• 산학경영연구
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• 제6권
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• pp.201-228
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• 1993

본 연구의 주 목적은 기업과 관련한 종교집단(기독교, 불교, 무종교)들이 기업의 준조세적 지출항목과 자발적 지출항목 및 각각의 금액에 대해 기업규모별로 어떠한 태도를 보이는가를 분석하기 위한 것이다. 연구방법은 설문지를 이용한 조사연구 방법을 사용하였으며, 자료분석 방법은 비 모수적 통계기법인 크루스칼-왈리스 검정과 월칵슨 부호검정을 사용하였다. 본 연구의 결과, 사회관련 지출항목 및 금액에 대해 기업규모별로 종교집단과 무종교집단간, 그리고 기독교 집단과 다른 집단간의 태도의 차이는 통계적으로 유의적인 차이가 아니었다. 이것은 우리나라에서 종교가 갖고 있는 사회윤리가 종교집단 구성원에게 체화되지 못함으로써 종교집 단간, 그리고 무종교집단과 구별되는 의식과 태도를 보이지 못하는 것에 기인하지 않을까 추론된다. 따라서 본 연구가 갖고 있는 한계안에서, 종교집단이라는 변수는 우리나라 사람들의 가치에 대한 태도를 연구할 때에 무시될 수 있는 변수라는 것을 시사한다.

• 디지털융복합연구
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• 제16권10호
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• pp.89-99
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• 2018

본 연구의 목적은 기초자치단체 간 사회복지지출의 공간적 자기상관성을 살펴보고, 사회복지지출 규모에 영향을 미치는 요인을 분석하는 데 있다. 본 연구에서는 공간적 자기상관성을 고려한 공간오차모형을 적용하여 복지지출에 영향을 미친 영향요인을 분석하였다. 분석결과 지자체 간 1인당 사회복지지출의 공간적 자기상관성이 나타났다. 그리고 공간회귀분석을 통해 선행연구에서 도출된 각 요인들이 1인당 사회복지지출에 미치는 영향을 살펴보면, 사회 경제적 요인, 행정적 요인 그리고 재정자주도 요인은 지자체 복지지출에 정(+)의 영향을 미치는 것으로 분석되었다. 반면 전년도 복지예산, 정치적 요인, 지방세 등은 복지지출에 영향을 미치지 않은 것으로 나타났다. 본 연구는 기존 선행 연구와는 달리 지자체 간 복지지출의 공간적 자기상관성을 확인하고 영향요인을 살펴본 데 의의가 있다. 본 연구에서는 횡단적 분석만을 실시하였기에, 향후에는 다년도 사회복지지출 자료를 활용한 시계열 분석이 이루어질 필요성이 있다.

• 보건행정학회지
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• 제15권4호
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• pp.65-80
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• 2005

This study examines the effects of supplemental insurance on health care utilization and expenditures among cancer patients, who were hospitalized in a general hospital in Korea 2003. We find that those who purchase the supplemental insurance in addition to the social health insurance use more health care services and pay more than those who do not, suggesting insurance effects. This paper, however, cannot distinguish the moral effects of the health insurance from the selection effects due to adverse selection.

• Journal of Preventive Medicine and Public Health
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• 제40권1호
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• pp.36-44
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• 2007

Objectives : There have been few studies examining the differences in health care utilization across social classes during the last year of life. Therefore, in this study we analyzed the quantitative and qualitative differences in health care utilization among cancer patients across educational classes in their last year of life, and derived from it implications for policy. Methods : To evaluate health care utilization by cancer patients in the last year of life, Death certificate data from 2004 were merged with National Health Insurance data (n=60,088). In order to use educational level as a social class index, we selected the individuals aged 40 and over as study subjects (n=57,484). We analyzed the differences in the medical expenditures, admission days, and rates of admission experience across educational classes descriptively. Multiple regression analysis was conducted to evaluate the association between medical expenditures and independent variables such as sex, age, education class, site of death and type of cancer. Results : The upper educational class spent much more on medical expenditures in the last one year of life, particularly during the last month of life, than the lower educational class did. The ratio of monthly medical expenditures per capita between the college class and no education class was 2.5 in the last 6-12 months of life, but the ratio was 1.6 in the last 1 month. Also, the lower the educational class, the higher the proportion of medical expenditures during the last one month of life, compared to total medical expenditures in the last one year of life. The college educational class had a much higher rate of admission experiences in tertiary hospitals within Seoul than the other education classes did. Conclusions : This study shows that the lower educational classes had qualitative and quantitative disadvantages in utilizing health care services for cancer in the last year of life.

• 보건행정학회지
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• 제18권4호
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• pp.23-48
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• 2008

Although the universal health insurance, National Health Insurance (NHI), have improved access to health care and financial burden of health care costs for Koreans, limited coverage of the NHI leads to high out-of-pocket payment for health care. This study examines financial burden of household health expenditures by income level. Data from the Urban Household Expenditure Survey from 1985 through 2005 is analyzed and household expenditure is used as a proxy measure for income. Health expenditures include spending for inpatient care, ambulatory care and pharmaceuticals. If a household spends health expenditure above 40% of household consumption except for foods, that is defined as catastrophic health expenditure. Access to health care for the lowest income group had been improved for two decades relative to other income groups as well as in absolute term. However, both financial burden of health expenditures and the proportion of households that experienced catastrophic health expenditure had been increased in the lowest income group. Study findings have several policy implications. First, in terms of financial burden of health expenditures. the differences among income groups decreased until 2000 but it was worsen in 2005. This suggests that recent policies for extending NHI coverage are not enough to improve the disparity by income level. Second, a differential catastrophic coverage by income level would be an effective strategy that relieves financial burden for low income group. Third, since the catastrophic coverage is applied to only covered services by the NHI, additional strategy for uncovered services should be considered.

• Journal of Preventive Medicine and Public Health
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• 제47권6호
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• pp.327-335
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• 2014

Objectives: Several epidemiological studies on medical care utilization prior to suicide have considered the motivation of suicide, but focused on the influence of physical illnesses. Medical care expenditure in suicide completers with non-illness-related causes has not been investigated. Methods: Suicides motivated by non-illness-related factors were identified using the investigator's note from the National Police Agency, which was then linked to the Health Insurance Review and Assessment data. We investigated the medical care expenditures of cases one year prior to committing suicide and conducted a case-control study using conditional logistic regression analysis after adjusting for age, gender, area of residence, and socioeconomic status. Results: Among the 4515 suicides motivated by non-illness-related causes, medical care expenditures increased in only the last 3 months prior to suicide in the adolescent group. In the younger group, the proportion of total medical expenditure for external injuries was higher than that in the older groups. Conditional logistic regression analysis showed significant associations with being a suicide completer and having a rural residence, low socioeconomic status, and high medical care expenditure. After stratification into the four age groups, a significant positive association with medical care expenditures and being a suicide completer was found in the adolescent and young adult groups, but no significant results were found in the elderly groups for both men and women. Conclusions: Younger adults who committed suicide motivated by non-illness-related causes had a higher proportion of external injuries and more medical care expenditures than their controls did. This reinforces the notion that suicide prevention strategies for young people with suicidal risk factors are needed.

• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6985-6989
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• 2013

Background: This study aimed to examine out-of-pocket expenditure for cancer treatments of hospitalized patients and to analyze changing patterns over time. Materials and Methods: This study examined data of all cancer patients receiving inpatient care from two tertiary hospitals from January 2003 to December 2010. Medical expenditures per admission were calculated and classified into those covered and uncovered by the Korean National Health Insurance (NHI) and co-payment. Results: The medical expenditure per admission increased slowly from 3,455 thousand Korean won (KRW) to 4,068 thousand KRW. While expenditures covered by the NHI have increased annually, co-payments have generally decreased. The out-of-pocket expenditure ratio, which means the proportion of uncovered expenditure and co-payment among total medical expenditure dropped sharply from 2005 to 2007 and was maintained at a similar level after 2007. Medical expenditures, NHI coverage, and the out-of-pocket expenditure ratio differed across cancer types. Conclusions: It is necessary to continually monitor the expenditure of uncovered services by the NHI, and to provide policies to reduce this economic burden. In addition, an individual approach considering cancer type-specific characteristics and medical utilization should be provided.

• 한국식생활문화학회지
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• 제26권2호
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• pp.170-177
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• 2011

We examined household's food expenditures in this study. The empirical work outlined here used quarterly data from 2003 Q1 to 2010 Q3. All variables are in log form and were obtained from the Korea National Statistical Office. The food items included cereals, dairy products, fruits, meat, vegetables, and alcoholic beverages. We applied the ordinary least squares method to a model consisting of household income and seasonal dummies. This is because household expenditures are ordinarily a function of income and have seasonal characteristics. The household's food consumption patterns also reflect the prevailing social and environmental circumstances. This study showed that the income coefficients of cereals, meat, dairy products, and alcoholic beverages tend to increase in the long-run, whereas those of vegetables and fruits decreased. The results also revealed that consumption of alcoholic beverages and meat was greatly affected by household income fluctuations, whereas those of vegetables and dairy products were not sensitive to income. The impulse response functions indicated that expenditures not only increased slowly before peaking one to eight quarters after the income shock but declined very slowly to pre-shock levels. The response of dairy products at the twelfth step was three times as large as that of the first step.

• 한국콘텐츠학회논문지
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• 제19권7호
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• pp.559-573
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• 2019

본 연구는 북유럽 국가의 복지국가모델이 소득증대와 어떠한 경제적 관계를 형성하고 있는지를 파악해서 우리나라의 사회복지 지출 체계와 비교 분석하기 위한 것이다. 구조방정식에서 변수 간의 장단기 경제적 관게를 파악할 수 있는 ARDL 공적분모형에 의한 실증분석 결과에 의하면 장단기탄력도가 모두 작기는 하지만, 사회복지 지출의 경우 한국과 핀란드는 민간지출이, 덴마크와 노르웨이는 공공지출이 증가할 때 명목 및 실질 GDP가 증가하는 것으로 나타났다. 그러나 스웨덴의 경우는 모든 사회복지 지출이 명목 및 실질 GDP를 증가시키지 못하는 것으로 분석되었다. 따라서 북유럽 국가의 체계적인 사회복지 체계가 소득불평등을 효율적으로 개선시키기는 하지만, 사회복지 지출의 확대가 소득증대나 국가의 경제성장을 견인하지는 못하는 것으로 나타났다. 즉, 사회복지 지출의 주요 기능은 소득불평등을 해소하는 것이며, 이를 활용한 소득주도 성장전략은 그 효과가 제한적이라는 것을 인식해야 할 것이다.

• 한국사회복지학
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• 제49권
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• pp.129-161
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• 2002

This study explores whether there are differences in financial structure and governmental support between social service organizations and other nonprofit organizations. In addition, it analyzes what factors are related to governmental supports for both types of nonprofit organizations. Guided by the argument that specific areas where nonprofits primarily operate can explain a difference of relations between nonprofit organizations and funders, this study compares revenue sources and expenditures of social service organizations and other nonprofit organizations in the United States. Also, based on resource dependence theory and taking some important indexes from financial ratio analysis, this study also identifies factors that affect governmental supports for nonprofit organizations. The study sample consists of 10,690 organizations that reported tax form 990 in 1996. Binary logistic regression analysis was conducted for the study. The results show that social service organizations obtained more revenue from government than other nonprofit organizations. Also, logistic regression analysis suggests that revenue diversification and financial characteristics were significantly associated with governmental supports for nonprofit organizations in the United States.