• 디지털융복합연구
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• 제5권1호
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• pp.27-33
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• 2007

The purpose of this paper is to find an appropriate policy for local government innovation step by step. In order to accomplish this purpose, we considered the characteristics and situation of Gumi city. Specifically, we analyzed the win-win strategy of the department for the largest local administration innovation. Finally, we found that the chief executive's leadership and other strategies such as the adjustment of the innovation propulsion system are key factors. Also, Managing the resistance to change appeared during the process of local administrative innovation is important. The failure of the policy for local government innovation is caused by the failure to manage the resistance. Thus, for government innovation to succeed, correct information provision, comprehensive participation of public officials and effective management of resistance is necessary.

• 한국치위생학회지
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• 제11권2호
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• pp.275-289
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• 2011

Objectives : The recognition rate for issues and improving resolution for the recuperation income expense claim policy was examined. Methods : 1,135 copies of survey have been sent to the group of people who have claimed the dental recuperation income expense to dental recuperation institutions in Daejeon, Chungcheong Do that are registered to the health insurance evaluation and estimation office as of the May 2010 and 207 surveys that were regarded to be sincere for answering were analyzed. Results : Majority of respondence were belonged to the dentist institutions with more than 5 years of claim experiences as well as 10~50% of claim rate. The recognition of medical fee evaluation guideline was normal level, and negative recognition was higher to the health center with daily charge policy compare to the dental hospital and university affiliated dental center with treatment charge policy, Highest opinion for inappropriateness of dentist with significance was found (p<0.05). The openness of evaluation cases are regarded to be discharged through the transparent evaluation and most of the opinions for insurance claim evaluation adjustment are within the both 'Do not understand the evaluation guideline and program error of disease category, code and program' with significance(p<0.05). The reaction after the evaluation adjustment was high in reflection on the claim process after examining the reason for the evaluation adjustment through the evaluation and estimation office and university affiliated dental institution and dental center was regarded to be most active and deputy reclaimment was seemed to be most actively discharge the objection registration task (p<0.05). The claim error improving resolution recognition was highly prioritized to the accurate charting for the disease title and treatment description, improving the setting of claim program, and most highly recognized by the university affiliated dental hospital/dental center and comparably low by health center(p<0.05). and although the most of the responds of treatment description and browsing the medical fee was positive, 50% of dentists disagreed the idea so that this was creating a significant discrepancy with other groups(p<0.05). Conclusions : From this research, the recognition of medical fee evaluation guideline for dental (university) hospital and dentists were negative and high adjustment experience was examined as lacking of evaluation guideline understanding and error of disease name, code and programs and deputy reclaimment, university affiliated dental hospital/dental center were most actively handle the objection registration tasks and dentists have objection on the treatment description and browsing the treatment fee so that if these indexes can be referred to implement into the recuperation income claim process, this can be regarded to be a opportunity to create mutual credibility between recuperation institution, treatment pensioner and the evaluation institutions.

• Journal of Korea Trade
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• 제24권8호
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• pp.19-38
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• 2020

Purpose - The Korean government has been promoting the New Southern Policy (NSP) prior to the onset of the COVID-19 pandemic, which damage global value chain (GVC). The purpose of this paper is to emphasize that the NSP should be developed to provide tangible support in corporate GVC adjustment, away from diplomatic activities in order to offset GVC losses due to COVID-19 and expand export capabilities. Design/methodology - Two research methodologies are combined for this paper: A computational general equilibrium (CGE) model is used to estimate the impacts of the COVID-19 pandemic and NSP on Korea's exports, and the decomposition methodology (Wang, Wei and Zhu, 2013) to evaluate the stability of GVC. The conventional CGE model was modified to obtain an estimate for decomposition. The research methodology adopted in this study was attempted for the first time, and it can be widely used in future GVC research. Findings - Results found the effects of COVID-19 reduced Korea's total exports by 27% and GVC by more than 30%. In particular, VA in Korea's exports to the NSP region was found to have a huge impact in heavy industries and textiles, and its exports to Vietnam seemed to suffer the largest loss in GVC among ASEAN countries. If the NSP is implemented properly, it appears that it could offset much of the negative impacts of COVID-19, implying the importance of the effectiveness of the NSP. Originality/value - Many papers have assessed the NSP descriptively, and the GVC has been a topic for many publications. However, the impact of COVID-19 on Korea's GVC with the NSP countries has not been quantitatively studied. This paper emphasizes that the NSP should be pursued based on the results of quantitative analysis. In addition, the research methodology of this paper can be used for other GVC research with relevant modifications.

• 수산경영론집
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• 제30권2호
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• pp.39-54
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• 1999

This paper focused on meaning, problems and prospect of structural reform of coastal and offshore fisheries in Korea. Structural reform can be defined as effective combination of production factors in order to enhance fisheries productivity and it can be realized mainly through fleet reduction, modernization of fishing vessels and fishing gear etc. However, the structural reform alone will not be sufficient to advance Koreanl fisheries facing with severe challenges from both inside and outside. Domestically, worsening status of fisheries resources, decreasing number of fishermen, worsening financial status of fisheries businesses and severe competition cause structural problem in fisheries sector and internationally the pressure from WTO and OECD to reduce tariff and subsides in fisheries poses severe challenges. The structural reform should be carried out in relation with the general adjustment programs across coastal and offshore fisheries such as M&A among fisheries businesses, adjustment of number of fishing permits and fishing areas. And the policy to enhance the fishing productivity is needed for recovery of fisheries resources and for the reduction of fishing efforts, that is, the approach which combines economic and resources concerns is needed. For the effective implementation of the reform, effect analysis of the reform program is needed and at the same time, eradication of illegal fishing, reduction of fishing fleet and reduction of fishing cost should be realized. However, the most important thing is the will and efforts of the government for successful reform. If the government does not exert sufficient efforts for the structural reform, Korea could be degraded into a backward country in fisheries.

• 보건행정학회지
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• 제27권2호
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• pp.149-156
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• 2017

Background: This study was conducted to evaluate the performance of the Hierarchical Condition Category (HCC) model, identify potentially high-cost patients, and examine the effects of adding prior utilization to the risk model using Korean claims data. Methods: We incorporated 2 years of data from the National Health Insurance Services-National Sample Cohort. Five risk models were used to predict health expenditures: model 1 (age/sex groups), model 2 (the Center for Medicare and Medicaid Services-HCC with age/sex groups), model 3 (selected 54 HCCs with age/sex groups), model 4 (bed-days of care plus model 3), and model 5 (medication-days plus model 3). We evaluated model performance using $R^2$ at individual level, predictive positive value (PPV) of the top 5% of high-cost patients, and predictive ratio (PR) within subgroups. Results: The suitability of the model, including prior use, bed-days, and medication-days, was better than other models. $R^2$ values were 8%, 39%, 37%, 43%, and 57% with model 1, 2, 3, 4, and 5, respectively. After being removed the extreme values, the corresponding $R^2$ values were slightly improved in all models. PPVs were 16.4%, 25.2%, 25.1%, 33.8%, and 53.8%. Total expenditure was underpredicted for the highest expenditure group and overpredicted for the four other groups. PR had a tendency to decrease from younger group to older group in both female and male. Conclusion: The risk adjustment models are important in plan payment, reimbursement, profiling, and research. Combined prior use and diagnostic data are more powerful to predict health costs and to identify high-cost patients.

• Journal of Preventive Medicine and Public Health
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• 제34권3호
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• pp.244-252
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• 2001

Objective : Health insurers and policy makers are increasingly examining the hospital mortality rate as an indicator of hospital quality and performance. To be meaningful, a risk-adjustment of the death rates must be implemented. This study reviewed 5 severity measurement methods and applied them to the same data set to determine whether judgments regarding the severity-adjusted hospital mortality rates were sensitive to the specific severity measure. Methods : The medical records of 584 patients who underwent coronary artery bypass graft surgery in 6 general hospitals during 1996 and 1997 were reviewed by trained nurses. The MedisGroups, Disease Staging, Computerized Severity Index, APACHE III and KDRG were used to quantify severity of the patients. The predictive probability of death was calculated for each patient in the sample from a multivariate logistic regression model including the severity score, age and sex to evaluate the hospitals' performance, the ratio of the observed number of deaths to the expected number for each hospital was calculated. Results : The overall in-hospital mortality rate was 7.0%, ranging from 2.7% to 15.7% depending on the particular hospital. After the severity adjustment, the mortality rates for each hospital showed little difference according to the severity measure. The 5 severity measurement methods varied in their statistical performance. All had a higher c statistic and $R^2$ than the model containing only age and sex. There was a little difference in the relative hospital performance evaluation by the severity measure. Conclusion : These results suggest that judgments regarding a hospital's performance based on severity adjusted mortality can be sensitive to the severity measurement method. Although the 5 severity measures regarding hospital performance concurred, more often than would be expected by chance, the assessment of an individual hospital mortality rates varied by the different severity measurement method used.

• 한국보육지원학회지
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• 제11권1호
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• pp.355-371
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• 2015

본 연구는 단기종단연구로 초등학생을 대상으로 부모의 방임/학대에 대한 아동의 지각에 있어서 성별과 학년 시기별로 차이가 있는지 살펴보고 아동이 지각한 부모의 방임/학대와 아동의 학교생활적응 간 어떠한 관계가 있는지 종단적으로 탐색하여 아동이 지각한 부모의 방임/학대와 아동의 학교생활적응 간 관계에 대해 알아보았다. 한국청소년정책연구원의 한국아동 청소년패널조사 2차년도 자료 중 초등학교 5학년 2,264명과 3차년도 자료 중 초등학교 6학년 2,219명을 대상으로 하였으며 본 연구결과는 부모의 방임/학대에 대한 지각이 아동의 성별과 학년 시기별에 따라 다르고 종단적으로 남아와 여아 모두 부모의 방임/학대에 대한 지각이 아동의 학교생활적응을 좌우할 수 있음을 보여주었다. 본 연구결과는 부모의 방임과 학대에 대한 아동의 지각이 5, 6학년 시기에 안정적임을 보여주는 것으로 부모의 학대와 방임에 대한 적절한 중재를 지원하는 것이 요구됨을 시사한다.

• 한국콘텐츠학회논문지
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• 제14권6호
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• pp.539-548
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• 2014

본 연구는 대학생을 대상으로 교우관계, 역기능 가정 및 대학생활적응 간의 관계를 알아보고, 교우관계와 역기능 가정이 대학생활적응에 미치는 영향을 검증하는데 목적이 있다. 이 연구의 대상은 서울 지역에 소재한 3개의 대학생 415명을 대상으로 변인들 간의 상관관계와 중다회귀분석을 이용하였다. 그 결과는 다음과 같다. 첫째, 대학생의 교우관계, 역기능 가정, 대학생활적응 간의 관계를 살펴보면, 교우관계, 역기능 가정, 대학생활적응의 하위변인 중 갈등 및 불신과 대학환경적응을 제외한 모든 하위영역에서 상관이 있는 것으로 나타났다. 둘째, 중다회귀분석 결과, 대학생활적응에 영향을 미치는 가장 높은 변인은 갈등해결, 문제의 부모, 인정과 관심 순으로 나타난 반면, 그 외 모든 하위변인에서는 통계적으로 유의미한 예측변인이 아닌 것으로 나타났다. 그러므로 대학생활 부적응에 대한 예방과 대학생 지도에 활용할 수 있는 심층적인 프로그램 개발과 여러 가지 정책에 대하여 시사하고자 한다.

• 디지털융복합연구
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• 제16권12호
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• pp.51-60
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• 2018

본 연구는 입대 병사들을 대상으로 자기이해와 타인수용에 초점을 둔 대인관계능력, 셀프리더십, 스트레스대처 수준, 군생활적응과의 관계를 알아보고자 하였다. 이를 위해 육군훈련소에 입소한 1289명의 훈련병들을 대상으로 설문검사를 실시하였다. 연구 결과, 첫째, 타인수용은 군생활적응의 하위척도인 수행의지에는 유의한 영향을 미치지 못하였지만, 직무만족, 셀프리더십에는 유의한 영향을 미쳤다. 자기이해는 수행의지와 직무만족, 셀프리더십 모두에 유의한 영향을 미쳤다. 둘째, 대인관계능력과 군생활적응 간의 셀프리더십의 매개효과가 나타났다. 셋째, 셀프리더십과 군생활적응 간의 관계에서 스트레스대처 수준의 조절효과를 분석한 결과, 수행의지는 스트레스대처 수준이 높은 집단에서만 셀프리더십에 조절효과를 보였으며, 직무만족에서는 스트레스대처 수준이 높은 집단과 낮은 집단 모두에서 조절효과가 있는 것으로 나타났다. 본 연구 결과는 병사들의 군생활적응에 자기이해와 타인수용능력, 셀프리더십, 스트레스대처 수준이 개인의 긍정적 잠재변인임을 지지한다.

• 유통과학연구
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• 제19권10호
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• pp.75-86
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• 2021

Purpose: The purpose of this study is to address policy preparation and amendments on regulations in accommodation sharing for resource distribution by fostering better adjustment in a society, since previous studies are rarely investigated in those issues. After conduct exploratory research about laws and regulations of accommodation sharing, this study investigates how effective policy instruments improve trust in accommodation sharing and potential growth by investigating the perceptions of individuals and by applying policymaking procedures. Research design, data and methodology: The data is collected via online survey. Structural equation modeling with confirmatory factor analysis and non-recursive model with multiple regression analysis were applied. Results: The results of this study found that among proposed policy instruments, individuals perceive local ordinances, government publicizing and campaign, trust marks, taxation, penalties, and government controls are effective to build trust in accommodation sharing. Policies geared toward the majority of the public are more effective, while governments should establish a strategic approach as to which policies are introduced in public and which role the government plays in the departments. Conclusions: The results provide policy and managerial implications how to enhance distributional values of accommodation sharing economy with proper preparations and amendments of laws and regulations.