• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1994년도 교수 연수회(환경)
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• pp.450-468
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• 1994

Scientists have long used conventional toxicological methods to establish 'safe levels of exposure' for chemicals presumed to have threshold health effects or doses below which significant effects are unlikely to occur. These same methods cannot be used to establish safe levels of exposure for non-threshold pollutants. such as carcinogens. Therefore. Federal regulatory agencies in the United States are using risk assessment methods to provide information for public health policy decisions concerning increases in risk associated with increases in exposure to carcinogenic and other non-threshold pollutants. Acceptable exposure/risk levels are decided by policymakers who consider descriptions and estimates of risks together with social and economic benefits from the uses of the chemical. 1bis paper focuses on the development of quantitative risk assessment approaches by Federal regulatory agencies in the United States, and identifies the mathematical models currently being used for risk extrapolation. including their inherent uncertainties. The uncertainties and limitations of these methods have led some scientists to question the utility of quantitative risk extrapolation. The experience of the; U.S. Environmental Protection Agency (EPA). as summarized in this paper. can provide a realistic basis for evaluating the pros and cons. Finally. shortcomings in current risk assessment methods and their use in policy decisions are explored. and areas for possible improvement. given current scientific knowledge. are identified.

• STI Policy Review
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• 제2권2호
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• pp.25-44
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• 2011

• 한국환경복원기술학회지
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• 제26권3호
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• pp.43-55
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• 2023

The railway project is an essential green transportation tool that is considered suitable for the domestic and foreign policy direction of carbon neutrality, but there are some limitations, such as damaging important carbon absorption sources during construction. This study analyzed the environmental impact assessment related to carbon absorption sources of greenhouse gas evaluation items conducted during the railway project, and limitations and implications were derived. The analysis of environmental impact assessment guidelines related to railway projects and carbon absorption sources dealt with prediction and reduction methods related to carbon absorption sources, but guidelines, including environmentally friendly railway construction guidelines, lacked descriptions. Since the greenhouse gas environmental impact assessment, 83 railway project environmental impact assessments have been reviewed, but in some cases, carbon absorption-related predictions have not been implemented, or carbon absorption-related reduction measures have been insufficient. In addition, there were cases where there was a limit to calculating emissions and reduction or where the reduction value was insignificant compared to emissions. In order to supplement the environmental impact assessment in the field of carbon absorption sources related to railway construction projects, alternatives such as quantitative emission and low reduction calculation, review of the no net loss system using the total environmental resource system, and linkage with climate change impact assessment are needed.

• 환경정책연구
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• 제14권1호
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• pp.53-83
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• 2015

최근 기후변화 적응 분야의 연구에 있어 리스크 평가가 적응정책 수립의 중간 과정으로서 논의되고 있다. 기후변화 리스크 평가는 기존의 기후변화 영향평가, 취약성 평가와 더불어 적응정책을 도출하는 데 있어, 관리방안 구성의 매개체로서 역할을 하는 것으로 알려져 있으며 영국 적응정책 수립에 활용되었다. 목적은 영국의 국가 적응정책 수립에 활용된 정성적 리스크 평가의 방법의 일부를 국내 적응정책 수립의 각 부문에 대해 적용하고, 이를 유형화하여 관리방안의 방향을 도출하고자 하는 것이다. 방법으로는 델파이 기법을 응용한 전문가 설문조사와 Klinke and Renn(2002)이 제안한 유형화의 방법을 적용하였다. 논문에 사용된 기후변화 리스크는 국내 기후변화 영향 및 취약성 보고서, 국가기후변화적응대책, 영국 리스크 평가에 사용된 목록 등을 활용하였다. 분석결과 총 125개 리스크 중 42개가 선택되었다. 리스크의 영향정도와 관리의 시급성이 높은 리스크의 경우는 이상기상, 극한기상과 관련하여 반복적이고 피해규모가 커지는 풍수해 관련 리스크가 다수를 차지하였다. 또한, 생태계 변화, 기반시설 대응과 같은 중장기적 대응이 필요한 리스크도 다수 도출되었다. 국내의 기후변화 리스크는 사회적 신뢰와 촉발메커니즘, 책임성 등이 관리에서 요구되는 유형으로 나타났다. 시사점으로 시민사회의 역량강화와 상호간 신뢰, 정책구성에 있어 시민참여 등을 통해 자율적 적응의 폭을 넓일 것을 제안하였다.

• 보건행정학회지
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• 제20권2호
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• pp.128-143
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• 2010

Objectives : This study aims to estimate the oral antihyperglycemic medications adherence among ambulatory care with adult type 2 diabetes patients and to identify factors affecting the medication adherence in Korea. Methods : This study used the Korean National Health Insurance Database. Study population was 40,082 patients who were 20 years of age or older and first diagnosed with type 2 diabetes (ICD-10: E11) in 2004. The patients were followed up for two years in order to measure adherence with oral antihyperglycemic medications. The level of medication adherence was measured by the medication possession ratio (MPR). Results : The average MPR in the study population was 49.5%. The appropriate adherence rate (MPR$\geq$80%) was 29.4% and showed variation according to the characteristics of individual patients. Multiple logistic regression analysis revealed that the odds of appropriate adherence increased with female (OR:1.21, CI:1.14-1.27), older age, increasing ambulatory care visits, health insurance (OR:1.53, CI:1.33-1.76), decreasing ambulatory care providers, using a specialized general hospital as their main attending medical institution (OR:10.08, CI:8.96-11.33), having co-morbidity, using polytherapy (OR:1.07, CI:1.01-1.13). Conclusions : The medications adherence for patient with type 2 diabetes is low in Korea, and shows variation according to the characteristics of patients. For proper management of diabetes, health care policy is expected to be enacted to improve medications adherence continuously. In particular, more intensive management is needed for patients with low medications adherence. Also, health care policy makers need to develop the program to induce health care utilization by a patient to be more concentrated with the same provider.

• 한국방재학회:학술대회논문집
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• 한국방재학회 2008년도 정기총회 및 학술발표대회
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• pp.703-706
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• 2008

현재 유역종합치수계획의 구조적 홍수방어시설의 평가는 다차원홍수피해액 산정방법에 의해 수행되어지고 있으며, 건설교통부(2004)에서 제시한 경제성 분석과 안전 위험성, 지속 가능성을 고려하여 계층화분석(AHP)기법을 통하여 최적대안이 선정되고 있다. 그 결과 홍수방어시설의 정책성 분석의 결여로 인해 사회적 문제, 민원발생, 정부기관간의 마찰 등 많은 문제가 발생하고 있다. 본 연구에서는 이같은 문제를 해결하기 위해 유역종합 치수계획을 위한 계층화분석(AHP)기법의 정책성 평가의 계층구조를 재구성하고, 구조적 홍수방어시설의 최적대안 선정을 위해 정책적 세부 평가항목별 가중치를 설정하여 계층화분석(AHP)기법에 적용할 수 있는 정책적 평가기법을 개발하였다. 정책적 평가기법을 개발하기 위해서 치수사업의 정책성 평가 항목과 가중치 설정에 대해 전문가 설문조사를 실시하였다. 설문조사 결과와 한국개발연구원에서 제시한 국가 공공사업의 예비타당성 조사를 위한 가중치를 비교 분석하였다. 치수경제성에 높은 가중치를 부여하였던 과거와 달리 설문조사 결과는 치수경제성이 중요하지만 정책성 분석 역시 중요하다는 인식의 변화와 기본 평가항목을 추가하여 정책성 분석의 세부 평가항목의 다양성이 필요하다고 나타났다.

• 보건행정학회지
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• 제28권3호
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• pp.272-279
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• 2018

Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as 'limited health technology assessment system,' 'system for postponement of new health technology assessment,' 'one-stop service system,' and 'integrated operation of approval for medical devices and new health technology assessment.' Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.

• 환경영향평가
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• 제6권2호
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• pp.17-28
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• 1997

• 환경영향평가
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• 제6권2호
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• pp.1-16
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• 1997

• 한국환경과학회지
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• 제2권4호
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• pp.245-254
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• 1993

This paper attempts to analyze the institutionalization process of Environmental Impact Assessment(EIA) system within the context of Korean environmental policy. The implementation of EIA in the 1980's was not seriously considered by other government agencies and was sometimes degraded as mere formality due to the inherent problems of the system. With viewing the theory and practice of EIA in Korea, this paper argues that it is essential to reinforce ex post facto management incorporate the participation of residents of concerned areas, upgrade the validity of assessment by selecting a credible assessment-agenices and develop the required technologies. Finally, this paper acknowledge the necessity of devising the mechanism to reconcile the conflict between the regional interest and the national interest.