• 보건행정학회지
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• 제20권3호
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• pp.104-122
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• 2010

Long-term care insurance has been introduced in Korea a year ago, and we are in a stage requiring to set principles regarding the generosity of coverage and how to gradually extend the coverage. This study empirically analyzes how the long-term care insurance in Korea is operated. Special attention is given to who is the main beneficiary of the long-term care insurance introduction, and what is the factors influencing the elderly's decision to apply for or use long-term care services. Use of a detailed information of individuals' public health insurance and long-term care insurance from administration data made it possible to control for health status, socioeconomic status including family type, housing tenure, income level. Logit models were employed to analyze the effects of various socioeconomic factors on the likelihood of applying and using long-term care services. Also, this study employed a survey questioning whether to ever willing to take other option as a alternative to residential care or home-care and the level of cash benefit for which they are willing to replace the formal care with informal care. The result indicated that although the poorest elderly population groups are in the greatest need for the long-term care service, they are in difficulty using the service due to economic burden. This implies the copayment amount needs to be adjusted in order for the poor elderly group to be able to get the benefit of the long-term care service.

• 디지털융복합연구
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• 제9권1호
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• pp.13-24
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• 2011

IT is the core industry in Korea which has the most international competitiveness and counts for 35% of the total exports of Korea. Nevertheless, it tends to be concentrated in small range of items, a few countries and mostly large companies. Therefore, it is needed for small and medium-sized enterprises which can have prompt decision making processes and various changes to export wide range of items and to diverse countries. This study will introduce 'the fleet-type expansion strategy of overseas export' that is about large and small enterprises perform the appropriate role based on their own character, thus they produce the mutual benefit. This strategy will contribute to improve the export structure of Korea and perform the major role for Korea's IT industry to become the dynamic force for growth in the future.

• 보건행정학회지
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• 제24권2호
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• pp.181-190
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• 2014

Background: Demands are recently rising for the securement of procedural justification of policy decision-making. This study aims to improve the procedure of making a decision to expand health insurance benefit package from the perspective of building a social consensus. Methods: Major priority principles were firstly derived through literature search. Weights for such principles were calculated through an analytic hierarchy process, based upon the survey conducted for the health policy experts. Priority for 11 non-covered services was assessed by applying the weights as above to the results of the questionnaire survey targeted at people including members of related committees or societies. Results: Weights for priority principles were in the order of 'severity/urgency (0.428)', 'cost-effectiveness (0.318)', 'substitutability (0.164),' and 'accountability (0.090)'. What was obtained by applying these weights to the results of the questionnaire survey was considerably in line with what health experts classified those items into 3 groups depending on their own judgement of service necessity (consistent with 9 services out of 11). Conclusion: Results of the study are suggestive as to how far a brief assessment by experts could be utilized in case there are constraints on time and expenses in implementing all the process to secure procedural justification. Various attempts and endeavors need to be made to secure procedural justification that will not mar efficiency of decision-making in the days to come.

• 보건행정학회지
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• 제29권4호
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• pp.379-381
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• 2019

Korea's healthcare is in great danger of sustainability. In 2020, the baby boomer will begin to be older, and there is no promise that the total fertility rate of 1.0 or less will rebound, and Korea's economic growth rate is predicted to be less than 2%. Together with these phenomena, Plan for Benefit Expansion in Nation Health Insurance (Moon Jae-in Care) will seriously threaten the sustainability of health insurance finance. In addition, health care in Korea has many problems: excessive medical utilization, rapidly increasing elderly medical costs, concentrating patients into big hospitals, low healthcare personnel but many healthcare facilities and equipment, bad quality of primary and mental care, and fast-growing health expenditure. For sustainability, healthcare of Korea should be reformed. The direction of the reform is people-centered and integrated healthcare in the community which is composed of empowering and engaging people, strengthening governance and accountability, reorienting the model of care, coordinating services, and creating an enabling environment.

• 한국치위생학회지
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• 제16권4호
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• pp.539-548
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• 2016

Objectives: The purpose of the study is to investigate the awareness and attitude toward health insurance coverage extension to scaling in dental service consumers. Methods: A self-reported questionnaire was completed by 349 adults in Jeonbuk from May 4 to 15, 2015. The questionnaire consisted of general characteristics of the subjects (7 items), Awareness of the dental health insurance system(8 items), Health insurance system coverage extension to scaling(8 items), Self-perception of oral health(7 items), Recognition toward yearly scaling benefit(10 items). Results: There were significant differences according to age in opinions on the appropriateness of the frequency of yearly scaling benefit, and the respondents who were in their 20s, who were unmarried and who brushed their teeth three times a day had significantly different opinions on the appropriateness of the fee of yearly scaling benefit. Their opinions on the expansion of scaling benefit was significantly affected by age. It implies that scaling should be added to the coverage list of the national health insurance in every age group since there is an increase in periodontal diseases with age. Concerning awareness of dental health insurance policy, the better-educated respondents took a better view of this system as they showed a more positive interest in its policies and shifts. Conclusions: It is desirable to provide more precise information as to eligible age, frequency and cost through public promotion of health coverage of scaling, and the effort to improve the health insurance coverage policy should be made in order to extend the scope of health coverage of scaling in the near future.

• 대한토목학회논문집
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• 제43권6호
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• pp.721-733
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• 2023

기후변화로 인하여 도시에서 발생하는 집중호우가 증가함에 따라 정부와 지자제는 기후변화 적응대책을 통해 홍수로 인한 피해를 저감시키고자 노력하고 있다. 도시 유역 침수 피해의 감소를 위해 우수관거 용량 증대와 물순환 개선을 통한 지속가능한 치수 정책인 저영향 개발 기법 등 다양한 홍수 대응 정책들이 제시되고 있다. 이러한 정책들을 이행하는데 있어 지역별 특성을 고려한 대책 수립이 필요하며, 이를 위해선 홍수 저감 효과를 비용-편익 측면에서 분석하여 국가 예산을 효율적으로 사용하여야 한다. 본 연구에서는 침수 피해 위험이 있는 도시 소유역에 적용할 수 있는 대응 정책으로 우수관거의 용량 증대와 저영향개발 기법 중 옥상녹화와 투수성 포장 기법을 선정하고 서울대학교 관악캠퍼스 유역의 홍수 저감 효과를 도시유출해석모형인 SWMM 모형으로 분석하였다. 또한, 정책별 공사 및 운영 비용을 계산하고 월류량 감소를 편익으로 고려한 비용-편익 분석을 수행하였다. 분석 결과, 투수성 포장과 우수관거 용량 확대 정책을 100% 반영하는 정책 시나리오가 유출 저감 측면에서 비용 대비 효과가 가장 우수한 시나리오로 분석되었다. 본 연구를 통해 제안된 방법론은 지역별 맞춤형 치수 계획 수립 단계에서 의사 결정을 위한 자료로 높은 활용성을 보일 수 있을 것으로 기대된다.

• Nuclear Engineering and Technology
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• 제39권5호
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• pp.655-662
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• 2007

Most decision makers in the electricity industry plan their electric power expansion program by considering only a least cost operation, even when circumstances change with differing complexities. It is necessary, however, to analyze a long-term power expansion plan from various points of view, such as environmental friendliness, benefit of a carbon reduction, and system reliability, as well as least cost operation. The objective and approach of this study is to analyze the proper role of nuclear power in a long-term expansion plan by comparing different scenarios in terms of the system cost changes, $CO_2$ emission reduction, and system reliability in relation to the Business-As-Usual (BAU). The conclusion of this paper makes it clear that the Korean government cannot but expand the nationwide nuclear power program, because an increased energy demand is inevitable and other energy resources will not provide an adequate solution from an economic and sustainability point of view. The results of this analysis will help the Korean government in its long-term resource planning of what kinds of role each electric resource can play in terms of a triangular dilemma involving economics, environmental friendliness, and a stable supply of electricity.

• 에너지공학
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• 제25권4호
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• pp.141-151
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• 2016

전 세계적으로 폐자원 에너지화에 대한 관심이 지속적으로 상승되고 있다. 국내에서는 하수슬러지를 처리하는 과정에서 발생되는 바이오가스를 에너지로 활용하는 방안에 관심을 갖고 있다. 그 한 가지 대안으로 바이오가스 열병합발전 시설이 운영되고 있고, 이로 인한 수익이 창출되고 있다. 향후 하수슬러지의 발생량은 지속적으로 증가할 것으로 예측되고, 이에 대한 처리비용도 늘어날 것으로 예상되고 있다. 이와 같은 문제를 해결하기 위하여, 하수슬러지를 처리하면서 부생되는 바이오가스를 에너지로 활용하는 시설의 확대와 함께 많은 재원이 투자될 것으로 보인다. 따라서 이와 같은 시설에 대한 정량적인 정보가 요구되고 있다. 이에 본 연구는 하수슬러지에서 발생되는 바이오가스를 열병합발전 시설에 공급하여 수익을 창출하고 있는, 서남 바이오가스 열병합발전 시설에 대한 경제성 분석을 수행하고자 한다. 열병합발전 시설은 열과 전력을 생산하는 시설이다. 따라서 편익 항목으로 열과 전력을 생각할 수 있다. 그런데 서남 바이오가스 열병합발전 시설의 경우, 생산된 열은 서남물재생센터의 소화조 가온에 전량 공급된다. 따라서 열병합발전 시설의 편익이 아닌, 서남물재생센터의 비용절감 효과로 나타난다할 수 있다. 결과적으로 본 연구에서는 편익 항목으로 전력만 고려하여 용도별 (주택용, 일반용, 산업용) 전력공급 편익을 산정하였다. 2015년 기준 전력의 용도별 평균 가격은 각각 123.69원, 130.46원, 102.59원으로 계산되었고, 경제적 편익은 용도별로 각각 310.21원, 378.49원, 222.87원이다. 경제성 분석 결과 순현재가치 721.82억원, 편익/비용 1.90, 내부수익률 37%로 계산되어 경제적으로 타당성이 있는 것으로 판단된다.

• 한국학교ㆍ지역보건교육학회지
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• 제15권2호
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• pp.115-125
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• 2014

Objectives: The purpose of this analysis was to assess the maternal and child health program in Lao PDR, which was implemented to reduce maternal and child mortality in Laos. Target areas for the project included 2 provinces (Xiengkhuang, Houaphan) with all 18 districts within them. The beneficiaries of this project included 121,000 childbearing women and 62,000 children under 5 years old (LSIS, 2012). Methods: In this study, it was done for efficiency evaluation of the assistance projects of the health sector of maternal and child health promotion program in Laos that took place from 2010 to 2013. We conducted a cost-benefit analysis for the evaluation of the effectiveness of that program was being carried out effectively. Results: This evaluation adopted the Cost-Benefit analysis approach. Key findings of the Cost-Benefit analysis are the following: The Benefit-Cost Ratio of 1.012, Net Present Value of 84,250,000 Korean Won, an estimated Internal Rate of Return of 10.12%. These findings suggest that project activities were efficiently implemented. Conclusion: As a result, maternal and child health project in Laos has been analyzed that there was economic efficiency. Therefore, It is considered necessary and continued support expansion of program in the future. The direction of maternal and child health project in Laos, approach and community policy support must be included. Integrated approach between the program approach and overall health should be performed for healthy life habit.

• 보건행정학회지
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• 제27권3호
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• pp.267-271
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• 2017

This year marks the 40th anniversary of the introduction of National Health Insurance (NHI) which has contributed to improving public health and accessibility. This article aims to show the trends of main indicators during the last 40 years. NHI has achieved rapid expansion of target population (1977-1989). The percentage of population covered increased from 8.8% in 1977 to 94% in 1990. The average number of visit days per person was 0.75 in 1977 but significantly increased to 31.11 in 2015. In 2015, NHI revenues were 52.4 trillion won and expenditures were 48.2 trillion won which is 9.5 times and 9.6 times higher than in 1995. NHI achieved universal coverage in short period of time and has contributed to improving the healthcare status. However, there still remain problems including low-benefit coverage and high out of pocket money. Therefore, the effort to reform these problems is needed.