• 한국ITS학회 논문지
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• 제20권1호
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• pp.119-131
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• 2021

경부고속도로는 서울과 부산을 연결하는 국토대동맥으로써 여객과 화물수송의 역할 뿐 만아니라 산업과 도시발전에 영향을 주었다. 본 연구는 1970년 개통한 경부고속도로가 사회경제적으로 미친 직접적인 효과를 정량적으로 도출하였으며, 보다 신뢰성 있는 결과도출을 위하여 과거 시점의 네트워크 구축 및 O/D교통량추정, 편익계수의 보정방법론을 제시하였다. 1970년 당시 경부고속도로가 미건설된 경우, 경부고속도로 개통이 10년 지연된 경우, 세계은행의 제안과 같이 경부고속도로 대신 서울~대전, 또는 서울~강릉 간 유료도로가 개통되는 경우의 시나리오를 설정하였으며, 각 시나리오와 현재의 차량운행비용, 통행시간비용, 교통사고비용, 환경오염비용을 산정·비교하여 직접편익을 추정하였다. 분석 결과를 통해 1970년 경부고속도로 개통은 10년 지연되었을 때와 비교하여 약 351조의 직접편익이 발생하는 것으로 추정되었으며, 이는 당시 경부고속도로 건설사업 추진이 우리나라 사회경제에 막대한 영향을 주었다는 것을 알 수 있다.

• 인터넷정보학회논문지
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• 제21권2호
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• pp.139-148
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• 2020

현재 우리 군은 과학과 기술의 발달, 2000년대 들어 급격히 심해진 저 출산율, 병 복무기간 단축 등으로 병력위주에서 장비위주로 첨단화, 고속화, 복잡화 되어가고 있다. 즉, 한 번의 실수로 많은 인명피해가 발생할 수 있는 실정이다. 선진국과 민간 안전교육 체계 및 교육성과 등을 분석해보면 군 안전 및 자살사고를 예방하기 위해서는 체험교육이 중요하며, 체계적이고 효율적인 체험교육을 위해서는 안전체험훈련장 건립이 필요함을 알 수 있었다. 지금 입대하고 있는 장병들은 일명 인터넷세대로 태어나면서부터 인터넷을 접하면서 성장하여 가상·증강현실(VR / AR)을 자유롭게 활용하고 있으며, 지금의 과학 기술 수준은 국민안전체험관의 체험실 대부분을 가상·증강현실로 대체할 수 있을 정도의 수준까지 발전하였다. 따라서 군 안전체험훈련장은 설치공간, 건립비, 유지비, 사용자 특성, 교육효과 등을 고려하여 '응급처치'처럼 모형이 효과적인 체험실 몇 개를 제외한 많은 체험실을 가상·증강현실로 건립할 필요성이 있다. 가상·증강현실(VR / AR) 기술의 발전, 국민안전체험관 운용실태, 군 부대 특성, 설치비 및 유지비 등을 고려하여 체험훈련 소요를 도출하였다. 그리고, 국민안전체험관 대비 저비용으로 효과적인 훈련성과를 달성할 수 있는 안전체험훈련장 구축방안과 부대별 교육인원 및 주변 여건에 부합한 안전체험훈련장 규모와 체험실 구성에 대해 제시하였다. 향후 이를 기반으로 안전체험훈련장을 구축하여 체험교육을 한다면 군 안전 및 자살사고를 예방하는데 기여하게 될 것이다.

• 가정∙방문간호학회지
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• 제6권
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• pp.5-18
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• 1999

This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health care would have been developed in the community based for comprehensive rehabilitation services as a substitutes of hospitalization for shortening the length of stay of hospitalizations. In hospital based horne health care nursing service, it's available immediately to utilize for the patients who wanted rehabilitation services as a substitutes of hospitalization under the cooperations with workers compensation insurance company.

• 가정∙방문간호학회지
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• 제7권1호
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• pp.58-72
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• 2000

This study was an attempt to encourage the development of a rehabilitation delivery system and programs as a substitute service for hospitalization on the case of car accident patients, such as hospital based home health care nursing services. Various substitute services for hospitalization are required to curtail the length of stay for inpatients who were hospitalized with car accident compensation insurance. It focused on developing an estimation an early discharge day for car accident inpatients based on detailed statements of treatment for 111 inpatients who were hospitalized at the General Hospital in 1997. This study had four specific purposes as follows. First. to find out the utilization of medical services. Second, to estimate the time of early discharge and income increasing effect based on early discharge for those patients. Third, to identify the factors affecting total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze the length of stay and medical expenditure for inpatients who were hospitalized due to car accidents, the authors conducted micro- and macro-analysis of medical and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria, such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the test consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, and stable conditions. In addition to identifying variables affecting medical expenditure, and the length of stay and income effect due to early discharge day, the data was analyzed with a multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study were as follows. First. the mean length of stay was 50.3 days. whereas the mean length of stay due to early discharge was 34.3 days at the hospital. The estimation of time of early discharge depended on the length of stay. The longer the length of stay, the longer the length of time of early discharge : for instance a length of stay under 10 days was estimated as correlating to a mean length of stay of 6.6 days and early discharge of 6.5. The mean length of stay was 217.4 days and the time of early discharge was 110.1 respectively. The mean medical expenditure per day was found to be 169.085 Won and the mean medical expenditure per day showed negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to being discharged 16 days early was around 2,244,000 won per bed. However. this sum does not represent the real benefits resulting from early discharge, but rather the income increasing amount without considering medical prime cost in the general hospital. Therefore, further analysis is required on the cost containments and benefits as turn over rate per bed as the medical prime costs. The length of stay was most significant and was positive to the total medical expenditure, as expected. Surgery and patient's residential area was also an important variable in explaining medical expenditure. The level of complications was the most significant variable in explaining the length of stay. There was a high level for need a home health care nursing service which further supports early discharge for accident patients. In addition, when the patient was discharged. they needed follow up care for complications suffered during the car accident. $86.8\%$ of discharged patients responded that they needed home health services after early discharge. From these research findings, the following suggestions have been drawn. Strategies on a health care delivery system must be developed in order to focus on the consumer's needs and being planned for 21 century health policy in Korea. Community based intermediate facilities or home health care should be developed for rehabilitation services as a substitute for hospitalization in order to shorten the length of stay would be. A hospital based home health care nursing service. it would be available immediately to utilize by patients who want rehabilitation services as a substitute for hospitalization with the cooperation of car insurance companies.

• 한국건설관리학회논문집
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• 제15권2호
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• pp.62-70
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• 2014

민간시설물인 공동주택은 한 건축물 안에 다수의 인원이 각각 독립생활을 할 수 있도록 지어진 주택으로서 부실점검에 의한 건축물 안전사고 발생 시 인명피해가 제일 많이 발생할 수 있는 건축물이다. 하지만 관리주체의 안전점검에 대한 의식부족 및 최저가입찰방식에 의한 진단업체의 저가수주 등으로 인해 형식적인 점검이 이루어지고 있는 실정으로 향후 구조물의 유지관리 등 보수 보강 시 막대한 대가가 투입되고, 구조물의 안전사고 발생 시 인적피해를 유발할 가능성이 크다고 판단된다. 이에 본 논문은 효율적인 정밀점검 수행을 위한 현행 기준의 개선점을 도출하고자 광주광역시 및 전라남도 지역의 2종 시설물에 대하여 최근 3년간 실시한 정밀점검 대상건축물 66개동의 설계대가 및 실행대가현황을 조사 분석한다. 이를 통해 2차 대상건축물을 선정하고, 선정 된 공동주택 10개 단지의 정밀점검 보고서 및 정밀점검 실행대가 산정 기준을 평가하여 현행 문제점 분석을 통한 개선점을 제시하고자 한다.

• 한국도로학회논문집
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• 제10권2호
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• pp.35-45
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• 2008

트럭은 상대적으로 낮은 운송비용과 그 운영의 탄력성 때문에 화물 운송에 가장 널리 이용되는 교통 수단이다. 그러나 전체 교통량에서 트럭교통이 차지하는 비율이 높은 곳에서는 심각한 안전 문제를 일으킬 수 있다. 트럭사고는 다른 차량간의 사고보다 더 심각한 부상이나 사상자를 야기 시킬 수 있다. 따라서, 트럭 교통과 관련된 안전 문제는 교통 시스템을 운영, 관리하는 공공부분과 이러한 시스템을 이용하는 일반 운전자에게 있어 중요한 문제이다. 본 연구에서는 트럭관련 사고 자료를 이용하여 교통 조건에 따른 사고 형태를 조사하고 통계기법을 사용하여 현장에서 조사된 사고 요인들 중 어떤 것이 가장 큰 트럭관련 사고 요인인지를 분석한다. 이 연구를 위한 자료는 TASAS의 database를 이용하였다. 중요 사고 요인이 분석이 되면, 효과적이고 효율적인 트럭 관리 전략에 대해 논의해 볼 수 있다.

• 한국안전학회지
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• 제32권3호
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• pp.48-53
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• 2017

Many construction accidents can be lead to a death occurring at construction sites. These are considerably due to potentially-hazardous equipment and machine or unexpected collapsion at earth work due to land slide and so on. Almost 50% of the total death and injury, occurred in construction sites in 2015. 66% of those serious accidents are due to falling occurring from construction sites when they work. Therefore, causes and recommendations of each accident should be deeply thought and analysed The indirect causes are directly related to safe consciousness of the construction workers. Actually, their safety consciousness are not high, even very low, it is thought. Questionnaire survey sheets have been distributed to Seoul, Incheon, and Gyunggi-Do area, first. And then, the authors have collected those directly at sites, in order to increase collection rate of the sheets. The totally, collected sheets are 295 sheets. And, they are analysed using SPSS version 19 package program. Workers internal consciousness has been investigated and reviewed and analysed by statistical method such as frequency rate, crossed, and correlated analysis. And finally the conclusions for the above analyses are as follows; Heavy weight worth a crew of more than two workers should be necessarily considered for the advanced safety plan and needed for making a highly potential hazard group at construction sites. Safety consciousness, earing p.p.e, workman ship should be mainly considered for investing safety costs with an aspect of human factor.

• 의료법학
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• 제14권1호
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• pp.117-144
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• 2013

After several bills for the reasonable medical dispute resolution had been proposed for over twenty years, "Act on Remedy for Damage from Medical Accident and Medical Dispute Mediation" was eventually enacted on April 7, 2011 and came into effect from April 8, 2012. This study evaluates the achievements and results of the past year, suggesting the future improvements or tasks. The main issue of Act on Medical Dispute Mediation is Korea Medical Dispute Mediation and Arbitration Agency. Therefore, the success of the Act depends on the outcomes of Korea Medical Dispute Mediation and Arbitration Agency. Although the Act has been enforced for only one year, this paper examines the outcomes of the Agency with limited materials for its development. Korea Medical Dispute Mediation and Arbitration Agency was established for rapid, fair, and effective medical dispute resolution. Thus, the evaluation of the performances of the Agency is based on the 1) rapidness, 2) fairness, and 3) effectiveness of the dispute resolution. To sum up, the system earned positive evaluations as for the rapidness and fairness, but some problems were indicated with regard to the effectiveness. As the system of medical dispute mediation and arbitration in Korea has no parallel in the world, other countries show many interests in it. The rapid and fair medical dispute resolution is of benefit in both patients and medical institutes and decreases social costs. As the Act had a difficult passage through Parliament, it should be maintained and improved continuously.

• 한국농촌건축학회논문집
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• 제16권1호
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• pp.95-102
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• 2014

The number of industrial accident victims in the construction industry accounts for 1/3 of those in the entire industries and about 30% of the total compensation costs are spent in the construction industry. As such, the construction industry is a typical industry causing numerous safety accidents. This study analyzes the status of industrial accidents in small scale construction sites to build maximum five-story buildings by examining statistical data for the past five years, investigating those construction sites and conducting interviews with the workers. This study also seeks the causes of and measures for industrial accidents in the small scale construction industry through comparison with relevant systems. The findings are as follows: (1) To reduce hazard rate, shaping the working environment and safety measures that take into account the physically weak classes of the middle aged and the aging are urgently required, because 62.9% of the industrial accidents in the construction industry occurred to those who are 50 years of age or older. (2) The hazard rate at small scale construction sites with less than 10 construction workers accounts for 55% of that of the entire industries. The government, in this context, needs to support finance or technology and improve system by selecting the small scale construction sites, where industrial accidents occur frequently. (3) Because the hazard rate of unskilled workers with less than 6 months of work experience accounts for 90.95% of the total, safety education needs to be concentrated on those unskilled workers. (4) The relevant standards need to be segmented and revised and bolstered, given that 64.79% of death disaster in the construction industry occurs in the temporary structures including scaffolds and ladders.

• 의료법학
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• 제15권2호
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• pp.91-122
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• 2014

For a variety of reasons, the number of medical disputes is continuously rising. Due to the intrinsic qualities of medical treatments, one would find it more apt to subject medical disputes to general conflict resolution procedures rather than to once-for-all decisions under legal suits. To address the increasing medical disputes with greater professionalism and efficiency, the Medical Disputes Mediation Act was enacted and a medical dispute mediation system put in place, while drawbacks have been blamed to both. The current mediation procedures require the respondent's agreement as a disclosure requirement. A reasonable improvement to this would be to amend the regulation of agreement supposition, or to enforce procedural participation only to public health facilities managed by the national or regional government. Furthermore, small claims cases of 20 million KRW or less in claim may be considered for conciliation-prepositive principle. The concentration on small claim medical disputes is a phenomenon that can be addressed by carrying out maximum authentication commissions or similar measures, one of the solutions by enhancing the public trust in the Korea Medical Dispute Mediation and Arbitration Agency. The proper management of medical authentication teams is one way to address the existing problems in the authentication system. For this, the number of team members shall be increased under more flexible authentication procedures. All indemnity resources for medical accidents of force majeure must be borne by the Government, for it is the body principally responsible for social compensation. Placing this cost on the establisher of the subject medical facility holds the possibility of violating fundamental rights. While the costs for subrogation payment system for damages may be borne by the healthcare facility establisher, a deposit-based system must be created for cases in which the facility shuts down, without holding the responsibility for accident cause. Such change to a deposit-based system will evade the controversies of unconstitutionality, etc.