scholarly journals Association between changes in economic activity and catastrophic health expenditure: findings from the Korea Health Panel Survey, 2014–2016

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Hyeon Ji Lee ◽  
Doo Woong Lee ◽  
Dong-Woo Choi ◽  
Sarah Soyeon Oh ◽  
Junhyun Kwon ◽  
...  

Abstract Background The rate of catastrophic health expenditure (CHE) continues to rise in South Korea. This study examined the association between changes in economic activity and CHE experiences in South Korea. Methods This study analyzed the Korea Health Panel Survey data using a logistic regression analysis to study the association between changes in economic activity in 2014–2015 and the participants’ CHE experiences in 2015. The study included a total of 12,454 individuals over the age of 19. The subgroup analyses were organized by sex, age, health-related variables, and household level variables, and the reasons for leaving economic activity. Results Those who quit economic activities were more likely to experience CHE than those who continued to engage in economic activities (OR [odds ratio] = 2.10; 95% CI [confidence interval]: 1.31–3.36). The subgroup analysis results, according to health-related variables, showed that there is a tendency to a higher Charlson comorbidity index, a higher OR, and, in groups that quit their economic activities, people with disabilities were more likely to experience CHE than people without disabilities (OR = 5.63; 95% CI 1.71–18.59, OR = 1.82; 95% CI 1.08–3.08, respectively). Another subgroup analysis found that if the reason for not participating in economic activity was a health-related issue, the participant was more likely to experience CHE (active → inactive: OR = 2.40; 95% CI 0.61–9.43, inactive → inactive OR = 1.65; 95% CI 1.01–2.68). Conclusions Those individuals who became unemployed were more likely to experience CHE, especially if health problems precipitated the job loss. Therefore, efforts are needed to expand coverage for those people who suffer from high medical expenses.

Data ◽  
2019 ◽  
Vol 4 (3) ◽  
pp. 112
Author(s):  
Onur Dogan ◽  
Gizem Kaya ◽  
Aycan Kaya ◽  
Hidayet Beyhan

The amount of health expenditure at the household level is one of the most basic indicators of development in countries. In many countries, health expenditure increases relative to national income. If out-of-pocket health spending is higher than the income or too high, this indicates an economical alarm that causes a lower life standard, called catastrophic health expenditure. Catastrophic expenditure may be affected by many factors such as household type, property status, smoking and drinking alcohol habits, being active in sports, and having private health insurance. The study aims to investigate households with respect to catastrophic health expenditure by the clustering method. Clustering enables one to see the main similarity and difference between the groups. The results show that there are significant and interesting differences between the five groups. C4 households earn more but spend less money on health problems by the rate of 3.10% because people who do physical exercises regularly have fewer health problems. A household with a family with one adult, landlord and three people in total (mother or father and two children) in the cluster C5 earns much money and spends large amounts for health expenses than other clusters. C1 households with elementary families with three children, and who do not pay rent although they are not landlords have the highest catastrophic health expenditure. Households in C3 have a rate of 3.83% health expenditure rate on average, which is higher than other clusters. Households in the cluster C2 make the most catastrophic health expenditure.


BMJ Open ◽  
2016 ◽  
Vol 6 (7) ◽  
pp. e011747 ◽  
Author(s):  
Jae Woo Choi ◽  
Tae Hyun Kim ◽  
Sung In Jang ◽  
Suk Yong Jang ◽  
Woo-Rim Kim ◽  
...  

2019 ◽  
Vol 15 (2) ◽  
pp. 154-165 ◽  
Author(s):  
Elena N. Mokshina ◽  
Mihail I. Svyatkin

Introduction. The article deals with the main traditional outbuildings of the Mordvinians, reported on their functional purpose in economic activity. The forms and types of outbuildings, as well as the main building materials used by Mordvinians are described in details. Their significance in the religious and ceremonial life of the ethnic group is shown. Materials and Methods. The research is based on traditional methods of ethnographic science, such as field observation, survey and interviews, and a comprehensive approach. Among the methods of historical science comparative-historical, historical-genetic, problem-chronological, structural-system were used. Among the general scientific methods of research logical, descriptive, narrative, generalization, classification and systematization were involved. To achieve the results of the study, the materials collected by the authors in the course of field surveys conducted in the Mordovian villages were mainly used. Results and Discussion. Traditional outbuildings were of great importance in the economic activity of the Mordovian ethnic group. According to their functional purpose, they can be divided into the following groups: for livestock and poultry (stable, chicken coop, stable, kalda), sanitary and hygienic (bath), warehouse buildings for storage of food, utensils, firewood, animal feed (barn, cellar, woodshed, hayloft), for processing of grain (sheep, riga, mill). Depending on the welfare and financial capacity of the family, the number of outbuildings was different. As a rule, the wealthier families had more outbuildings than the less wealthier ones. The main building material for the construction of these buildings was wood. Conclusion. Thus, the traditional outbuildings of the Mordvinians occupied an important place in its economic activities. At the same time, each of them had its own purpose and performed certain functions. Some buildings, such as a bath and a barn, had not only economic purpose, but also were the venue for a number of prayers and ceremonies. It is now ordinarily they have banya (bath-house), outdoor courtyard with standing in different places sheds, barn and cellar.


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