• 농촌의학ㆍ지역보건
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• 제22권1호
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• pp.75-83
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• 1997

The medical insurance system has been adopted in 1989. Since then, the utilization of medical care services has increased rapidly. It appears that the medical institution needs more nursing manpower such as nurses and nurse aides to meet an increased demand for medical care for the residents. However, the medical care clinics run by a medical practitioners has a more shortage of nursing manpower than hospitals. The purpose of this survey was to analyze the current employment status and to obtain an opinion on the improvement of utilization such as recruitment and retention of nursing manpower. The questionnaire sent to the private physician and the response rate was 28.7% ; 87 out of 300 physicians. 82.6% of the respondents employed nurses aides rather than nurses and an average number of employees per clinic was 2.5 persons. Most physicians had difficulties in recruiting nursing manpower. It took more than one month for replacement on average, therefore, they were suffering from giving good continual care for the patient and also high resignation of nursing personnel. The low wage, long working hours, hard work and lack of incentives are the biggest reasons for the difficulty in recruiting and retaining of the nursing personnel obtained for the clinics survey. The above mentioned problems would be solved in the near future by changing those difficulties. In the meantime, the private physicians are marking an effort to retain the nursing personnel by keeping a relationship of the private physician's cooperatives.

• 한국항만경제학회지
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• 제37권1호
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• pp.121-142
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• 2021

본 연구에서는 컨테이너 터미널의 변화요인(터미널 운영, 안전 및 법규, 조직문화, 기술발달, 사회외부적환경변화)이 컨테이너 터미널의 인력운영에 미치는 인과관계를 파악하고자 한다. 연구를 위해 부산, 광양항에 종사하는 터미널 관계자를 대상으로 300부의 설문지를 배포하였으며, 수집된 설문지 중 무응답 및 부실하게 응답한 설문지 53부와 결측치가 있는 16부의 설문지를 제거한 유효 설문지 231부를 통해 5가지 요인을 추출하였다. 이후 탐색적요인분석과 다중회귀분석을 진행하였으며 다음과 같은 결론을 도출할 수 있었다. 첫째, 컨테이너 터미널의 변화요인 중 기술발달(자동화), 조직문화, 사회·외부적환경 변화 요인이 컨테이너 터미널 인력운영에 유의미한 영향을 미친다는 사실을 도출해 낼 수 있었다. 둘째, 컨테이너 터미널 인력운영체계의 변화에 기술발달과 사회·외부적환경변화가 영향을 미치는 것으로 나타났다. 셋째, 인력구성(사무직/현장직)에 기술발달과 사회·외부적환경변화, 그리고 안전 및 보안이 영향을 미치는 것으로 나타났다. 넷째, 인력감소에 기술발달이 영향을 미치는 것으로 나타났다. 마지막으로 인력의 전문화 및 교육시스템에 기술발달과 사회·외부적환경변화, 그리고 터미널 운영이 영향을 미치는 것으로 나타났다.

• Asian Journal of Innovation and Policy
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• 제12권1호
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• pp.001-026
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• 2023

This paper dealt with the Korean manpower policy in science and technology, focusing on the contents and tools of the Special Act and its Master Plans. After briefly introducing the historical development of the Korean manpower policy from the 1960s to the present, it discussed and analyzed the Special Act and Plans from the framework of personnel development, distribution, utilization and infrastructure. Korea's science and technology manpower policy has focused on fostering and supplying manpower in line with the country's industrial growth strategy. In the early stage of industrial development during the 1960s and 1980s, government research institutes were direct and effective tools for nurturing S&T manpower. Since the 1990s, the importance of university research has increased. The government fostered graduate research manpower through the research-oriented university policy of the BK21 program. After the IMF financial crisis in 1997, the tendency of students to avoid careers in science and technology led to enacting the Special Act (2004) governing the field of S&T human resources. The Special Act has contributed to leveling up the university education system in science and engineering and sophisticated the policy to include entrepreneurship training, spin-off startups, industry-university cooperation, and offering degree programs. The Special Act and the regularly revised Master Plans have been essential tools in systematically managing the science and technology manpower policies of the Korean government.

• 보건의료산업학회지
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• 제2권1호
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• pp.125-136
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• 2008

Government came to enforce long-term care insurance system in preparation for the rapid aging society. Whether this system is successful or not depends on the professionalism of long-term care-givers who are professional population in charge of care service. Currently in the early stage of enforcement, such problems as a race cutting fee resulted from numerical increase of educational facilities, insolvent operation, degradation of education level resulted from unprofessional instructor, are pointed out. As a mean of manpower-training on long-term care insurance system, this study is to research public-private-university network model of the Academy of Continuing Education attached to Ko Sin University which is the case of Yong Do Gu Busan city. Networking between the vision and development strategy of Yong Do Gu on continuing education city, education system on community manpower-training supported by Ko Sin University, and service field of welfare for the elderly can not only contribute to the professionalism of long-term care-givers but also play an ideal role in manpower-utilization and arrangement of community. Through this networking, high quality of education level and circumstance, using the existing infra, manpower-training and utilization for continuing education of Yong Do Gu can be accomplished. Additionally, the connection with facilities related with welfare for the elderly can contribute to professionalism and accountability of manpower-networking.

• 한국병원경영학회지
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• 제12권4호
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• pp.119-142
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• 2007

Although Korea joined OECD in 1996, there has still seen much unbalance in medical care and welfare standard between urban and rural area. The unbalance of medical demand between urban and rural area deepened low utilization of rural hospitals. So it caused many hospital's failure and conversion in rural area. Many rural hospitals are in difficulty managing business because of low medical demand along with the shortage of medical manpower, medical equipment and facilities. The objectives of this study were to reveal the cause of low utilization of hospitals in rural area, and to increase utilization of those hospitals. In this study the improvement methods of rural hospital's utilization were presented by examining were placed in difficult management condition, in respect of hospital's management conditions, manpower input, patient medical treatment record, financial record, and actual output. The causes of rural hospital's low utilization were as follows; 1) changes in number and structure of population 2) rural people's preference for large hospitals and hospitals which located in urban area 3) rural hospitals lacking in hospital management skill. Consequently rural hospital's operation condition got more and more deteriorated. To raise rural hospital's utilization, method for social policy, method for health policy, and intrinsic method of hospitals were presented in turn. For rural residents to utilize medical service conveniently, it is necessary for rural hospitals operated normally. So government must insist that rural hospitals solve the problems which come out from their internal management problems. And also these rural hospitals should be supported and nurtured by the government until their management is operated normally.

• 보건행정학회지
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• 제1권1호
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• pp.136-152
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• 1991

The study was conducted to project supply and demand of the physicians from year 1991 to year 2010 based on the analysis of supply and demand of the physicians up to year 1989. Results of the study will provide information for the physicians manpower planning of the 7th 5-year Economic Social Development Planning(1992-1996) and contribute to the overall health manpower planning for the 21the century. It is projected that physician will be oversupplied from the very near future based on the current productivity or underestimated based on the optimal productivity. Thus, it is desirable not to change size of training and education during the 7the 5-year planning period and re-examine the status of the physician manpower at the end of the 7th 5-year period taking into consideration medical services utilization pattern, patients' satisfaction, and physicians' productivity.

• 한국농공학회지
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• 제39권6호
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• pp.67-79
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• 1997

The perpose of this study was to suggest the experimental characteristic of the Cherepnov Water Lifter following the drain mode. The Cherepnov Water Lifter(CWL), which is powered by the potential energy of water, can be set to operate automatically when the water m a tank is drained. In this study, a CWL is constructed in the valve drain controlling mode(VCM) and the siphon drain controlling mode(SCM), and a pressure transducer is installed. It was found that, in the VCM, intake flow volume is proportional to both delivery flow volume and drain flow volume. In the SCM, intake flow volume is proportional to drain flow volume, and the average delivery rate is proportional to both efficiency and the water utilization ratio. Also, in the VCM, the water utilization ratio is 35~49%, efficiency is 62~9O%, average delivery rate is 12.8~81.2$cm^3$/s, and the average drain rate is 14.O~91.5c$cm^3$/s. On the contrary in the SCM, the water utilization ratio is 1.7~38%, efficiency is 3~58%, average delivery rate is 3.1 ~69.2$cm^3$/s, and the average drain rate is shown as 114.5~ 183$cm^3$/s. As a result of the water utilization ratio, efficiency, average delivery rate, and average drain rate are compared, the VCM is found to be superior and the more economical mode. However, the VCM requires manpower and electricity to operate the electronic machinery involved, while the SCM requires no manpower or electricity at all. An economic evaluation of these differences will be necessary in the future. Also, in the SCM, studies to improve water utilization ratio and efficiency, to find the optimum height of the siphon for decreasing the average drain rate, and to determine the radius of curvature of throat have to be conducted in advance, since a large flow rate is drained during the priming action of the siphon.

• 동서간호학연구지
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• 제25권2호
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• pp.157-165
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• 2019

Purpose: This study aims to provide basic data for the development of measures and promoting home health nursing by examining the current status and trends in home health nursing for long-term care (LTC) insurance beneficiaries. Methods: Secondary data, including annual LTC insurance statistics reports for 2010-2017 and LTC manpower data, were used to compute current status and trends in the provision of home health nursing. Results: Beneficiaries of home health nursing under LTC insurance, insurance-covered costs for home health nursing, home health nursing provider, and home health nursing providing institution only accounted for 3% of all insurance-covered home care services, and were on a consistent decline since 2010. In particular, vulnerable rural regions with high proportion of individuals had poor infrastructure in terms of home health nursing institutions and manpower, but had a higher home health nursing utilization rate compared to urban regions. Conclusion: In addition to measures to support home health nursing service beneficiaries, policy measures are needed to support home health nursing service personnel and institutions. Furthermore, programs to cultivate the expertise of home health nurses and improve quality of home health nursing services should be developed in order to promote home health nursing utilization in vulnerable rural regions.

• 대한간호학회지
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• 제3권2호
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• pp.15-30
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• 1973

Nursing education in Korea has made rapid progress recently. There is .: great deal of support with approval and encouragement of this progress. However, much disapproval of its validity has asserted some restraints on it. The aims of nursing education should be based on the principle that education is planned according to tile need much research has been made with such a viewpoint but much still remains unclear. The present study is aimed at establishing the needs for nursing manpower based on the biological demand for medical care. The needs for nursing manpower have been emphasized by many researchers and authorities on nursing education, and the prevailing medical trends also demand it. In this study, through the study of various hooks and records concerned, and the compiling of data analysis and questionnaires, I came to the following figures for the proposed needs of nursing manpower: There figures are greater than those calculated by another method by the government research program but it shows approximately the same final figure as that of the government report for the end of the target year. With these findings, I concluded that: 1) As the final purpose of the government medical project is to fulfill the needs of the national health (that is, to support the national needs for medical care), the plan of this project should follow the theory of biological demand for medical care, recognizing that the numbers will increase gradually. 2) Qualitative growth, based on the advanced and specialized nursing profession. should be promoted to meet the rapid growth of the medical needs of the nation in addition to promoting of investments for the facilities. and of the preparatory investments for education needs. 3) For efficient and economic utilization of nursing manpower, the improvement of wages, and the offering of free education is necessary. 4) Amendments to the low promising innovation and advancement of medical treatment; preparation of a national fund for medical care; and, changing of national attitudes to bring about greater concern are desirable.

• 대한예방한의학회지
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• 제17권1호
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• pp.149-162
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• 2013

Objectives : This study was conducted to estimate the future demand and supply of physicians for korean medicine from 2016 year to 2026 year in order to make an adequate manpower policy in a way of keeping a balance between demand and supply. Methods : Baseline projection method and trend analysis(a polynomial log power equation model) were used in the estimation of future supply and demand respectively. We used data about the amount of oriental doctors from Ministry of Health and Welfare Statistics Yearbook and the treatment days from HIRA Statistics Yearbook. Results : It was projected that the total number of physician of Korean medicine will be 25,178 registered and 18,967 available in clinical setting. According to polynomial equation model which explained the trend of demand and had the highest score of $R^2$ among the equation models, 3,800~5,600 physician in Korean medicine will be oversupplied in 2016 year, 9,000~10,700 physicians in 2021 year and 15,700~17,000 persons in 2026 year depends on annual working days which is 265days, 255days or 239days. Log equation model also showed that overall excess supply of physician manpower in Korean medicine. Conclusions : Alternative manpower policies for Korean medicine doctors should be implemented in a way of both dwindling supplies and growing demand in Korean medical service in terms of Korean medical services utilization and improving physician's productivity.