• 사회복지연구
• /
• 제41권1호
• /
• pp.203-226
• /
• 2010

본 연구는 한국복지패널 자료를 사용하여 국민연금 적용제외자들의 노동시장 활동 현황을 분석하고 이를 기초로 국민연금제도 개선과 관련된 일련의 함의를 도출하고자 하였다. 첫째, 비록 3년의 단기간을 관측하였음에도 불구하고, 분석 결과는 국민연금 적용 상태가 고정된 것이 아닌 상당한 정도로 변화를 보이는 동태적인 과정임을 보여 준다. 둘째, 국민연금 적용 상태에서 나타난 변화는 소득 활동에 따른 실질적인 변화뿐만 아니라 소득 활동과 관계없는 형식적인 적용 상태 변화를 상당 부분 반영하고 있다. 셋째, 노동시장 활동과 관련된 분석 결과는 국민연금 적용제외자 중에서 소득 활동을 함으로써 국민연금제도에 의무적으로 가입해야 할 적용제외자들이 상당수 존재하지만, 이들의 소득 활동은 대체로 임시/일용직 임금근로처럼 고용 환경이 불안정한 영역에 집중되는 경향이 있음을 보여 준다. 전반적으로 본 연구는 국민연금 적용제외자들의 노동시장 경험을 고려할 때 적용제외자를 대상으로 한 국민연금 적용 범위의 급격한 확대는 현 시점에서 그 효과가 상당히 제한적일 것임을 시사하며, 국민연금 적용 범위의 무리한 확대보다는 관리 가능한 집단을 중심으로 한 재정 안정화 그리고 제도 운영의 내실화가 보다 중요한 현안임을 제안하고 있다.

• Journal of Preventive Medicine and Public Health
• /
• 제35권1호
• /
• pp.1-12
• /
• 2002

Objective : To estimate the socioeconomic costs of obesity in Korea,1998. Methods : The 1998 National Health and Nutrition Examination Survey(1998 NHNES) data was used and 10,880 persons who had taken health examinations were selected for study. Essential hypertension, NIDDM(non insulin-dependent diabetes mellitus), dyslipidemia, osteoarthritis, coronary heart disease, stroke were included as obesity related disease. The data of direct costs of obesity was obtained from the National Federation of Medical Insurance. The category of indirect costs was the loss of productivity caused by premature death and admission, time costs, traffic costs, nursing fees due to obesity. Multiple logistic regression model was developed to estimate prevalence odds ratio by obesity class adjusted demographic and socio-ecnomic factors and calculate PAF(Population Attributable Fraction) of obesity on obesity related disease. And we finally calculated the socioeconomic costs of obesity in relation to BMI with PAF. Results : The direct costs of obesity were 2,126 billion${\sim}965$ billion Won in considering out of pocket payment to uninsured services, and the indirect costs of obesity were 2,099 billion${\sim}1,086$ billion Won. Consequently, in considering out of pocket payment to uninsured services, the socioeconomic costs of obesity were 4.225 billion${\sim}2,050$ billion Won, which corresponded to about $0.094%{\sim}0.046%$ of GDP and $1.88%{\sim}0.91$ of total health care costs in Korea. Conclusions : Obesity represents a major health problem with significant economic implications for the society. This results are conservative estimates as far as all obesity related disease and all health care and indirect costs were not included due to missing information. further studies are needed to caculate socioeconomic costs of obesity more exactly.

• 동의생리병리학회지
• /
• 제27권5호
• /
• pp.667-671
• /
• 2013

The aim of this study was to know the current management status in Korean medical clinics (KMC) and the awareness of Korean medicine doctor. The simple random extraction method from the membership list of 'The Association of Korean Medicine' in 2010 was used for survey. The questionnaire which had used in 2008 was revised, and those were sent to each KMC by mail. A total of 107 data were acquired and frequency analysis was conducted. The result showed that the annual average employees working in each KMC was 2.9 persons and the number of daily outpatient was 33.8 person in 2010. The proportion of sales covered by medical insurance at KMC has been increasing annually as 42.9%, 43.5%, and 44.8% of total sales, whereas the uninsured sales was 57.1%, 56.5%, and 55.2% of total sales in 2008, 2009, and 2010 respectively. All of the responders recognized that the current situation of Korean medical service market was not good and the reason was mainly resulted from undeveloped medical technique, popularized use of functional foods for health and alternative medical care by Western medicine. To expand Korean medical service, the expansion of sales covered by public health medical insurance, government support and advertizement for public relation were needed.