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Medical Care Utilization Pattern of Medical Aid Program Beneficiaries (의료보호대상자(醫療保護對象者)의 의료이용(醫療利用) 양상(樣相))

  • Kim, Ju-Ho
    • Journal of Preventive Medicine and Public Health
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    • 제17권1호
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    • pp.37-45
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    • 1984
  • This study was conducted to identify the problems in the medical aid program by reviewing the medical care utilization pattern of the beneficiaries. The data were abstracted from the monthly bills and vouchers for medical care of the whole benefi챠aries(17,527) in Gyeongsan Gun submitted by the physicians to county government for the period of 1 calendar year from October 1981 to September 1982. The number of medical aid beneficiary accounted for 12.7% of the total county population, a higher proportion than the national average-9.5%. Monthly primary care utilization rate per 100 beneficiaries was 9.3 persons with 14.0 visits and 42.9 medication days. for the 2nd and 3rd care, there were 1.7 admissions and 9.3 OPD visits per 100 beneficiaries per year. The beneficiaries of the first class medical aid program had a higher utilization rate of both the primary and secondary/tertiary care facilities. Females utilized more the primary care facilities than males while males utilized more the secondary/tertiary care facilities than females. A significantly lower utilization rate was observed in January than in the other months and this was seemed due to the renewal process of the medical aid certificate. Among 1,931 patients utilized the 2nd/3rd care facilities 84.4% was out-patients and the lowest ratios were in the minor specialties including ENT, ophthalmology, dermatology and urology. The average hospital days per in-patient were 21.2 days and OPD days per out patient were 4.7 days. The average hospital days for a psychiatry in-patient was 74.4 days which was the longest average hospital days among all the specialties. Average medical care cost per beneficiary in a year was W9,821:W24,240 for the 1st class and W7,464 for the 2nd class. The medical care cost for the primary care per patient was W3.901 and W840 per day compared with W49,875 per patient and W5,822 per day for the secondary/tertiary care. From the findings of this study following recommendations were made to improve the medical care program: 1) The renewal process of the medical care certificate should be expedited. 2) Minor specialty clinics should be designated as the primary medical care facility for the medical aid program to reduce the expenses by absorbing more patients referred to the secondary/tertiary care facilities directly. 3) The medical care cost for the primary care facility should be escalated to reduce the differential between the primary and secondary/tertiary care facilities.

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Petrological study and Provenance estimation on the stone materials from the Jeolla Usuyeong Rampart, the Republic of Korea (전라우수영 성곽 부재에 대한 암석학적 연구 및 산지추정)

  • Park, Sang Gu;Kim, Sung Tae;Kim, Jun Hyeok;Kim, Seon Hyang;Baek, Ye ram;Kim, Jae Hwan;Jwa, Yong-Joo
    • Journal of the Korean earth science society
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    • 제39권3호
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    • pp.250-259
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    • 2018
  • We investigated the petrological features of the stone materials used in the Jeolla Usuyeong rampart and estimated their provenance through the geological survey. The Jeolla Usuyeong was designated as a historic site (No. 535) on 2016. Since the remaining rampart is less than 15%, it is necessary to make conservation on it. In this study, we discriminated the stone materials used for the rampart according to their petrographic characteristics and estimated the volume proportion of each stone by the rock type. Also, we measured the whole-rock magnetic susceptibility. The petrographic features of the stones in the rampart were compared with those in the vicinity by their mineral composition and texture. The stone materials of the rampart mainly consist of the tuff, lapilli tuff, and lapilli stone. Among these three kinds of rocks, lapilli tuff is quantitatively the most abundant (60.3%), the next is tuff (34.7%), and lapilli stone (2.5%) shows the least amount. The whole-rock magnetic susceptibility of the tuffaceous rocks can be divided by the value of $1.0{\times}10^{-3}$ SI unit. Also, the compressive strength of tuff exhibits about 156 MPa, which is adequate to reuse for the repairing work. Petrological comparisons between stone materials and outcrop rocks distributed around the Hwawon peninsula leads to a conclusion that the stone materials of the rampart are likely to have been delivered from the Dongoeri and Sindeok-ri. Judging from the results of the comparison on the frequency of use and physical properties among the tuffaceous rocks, tuff is considered to suitable for restoring the rampart.

The Present Status and the Preservation Method of the Rice Terrace as Scenic Sites Resources in Northeast Asia (동북아시아 계단식 논의 명승지정 현황 및 보전방안)

  • Youn, Kyung-Sook;Lee, Chang-Hun;Kim, Hyung-Dae;Seo, Woo-Hyun;Lee, Jae-Keun
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • 제29권4호
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    • pp.111-123
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    • 2011
  • This study aims to present the basic materials, which lead us to preserve the Korea Rice Terrace as scenic sites resources and study it continuously, through researching about the present status and the preservation method of the Rice Terrace in Korea, China and Japan. The results of this study are as follows. First, The Rice Terrace has a traditional agricultural technique which minimizing the damage of the scenic view while cultivating the slope. And also, it has the value of one of the Korea unique traditional scenic views. However, The no cultivation land or disappearing desert land of rice terrace were increasing by the disadvantage of operation in land cultivation. Therefore, The Government must need preparing the base of scene resources excavation by executed the established of Korea Rice Terrace Database for preserving of Korea traditional scene. however it is getting to disappearance. And also, The High valued of Rice Terrace by cultural and scenic view which is must managed by designation of scenic sites or monument. Second, The internal and external reference book researched and analyzed results are as followings for understanding about Korea Rice Terrace feature. First of all, The Rice Terrace's dictionary meaning is just difference by each nations. However, Generally speaking that It means the terraced land by cultivated of sloped land. The Rice Terrace has cross relation with mountain valley and piedmont slope cultivation in location of condition. It occurred era is before approximately estimated from 3000 of years until 6000 of years. It can divide two type by topography shape those are slope and valley type. However, The natural element of forest has very big position in this part. But, The Rice Terrace is just managed and designated by the scenic sites with the Cultural Properties Protection Law. It must needs more binding force and effectiveness for the Rice Terrace scenic view plan establishment by scenic laws and farming and fishing village laws etc. I think that it must need the Rice Terrace related law establishment as soon as possible for efficient preservation and management of the Rice Terrace. Third, The Rice Terrace were researched and analyzed results are as followings those were executed at the Korea, China and Japan. The Korea and Japan have good Rice Terrace Characteristic. And also, The high valued scenic sites area were good managed by the Cultural Properties Protection Law as well as the superior scenic valued Rice Terrace in China. Those are also managed by designated scenic sites for protection and preservation positively. Those were managed by each autonomous district management Department. The each nation's related laws of Rice Terrace protection were just little bit different. However, The basic purpose is same. for example, it based on superior scenic view preservation and protection. Especially, The Japan's Cultural Properties Law and Scenic law linkage, and China Autonomous district legislation and effectiveness. The Korea Government must need above elements for Korea Rice Terrace culture and scenic view preservation. Fourth, We need inducing the owner system and the policy of Rice Terrace preservation promotion association for efficient preservation of Rice Terrace in japan. The owner system in japan gives the owner of the land a permission to rent the land to Rice Terrace preservation promotion association and the local government. In this system the village would be revitalized by commons in the way of the management of the terraces, beautifying the area around the terraces and etc. And also, Making the each village management operating system for Rice Terrace management through educating civilization. The civilization could receive quick help from a consultative body comprised of experts such as representatives of Cultural Heritage Administration and professors. And it is in a hurry to solve the problem of revitalization of the region by exchange between cities and the village.

Vegetation Strucure of Haepyeong Wetland in Nakdong River (낙동강 해평 습지의 식생 구조)

  • Lee, Pal-Hong;Kim, Cheol-Soo;Kim, Tae-Geun;Oh, Kyung-hwan
    • Journal of Wetlands Research
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    • 제7권3호
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    • pp.87-95
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    • 2005
  • Vegetation structure of the vascular plants was investigated from March 2003 to October 2003 in Haepyeong wetland, Gumi-si, Gyeongsangbuk-do, Korea. Actual vegetation of Haepyeong wetland largely can be classified by floristic composition and physiognomy into 18 communities; Xanthium strumarium-Digitaria sanguinalis, Humulus japonicus, Persicaria perfoliata-Humulus japonicus, Phragmites japonica-Miscanthus sacchariflorus, Persicaria hydropiper-Phragmites communis, Persicaria hydropiper, Phragmites japonica-Persicaria hydropiper, Miscanthus sacchariflorus- Phragmites japonica, Persicaria hydropiper-Phragmites japonica, Miscanthus sacchariflorus-Salix glandulosa, Salix nipponica-Salix glandulosa, Salix nipponica-Salix koreensis, Salix nipponica, Miscanthus sacchariflorus-Salix nipponica, Phalaris arundinacea-Salix nipponica, Salix glandulosa-Salix nipponica, Trapa japonica, and Ceratophyllum demersum-Trapa japonica. Among them, the area of the Salix nipponica-Salix koreensis community was the largest as 122.2ha(9.23%). The dominant vegetation type was Miscanthus sacchariflorus-Persicaria hydropiper community based on phytosociological method, and it was was classified into three subcommunities; Salix glandulosa-Salix nipponica subcommunity, Digitaria sanguinalis subcommunity, and Cyperus amuricus subcommunity. Differential species of Salix glandulosa-Salix nipponica subcommunity were Salix nipponica, S. glandulosa, S. koreensis, Scirpus radicans, Persicaria maackiana, and Achyranthes japonica; differential species of Digitaria sanguinalis subcommunity were D. sanguinalis, Setaria viridis, Ambrosia artemisiifolia var. elatior, and Cyperus orthostachyus; differential species of Xanthium strumarium subcommunity were X. strumarium, Acalypha australis, Erigeron canadensis, Echinochloa crus-galli, and Vicia tetrasperma. Zonation of vascular hydrophytes and hygrophytes was as followers: Salix glandulosa, S. koreensis, S. nipponica were distributed in the region of land which water table is low, and Persicaria maackiana, Persicaria hydropiper, Scirpus radicans were distributed in the understory. And emergent plants such as Phragmites communis and Scirpus karuizawensis, floating-leaved plant such as Trapa japonica, submersed plant such as Ceratophyllum demersum, and free floating plant such as Spirodela polyrhiza formed the zonation from shoreline to water. The specified wild plants designated by the Korean Association for Conservation of Nature, Ministry of Forest, and Ministry of Environment were not distributed in the study area. It was expected that Haepyeong Wetland worthy of conservation contributed purifying water pollution, giving habitats of many lifes, and providing beautiful scenes of the river.

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Flora of Wonju-Hoengseong Area (원주.횡성 지역의 식물상)

  • Ko, Sung-Chul;Son, Dong-Chan;Kim, Hyun-Jong;Hwang, Hee-Suk;Shin, Young-Hwa
    • Korean Journal of Plant Resources
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    • 제22권5호
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    • pp.365-380
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    • 2009
  • Flora of vascular plants in mountains located at Wonju-si and Hoengseong-gun areas such as Chiak-san(1,288m), Taegi-san(1,261.4m), Obong-san(1,126.2m), Eungbong-san(1,094.9m), Eodab-san(789.4m), Deokgo-san(521.2m), Deokga-san(700.5m) and Seongji-bong(791m) was investigated from April, 2008 to May, 2009, and results from the previous researches in which voucher specimens had been presented from Balgyo-san(998.4m), Oeum-san(930.4m), Baekun-san(1,037.1m) and Chiak-san(1,288m) were included in the list of vascular plants from these areas. This investigations resulted in 804 taxa consisted of 680 species, 1 subspecies, 111 varieties, and 12 forms of 383 genera under 97 families, and totally in 973 taxa (21.14% of all vascular plants in Korea) of 818 species, 1 subspecies, 138 varieties and 16 forms of 418 genera under 105 families on addition of voucher specimens in the previous researches. Forests of the investigated areas were generally mixed of Pinus densiflora and deciduous trees. The areas with comparatively excellent vegetation were valley from Guryong-sa (temple) to Biro-bong (summit) via Seryeom-pokpo (fall) in Mt. Chiak-san, and Keunseong-gol (valley) and eastern slope from Taegibungyo-teo to Naksu-dae (fall) in Mt. Taegi-san. 10 families with abundantly collected species were Compositae, Graminae, Rosaceae, Ranunculaceae, Leguminosae, Cyperaceae, Liliaceae, Saxifragaceae, Umbelliferae and Labiatae in order, and they occuied 49.12% of all collected taxa. Endemic plants found in these areas were 38 taxa including Hanabusaya asiatica, Megaleranthis saniculifolia, and Pyrus ussuriensis var. diamantica, and rare and endangered ones were 24 taxa including Hanabusaya asiatica, Viola websteri, Viola diamantica, and Patrina saniculaefolia. Specially designated plants by the Ministry of Environment were 88 taxa including 12 taxa of 5th degree such as Woodsia intermedia, Hanabusaya asiatica, Equisetum pratense, Iris koreana, Lilium cernum, Trillium tschonoskii, Magnolia kobus(cultivated), Gastrodia elata, Polypodium virginianum, Cimicifuga heracleifolia, Megaleranthis saniculifolia and Viola websteri. 47 taxa of alien plants were found. As to 609 taxa (13.23% of all vascular plants in Korea) of useful plants, 334 taxa for the edible, 269 taxa for the medicinal, 127 taxa for the ornamental, 332 taxa for the forage, 3 taxa for the industrial raw material, 31 taxa for the timber and 13 taxa for the fiber were classified, respectively.

A Comparative Study on the Characteristics of Cultural Heritage in China and Vietnam (중국과 베트남의 문화유산 특성 비교 연구)

  • Shin, Hyun-Sil;Jun, Da-Seul
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • 제40권2호
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    • pp.34-43
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    • 2022
  • This study compared the characteristics of cultural heritage in China and Vietnam, which have developed in the relationship of mutual geopolitical and cultural influence in history, and the following conclusions were made. First, the definition of cultural heritage in China and Vietnam has similar meanings in both countries. In the case of cultural heritage classification, both countries introduced the legal concept of intangible cultural heritage through UNESCO, and have similarities in terms of intangible cultural heritage. Second, while China has separate laws for managing tangible and intangible cultural heritages, Vietnam integrally manages the two types of cultural heritages under a single law. Vietnam has a slower introduction of the concept of cultural heritage than China, but it shows high integration in terms of system. Third, cultural heritages in both China and Vietnam are graded, which is applied differently depending on the type of heritage. The designation method has a similarity in which the two countries have a vertical structure and pass through steps. By restoring the value of heritage and complementing integrity through such a step-by-step review, balanced development across the country is being sought through tourism to enjoy heritage and create economic effects. Fourth, it was confirmed that the cultural heritage management organization has a central government management agency in both countries, but in China, the authority of local governments is higher than that of Vietnam. In addition, unlike Vietnam, where tangible and intangible cultural heritage are managed by an integrated institution, China had a separate institution in charge of intangible cultural heritage. Fifth, China is establishing a conservation management policy focusing on sustainability that harmonizes the protection and utilization of heritage. Vietnam is making efforts to integrate the contents and spirit of the agreement into laws, programs, and projects related to cultural heritage, especially intangible heritage and economic and social as a whole. However, it is still dependent on the influence of international organizations. Sixth, China and Vietnam are now paying attention to intangible heritage recently introduced, breaking away from the cultural heritage protection policy centered on tangible heritage. In addition, they aim to unite the people through cultural heritage and achieve the nation's unified policy goals. The two countries need to use intangible heritage as an efficient means of preserving local communities or regions. A cultural heritage preservation network should be established for each subject that can integrate the components of intangible heritage into one unit to lay the foundation for the enjoyment of the people. This study has limitations as a research stage comparing the cultural heritage system and preservation management status in China and Vietnam, and the characteristic comparison of cultural heritage policies by type remains a future research task.

International Comparison Study on Essential Concepts of Science Curriculum: Focus on the United States, Canada, Australia and England (과학과 교육과정의 핵심 개념 국제 비교 -미국, 캐나다, 호주, 영국을 중심으로-)

  • Kim, Jihyeon;Chung, Are Jun
    • Journal of The Korean Association For Science Education
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    • 제37권1호
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    • pp.215-223
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    • 2017
  • This study aims to find an effective way to present essential science concepts in national science curriculum through international comparisons. Next Generation Science Standard (US), Ontario Science Curriculum (Canada), Australia Science Curriculum, and British/English Science Curriculum were selected for comparison. In science curriculum documents, these countries used terms such as 'Key ideas,' 'Big ideas,' 'Key concepts,' 'Disciplinary core ideas.' and 'Fundamental concepts' to present essential concepts of science. This study reviewed the characteristics of the meaning, the status, and the role of essential concepts country by country. The result shows essential concepts have been used with different meanings and statutes in each case. Furthermore, various roles were performed through essential concepts in order to organize their science curriculum. From these foreign nation's cases, this study proposes several ways to present essential science concepts based on results. First, interdisciplinary integrated concepts were needed to organize an integrated science curriculum. In science curriculum documents of the United States, Canada, Australia and England, two types of terms were used in order to structuralize an integrated science curriculum. Second, essential concepts should include concepts related with function and value as well as scientific knowledge. Third, essential concepts need to be presented in such a way as to show specific contexts. Therefore, selecting appropriate contents and structure are needed to be able to improve the way to present essential concepts in Korea's educational environment.

An Ecological Study on the Vegetation of Bijin and Yongcho Islets (비진도와 용초도의 식생에 관한 생태학적 연구)

  • Kim, In-Taek;Park, Tae-Ho;Choi, Jae-Eun
    • The Korean Journal of Ecology
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    • 제28권4호
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    • pp.223-230
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    • 2005
  • The vegetation of Bijin and Yongcho Islets was investigated from February 1, 2000 to March 30, 2002, and forest structure was constructed. Vascular plants of this area consisted of 12 forms, 59 varieties, 476 species, 352 genera, 112 families and 37 orders. Among them, 37 species (6.8% out of the total 547 taxa) of evergreen broad leaved trees, 36 species (6.6% out of the total 547 taxa and 19.7% out of the total naturalized plants in Korea) of naturalized plants, 6 species of endemic plants and 41 species of cultivated plants were observed. Rare and endangered plants include 1 taxa: Crypsinus hastatus ('98-4). The vegetation in this study area was classified into 9 communities (Pinus thunbergii, Castanopsis cuspidata var thunbergii Camellia japonica, Neolitsea sericea, Machilus thunbergii, Quercus variabilis, Carpinus coreana, Platycarya strobilacea, Miscanthus sinensis var. purpurascens) and 1 afforestation (Alnus firma).

Botany: A Modern Natural Science Book written by Mathematician Sang-Seol Lee (수학자 이상설이 소개한 근대자연과학: <식물학(植物學)>)

  • Park, Young-Min;Kim, Chae-Sik;Lee, Sang-Gu;Lee, Jae-Hwa
    • Communications of Mathematical Education
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    • 제25권2호
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    • pp.341-360
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    • 2011
  • This paper deals with contents that Sang-Seol Lee contributed to the natural science in the 19th century Korea. Prof. Sung-Rae Park, the science historian, called Sang-Seol Lee Father of the Modern Mathematics education of Korea. Sang-Seol Lee wrote a manuscript Botany with a brush in late 19th century. Botany was transcribed from Science Primers: Botany (written by J. D. Hooker), which is translated into Chinese by Joseph Edkins in 1886. The existence of Sang-Seol Lee's book Botany was not known to Korean scientists before. In this paper, we study the contents of Botany and its original text. Also we analyze people's level of understanding Western sciences, especially botany at that time. In addition, we study authors of 16 Primers jar Western Knowledge. We study the contribution of mathematician Sang-Seol Lee to science education in the 19th century Korea.

Work plan for flood disaster management considering climate changes (기후변화를 고려한 풍수해 재난관리 업무방향)

  • Shim, Kee-Oh;Yoo, Byung-Tae;Park, Kyoung-Ho
    • Proceedings of the Korea Water Resources Association Conference
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    • 한국수자원학회 2009년도 학술발표회 초록집
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    • pp.337-341
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    • 2009
  • 지구의 평균기온이 지속적으로 상승함에 따라 지구온난화로 인한 기후변화는 지구에 분포되어 있는 극지방의 빙하들을 녹임으로써 지구의 물 순환시스템을 교란시켜 집중호우와 태풍, 가뭄, 낙뢰 등 예측을 불허하는 극한 기상변화를 발생시키고 있다. 기후변화로 인해 바다의 수온이 상승함에 따라 빙하가 녹거나 바닷물이 팽창하여 해수면이 상승하게 되는 바, 1990년 대비 2000년대에 동해바다에서는 상승률이 0.07cm/yr이던것이 0.20cm/yr로 나타났으며, 서해바다에서는 0.14cm/yr이던 것이 0.18cm/yr로 나타났고, 남해바다에서는 0.32cm/yr이던 것이 0.34cm/yr 로 평균상승률이 1990년대에 비해 증가하는 것으로 관측되었다. 본 연구에서는 기후변화로 인한 자연재해 피해를 최소화하기 위해 소방방재청의 현행 업무를 중심으로 재해를 예방하기 위한 풍수해 업무별 추진해야할 연구과제들을 조사 제시하고자 하였다. 기후변화에 따른 재난분야의 정책과 관련된 연구적인 측면의 분야를 제시하기 위하여 최근에 나타난 자연재난 피해현상에 대한 원인 및 대책을 기초로 하여, 재난관리분야에서 추진하고 있는 업무를 계승 발전시킴으로써 기후변화로 인한 피해를 예방 또는 최소화 할 수 있는 방향으로 제시하고자 하였다. 기후변화에 따른 소방방재청의 풍수해 재난관리 분야 종합계획을 제시하기 위해 본 연구에서는 기후변화 관련 최근 국내 외의 동향을 먼저 살펴보았다. 1977년부터 2006년까지 우리나라 최근 30년간의 재해연보에 제시되어 있는 시설물별 피해액을 조사하여 시설물 중 피해액이 많은 순으로 주요피해 시설물을 파악하였다. 여기에서 주요피해 시설물로는 하천, 도로, 소하천, 수리, 농경지, 사방 등의 순으로 나타났다. 이러한 주요시설물에 대한 피해현황을 파악하기 위하여 대규모 풍수해 피해에 대한 현황, 원인분석 및 대책이 제시되어 있는 각종 피해조사 보고서, 연구보고서 및 전문 학술지 기사들을 수집 분석하였으며, 수집된 자료를 토대로 각각의 재해피해현상에 대하여 시설물의 피해현상, 원인 및 대책을 분류하여 분석하고자 한다. 재난관리 분야 중 우수유출저감시설 관련 제시된 업무방향을 보면 침투 저류를 위한 우수유출저감시설의 개발연구, 침수위험지구의 지정기준 등급별 방재대책 방안연구, 유역별 재해위험 저감능력의 평가기준 개발, 단위구역별 우수유출저감시설의 확보기준 연구, 우수유출저감시설의 국내 표준화 방안 연구, 우수유출저감시설 설치자에 대한 인센티브 도입방안 연구, 피해지역의 매입을 통한 저류지화 방안 연구, 우수유출저감시설 설치효과의 교육 홍보 및 우수유출저감시설의 국제 표준화 기준 제정 추진 등이 필요할 것으로 조사되었다. 여기에서 제시된 재난관리 업무분야별 많은 연구과제들이 향후 연구할 수 있는 재원확보로 이어져 재난관리의 업무발전에 도움이 될 수 있도록 하여야 하겠으며, 주요 결론으로는 다음과 같다. 첫째, 우리나라는 기후변화에 대해서는 기존에 소극적으로 대응하였으나 기후변화대책기획단을 만들어 적극적으로 대처하고 있으므로 기후변화와 관련된 여러분야가 활성화 될 것으로 판단된다. 둘째, 국외의 기후변화 대응사례에서 보면 시설물의 규모를 볼 때 큰 규모의 예산을 투입하는 것으로 판단되는바, 이는 향후의 불확실한 기후변화에 대비하는 선진적인 판단으로 검토되어야 할 것이다. 셋째, 풍수해 관련 주요업무 8가지에 대하여 추진해야할 업무방향 48개를 선정 제시하였다.

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