• 한국병원경영학회지
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• 제5권2호
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• pp.40-58
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• 2000

Nurses are medical personnel, who play a key role in supporting patient care, so it is important to supply them adequately in balance with ever increasing medical demand. But there appears severe shortage of nurses in some hospitals because of their uneven distribution, especially in small sized-hospitals and rural-hospitals. As nationwide distorted distribution of nurses in Korea is just like what monopsony model(a kind of market structure model) tells us, it is attempted to explain this situation of nurse labor market in Korea on the basis of monopsony model and presented in this paper. Specifically, determinants of nurse wage and the level of their relative employment were examined, and monopsony impact on their wage and the level of relative employment controlling those determinants were studied. Major results of this study arc as follows. The most important determinant of nurse wage level in this study was the wage level of a local community where each hospital located Hospital owner's characteristics an educational function of each hospital were also important factors. With these factor controlled, it was found that monopsony power of each hospital was negativel associated with nurse wage level as expected. 1% increase in monopsony power of hospital(measured by Herfindah-Hirschman Index) reduced nurse wage by $5,674{\sim}19,19$ won(in Korean currency). With regard to the level of relative employment, the most important determinant wa the capacity for supplying nurses of the local community. Again, hospital owner characteristics and educational function of each hospital were also important. With these factors controlled, it was found that monopsony power of each hospital was negative associated with the number of nurses per bed, as expected. 1% increase in monopsony power of each hospital(again measured by Herfindah-Hirschman Index) reduced the number of nurses per 100 bed as much as $0.46{\sim}0.67$. In conclusion. structural factors of nurse labor market influence the instability of nurse labor supply in Korea. Further consideration for these market structural characteristics needed for policy making related to nurse resource allocation.

• 한국국방경영분석학회지
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• 제23권2호
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• pp.72-84
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• 1997

In this paper, we consider an economic order quantity(EOQ) and an optimal discount pricing policy for the monopsony related to the weapon system acquisition. In the monopsony case, a buyer wishes to maximize the profit. However, a seller wants to minimize the total inventory related cost since a buyer can determine the purchase price for the product. We develop a generalized version of EOQ model for the monopsony, including one seller-one buyer model and two seller-one buyer model. A model of buyer reaction to any given pricing scheme is developed to show that there exits a unified pricing policy which motivates the buyer to increase its ordering quantity per order, thereby reducing the joint(buyer and seller) ordering and holding costs in the system.

• 간호행정학회지
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• 제6권1호
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• pp.147-159
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• 2000

This paper studied the factors that influence on RN staffing level in the 43 Specialized general hospitals. Market structure was analysed using the monopsony model. The degree of competition was estimated by Herfindal Index and market was defined as Great medical zone. As the result of the estimation, in the more competitive hospital market hospitals employed the higher level of RN staffing, so monopsony model was supported. Hospitals with above 1001bed employed more RN than hospitals with below 700bed did. Hospital type, hospital union and the number of medical doctor did not affect the level of RN staffing. There was positive correlation between the level of RN staffing and the number of nurse's aid. The structure of RN market in Specified general hospitals was proved monopsony market, it seems that government regulation will be needed to improve social efficiency and equity.

• 기업가정신과 벤처연구
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• 제20권2호
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• pp.51-66
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• 2017

온라인 및 무선 통신은 콘텐츠 산업 시장을 획기적으로 변화시켰다. 유통 채널이 서점에서 스마트 플랫폼으로 이동함에 따라 거래가 즉각적으로 이루어져 제작자에게 새로운 크고 작은 기회가 제공되었다. 그러나 그러한 기회는 산업 생태계의 불균형을 초래한다. 창의적 중소기업의 성장이 중요한 콘텐츠 산업 특성상, 산업의 건전성과 다양성을 보장하기 위해서는 콘텐츠 저작권에 관한 공정거래 규칙이 필요하다. 하지만 산업의 몇몇 구조적 특성이 이러한 규칙의 시행을 어렵게 한다. 첫째, 콘텐츠 업계는 주요 출판사들처럼 다수의 중소 판매업자들로 이루어져 있다. 둘째, 구글과 같은 플랫폼 회사 등 최종 판매자들은 독점적 지위를 보유하고 있다. 셋째, 콘텐츠에 대한 경제적 가치 평가도 어렵다. 기업 인수의 측면에서 보면, 저작권 거래는 (1) 라이선스(권리위임) 모델, (2) 원시취득 모델, (3) 수요독점 모델로 분류가 가능하다. 이 연구는 출판업계에서의 주요 법령과 각 모델 별 적용 방식에 대해 알아본다. 한국과 미국의 법령, 판례분석, 공정거래위원회(FTC)의 심결들을 분석하여 저작권 거래의 공정성/불공정성 평가 기준을 제시한다. 나아가 이 연구는 콘텐츠 저작권의 공정한 거래를 제고하기 위하여 콘텐츠 산업의 일반적 관행을 개선하기 위한 가이드라인을 제시함으로써 출판산업 생태계가 발전하기를 기대하는 바이다.

• 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.

• 디지털융복합연구
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• 제16권10호
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• pp.145-153
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• 2018

최근 우리 사회는 최저임금의 인상폭을 둘러싸고 극심한 갈등을 겪고 있으며, 이에 대해 학계는 신뢰할만한 연구를 통해 적정한 기준을 제시하지 못하고 있다. 본 연구는 최저임금의 고용효과에 관한 기존 국내외 연구들의 경향과 문제점들을 살펴보고 개선방향을 제시하였다. 자연실험 또는 메타회귀분석법을 활용하는 최근의 해외 연구들은 최저임금의 인상이 고용량에 거의 영향을 미치지 못한다는 연구결과를 제시한다. 국내 연구들은 아직 그 수효가 많지 않을 뿐만 아니라 사용된 자료나 분석기간, 연구모형 등에 따라 고용효과에 대해 서로 다른 결론을 제시한다. 향후 연구에서는 자료수집 시 임금과 근로시간 등의 오차를 최소화하고, 최저임금 변화의 내생성 문제, 경제상황과 고용변화의 추세를 적절히 고려하여 최저임금의 고용효과를 측정해야 하며, 해외 연구들에처럼 최저임금의 인상시기를 전후한 자연실험 방법을 적극 활용할 필요가 있다.