• 제목/요약/키워드: socioeconomic costs

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과체중-비만의 사회경제적 비용 추계 (Socioeconomic Cost of Obesity in Korea)

  • 안병철;정효지
    • Journal of Nutrition and Health
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    • 제38권9호
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    • pp.786-792
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    • 2005
  • With dramatic transitions from a traditionally food-insecure to a food-sufficient society, over weight and/or obesity are an increasing health concern in Korea. In 2000, $35.9\%$ of Korean adults were over weight (BMI>25) with increasing trends. It is well known that obesity is highly correlated with chronic diseases, such as diabetes, hypertension, cardiovascular disease, cancer and high cholesterol. In 2003, the social cost of obesity is estimated at $529.5\~799.3$ billion won (direct cost) and at $1,200\~1,817$ billion won (including indirect cost). The share of the direct cost is estimated at $2.6\~3.9\%$ of total medical bill 20,742 billion won. These costs are underestimated and would surely be higher if the expenditures outside of the official medical insurance system of Korea were included. Based on the rapid increase of obesity rate among the Korean youth, it is crucial to develop and implement appropriate policies to curb the obesity epidemic.

가계의 환경의식적 소비특성에 관한 연구 -에너지, 금전 및 시간자원 사용을 중심으로- (A Study o Environmentally Conscious Behavior of Private Households -Focused on Energy, Money and Time Resources-)

  • 유두연
    • 대한가정학회지
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    • 제35권2호
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    • pp.401-413
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    • 1997
  • The objectives of this study were to measure the characteristics of environmentally conscious behavior in the private household focused on energy consumption, money expenditure and time usage, and to determine the socioeconomic variables, environmental consciousness and environmental education which are associated with the environmentally conscious behavior of private households. The data for this study were collected in a personal interview and the final sample consisted of 178 respondents and the statistics employed to analyze the data are discriminant analysis $\chi$2-test. As a result of the discriminant analysis, it was shown that environmentally conscious private households consumed less energy, had lower transportation costs, but spent more time in purchasing behavior in the market compared with those who did not exhibit environmentally conscious behavior. Environmentally conscious behavior of private households differed significantly according to the education of housewives, and also to the level of environmental consciousness and environmental education of the respondents.

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손상예방, 재난과 보건분야 준비와 대응 (Injury Prevention, Disaster and Public Health Preparedness and Response)

  • 정애숙
    • 보건행정학회지
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    • 제28권3호
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    • pp.308-314
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    • 2018
  • Injury is a serious problem that not only causes death but also significantly degrades the quality of life of the people and causes loss of socioeconomic opportunities and costs. Damage occurs as a result of an accident. Among them, natural disasters and artificial disasters take lives of many people in a short time and threaten their physical and mental health. The United States has responded to the disaster by establishing relevant laws and regulations and a response system with the recognition that health is recognised soon to be as national security in the wake of the 9/11 terrorist attacks and the Katrina disaster. It is necessary to build a knowledge infrastructure to train disaster response experts in public health area and to have health competence to cope with disasters.

옥외 LED 조명설비의 고장검출 IoT 플랫폼 개발을 위한 프로세스 (Development Process on IoT Platform for Faults Detection of Outdoor LED Lighting Installation)

  • 박근영;곽동걸;정민상;박동훈
    • 전력전자학회:학술대회논문집
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    • 전력전자학회 2018년도 전력전자학술대회
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    • pp.273-274
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    • 2018
  • Recently, many countries around the world are investing heavily in green industries based on green IT technology. The key industry in the green industry is LED. If we replace traditional lighting, we can save a lot of socioeconomic costs. Because it is energy efficient. However, the research and development on maintenance and management are still insignificant about LED lighting. Therefore, after the failure, the post-treatment is delayed and often occurs. In order to solve these problems, it is planned to detect the failure of the LED lighting and to establish a monitoring system that can monitor the situation in real time on the computer or mobile phone of the remote manager using the latest IoT network technology.

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1인 가구의 의료이용 형평성: 다인 가구와의 비교를 통하여 (The Equity in Health Care Utilization of One-Person Households: By Comparison with Multi-Person Households)

  • 나비;은상준
    • 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.

A Single Measure of Cancer Burden in Korea from 1999 to 2010

  • Cho, Kyoung-Hee;Park, Sohee;Lee, Kwang-Sig;Jang, Sung-In;Yoo, Ki-Bong;Kim, Jae-Hyun;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.5249-5255
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    • 2013
  • Background: The purpose of this study was to develop a single measure of cancer burden (SMCB), which can prioritize cancer sites by considering incidence and mortality. Materials and Methods: Incidence data from 1999 to 2010 were obtained from the Korea Central Cancer Registry. Mortality data from 1999 to 2010 were obtained from Statistics Korea. The SMCB was developed by adding incidence and mortality scores. The respective scores were given such that incidence and mortality were classified by ten ranges of equal intervals. Results: According to the SMCB in 2010, stomach cancer ranked $1^{st}$ in males with 20 points, and colorectal cancer was $2^{nd}$ with 11 points. Breast cancer and thyroid cancer were joint $1^{st}$ with 11 points for females. The SMCB for females was less than that for males. The burden of stomach cancer was $1^{st}$ in males from 1999-2010. The incidences of lung cancer and liver cancer decreased, whereas thyroid cancer and colon cancer increased during the period. Breast cancer and thyroid cancer burden showed tendencies to increase in females. Comparison of SMCB with disability-adjusted life years (DALY) and socioeconomic costs in 2005 showed that the top five cancer sites were similar, but there were differences in the size of the cancer burden. Conclusions: The SMCB indicated that the burdens of stomach cancer in males and thyroid and breast cancers in females were large. The single measure showed an advantage, reflected as the equivalent dimensions of incidence and mortality, whereas DALY and economic costs showed tendencies to reflect premature death.

건강정보 이해능력(Health Literacy)에 대한 개념분석 (Health Literacy: An Evolutionary Concept Analysis)

  • 김성은;오진아;이윤미
    • 한국간호교육학회지
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    • 제19권4호
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    • pp.558-570
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    • 2013
  • Purpose: In these days, the concept of health literacy becomes important because it is essential to have a clear grasp of patients' basic ability to understand health-care information. Therefore, we intended to discover attributes, antecedents and consequences of health literacy through contextual analysis. Method: Following Rodgers' evolutionary concept analysis, we did a literary review. The databases KMBase, KoreaMed, Kstudy, NDSL, and RISS were searched for articles. Among published literature about health literacy, twenty articles which satisfied the inclusion criteria were chosen. Results: Health literacy consists of three attributes: information seeking, information understanding, and information utilizing. Furthermore antecedents are as follows: health status, health belief, socioeconomic status, and information quality. Finally, we were able to explain the consequences of health literacy by showing improvement of self-care and interaction, and a decrease of social costs. Conclusion: We expect this study to guide the direction of future studies, and as a concept analysis that examines the conceptual attributes in the context of health literacy. Based on the result of this study, the design of a standardized tool and the program of health literacy promotion education need to be developed.

Identification of Unmet Healthcare Needs: A National Survey in Thailand

  • Chongthawonsatid, Sukanya
    • Journal of Preventive Medicine and Public Health
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    • 제54권2호
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    • pp.129-136
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    • 2021
  • Objectives: This study examined demographic factors hampering access to healthcare at hospitals and suggests policy approaches to improve healthcare management in Thailand. Methods: The data for the study were drawn from a health and welfare survey conducted by the National Statistical Office of Thailand in 2017. The population-based health and welfare survey was systematically carried out by skilled interviewers, who polled 21 519 384 individuals. The independent variables related to demographic data (age, sex, religion, marital status, education, occupation, and area of residence), chronic diseases, and health insurance coverage. The dependent variable was the degree of access to healthcare. Multiple logistic regression analysis was subsequently performed on the variables found to be significant in the univariate analysis. Results: Only 2.5% of the population did not visit a hospital when necessary for outpatient-department treatment, hospitalization, or the provision of oral care. The primary reasons people gave for not availing themselves of the services offered by government hospitals when they were ill were-in descending order of frequency-insufficient time to seek care, long hospital queues, travel inconvenience, a lack of hospital beds, unavailability of a dentist, not having someone to accompany them, and being unable to pay for the transportation costs. Multiple logistic regression analysis showed that failure to access the health services provided at hospitals was associated with demographic, educational, occupational, health welfare, and geographic factors. Conclusions: Accessibility depends not only on health and welfare benefit coverage, but also on socioeconomic factors and the degree of convenience associated with visiting a hospital.

Socioeconomic Impact of Cancer in Member Countries of the Association of Southeast Asian Nations (ASEAN): the ACTION Study Protocol

  • Kimman, Merel;Jan, Stephen;Kingston, David;Monaghan, Helen;Sokha, Eav;Thabrany, Hasbullah;Bounxouei, Bounthaphany;Bhoo-Pathy, Nirmala;Khin, Myo;Cristal-Luna, Gloria;Khuhaprema, Thiravud;Hung, Nguyen Chan;Woodward, Mark
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권2호
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    • pp.421-425
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    • 2012
  • Cancer can be a major cause of poverty. This may be due either to the costs of treating and managing the illness as well as its impact upon people's ability to work. This is a concern that particularly affects countries that lack comprehensive social health insurance systems and other types of social safety nets. The ACTION study is a longitudinal cohort study of 10,000 hospital patients with a first time diagnosis of cancer. It aims to assess the impact of cancer on the economic circumstances of patients and their households, patients' quality of life, costs of treatment and survival. Patients will be followed throughout the first year after their cancer diagnosis, with interviews conducted at baseline (after diagnosis), three and 12 months. A cross-section of public and private hospitals as well as cancer centers across eight member countries of the Association of Southeast Asian Nations (ASEAN) will invite patients to participate. The primary outcome is incidence of financial catastrophe following treatment for cancer, defined as out-of-pocket health care expenditure at 12 months exceeding 30% of household income. Secondary outcomes include illness induced poverty, quality of life, psychological distress, economic hardship, survival and disease status. The findings can raise awareness of the extent of the cancer problem in South East Asia and its breadth in terms of its implications for households and the communities in which cancer patients live, identify priorities for further research and catalyze political action to put in place effective cancer control policies.