• 제목/요약/키워드: Local public health policy

검색결과 173건 처리시간 0.033초

우리나라 환경기초시설의 민영화 방안 모색에 관한 연구 (A Study on Policies to Privatize Basic Environmental Facilities in Korea)

  • 이재웅;김영국;김은규;박찬혁;최득수;정재춘
    • 유기물자원화
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    • 제8권4호
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    • pp.67-77
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    • 2000
  • 환경기초시설의 성공적인 민영화를 위하여 환경보전이라는 사회적 동기와 이윤추구라는 기업의 경제적 동기를 동시에 만족시킬수 있는 정책이 필요하다. 환경기초시설은 영리목적이 아니므로 양질의 환경서비스를 달성하기위한 민간경영마인드를 도입하여야 할 것이다. 외국사례를 보면 지역의 안정된 경제적 바탕 위에 철저한 경쟁을 통해 비용우위의 사업자를 선택하여 민영화를 실시하였다. 따라서, 민 관의 협력과 업무분담이 효율적이었고, 이를 위해서는 무엇보다도 지자체의 독립적 예산 마련이 필수적임을 알 수 있었다 그러나 국내 환경기초시설의 중요한 문제점으로 운영관리상의 낮은 효율과 기술적용에 있어 국산화율이 50%로 정부국고를 낭비하는 등 해결해야할 문제점이 많은 것으로 나타났다. 이를 해결하기 위해 민자유치촉진법 미비점 보완, 시범 민영화 플랜트 운영과 효율적인 민영화를 위한 연구사업 추진, 외국의 사례연구 및 현장시찰, 환경기초시설을 지방자치의 경영수익사업으로서 확대발전을 통한 환경예산의 관리 및 지원체계를 마련하는 방안을 강구할 수 있었다.

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지역사회의 건강증진을 위한 금연사업의 개선방안 (Community health promotion and improvement of business for No-Smoking)

  • 한명이;김노마
    • 디지털융복합연구
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    • 제10권4호
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    • pp.317-322
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    • 2012
  • 보건소 '금연클리닉사업'은 흡연자들에게 6개월 동안 9회 이상의 금연상담서비스와 CO측정, 니코틴 패치, 니코틴 껌, 니코틴 사탕 등의 니코틴보조제를 제공한다. 또한 행동 강화 물품과 금연 성공 기념품을 제공하는 등, 금연 실천을 유도하고 흡연율을 감소시켜 지역주민의 건강증진을 도모한다. 흡연과 과음 등의 생활습관은 고지혈증 및 비만 등 만성질환을 유발시키는 주요인자이며, 경제적인 손실, 나아가 건전한 문화교양인으로서의 삶을 파괴하는 한 요인이 된다. 흡연, 과음 등의 생활습관이 건전한 삶이라는 문화적 가치와 더불어 의료비라는 경제적 가치와도 밀접한 관계가 있음을 고려해 볼 때, 흡연 예방 및 금연과 절주 등의 보건교육에 동참하는 사업장과 기관에 대한 제도적 지원이 병행되어야 할 것으로 사료된다.

경기도 동부권 광역자원 회수시설 조경설계 (A Landscape Design of Metro-politan Resources Withdrawal Institution of East Area, Gyeonggi-Do)

  • 이수동;장종수;강현경
    • 한국조경학회지
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    • 제34권2호
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    • pp.113-127
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    • 2006
  • As the local self-government are stabilized and the environmental value is becoming more important among local residents, the occurrence of the anti-movements against waste treatment facilities is getting more frequent. Opposing to build the reuse facilities of wastes takes place because of concerning of health and hygiene, as well as matters of unclear policy making process. However, these facilities must be built in somewhere for the convenience and profit of the public. The NIMBY phenomenon against reuse facilities of wastes could be a burden for the city operation system, and it could worsen citizens' quality of life in the long run. In these lights, reuse and recycling facilities of wastes in East region are necessary facilities improving citizens' quality of life and enhancing the growth of cities in the region. However, there have been concerning of deforestation during the construction process of the facilities. The landscape design presented here for these facilities considers the features of the environmental ecosystem and tries to establish a plan to preserve the natural environment of the City of Ichon. This paper presents methods minimizing adverse effects of the facilities on the existing environments and promoting the city image with integrating culture, tourism, landscape and environment of the city. The landscape design makes efforts to harmonize natural environments in the site, human activities and culture. Well-being park was aimed to lead healthy and energetic outdoor activities of local residents. Ecological park was aimed to enhance the ecological functions of the forests and restore the valley ecology. Culture park was aimed to capture the city identity by creating a place that contains all the variety of meanings of the City of Ichon.

한.일 양국간 장애아 교육 및 복지 실태의 비교 (The Japan-South Korea Comparative Study about a Developmental Handicapped Child's Education, and the Actual Condition of a Welfare Work)

  • 히루타 이즈미;이소우
    • 한국간호교육학회지
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    • 제9권1호
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    • pp.155-162
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    • 2003
  • The comparative study of the administration policy that the government and the local self-governing body have enforced to a handicapped child and the family, was made in South Korea and Japan. As data, I utilized brochures distributed to a handicapped child's guardian in the government publication, health center, and hospital of both countries and the homepage that each organization manages. With the investigation of (1) the handicapped child's present condition, population and entering-school situation, (2) the organization which can consult about a juvenile entering-school problem, (3) the public service with which the parents of handicapped child, or a handicapped child are provided and (4) the feedback surveys of (3)’s services, the followings were proved. In (1), the handicapped child's population and their school attendance are not be specified by the South Korea side. In (2), a private consultation organization is mainly opened and be hard to say that use is simple from the little of a kind. In (3), there is almost nothing than rehabilitation education as the administration policy, which is universally held for the handicapped child. Besides they cannot receive freely the education. In (4), it became clear not to carry out. The improvement from the direction of both hard and soft aspects - the institution of basic education for the handicapped child who lives in all areas and the equal opportunity to all children - is called for urgently.

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A Study on the Strategic Vitalization Plan of Korean Integrated Medical Tourism

  • Kweon, Kee-Tae;Kim, Hwa-Kyung
    • 대한한의학회지
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    • 제34권2호
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    • pp.41-50
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    • 2013
  • Objectives: As a newcomer to the medical tourism industry, Korea needs to differentiate itself from the leading competing countries to vitalize its early-stage medical tourism industry. This study aims to introduce a strategic plan to vitalize the Korean integrated medical tourism so that Korea can differentiate itself from competing countries and create high added value. Methods: The concept and actual conditions of medical tourism and Oriental medical tourism were examined. A plan to differentiate Korea from the competing countries in the medical tourism industry was studied to create high added-value through strategic vitalization of its medical tourism industry. Results: Korean integrated medical tourism must be developed differently from those of other South-East Asian countries in order to strategically promote the cash-cow medical tourism industry. In order to develop such medical tourism, Korean medical practice, which integrates Western and Oriental medicine, is to be developed through mutual understanding and fusion of other disciplines among medical doctors and Oriental medical doctors who are working in local healthcare for health promotion of local residents and disease prevention and control. This will play a key role in developing a unique medical tourism product of Korea by means of strategic alliances as an integrated medicine. Manpower specialized for integrated medicine is to be specially supplied for Oriental medicine-related business lines at city, county and borough levels, among local governments, that are enthusiastically carrying forward Oriental medical tourism with an interest to promoting more active and strategic business development and raise the effectiveness and efficiency of public health centers handling related medical tourism. Manpower specialized for Korean integrated medical tourism is to be specially supplied for the Ministry of Culture, Health and Tourism, a policy control tower to develop and vitalize high value-added fusion (theme) tourism products such as the Korean integrated medical tourism, in order to discover, promote and support Korean integrated medical tourism's differences from existing medical tourism. Conclusions: The differentiated integrated medical tourism that only Korea can offer in a variety of forms, in order to create a key area of high value-added medical tourism, should be strategically vitalized through a liaison between integrated medicine and tourism and the realization of patient-centered health care services with medical technology developed based on mutual understanding of Western and Oriental medicine.

보건소(保健所) 행정(行政)의 기선을 위(爲)한 연구(硏究) (A Study on the Administrative Enhancement for Health Center Activities)

  • 문옥륜
    • Journal of Preventive Medicine and Public Health
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    • 제3권1호
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    • pp.97-110
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    • 1970
  • This survey was conducted to evaluate not only the present status of health center directors-their personal histories, their will to private practice in the future, their responses to governmental policies, -but also the distribution of doctorless myons, budget and subsidy, and director's opinions to the enhancement of health center activities. This survey questioned 116 health center directors and 16 health personnel from August to October of 1970 and obtained the following results; 1) The average ages of directors of kun, city, and total health centers were $43.2{\pm}7.8,\;42.1{\pm}7.7,\;and\;42.9{\pm}10.3$ respectively. 2) The average family sizes of directors of kun, city, and total health centers were $5.6{\pm}2.7,\;5.6{\pm}2.1,\;and\;5.6{\pm}2.6$ respectively. 3) Directors holding M. D. degrees were 79.3%, those holding qualified M. D. degrees ('approved director') were 20.7%. 4) M. P. H., M. S., and Ph. D. holders were 6.0%, 6.1%, and 4.3% respectively. 5) The average duration of present directorship in kun and city were 30.2 months and 20.4 months respectively. 6) The majority of directors had been employed in related fields before assuming current position : directorship at other health center 26.7%, army 22.4%, health subcenter 21.6%, private practice 19.0%. 7) Average length of directorship is 41.8 months. Average length of public health career, including health subcenter and present position, is 56.5 months. 8) Both rural and urban experience in health centers for regular directors is 16.3% and for approved directors, 12,5%. A total of 15.5% of all survey directors had experience in both rural and urban health center. 9) A total of 70.7% of health center directorships were staffed by local doctors. 10) Nearly 40% wanted to quit the directorships within 3 years and 60.3% had already experienced private practice. 11) Of the regular directors 17.4% felt strongly about devoting their lives to public health fields, but only 4.1% of the approved approved directors felt so. 12) There wire 432 doctorless myons among 996 respondent myons and 4.5 doctorless myons per kun. 13) The percentage of doctorless myon by Province are as follows, Cholla buk-do 57.2%, Cholla nam-de 55.0%, Kyungsang nam-do 52.0%, Kyungsang buk-do 49.7%, Chungchong but-do 42.4%, Kyonggi-do 32.9%. Cheju-do 30.8%, Kangwon-do 25.8%. 14) Two thirds of health critters have experienced the abscence of the director for a certain period since 1966 and the average span of the abscence was 18.2 months. 15) The percentage of doctorless myons increased proportionally with the span of the director's abscence. 16) The average budgets of health centers, kun, city and ku, were $W15.03\;million{\pm}W4.5\;million,\;W22.03\;million{\pm}W17.80\;million,\;W13.10\;million{\pm}W7.9\;million$ respectively. 17) Chunju city had the highest health budget per capita(W344) while Pusan Seo ku had the lowest(W19). 18) Director's medical subsidies are W30,000-50,000 in kun, and roughly W20,000 in city. 19) The older of priority in health center activities is T.B. control(31.1%), Family Planning and M. C. H.(28.0%), prevention of acute communicable disease and endemic disease (18.2%) and clinical care of patients(14.3%). 20) Nearly 32% opposed in principle the governmental policy of prohibiting medical doctors from going abroad. 21) Suggestions for immediate enhancing the position of director of health centers and subcenters: (1) Raise the base subsidy (48.2%), (2) Provide more opportunities for promotion (20.7%), (3) Exemption from army services(12.1%), (4) Full scholarship to medical students for this purpose only (7.8%). 22) A newly established medical school was opposed by 56.9% of the directors, however 33.6% of them approved. 23) Pertaining to the division of labor in Medicine and Pharmacy, the largest portion (31.9%) urged the immediate partial division of antibiotics and some addictive drugs to be given only by prescription. 24) More than half wanted a W70,000 level for the director's medical subsidies, white 36.2% stated W50,000. 25) Urgently needed skills in the kun are clinical pathologist (38.6%) and doctor (health center director) (25.5%); while in the city nurse (37.1%), doctors(clinical)(31.4%) and health educators(14.4%) are needed. 26) Essential treatment for the better health center administration; raising the base subsidy (22.7%), obtaining the power of personal management (19.3%) and the establishment of a Board of Health (14.3%). etc.

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대한민국 지역단위 건강수명과 사회경제적 요인 간의 연관성 분석 (Associations between Socioeconomic Factors and Healthy Life Expectancy at Regional Level in Korea)

  • 김청년;정윤선;김영은;옥민수;진달래;윤석준
    • 보건행정학회지
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    • 제34권3호
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    • pp.261-270
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    • 2024
  • 다양한 연구자들이 여러 방법을 사용하여 한국인의 지역단위 건강보정기대수명(health-adjusted life expectancy, HALE)을 계산하고 있으나, 대부분의 연구는 특정 인구집단의 사회적 특성에 따라 건강수명의 차이를 열거하는 데 그쳤다. 이에 본 연구는 지역수준에서 다양한 사회경제적 요인과 건강수명 사이의 연관성을 분석하고자 한다. 방법: HALE를 계산하기 위해, 국민건강보험공단 청구데이터를 포함한 다양한 데이터를 활용하였고 Sullivan's method을 적용하였다. 그리고 Korean Statistical Information Service에서 지역단위 사회경제 및 보건 관련 변수를 사용하여 다중회귀분석을 수행하였다. 다중회귀분석을 위해, 세 가지 회귀모델을 설계했는데, 모델 1은 사회경제 변수로만 구성되었고, 모델 2는 사회경제 변수와 개인의 건강행태를 포함했으며, 모델 3은 모델 2에 의료이용을 추가하였다. 결과: 다중회귀분석에 따르면 재정자립도(p<0.05), 인구밀도(p<0.1) 및 의사 수(p<0.05)가 증가할수록 HALE가 증가하였지만, 병상 수(p<0.01)가 증가할수록 HALE는 감소하였다. 지역단위 건강상태의 경우 모델 2 (p<0.1)와 모델 3 (p<0.05)에서 HALE와 비만율 사이에는 음의 연관성을 확인할 수 있었다. 결론: 분석결과, 지역의 재정자립도가 증가함에 따라 HALE의 증가 또한 관찰되어, 보다 강화된 지방자치가 필요함을 알 수 있었다. 또한 병상 수가 증가할수록 HALE가 감소하는 결과를 통해 보건의료자원의 적절한 배분 및 배치가 필요해 보인다. 다만 병상과 HALE의 관계를 더 깊이 이해하려면 의료기관 전반에 걸쳐 다양한 유형의 의료기관별 병상을 구별하는 추가 분석이 필요할 것으로 생각된다.

헬스케어 ICT 서비스의 글로벌 컨버전스 (Global Convergence for Healthcare ICT Services)

  • 원달수;이상산;정용규
    • 문화기술의 융합
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    • 제2권2호
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    • pp.45-49
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    • 2016
  • 해외 의료서비스 시장의 메가 트렌드는 글로벌 융합, 인접 분야와의 융합, ICT기술의 적극적 도입, 공공과 민간의 파트너십(Public Private Partnership)을 통한 혁신 4가지로 요약될 수 있다. 의료서비스는 더 이상 local industry가 아니며, Global Convergence 되어가고 있다. 선진국의 경우 소득 수준의 증가, 새로운 의학기술의 발전, 전문화된 의료서비스의 증가, 인구 고령화 등 의료 수요가 증가하면서 외국 의료진의 이주 증가하고 있으며, 지리적 근접성이나 비용에 상관없이 최고 의료기술에 대한 선택 증가하고 있다. 고품질이면서 상대적으로 가격이 낮은 외국 의료서비스에 대한 수요 증가하며 특히 미국 JCI등 국제적 병원인증 기준의 확산되고 있다. 병원 수출은 관련 기술을 더욱 더 효율적으로 융합해서 수출 할 수 있는 'ICT 융합병원' 수출 산업화의 길을 열었다고 평가되고 있다. 현재 국내의 병원은 이미 포화상태에 이르렀고, 국내병원들의 세계화가 필요한 시점임. 따라서 국가별로 전략을 달리하고, 기술 이전뿐만 아니라 건물마련, 의료장비 구매, 현지 의료인력(의사 및 간호사) 선발 및 교육훈련, 홍보마케팅 등 토탈 수출도 가능하다. 이에 공공성 유지와 해외 진출을 위해 현행 의료법이 전향적으로 개정될 필요가 있으며, 해외 의료서비스의 국내법 적용에 보다 신축성 있는 법적용과 더 나아가 적극적 정책지원이 필요하다.

울릉도 현포항 개발 거버넌스 인식에 관한 연구 (A Study on the Developmental Governance of Hyunpo Port)

  • 황윤원;송용찬
    • 디지털융복합연구
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    • 제14권12호
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    • pp.35-42
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    • 2016
  • 본 연구는 울릉도 현포항을 대상으로 지속가능한 공간환경 재생을 위한 새로운 패러다임으로서 지역주민, 중앙과 지방정부의 거버넌스에 기초한 어항개발방안을 모색하였다. 연구목적을 수행하기 위해 울릉도 주민을 대상으로 설문조사를 실시한 결과 첫째, 현재 울릉도 주거환경의 가장 큰 문제로 접근성 불량, 병원 보건소, 상가 부족 등 생활환경 취약이 높게 지적되었고, 둘째, 현재 정부와 지방자치단체의 울릉도 관련 개발 사업이 실제로 지역경제 활성화 및 울릉도 주민의 삶의 질 개선에 기여하지 못한다는 인식이 많았고, 셋째, 울릉도 관련 개발사업 추진의 애로사항으로 울릉도가 보유하고 있는 각종 자원에 대한 중요성이나 활용에 대한 인식 부족, 중앙정부와 지방자치단체의 지원 부족을 큰 문제로 지적하였고, 넷째, 현재 현포항의 관리수준을 미흡하게 인식하였다. 이상의 조사결과를 바탕으로 개발주체의 지속성, 현포항 개발의 비전제시, 주인의식 전환을 위한 노력, 지역현실을 고려한 단계적 추진, 거대한 테마보다 소규모로 알찬 콘텐츠를 제공할 수 있는 개발이 중요함을 보여주었다.

시스템사고에 기반한 상수도 효율성 개선에 관한 연구: 충청북도를 중심으로 (A study on the improvement of efficiency for waterworks on the basis of the accidents in the system by setting the example of Chungcheongbuk-do)

  • 김나윤;김선덕;이만형
    • 한국시스템다이내믹스연구
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    • 제17권2호
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    • pp.81-99
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    • 2016
  • The service for waterworks is important infrastructure structuring the cities and the public properties affecting the health and the abundant lives of the residents at the same time. However, the waterworks project still has many problems in reality in spite of the continuous efforts from the nation, local governments and many related people in waterworks projects. From the aspect of the situation, this purpose of this study is to review the actual operation state and the operation principle on the basis of the accidents in the system and to suggest the policy leverages for accurate diagnosis of the waterworks project and for the efficient operation. The operation structure of the service for waterworks is the complicated system showing the overlapped forms of the relation with other various factors. Moreover, as this has been influenced by other external environments, it has flexible features that can be changed by unexpected factors even if the internally close causality has been established The domestic local operation of waterworks have been divided by an administrative district and it causes inefficiency in the aspect of the country and the local government with small sized of budget faces the insufficient investments. These phenomena have been shown in some small sized areas located in Chungcheongbuk-do and, making a realistic suggestion by the related local government to improve the waterworks operation project is urgent. For this reason, this study is to lead the policy leverages to increase the efficiency of the service for waterworks and to stabilize the structure of virtuous circle in the system. At first, the reformation of the waterworks structure should be performed after the various supports and system maintenance. At second, the service quality should be improved through the creativity in management and the consideration of the efficiency by the participation of private enterprises for waterworks service. At third, through the specialized waterworks operation, the quality improvement of the waterworks and satisfying the standard of natural environment should be related. In this context, the fundamental solutions for the problems of domestic waterworks service and finding realistic alternatives are considered to be the priority for the waterworks project to be operated efficiently.