• 제목/요약/키워드: Labor Services

검색결과 430건 처리시간 0.024초

전문간호사의 수급 현황과 건강보험 급여화 방안 (Demand-supply of Advanced Practice Nurse (APN) and Alternative Benefit Strategies in the National Health Insurance)

  • 김진현
    • Perspectives in Nursing Science
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    • 제7권1호
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    • pp.23-35
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    • 2010
  • Purpose: The purpose of this paper is to analyze the demand and supply of advanced practice nurses and suggest alternative benefit strategies in the Korean national health insurance. Methods: A revised demand & supply model was used to estimate the excess supply of APNs, and policy making process and key actors in the Korean health insurance were considered to develop a political approach to the APN issue. Results: The social demand for APNs is currently estimated to be less than 50% of its supply and the APN education program fell into difficulties in recruits. No reimbursement mechanism for APN's services in the national health insurance has given no economic incentive to hospital managers who have monopsony power in nursing labor market, which has caused the demand shortage of APNs in hospital industry. Payment for APN's services recognized as one of the most significant strategies to booster the social demand for APN's services should be carefully designed and implemented in the national health insurance. In line with this, key actors in health insurance policy decision-making include government, national assembly, labor unions, NGOs, civic groups, medical associations, and academia. Conclusion: The basic researches for APN's activities and cost-effectiveness analysis in clinical settings are required to support the strategies aforementioned. Constructing a policy network among key actors is able to make the payment strategy feasible, which will increase the socal demand for APNs.

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영양상담료의 의료보험화를 위한 연구 (A study of the payment of nutrition counseling services)

  • 김영혜;김화영;조미숙;이영희;이현숙
    • 대한영양사협회학술지
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    • 제4권1호
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    • pp.53-64
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    • 1998
  • This study was performed to investigate the cost of nutrition counseling service at present and to suggest the guideline for the payment. Data were collected using questionnaires and the cost of counseling was expected by analyzing the time consumed and needed for nutrition counseling. The results were as follows; In the case of diabetes, mean time of nutrition counseling was 69.7$\pm$35.3min/case, but the dietitian asked 82.7$\pm$44.6min/case for counseling and in the cases of renal diseases, mean time of counseling was 64.3$\pm$24.1min/case and the time asked was 84.8$\pm$34.5min/case (P<001) It was found that time was not enough to educate or counsel the clients. The cost of counseling was not counted in 20.3% of the respondants and the mean nutrition counseling fee was 5,460.6$\pm$3,547.7won/case in in-patient. The group education fee was 6,168$\pm$2,813won/case. The estimations of the cost for nutrition counseling services using labor cost were 18,463.5won in case of diabetes and 18,463.5won/case for patients of renal disease and in group education 8,111.5won and 7,404.3won respectively.

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병원직원의 노동조합 몰입에 영향을 미치는 요인 (Factors Influencing Hospital Employees' Commitment in Labor Union)

  • 남철식;유승흠;손태용;박웅섭
    • 한국병원경영학회지
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    • 제9권3호
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    • pp.98-127
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    • 2004
  • The purpose of this study was to provide basic materials needed to enhance quality of organizational life by identifying the improvements of labor union management in the perspective of hospital organization management. The subjects of this study were 510 employees in 1 University Hospital and 3 General Hospitals in Metro Capital including Seoul. Materials were collected from administrators, nurses and medical technicians in target hospitals from April 26 to May 7, 2004 through survey questionnaires. The main results of this study were as follows: First, From the results of multiple regression analysis to identify major influencing factors of labor union commitment level, In University hospitals, males than females, and those who had senior officer posts in labor union showed higher positive correlation with the attitude of their colleagues. In general hospitals, those who had served in Union for shorter period showed higher commitment in union. Second, When looking into the major influencing factors on the level of commitment in labor union according to their jobs, male administrators showed higher positive correlation in the level of commitment in labor union and the relationship with union. Among nurses, those who had lower education level, those who had higher job satisfaction, those who had higher emotional attachment to their job, those who had better relationship with union and better satisfaction in union showed higher commitment level. In medical technicians, those who had higher emotional attachment to their job showed higher commitment level. To summarize study results, the level of commitment in labor union depends on job satisfaction, managers' attitudes, emotional attachment to their jobs, union satisfaction factors, their colleagues attitudes toward union and thee atmosphere of employer-employee relationship. Therefore hospital managers should have democratic and flexible attitudes toward labor union. Additionally, as job satisfaction is important determinant in union commitment, hospital managers should have countermeasures to enhance the job satisfaction level of hospital employees. Moreover, as managerial factors of the principal of hospital influence union commitment directly, the attitudes of hospital managers toward union and transparency of hospital management should be improved.

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DEA를 이용한 한국과 일본 공공병원의 인적자원 효율성 평가 (A Comparative Study on the Human Resource Efficiency between the Korean and Japanese Municipal Hospitals using Data Envelopment Analysis)

  • 남상요
    • 한국병원경영학회지
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    • 제12권1호
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    • pp.51-74
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    • 2007
  • This study applied Data Envelopment Analysis to a set of Korean Public Corporation Medical Centers and Japanese Municipal Hospitals to compare their relative human resource efficiencies. Based on the data provided on the inputs and outputs, the analysis showed Japanese municipal hospitals were relatively efficient than Korean hospitals. The result of analysing BCC model shows 5 hospitals in Japan and 7 in Korea with an efficiency rating of less than 1 as considered relatively inefficient. For the inefficient hospitals the manner in which inefficient hospitals may be made efficient were indicated by the managerial strategies based on dual variables. A subsequent analysis of Wilcoxon rank-sum test revealed that the medical revenue per medical expense, labor cost per value added revenue were statistically significant between efficient and inefficient Korean hospitals and medical revenue per medical expense, labor cost per value added revenue, bed occupancy rate, average length of stay, rate of personnel expenses per medical revenue were statistically significant between efficient and inefficient Japanese hospitals.

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재택근로의 전망과 과제 -새로운 노동양식으로서의 정책적 접근- (Prospects of the Teleworking and major Issues -Teleworking as a New Mode of Labor-)

  • 류영달
    • 가족자원경영과 정책
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    • 제2권2호
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    • pp.93-103
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    • 1998
  • The purpose of this study is to explain changes in the mode of labor brought abut with the advance of information society and to suggest policies for the success of teleworking. It is likely that more and more people in advanced countries will be involved in some form of teleworking office workers use computers for handling dat, which is then transmitted over a telecommunications like to client or employer located some distance away. Though teleworking is becoming populer rapidly, it still has many problems to solve. In the conclusion, the paper suggests some measures to be taken for a successful teleworking system. (1) The first step is to establish a special team for the teleworking pilot. And probably the telework center will be most useful type for the pilot. (2) Some protections for teleworkers should be designed against discrimination in employment and occupation. (3) Some institutional arrangements such as tax benefits and incentive system are required for the success of teleworking system. (4) Maintaining competitiveness-faster services and lower cost-should be the first priority. (5) There should be a retraining and education system in the national level for the teleworkers to learn new IT applications.

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외국인직접투자 유치확대 방안에 관한 연구 (A Study on Invitation and Extension of Foreign Direct Investment in Korea)

  • 오수균
    • 통상정보연구
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    • 제7권4호
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    • pp.367-386
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    • 2005
  • The purpose of this is to analyze environment of foreign direct investment and Act in Korea and to find invitation and extension of foreign direct investment into Korea. Investment incentives, simplification of investment procedures, image improvement, increased public relations and investment support services are all factors which can be enhanced in the short term to positively influence investors decision-making in where to invest. Since the enactment of the Foreign Investment Promotion Act in November of 1998, there has been a signification improvement in Korea's investment environment in terms of policies and systems. It is expected that the foreign direct investment environment in Korea will continue to improve through the improvement in political stability, labor-management relations and easing of political tensions between the North and South, in the long term, as well as through improvements in investment incentives, investment procedures and public relations activities, in the short term.

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아파트경비원의 감정노동에 관한 연구 (A Study on the Emotional Labor of Apartment Security Guards)

  • 조철규
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2020년도 제62차 하계학술대회논문집 28권2호
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    • pp.173-174
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    • 2020
  • 이 연구는 선행연구를 바탕으로 아파트경비원에 대한 감정노동에 대한 경비원들의 경험을 통하여 나타나는 문제점과 이에 대한 효율적인 발전방향을 제시하는데 있다. 심층면담 범주와 결과 크게 3가지로 나누었으며 첫째. 경비원들이 인식하는 감정노동인식은 높은 것으로 나타났다. 또한 주민들의 욕설 및 인격모독에 따른 스트레스 증가로 인해 의욕저하로 이어져 왔다. 둘째, 열악한 근무환경에 따른 휴게시간이 보장되지 않으며 경비업무 외적인 업무를 더 많이 수행하는걸로 나타났다. 셋째, 입주민들의 경비업무에 대한 이해도가 낮았으며 수평적 관계가 아닌 갑을관계로 인식하는 경향도 나타났으며. 또한 거기에 따른 부당한 업무지시로 인해 높은 노동강도를 보이고 있는 것으로 나타났다. 따라서 법 개정을 통하여 인권에 사각지대에 놓인 아파트경비원을 보호할 장치가 마련되어야 할 것으로 판단되며, 입주민들의 경비업무에 대한 이해도를 높이고 나아가 처우개선 및 근무환경개선이 필요하다고 사료된다.

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병원급 의료기관 의료부대사업의 경제적 파급효과 (Economic Effects of Subsidiary Services in Hospitals)

  • 이예슬;이상규;권성탁;김태현
    • 한국병원경영학회지
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    • 제21권1호
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    • pp.32-42
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    • 2016
  • This study is conducted to estimate economic ripple effects of subsidiary services of hospitals. Using the Input/Output Analysis, this study analyzes production inducement effect, added value inducement effect, and labor inducement effect. Also, it assesses potential economic effects of the subsidiary services of which the scope is expanded as the government's proposed in 2014. Data regarding hospital subsidiary services and economic effects are obtained from the hospitals' financial statements on the National Tax Services and the Bank of Korea. The major results of this study are summarized as follows; subsidiary service profits of hospitals are 466 billion won and rent profits of hospitals are 152 billion won. Of these, the rate of subsidiary service profits in tertiary hospitals is about 66% of total subsidiary service profits. Producement inducement effect of subsidiary services of hospitals is higher than that of total industry, service industry and medical service industry. Added value inducement effect of subsidiary services of hospitals is higher than that of total industry, manufacturing industry, service industry and medical service industry. Job position inducement effect of subsidiary service in hospitals is higher than that of total industry, service industry and medical service industry. Also, employment inducement effect of subsidiary service in hospitals is higher than that of total industry and medical service industry. The results may suggest that subsidiary services revenue in medical institutions contribute to improving operating profits. Facing with intense market competition and pressures to control health care costs, hospitals may need to determine whether subsidiary services help boost their profitability and improve customer satisfaction.

사회.경제.공간의 관점에서 본 한국인의 일상적 노동과 여가 시간 변화, $1981{\sim}2000$ (The Change of Everyday's Labor and Leisure Time in South Korea from 1981 to 2000 in terms of Socio-economic and Spatial Perspective)

  • 박규택
    • 한국지역지리학회지
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    • 제9권1호
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    • pp.35-52
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    • 2003
  • 본 연구는 지난 20년 동안 한국 사회에 있어 사람들의 일상생활 활동의 토대가 되는 노동과 여가 시간이 어떻게 변화되었는지를 '국민생활시간조사' 자료를 통해 분석 기술하였다. 전체적으로 한국인의 일상적 노동과 여가 시간의 변화는 사회 경제 공간의 관점에서 대단히 복잡한 형태를 보였다. 따라서 자본주의 경제가 탈산업화됨에 따라 노동시간은 감소하는 반면 여가시간은 증가한다는 기존 연구의 주장 혹은 예측에 보다 신중하게 접근할 필요가 있다. 구체적으로 성별 직업별, 학력별 그리고 지역과 공간 이동의 측면에서 노동과 여가 시간의 변화에 차이가 나타나고 있다. 1980년대와 1990년대에 걸쳐 모든 직업에서 평일의 노동시간은 증가하였고, 일요일은 기능 작업직을 제외한 모든 직업에서 노동시간이 감소하였다. 1990년대 이후 한국 사회 경제는 저학력 노동보다 고학력 노동에 크게 의존하는 구조를 그리고 고학력 집단은 평일에 많은 일을 하고 일요일에 적게 일하는 구조를 형성시켰다. 지역별 노동시간의 변화는 1980년대 초반 이후 산업화와 도시화가 진전됨에 따라 한국 사회 경제는 농촌적 성격을 지닌 읍과 면 거주자들보다 도시, 특히 대도시 거주자들의 노동에 보다 크게 의존하는 구조로 전환되었다. 그리고 지난 20년 동안 평일과 일요일 사람들의 이동시간은 학력에 정비례하는 것으로 나타났다.

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중년세대의 가사노동 변화 트렌드 (Trends in the change of household labor in the middle-aged)

  • 이현아
    • 가족자원경영과 정책
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    • 제25권1호
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    • pp.47-61
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    • 2021
  • 본 연구의 목적은 생애주기 한 가운데에서 역동적인 변화를 맞이하고 있는 중년세대의 가사노동 트렌드를 분석함으로써 이들이 변화에 어떻게 대처하고 적응해나가는지 살펴보는 것이다. 본 연구에서는 주목한 중년세대는 코호트별로 베이비붐세대나 X세대를 포함하고, 연령별로는 40-50대를 중심으로 하였다. 연구방법은 문헌연구로, 기본적으로 통계청의 생활시간조사자료를 통해 가사노동시간의 추이를 분석하고, 각종 시장조사자료, 연구보고서, 신문기사 검색을 통해 가사노동 트렌드를 분석하였다. 가사노동이란 가족원에 의해 가족원을 위해 수행되는 무보수의 활동으로 시장에서 재화나 용역을 구입함으로써 대체될 수 있는 활동이다. 본 연구는 기술과 산업의 발전에 따라 급속하게 성장한 가전시장과 가사대체 상품 및 서비스가 가사노동 효율화에 어떠한 영향을 미쳤는지에 초점을 맞추고 중년세대의 가사노동 변화 트렌드를 살펴보았다. 기존의 세대와 다른 특징을 가진 중년세대의 가사노동 트렌드 변화를 살펴보는 것은 향후 시장동향을 예측하고 중년세대의 삶의 질 향상을 지원하는 가족정책에 대한 시사점을 도출한다는 점에서 의의가 있다.