2022

Objectives: Throughout history, societies have been impacted by inequality. Many studies have been conducted on the topic more broadly, but only a few have investigated inequalities in out-of-pocket health payments (OHP). This study measures OHP inequality trends among the Iranian households. Methods: This study used data from the Iranian Statistics Center on Iranian household income and expenditures. The analysis included a total of 995 300 households during the 36 years from 1984 to 2019. The Gini coefficient, Atkinson index, and Theil index were calculated for Iranian OHP. Results: Average Iranian household OHP increased from 33 US dollar (USD) in 1984 to 47 USD in 2019. During this 36-year span, the average±standard deviation Gini coefficient for OHP was 0.73±0.04, and the Atkinson and Theil indexes were 0.68±0.05 and 1.14±0.29, respectively. The Gini coefficients for the subcategories of OHP of outpatient diagnostic services, medical assistant accessories, hospital inpatient services, and addiction cessation were 0.70, 0.61, 0.84, and 0.64, respectively. Conclusions: In this study, we scrutinized trends of inequality in the OHP of Iranian households. Inequality in OHP decreased slightly over the past four decades. An analysis of trends among different subgroups revealed that affluent households, such as households with insurance coverage and households in higher income deciles, experienced higher inequality. Therefore, lower inequality in health care expenditures may be related to restricted access to health care services in Iran.

• Journal of Preventive Medicine and Public Health
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• 제50권2호
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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.

• Asian Journal of Business Environment
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• 제9권4호
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• pp.23-28
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• 2019

Purpose - With rapid population aging in Korea, changes in the population structure will result in a rise in the fiscal burden. This paper investigates the effects of population aging on fiscal spending based on Korea's province data and country panel data from the OECD. Research design, data, and methodology - We use province-level fiscal data from Local Finance Integrated Open System and the Korean Statistical Information Service and also collect country panel data from the OECD. To investigate the relationship between population aging and fiscal expenditures, our analysis uses the fixed effects model. Results - The empirical analysis based on Korean local finance and country panel data show that population aging has a positive impact on social welfare expenditures and it also has a positive impact on spending related to children and the elderly, implying that population aging may lead to an increase in fiscal spending via an increase in social welfare expenditures and spending related to children and the elderly. Conclusion - These empirical results suggest that countries like Korea that expect to experience rapid population aging need to pay more attention to prepare for the expected increase in age-related spending in the near future.

• 융합정보논문지
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• 제10권6호
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• pp.70-76
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• 2020

본 연구에서는 기업의 사회적 책임활동(Corporate Social Responsibiltiy, CSR)에 따라 판매관리비가 미래 기업성과에 미치는 영향에 차이가 발생하는지 살펴보았다. 판매관리비를 유지속성과 투자속성으로 구분한 뒤, 이 중에서 판매관리비의 투자속성에 초점을 맞추어 판매관리비의 투자속성이 미래 기업성과에 영향을 미치는지 여부에 대해 검토하고 이들 관계가 CSR의 수준에 따라 어떻게 영향을 받는지 분석하였다. 2012년부터 2017년까지 유가증권 시장에 상장된 국내 기업 중 CSR 평가 자료가 있는 968 기업-연도를 표본으로 하여 실증분석한 결과, 판매관리비의 투자속성이 미래 기업성과에 긍정적인 영향을 미친다는 것을 확인하였다. 이러한 관계는 CSR의 수준에 따라 달라지는데, CSR이 높을수록 판매관리비의 투자속성이 더 큰 양(+)의 효과로 미래 기업성과에 영향을 미치는 것으로 나타났다. 이는 기업이 사회적 책임활동에 적극적일수록 기업의 판매관리비 투자속성이 미래 기업성과에 미치는 긍정적인 영향이 커진다는 것을 시사한다.

• 보건행정학회지
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• 제26권4호
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• pp.390-398
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• 2016

Background: This study aims to analyze the impact of levels of health care coverage on the trajectory of self-rated health, comparing the near-poor which tends to be excluded in traditional health care systems with the upper middle class. Methods: The study participants were 3,687 people who sincerely responded questions regarding health care expenditures, unmet medical needs, and self-rated health in the Korea Health Panel data in 2009-2012. Results: The higher health care expenditures and the presence of unmet medical needs were significantly associated with the lower level of self-rated health. However, both factors did not significantly predict the steeper decline in the self-rated health. The results from multiple group analyses showed that health care expenditures and unmet medical needs had greater impact on the near-poor compared to their higher income counterparts. Conclusion: Public health care coverages need to be enhanced as well as reducing health care expenditures and unmet medical needs.

• 보건행정학회지
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• 제17권3호
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• pp.50-67
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• 2007

This study investigated income elasticity of household health expenditures and differences by income level from 1998 through 2003. Data from Korean Labor and Income Panel Study was used for empirical analyses. To estimate the income effects on health expenditure, the two-part model was employed: a logistic regression for any health expenditure-first part-and a Ordinary Least Square regression for health expenditure conditional on any spending-second part. To estimate income elasticity, both health expenditure and income were log transformed in the second part. In addition, the random effects(RE) model was used for a longitudinal panel which was continuously followed from 1998 through 2003 to estimate income effects on health expenditures controlling for within and between unobservable household characteristics. Furthermore, difference in income effects on health expenditure across income level was investigated. Although income slightly increased odds of any health expenditure, there was not no table differences across income level. Income significantly increased health expenditures during study period(overall income elasticity: about 0.2) and the highest 20% income group presented higher income elasticity than the lowest 20% income group.

• 한국사회복지학
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• 제62권4호
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• pp.377-402
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• 2010

본 연구는 한국복지패널(1차년도)을 활용하여 주거빈곤이 아동의 신체건강, 내재화문제, 학업성취에 미치는 영향과 그 과정을 밝히고자 하였다. 분석결과 최저기준미달주거와 주거비 비중은 주거불안정과 모(부)불건강, 아동의 비학업활동은 증가시키고, 비주거지출은 감소시켜 아동의 내재화문제와 학업성취에 부정적인 영향을 미치는 것으로 확인되었다. 이는 소득빈곤, 지역빈곤과 가구특성을 통제한 상태에서 나타난 결과였다. 본 연구를 통해 주거빈곤에 대한 이론적 모델을 발전시키고, 주거 빈곤 정책의 중요성을 환기시킬 수 있었다.

• 의정연구
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• 제24권1호
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• pp.203-239
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• 2018

사회의 복지균열이 정당경쟁으로 제도화되고 책임 있는 정당들에 의하여 사회적 이익이 대표될 때, 책임정치와 정당정치가 지방정치에서 실현된다. 본 연구는 개별적인 정치요인, 특히 정당요인과 경쟁요인 사이의 상대적인 영향력을 분석하여 복지지출에 중요한 영향을 미치는 요인과 주변적인 영향요인을 구분하여 분석하고자 한다. 또한, 복지지출에 미치는 정치적 영향의 비선형(non-linear) 관계에 주목한다. 2007년, 2011년, 2015년 한국의 전체 기초지방정부를 대상으로 복지지출 결산에 미치는 결정요인을 분석하였다. 분석결과, 첫째, 단체장과 지방의회의 정당요인이 복지지출에 유의미하게 영향을 미치고 있으며, 선행연구에서 주장되어온 단점/분점요인과 단체장의 선거경쟁도는 복지지출에 영향을 미치지 않았다. 둘째, 기초정부의 복지지출은 재정 세입과 세출의 차이로 인하여 정당요인의 영향력이 시 군 구 사이에 다르게 나타났다. 셋째, 지방의회에서 진보정당 의석률의 변화는 복지비 지출과 비선형 관계였으며, 민주당 의석률이 40%와 60%를 기준으로 복지지출에 미치는 영향의 방향이 변화하고 있음을 확인하였다. 이러한 결과를 통해 본 논문은 한나라당 단체장의 보수적 정향은 물론, 무소속 지방의원의 보수성, 민주당 일당지배 지방의회의 보수성과 관련된 시사점을 얻었다.

• 한국사회복지학
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• 제64권4호
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• pp.337-357
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• 2012

본 연구는 1980년 이후 후기산업사회의 경제 사회구조의 변화로 인해 새로운 사회적 위험이 등장하면서 이에 대한 복지국가의 정책적 전환을 실증적으로 분석하고 있다. 새로운 사회적 위험구조로서 세계화, 탈산업화, 인구고령화, 여성의 고용률, 그리고 아동인구의 비중이 소득보장지출과 사회투자지출로 구성된 사회지출구조를 변화시켰는지를 분석하였다. 이를 위해 1997-2007년까지 OECD 회원국을 대상으로 패널데이터를 구축하고 패널교정표준오차를 고려한 로지스틱 회귀분석을 사용하였다. 그 결과, 무역개방도, 여성의 사회진출, 아동인구의 비중이 사회투자 확대를 중심으로 한 사회지출 구조변화에 영향을 미치고 있는 것으로 나타났다. 즉, 무역개방도가 높을수록, 아동인구비율이 감소할수록, 그리고 여성 고용률이 증가할수록 소득보장지출보다는 사회투자지출 증가가 더 큰 것으로 분석되었다. 탈산업화와 인구고령화는 사회지출 구조변화에 유의미한 영향을 미치지 않는 것으로 나타났다. 이러한 결과는 새로운 사회적 위험구조에 대해 선진복지국가의 복지체계가 소득이전 중심의 정책에서 고용을 통한 생산적 사회정책으로의 완전한 전환을 의미하지는 않지만, 전체적인 방향 전환은 어느 정도 이루어지고 있음을 나타낸다고 할 수 있다.

• 한국의상디자인학회지
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• 제6권3호
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• pp.67-81
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• 2004

This research demonstrates clothing consumption values, fashion preferences of career women from the early 1920s to late 1930s. And having thorough understanding of values and preferences, allows us to establish marketing strategies for clothing companies. The main purpose of this study is (1) to formalize consumer group based upon the clothing consumption values, (2) to find for characteristics of consumer depending on classification of consumption value in clothing, (3) to understand the preferences of career women about fashion trends. Analyzing data was performed 292 copies, resulting factor analysis, Cluster analysis, X-test, Anova, Tukey test, t-test, frequency analysis, and reliability analysis. This paper showed 7 distinctive characteristics of career women about clothing consumption value. These characteristics can be listed as 1) value of brand image, 2) value of self-expression, 3) functional values, 4) epistemic values, 5) coordination values, 6) social values 7) psychological values. Importantly, brand image value became most significant aspects among 7 factors. Analyzing consumers based upon stated 7 factors, it was found that they are segregated into 4 groups; Self-expressive Group, Psychological Stability Group, Functional Group, Social Group. Secondly, for fashion trend preferences, self-expressive group, psychological stability group, and functional group favored Romantic Feminine Style respectively. Social Group showed preference in Nu-Basic'. The reason for such trend dealt with fabric materials and colors. Finally examining population statistics, younger generations showed more preferences in Nu-Basic', and consumers from ages of 26 to 28, 32 to 34 showed preferences in Romantic Feminine' regardless of their household income, clothing related expenditures, jobs, and education level. On the other hand, 'Modem Classic' was popular among college graduates and 'Paradise' was somewhat less popular among all ages except from ages of 32 to 34, consumers consumption 300,000Won to 400,000Won on clothing related expenditures. And 'Energy' seemed to attract more highly educated females, who had more than masters in degrees with over 300,000 to 400,000Won for clothing related expenditures.