• 서비스연구
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• 제11권4호
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• pp.43-55
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• 2021

본 연구는 OECD 회원국들을 대상으로 의료서비스의 운영효율성과 품질효율성을 비교 분석하였다. 이를 위하여 2017~2019년의 OECD 보건통계(Health Statistics) 자료를 이용하였다. 분석 방법으로는 산출지향형(output-oriented) 규모수익가변(VRS: Variable Returns to Scale) 모형을 적용하여 초효율성(super efficiency)을 측정하였다. 분석결과, 운영효율성의 상위 그룹에는 스위스, 한국, 이탈리아, 노르웨이, 오스트리아, 네덜란드, 중위 그룹에는 캐나다, 그리스, 덴마크, 멕시코, 미국, 영국, 체코, 프랑스, 핀란드, 헝가리, 호주, 하위 그룹에는 벨기에, 독일, 스페인이 포함되었다. 품질효율성의 상위 그룹에는 노르웨이, 스위스, 스페인, 중위 그룹에는 그리스, 덴마크, 멕시코, 미국, 영국, 캐나다, 프랑스, 핀란드, 헝가리, 호주, 하위 그룹에는 네덜란드, 독일, 벨기에, 오스트리아, 이탈리아, 체코, 한국이 해당되었다. 2018년을 기준으로 OECD 회원국별로 효율성을 비교 분석한 결과, 운영효율성이 가장 효율적인 한국은 품질효율성이 비효율적이었다. 한국(0.998)은 그리스(0.422), 스위스(0.207), 스페인(0.371)을 벤치마킹하여 기대수명을 0.2(0.2%), 주관적 건강 인지를 44.2(138.1%)씩 개선하여 품질효율성을 향상시켜야 한다. 이는 국내에서 기대수명이나 유병률 같은 객관적 지표로 건강상태를 측정하고 있지만, 의학적 진단 여부와 별개로 국민들이 본인의 건강에 관하여 주관적으로 평가하는 것을 관리할 필요가 있음을 의미한다. 본 연구는 운영효율성에 초점을 맞춘 대부분의 선행연구들과 다르게 운영효율성과 품질효율성을 함께 측정했다는 점에서 학술적인 시사점을 지닌다. 또한 OECD 회원국별 의료서비스 산업의 효율성을 비교 분석함으로써, 국내 의료서비스 산업의 국제적인 경쟁력 수준을 확인하고 효율성 개선 방안을 제시했다는 점에서 실무적인 시사점을 지닌다.

• Journal of Chest Surgery
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• 제49권sup1호
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• pp.60-67
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• 2016

Background: Coronary angioplasty has been replacing coronary artery bypass grafting (CABG) because of the relative advantage in terms of recovery time and noninvasiveness of the procedure. Compared to other Organization for Economic Cooperation and Development (OECD) countries, Korea has experienced a rapid increase in coronary angioplasty volumes. Methods: We analyzed changes in procedure volumes of CABG and of percutaneous coronary intervention (PCI) from three sources: the OECD Health Data, the National Health Insurance Service (NHIS) surgery statistics, and the National Health Insurance claims data. Results: We found the ratio of procedure volume of PCI to that of CABG per 100,000 population was 19.12 in 2014, which was more than triple the OECD average of 5.92 for the same year. According to data from NHIS statistics, this ratio was an increase from 11.4 to 19.3 between 2006 and 2013. Conclusion: We found that Korea has a higher ratio of total procedure volumes of PCI with respect to CABG and also a more rapid increase of volumes of PCI than other countries. Prospective studies are required to determine whether this increase in absolute volumes of PCI is a natural response to a real medical need or representative of medical overuse.

• 보건행정학회지
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• 제33권4호
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• pp.379-388
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• 2023

This study aims to propose the implementation of innovative payment models in Korea in order to promote the financial sustainability of the national health insurance system by reviewing the current status of the payment system in Korea and examining other countries' experiences with various innovative payment models. Korea primarily uses a fee-for-service payment system and additionally uses various payment systems such as case payment, per diem, and pay-for-performance. However, each payment system has its limitations. Many OECD (Organization for Economic Cooperation and Development) countries have pointed out the limitations of existing payment systems and have been attempting various innovative payment models (e.g., add-on payment, bundled payment, and population-based payment). Therefore, it is essential for Korea to consider innovative payment models, such as a mixed payment model that takes into account the strengths and weaknesses of each payment system, and to design and pilot these models. This process requires stakeholders to work together to build a social consensus on the implementation of innovative payment systems and to refine legal and systematic aspects, develop an integrated health information system, and establish dedicated organizations and committees. These efforts towards innovative payment models will contribute to developing a sustainable health insurance system that ensures the public's health and well-being in Korea.

• Nuclear Engineering and Technology
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• 제54권3호
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• pp.817-825
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• 2022

A recent benchmarking effort, under the auspices of the Organization for Economic Cooperation and Development (OECD) Nuclear Energy Agency (NEA), has been made to evaluate the current state of modeling and simulation tools available to model fluoride salt-cooled high temperature reactors (FHRs). The FHR benchmarking effort considered in this work consists of several cases evaluating the neutronic parameters of a 2D prismatic FHR fuel assembly model using the participants' choice of simulation tools. Benchmark participants blindly submitted results for comparison with overall good agreement, except for some which significantly differed on cases utilizing a molybdenum-bearing control rod. Participants utilizing more recently updated explicit isotopic cross sections had consistent results, whereas those using elemental molybdenum cross sections observed reactivity differences on the order of thousands of pcm relative to their peers. Through a series of supporting tests, the authors attribute the differences as being nuclear data driven from using older legacy elemental molybdenum cross sections. Quantitative analysis is conducted on the control rod to identify spectral, reaction rate, and cross section phenomena responsible for the observed differences. Results confirm the observed differences are attributable to the use of elemental cross sections which overestimate the reaction rates in strong resonance channels.

• Biomolecules & Therapeutics
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• 제8권2호
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• pp.147-152
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• 2000

The rodent uterotrophic assay is currently recommended as one of the primary in vivo assays far endocrine disrupting chemicals by the Organization for Economic Cooperation and Development (OECD) and Endocrine Disruptor Screening and Testing Advisory Committee (US EPA EDSTAC). Generally, this assay relies on the rapid increase in uterus and vagina weights when exposed to estrogenic compounds. Phthalate esters have been used extensively as a plasticizer in the manufacture of plastic products such as PVC films and medical devices. Recently, phthalate esters have been shown to induce endocrine system mediated responses. However, a flew studies have been conducted for the screening of their estrogenic activity. In this study the estrogenic activity of seven phthalate esters, butyl benzyl phthalate (BBP), di(2-ethylhexyl) phthalate (DEHP), di-n-butylphthalate (DBP), diethylphthalate (DEP), di-n-pentylphthalate (DPF), di-n-propylphthalate (DPrP) and dicyclohexylphthalate (DCHP), was examined in uterotrophic assay. Phthalate esters dissolved in corn oil were administered to ovariectomized (OVX) female Sprague-Dawley rats by sub-cutaneous injection for three consecutive days. fiats were sacrificed 24h after final treatment, and then uterus and vagina weights were deter mined. All phthalate esters tested in this assay did not change talc uterus and vagina weights at dosage levels up to 200 mg/kg/day treatment. These results demonstrated that phthalate esters did not exhibit estrogenic activity in vivo uterotrophic assay.

• 간호행정학회지
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• 제20권1호
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• pp.106-116
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• 2014

Purpose: In this paper issues and challenges of the workforce policy for nursing were explored and appropriate policy responses identified. Results: Many countries, including South Korea, are facing a shortage of nurses. In South Korea, the number of practicing registered nurses is about half the average for Organization for Economic Cooperation and Development (OECD) member countries. The shortage of nurses is not necessarily a shortage of individuals with nursing qualifications but also includes complex issues, such as lack of well-educated nurses, shortage of nurses willing to work, and geographical imbalances of nurses. The present nurse workforce policies are to increase number of nursing schools, to reduce the length of training, and to replace nurses with nursing assistants. However, the findings of many studies have shown that these attempts resulted in a worsening of patient outcomes and increasingly low quality of care. Conclusion: The findings in this study indicate that nurse workforce policy should have a multi-faceted approach in order to address the many factors affecting nurse shortages.

• 자동차안전학회지
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• 제10권4호
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• pp.25-32
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• 2018

Due to the rapid increase in the number of vehicles, the physical and human losses caused by traffic accidents have become serious social problems. In the global trend, there have been active studies conducted on improving safety level of automobile in order to reduce the number of automobile accident. As a result of such research, traffic accidents continue to decline. In the case of South Korea, however, rate of death by automobile accident is 8.5 per 10,000 people and it is a seven rank among the countries in OECD (Organization for Economic Cooperation and Development). This average rate is almost double compared to average automobile accident rate per 10,000 vehicles, of other OECD countries in 2015. Consequently, many studies and policies currently have been conducted and made for increasing safety of pedestrians; however, they are only emphasizing characteristics of pedestrians and drivers. For this reason, this study suggests scenarios for establishment of test standard corresponding with domestic environment and international standard of AEB (Autonomous Emergency Braking) and conducts a real car test by scenarios by setting up a goal with a function for remaining distance after braking and then examine equation by comparing real car tests results and outcome after calculation. This is a theoretical method to predict a relative remaining distance after AEB prior to conducting a real car test for evaluation of safeness of automobile with AEB and it is expected that it solves problem of complication of real car test.

• Biomolecules & Therapeutics
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• 제8권1호
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• pp.78-83
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• 2000

The objective of this study was to prevalidate the Organization for Economic Cooperation and Development's (OECD) rodent uterotrophic assay as a test method for screening of potential endocrine disrupting chemicals (EDCs). This study was conducted exactly as described in the OECD protocol documents. A positive control substance, 17$\alpha$-ethinyl estradiol (EE), was administered daily for three days to ovariectomized (OVX) Sprague-Dawley rats at various doses for determine the dose-response curve. Additionally, a pure antiestrogenic chemical, ZM189, 154 was administered to OVX rats at the same time EE to determine the effectiveness of the material against blocking the estrogenic effects of EE. At higher concentration of EE (10 $\mu\textrm{g}$/kg), a statistically significant difference in body weight gain and food consumption was observed compared to vehicle controls. In uterine responses, EE produced a dose-related increase in uterus weights compared to vehicle control. These increases were statistically significant at the >1.0 $\mu\textrm{g}$/kg doses. However, a similar dose-response relationship was not observed in vagina weight. A comparison of the two groups receiving ZM189,154 (0.1 and 1.0 mg/kg) with 0.3 $\mu\textrm{g}$/kg of EE and the group receiving only 0.3 $\mu\textrm{g}$/kg of EE showed dose-related decreases in uterus weights. However, statistical significance was shown in 1.0 mg/kg of ZM189,154. In conclusion, administration of EE produced a dose-related increase in uterine (wet and blotted) weights. Additionally, the 1.0mg/kg dose of ZM189,154 was effective in blocking the estrogenic activity of EE. These data suggest 3-day uterotrophic assay using OVX rats may serve as a good tool for EDCs screening.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2018년도 추계학술대회
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• pp.210-212
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• 2018

OECD (경제협력개발기구) 발표에 따르면 2009년부터 우리나라 노인 자살률은 높은 수치를 기록하고 있으며 관련 이유로 젊은 시절과 비교되는 사회적 참여도와 우울증이 있다. 정보화시대에 접어들어 커뮤니티 사이트의 영향으로 유대관계의 형성 및 확장이 쉬워졌다. 하지만 노인을 위한 커뮤니티 사이트가 부족하고 이마저도 고령친화적이지 않은 인터페이스 때문에 이용하기 어려운 실정이다. 이에 본 논문에서는 노인의 사회적 고독감 해결 및 정보화 사회 참여를 위한 커뮤니티 모바일 앱에 관한 내용을 서술하고자 한다. 노인이 커뮤니티 사이트를 사용하기 힘든 이유에 대해 분석하고, 사용자 평가 모델 중 하나인 PACMAD를 바탕으로 사용자 시나리오에 초점을 맞추어 신체적, 인지적 조건을 고려한 커뮤니티 모바일 앱 인터페이스 및 콘텐츠를 제안한다. 이로써 고령층의 정보화 사회 참여를 이끌어내는데 바탕이 되고자 한다.

• 가족자원경영과 정책
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• 제23권2호
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• pp.79-97
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• 2019

This study aimed for in-depth observation of the status quo of the youth generation's happiness utilizing the Better Life Index and the World Value Survey. To serve this purpose, the study selected 11 of the Organization for Economic Cooperation and Development(OECD) member countries (Australia, Estonia, Germany, Japan, Korea, Mexico, New Zealand, Poland, Sweden, Turkey, United States) that overlapped with the subject countries of the World Value Survey. The results of the observation first revealed that among the work-life balance levels of youth generations from across the 11 studied countries, the level for Korean youth was in a very poor state. Second, the happiness level of Korean youth also sat among the bottom ranks, with the aspects of politics, friendship, and career casting a heavy influence on importance to life; specifically, the youth generations of Turkey and Germany showed high levels of life purpose, while Korean youth displayed outstanding results in the challenge aspect. The third finding of this study reported that family, religion, power, benevolence, and challenge were commonly related to the happiness level of youth generations in countries with a higher work-life balance. The results of this study are expected to contribute to the much needed attention and support for improving the happiness level of the Korean youth generation, who will eventually play the leading role in our future society.