• 보건행정학회지
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• 제9권4호
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• pp.41-64
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• 1999

The major concern for this research is to discuss and to offer some solutions to bring the effectiveness of existing notifiable diseases reporting system over the physicians' attitudes of reporting, the actual condition of performance and the reasons of inertia in notifiable diseases reporting through examining the physicians of medical institutions in nationwide such as pediatrics, internal medicine and family medicine. The actual conditions of notifiable communicable diseases(NCD) reporting was surveyed by mail objectifying an internal medicine, pediatrics and family medicine in nationwide on the basis of stratified random sampling method divided into the classification of medical institutions and areas. As a result of survey. the rate of respondents showed 145 persons from physicians, 105 persons from hospitals. 120 persons from general hospitals, and 51 persons from tertiary hospitals. The total number of respondents were 421 and was rated 59.0 %. The analysis of collected survey went through a descriptive analysis primarily to grasp physicians' attitudes on the notifiable communicable diseases reporting, and then upon the dependent variables. Following are major findings obtained form the data analysis. 1. The results of a descriptive analysis on physicians' attitudes towards reporting NCD were as follows: First, the respondents who didn't know that yellow fever is reporting NCD were 11.0% of clinic, 10.5% of hospital. 5.0% of general hospital. 11.8% of tertiary hospital. and in case of hepatitis B, were 26.9% of clinic, 35.2% of hospital. 35.0% of general hospital. 23.5% of tertiary hospital. Second, The rate of physicians' knowledge on penalties of not reporting the NCD by their medical institution were 35.2% of clinic, 45.7% of hospital. 36.7% of general hospital. 62.7% of tertiary hospital. Third, among the no-reporting physicians in whole, the major reason of not reporting NCD were uncertainty of diagnosis(78.9%), no need to report(46.4%), no adequate actions from PHC(29.1%), no knowledge of the cases being notifiable ones in the order of their frequencies(30.4%), meddling from PHC(29.1%), concerning of patient's privacy(26.3%). 2. To analyze the characteristics related to the physicians' behaviors to report NCD, univariate and multiple logistic regression analyses were applied to the variables related to physician, 4 medical facility, PHC, and reporting system. The result were as follows: First, the result of the univariate analysis on physicians' attitude to report NCD and characteristics related to reporting in odds ratio was in the case of hospital. 3.4 times higher positive responses on physicians' attitude to report NCD came up as compared to the clinic. Second, the result of the univariate analysis on physicians' action of reporting NCD and characteristics related to reporting by the classification of medical institutions showed that the odds ratio of hospital was 2.3 times, the odds ratio of general hospital was 2.0 times, the odds ratio of tertiary was 6.8 times significantly higher than clinic. And the medical institution with significantly higher positive attitudes rate by multiple logistic regression analysis was hospital that rated 2.5 times significantly higher than clinic. Also in the PHC related characteristics of reporting, the rate of action in reporting NCD was significantly higher in medical institution that were endowed with the good condition of reporting. In multiple logistic regression analysis, the medical institution that has a good conditions of reporting showed a significantly higher positive rate on the action of reporting than the others.

• 한국인구학
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• 제3권1호
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• pp.5-41
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• 1979

Vast volumes of studies of the medical and public health aspects of fertility and family planning have been published by the various institutes of health related research and university scholars in Korea. None of them, however, have dealed with the population problems associated with biologically and mentally handicapped people. It must be emphasized that the purpose of Korea's population policy should be to improve the quality of the population rather than to decrease its rate of increase. In this spirit, the first report of this study is to identify problems related with mentally and physically less fitted population, and to attempt to offer the possible solutions to the health planners and policy-makers. Several nation-wide surveys of the handicapped people in Korea have been compared. Each survey shows a wide range of difference in the prevalence of the handicaps(see Table 13). In this study, the data on the handicaps are collected by two independent system ; one by the nation-wide survey and the other by the reporting system existing at the Seoul National University Demonstration Health Project. The Chandrasekar-Deming technique was used to estimate the total number of handicaps. The estimates are summarized in the tables 8, 9 and 10. Estimate of total number of handicapped people in Korea is 601, 400 with the prevalence rate of 16.1 per thousand persons. Even if taking a number of conditions which may result in a biased estimate of the total number of the handicaps into consideration, the proportion of handicapped people in Korea has increased in the past two decade as the result of the rapid decline in fertility and childhood mortality, which consequently prolonged life expectancy of persons with congenital or acquired impediment. An increase in the proportion of handicapped people will eventually bring about serious problems of social welfare, medical care, and population qualities from various aspects including eugenics. To tackle the problem, there must be an increased emphasis on the prevention of handicaps from the government and private sector. Based on the amount and quality of data, and from the practical point of view, this study prepared a set of recommendations for the government to strengthen its programs of the preventive activities during the prenatal period and early childhood, early finding from routine examinations, and proper social and medical rehabilitation.

• 해양환경안전학회지
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• 제25권4호
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• pp.423-432
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• 2019

매년 해양활동이 증가하며 해양사고 발생빈도가 높아지고 있다. 이에 따라 해양안전을 위한 각종 연구 활동과 정책이 실행되고 있다. 하지만 이러한 노력에도 불구하고 매년 해양사고가 증가하고 있어 이들의 실효성에 대한 문제가 제기되고 있다. 문헌연구 결과에 따르면, 통계연보를 활용한 선행연구는 통계제공항목 간 비교를 통해 두드러지는 항목에 대한 예방책을 제시하고 있다. 2000년대 이후에는 대형 해양사고가 반복적으로 발생하면서 '사고대응'에 대한 사례연구(case study)가 진행되고 있다. 국내 해양안전을 위한 정책수립 연구과정에서 통계연보나 사고사례를 주 자료로 활용하고 있으나 현재 자료는 사후결과 요약정도의 수준이다. 따라서 본 연구에서는 해양사고 사례분석 및 개선방안 관련 문헌연구를 통해 현행 해양관련 연구와 정책의 한계를 탐색하였다. 또한 자료 활용 한계를 개선하기 위한 방안의 일환으로 선박사고 상황보고서 속성분석, 텍스트 마이닝을 통해 해양사고 정보 분류체계인 온톨로지(ontology)를 수정 보완하였다. 해당 항목은 '신고자, 신고수단, 구조세력, 대응 조치사항, 대응취약성, 적재물, 유류유출경위, 피해유형, 사고처리결과'이며, 이 항목들은 분류체계 표준용어를 활용해 향후 지속적으로 수집 활용할 수 있다. 마지막으로 온톨로지를 실질적으로 활용하기 위한 데이터 수집 및 품질확보 방안을 제시했다. 결과적으로 현재 해양안전이 직면한 문제를 명확히 파악하고 '품질이 확보된 충분한 정보'를 활용한다면 보다 다양한 연구와 실효성 있는 정책 실현이 가능할 것이다.

• 해양환경안전학회:학술대회논문집
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• 해양환경안전학회 2005년도 추계학술대회지
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• pp.41-46
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• 2005

예부선 선박은 다른 선박과 달리 부선에 의해 그 조종성능이 제한되어 항해 중 해양사고 발생률이 높은 것으로 알려져 있다. 그 충돌 사고 발생률은 일반 선박 대비하여 $40\%$이상 높은 것으로 보고되기도 하였다. 이런 특성을 지닌 예부선 운항 실태를 파악하고 이를 바탕으로 그 안전 운항 강화 차원의 연구는 꾸준히 정부에서 제기되어 왔다. 이 연구에서도 이러한 차원에서 예부선 국내 운항 실태의 개략을 살펴보았다. 운항업체의 등록상황, 각 업체의 운항 안전 실태, 과거 예부선 사고 유형 등을 살펴보았다. 또한 예부선 관련자에게 안전 증진 방안에 대한 설문 조사를 실시하였으며, 국내외 예부선 안전 사례에 대한 조사를 실시하였다. 이러한 자료는 예부선 안전 강화를 위한 방안에 활용될 것으로 판단된다.

• 해양환경안전학회지
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• 제12권1호
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• pp.61-66
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• 2006

예부선 선박은 다른 선박과 달리 부선에 의해 그 조종성능이 제한되어 항해 중 해양사고 발생률이 높은 것으로 알려져 있다. 그 충돌사고 발생률은 일반 선박과 비교하여 40%이상 높은 것으로 보고 되기도 하였다. 이런 특성을 지닌 예부선 운항 실태를 파악하고 이를 바탕으로 그 안전 운항 강화 차원의 연구가 꾸준히 정부에서 제기되어 왔다. 이 연구에서는 이러한 차원에서 예부선 국내 운항 실태를 살펴보았다. 운항업체의 등록상황, 각 업체의 운항 안전 실태, 과거 예부선 사고 유형 등을 조사 분석하였다. 또한 예부선 관련자에게 안전 증진 방안에 대한 설문 조사를 실시하였으며, 국내외 예부선 안전 사례에 대한 조사를 실시하였다. 이러한 자료는 예부선 안전 강화를 위한 방안에 활용될 것으로 판단된다.

• 대한인간공학회지
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• 제32권1호
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• pp.153-158
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• 2013

Objective: This study aims to suggest different approaches in analyzing risks associated with musculoskeletal disorders (MSDS) for risk assessment. Background: Upon concluding that the changes in the industrial environments have made it hard to regulate diverse risk factors, the government has implemented a policy for risk assessment. Method: This study has proposed a method, creating programs using Excel that perform qualitative or quantitative analysis, for evaluating risk factors in risk assessments and has applied this in manufacture and service industries. Results: To verify the validity of the developed program, risk assessment has been performed on restaurant chefs as an example. For quantitative evaluation, the study has suggested approaches using the results for REBA evaluation and the analysis report on the work scenes of a fitting-shop in a shipbuilding industry. Application: Constructing and adapting a system using Excel in evaluating risk factors for risk assessments as this study suggests, is expected to contribute to revitalizing risk assessments.

• 한국콘텐츠학회논문지
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• 제18권8호
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• pp.446-458
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• 2018

언론은 단순히 사회 현실을 전달하는 매체가 아니라 사회 현실을 재구성하는 정치경제적 주체이며, 언론이 제시하는 논의의 내용과 방향성에 따라 보도를 접하는 사람들의 인식과 태도가 좌우될 수 있다. 따라서 언론이 생산해내는 보도의 특성을 이해하고 논의하는 작업은 매우 중요하며 일반적인 사회경제적 이슈가 아닌 경제적 이익의 실현과 밀접한 이슈의 경우 더욱더 객관적인 논증과 사실의 확인이 요구된다. 이에 본 연구에서는 우리 사회 내 주요 정치경제적 사안 중 하나인 부동산 정책에 관한 보도를 대상으로 보도 방식과 특성을 파악하고 매체별로 차이가 있는지 알아보고자 하였다. 분석결과, 부동산 정책 관련 보도의 양, 보도 섹션, 이슈별 보도 등 형식적 측면과 프레임, 태도 등 내용적 측면의 특성이 모두 매체별로 상이한 것으로 나타났다. 한국 신문사들은 공중의 이익이 아니라 자사가 추구하는 정치적 이념과 경제적 이해관계에 따라 보도하는 경향을 보이고 있었다.

• 보건행정학회지
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• 제21권2호
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• pp.195-212
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• 2011

Objectives: This study investigates the relationship between nurse staffing levels and differences in patient outcomes in terms of average length of stay, in-hospital mortality rate and 30-day death rate in order to evaluate the effectiveness of a policy that differentiates fees for inpatients on the basis of nurse-to-bed ratios. Methods: We obtained information on inpatients from health insurance claims data published by the Health Insurance Review and Assessment Service(HIRA) in 2008, organizational factors(type of hospital, ownership) from the records of the hospital report system in 2008, and nurse staffing levels, which were graded on a scale of 1 to 7, from data compiled between December 15, 2007, and September 20, 2008. The data were segregated according to type of hospital and quarter and finally 3,517 records of 1,182 hospitals were analyzed using multi-level analysis. Results: The average length of stay in grade 1~6 hospitals was lower than that in grade 7 ones, but the difference was much below one day. No significant difference was found among different grades in tertiary hospitals. Further, variations in staffing levels did not result in any significant difference in the in-hospital mortality rate and 30-day death rate. Conclusions: High nurse staffing levels did not result in better patient outcomes compared with low staffing levels. We therefore recommend modifying the above nurse staffing policy so as to make it more effective in improving patient outcomes.

• 한국항공운항학회지
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• 제13권3호
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• pp.43-60
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• 2005

In september 2004, a new pilot certificate scheme referred to as Sport Pilot Certificate was declared official and standardized in the US. The designation of Light-sport aircraft and the details of the relevant pilot certificate policy was announced out of the perception that a new regulation is required to be applied whereby the limitations on the manufacturing process enhancements and current aviation rules are considered the triggering factors. US Federal Aviation Regulation retains a comprehensive range of airworthiness certificates and aircrafts are managed systematically in accordance with FAR 21, 103. The airworthiness are further segregated into sub categories, which allows differentiated management. Korean Aviation Law classify aircraft into five different categories and powered air vehicle that weighs more than 150kg(19liters fuel capacity) for one seat, 225kg for two seats(38liters fuel capacity) while the systems that fall under a specific mass threshold level are known as ultralight vehicle. The research discusses the policy of the sport pilot certificate and the light-sport aircraft ratings announced official by the Federal Aviation Administration in an intuitive fashion with the analysis of the operations providing the evidence as to the viability of adopting the policy in local grounds. Based on the findings, the report discusses the case for introducing the light-sport aircraft and make recommendation on a strategy of applying the policy in Korea with respect to the pilot certificates, safety agenda, and the written test for the pilot certificate, and operating efficiency.

• 벤처창업연구
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• 제1권2호
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• pp.135-155
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• 2006

본 연구는 현행 부가가치세제에 대한 개인사업자와 법인사업자간의 인식의 차이를 설문 조사하여 분석하는데 있다. 조사결과를 요약하면 다음과 같다. 첫째, 현행 부가가치세법상 세율이 높은 것으로 인식하고 있는 것으로 나타났다. 그러나 개인과 법인기업체 간의 인식차이는 보이지 않았다. 둘째, 부가가치세의 정확한 신고시 경영에 미칠 영향에 관해 개인은 영향이 어느 정도 있는 것으로 인식한 반면, 법인의 경우 대체로 영향이 없는 것으로 인식하여 차이를 보였다. 셋째, 현행 세금계산서 작성 및 교부시기의 경직성에 대해 대체로 현행 세금계산서 작성 및 교부시기의 경직성이 어느 정도 있는 것으로 나타났으며, 개인과 법인기업체 간의 의미 있는 인식차이는 보이지 않았다. 넷째, 간이과세자의 매입세금계산서 등에 대해 개인의 경우 간이과세자의 매입세금계산서 등에 대한 세액공제 유지가 대체로 바람직한 것으로 인식한 반면, 법인의 경우 보통정도로 인식하고 있는 것으로 나타났다.