• 보건행정학회지
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• 제27권3호
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• pp.211-218
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• 2017

Background: Korea set up new diagnosis related group (DRG) as demonstration project in 2009. The new DRG was reformed in 2016. The main purpose of study is to identify the effect of reform on accuracy of payment. Methods: This study collected inpatient data from a hospital which contains medical information and cost from 2015 to 2016. The dependent variables were accuracy of total, bundled, unbundled payment, and payment for procedures. To analyze the effect of reform, this study conducted a multi-variate regression analysis adjusting for confounding variables. Results: The accuracy of payment increased after policy reform. The accuracy of total, bundled, unbundled payment, and payment for procedures significantly increased 3.90%, 2.92%, 9.03%, and 14.57% after policy reform, respectively. The accuracy of unbundled payment showed the largest increase among dependent variables. Conclusion: The results of study imply that policy reform enhanced the accuracy of payment. The government needs to monitor side effects such as increase of non-covered services. Also, leads to a considerable improvement in the value of cost unit accounting as a strategic play a role in development of DRG.

• 보건행정학회지
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• 제27권2호
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• pp.103-113
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• 2017

There have been many achievements for 40 years since the introduction of compulsory health insurance. Despite many achievements, it has many challenges in health insurance. Aging, non-communicable disease, and low growth economy are threatening the sustainability of health insurance, and it is time to reform the health insurance. A long-term reform plan will be an absolute necessity for reform of health insurance and health care system. Health insurance and health care reform should be an extremely revolutionary content that completely changes the framework. This reform should deal with the philosophy of health, approach of medical education and doctor training, changing supply of medical service, the innovation of primary medical care, reform of public health system, the management of medical utilization, the integration of medical cure and care services, enhancing the benefit coverage, prohibition of covered and non-covered services, etc. Therefore, it is urgent to form a consensus on the necessity of reform, to establish the health insurance plan on this consensus, and to make efforts to make health insurance sustainable.

• 과학기술학연구
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• 제8권1호
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• pp.29-54
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• 2008

노무현 정부의 과학기술 거버넌스 개혁은 '참여정부'의 국정기조 아래 과학기술정책의 입안과 실행에서 다양한 정부 부처간 정책조정능력을 향상시키려는 제도개혁과 함께 사회 부문의 참여를 촉진하기 위한 제도 형성에도 노력했다는 점에서 큰 특징을 보인다. 정부 내 정책조정의 이슈에 초점을 두고 있는 기존의 연구와는 달리 이 논문은 거버넌스 시각과 정책담론 제도의 개념을 도입하여 정부 내 부처간 정책조정의 이슈와 함께 사회 행위자의 정책 참여 이슈를 보다 명시적으로 검토했다. 이 논문에서는 참여정부의 과학기술 거버넌스 개혁의 경우 다양한 수준에서 전문가 및 사회 행위자들의 참여가 이루어졌지만 사회행위자들의 참여가 제한되고 개별적인 방식으로 참석한 결과 정책담론제도의 형식화가 야기되었다. 정책담론제도의 형식화는 정책의 효과성과 정당성을 저해하는 요인이 된다. 정책담론제도와 정책조정제도는 상호보완 관계에 있다고 볼 수 있기 때문이다.

• 기술혁신연구
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• 제13권3호
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• pp.153-173
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• 2005

The Office of Science and Technology Innovation (OSTI) was created by a different method of organizational change from that of precedent administrative reforms. According to results of the new method, the OSTI case can be widely applied to other ministries as an alternative model for governmental reform. The theory part introduced two approaches of organizational reform, namely structural approach which focuses on the level of hierarchial authority and process approach which emphasizes the flow of information/expertise in organizational operation. It also discussed various ways of understanding for S&T policy coordination. After this, the paper reviewed details of the OSTI reform with special reference to implications for the mode of S&T policy coordination. It concludes that the OSTI may offer an opportunity to strengthen the coordination mechanism of the process approach.

• East Asian Economic Review
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• 제16권1호
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• pp.3-23
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• 2012

The recent global financial crisis has highlighted the importance of international monetary and financial system reform. The current system is deemed to be no longer adequate to meet the needs of a complex, integrated world economy. With regards to the reform of the international monetary system, there have been various proposals both in demand and supply sides. These include proposals to build a stronger global financial safety net, to diversify the supply of international reserve currency and so on. These proposals face trade-offs between desirability and political feasibility. Given this situation, a practical transition would be to strengthen policy coordination among the major economies and to reform the International Monetary Fund. The success on both fronts depends heavily on global economic governance reform and the role of the G20. Increased status and representation of Asian countries in the G20 give both privileges and responsibilities to Asians. To meet these responsibilities, Asians should put forth greater efforts to develop their intellectual leadership in global economic issues through creating new forum and institutions.

• 보건행정학회지
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• 제14권1호
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• pp.44-64
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• 2004

As of 1 July 2000 a big reform was introduced into the Korean health care system: the separation between prescribing and dispensing of drugs (SPD reform). There was, however, a big financial stake associated with pharmaceuticals, particularly before the reform, because physicians as well as pharmacists were allowed to purchase drugs at much lower costs than the insurance reimbursement. In this respect, this study focuses on the change in income and profit of both doctor's clinics and pharmacies after the reform. Data from National Health and Nutritional Survey by the ministry of health and welfare were used to estimate the income or expenditure that are financed by out-of-pocket payment of the patients, while national health insurance data etc. were used for the estimation of the income or expenditure that is financed by insurers. Average annual income per doctor's clinic increased from 299 million won to 338 million won for the three years between 1998 and 2001, whereas average annual income per pharmacy increased enormously from 60 million won to 305 million won for the same period. Average annual 'profit' increase per each doctor's clinic caused by the reform itself was estimated to range from 50 to 83 million won, while that per each pharmacy, from 23 to 87 million won. In sum, while both doctor's clinics and pharmacies are beneficiaries of the SPD reform, its positive impact is particularly prominent on the latter.

• 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.

• 디지털융복합연구
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• 제13권6호
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• pp.341-350
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• 2015

본 논문은 호주의 국가정신보건전략에 대한 주요 내용과 국가정신보건전략을 통한 정신보건개혁 이후의 변화들, 그리고 정신보건개혁에 대한 논의를 통해서 우리나라의 정신보건정책의 문제점들을 개선하기 위한 현실적인 시사점과 융복합 정책적 함의를 찾는데 그 목적이 있다. 1992년에 발표되어 2008년에 개정된 국가정신보건정책, 1993년부터 2014년까지 네 차례에 걸쳐 수립된 국가정신보건 5개년 계획, 2006년 호주정부협의회에 의해 수립된 정신보건실행계획, 그리고 2012년 호주정부협의회에서 채택한 국가정신보건개혁을 위한 로드맵(2012-2022)을 포함한 국가정신보건전략은 지난 20년 동안 호주의 정신보건개혁의 광범위한 과정을 선도하는 대단히 중요한 정책 준거를 제공하였다. 1992년 시작된 국가정신보건전략을 통해서 정신보건재정 확충, 지역사회 중심의 치료 및 보호시스템 구축, 정신병상의 변화, NGO의 참여와 역할의 증대, 정신장애인과 가족(보호제공자)의 참여 확대 등과 같은 변화를 이루었다.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2003년도 추계학술대회 논문집(II)
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• pp.290-296
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• 2003

The railroad policy function must be transferred to the MOCT with rail reform. Consequently it will investigate the plan it will be able to propel the policy function against the railroad rationally. And to analyze the process of railroad policy and will present a successful railroad policy function. This to be contributed in development of the next railroad and.

• 동양고전연구
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• 제50호
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• pp.211-232
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• 2013

가의는 서한 초기의 만연한 빈부격차의 심화와 음란하고 사치스러운 풍속이 유행하는 사회적 풍조와 농업생산 인구가 감소하는 한편 생산 활동에 종사할 수 없는 인구가 증가하고 있는 상황에 직면하여 심각한 문제의식을 갖게 된다. 가의가 갖게 되는 문제의식은 바로 서한 사회의 사회경제적 질서의 붕괴와 도덕적 타락에 대한 염려와 국가재정 고갈의 위험성에 대한 것들이었다. 가의는 서한 초기 사회가 직면한 사회적 경제적 폐해현상에 대한 반성에서부터 착수하여 자신의 경제정책에 대한 청사진을 제시한다. 즉 가의의 경제사상은 한나라 초기의 무위자연의 방임주의적인 경제정책의 폐해를 개선시키기 위해서 제기된 것으로 중농억상 정책을 구체적인 개혁의 청사진으로 제시하는 한편 화폐제도에 대해서도 구체적인 개혁의 시나리오를 제시한다. 이러한 두 가지의 개혁방안은 가의의 경제사상에 있어서 이론적 근간이 되는 것이라고 말할 수 있는 것이다. 이러한 가의의 경제정책 청사진에 대하여 본문에서는 중농억상 정책과 민간에서의 화폐주조 금지 정책을 중심으로 조명해보았다.