• Journal of Contemporary Eastern Asia
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• 제22권1호
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• pp.49-81
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• 2023

South Korea is currently facing many changes and challenges. To make matters worse, society has struggled to function as it did before COVID-19. This study describes the past and current COVID-19 situation to offer lessons on management during and after COVID-19. We provide implications from COVID-19 and the foundation for future disasters by employing the strengths, weaknesses, opportunities, and threats (SWOT) analysis and indigenous administrative conceptual framework on culture, institution, and instrument to add a circumstance perspective. This study used secondary data from prior research and literature. Resolutions for these policy issues are presented using the strength-opportunity (SO), strength-threat (ST), weakness-opportunity (WO), and weakness-threat (WT) strategies. We suggest utilizing instruments that consider diverse societies and preventing the disease with climate change by collaborating with social institutions. We hope these implications and resolutions will provide insights for the future and other countries.

• 대한예방한의학회지
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• 제21권3호
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• pp.11-18
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• 2017

Objectives : In an effort to suggest a developmental plan of Traditional Korean Medicine health promotion project(TKM-HPP), this study was conducted to identify the problems experienced by public health Traditional Korean Medicine(PH-TKM) doctors in duty and to analyze successful cases of the health promotion project. Methods : Two PH-TKM doctors in duty at the Public Health Centre branch and Public Health Centre respectively, and one TKM doctor in charge of Public Health Centre participated in the in-depth interview. The research procedure was as follows; 1) inform study objectives and interview questions to participants, 2) in-depth interview with semi-structured questions, and 3) post-confirmation and verification. The interview was recorded and transcripted. In-depth interview was composed of 6 subsections: 1) Introducing participants and share purpose of interview, 2) Confirmation of the job status and difficulty of public health centre, 3) Reflecting and sharing experiences of public health clinic job performance cases, 4) Current status and improvement needs of TKM-HPP, 5) Discussions on improvement of TKM-HPP in public health center, 6) Sharing and reconfirmation of interview results. Thematic analysis was conducted from the narratives. Results : The study showed that; 1) the support from the local government was critical for the successful TKM-HPP and participation of the PH-TKMs; 2) the major problems experienced by PH-TKMs were lack of training for TKM-HPP in the field and lack of knowledge at local government level; 3) the suggestions to provide PH-TKMs with manual to educate residents effectively and redefine roles of PH-TKMs in the project. It also suggests that TKM-HPP model should be developed by the district in a way of reflecting regional characteristics. Conclusions : Firstly, more efforts should be made on the projects rather than medical treatment in public health centers, except for areas where medical institutions are scarce. Secondly, in order to facilitate participation of PH-TKM doctors, each local office should reduce medical care and increase efforts related with projects. Thirdly, the institution has to develop feasible TKM-HPP plans that can be carried out by PH-TKMs by the manual. Lastly, pre-training should be provided to PH-TKMs to understand contents of TKM-HPP related to public health centre work before the placement.

• 융합정보논문지
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• 제10권9호
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• pp.206-214
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• 2020

본 연구는 우리나라 종합병원을 대상으로 직·간접보조금이 수익성에 미치는 영향을 살펴보고자 하였다. 자료는 의료기관 회계정보공시시스템을 이용하여 2016년부터 2018년까지 270개 종합병원 회계정보를 수집하였다. 분석지표는 수익성으로 사업수익에 대한 순이익, 보조금지표는 사업수익에 대한 보조금(시설투자 목적의 국고보조금, 고유목적사업 관련 비용, 연구수익, 기부금수익) 비율을 사용하였다. 연구결과, 직접보조금인 국고보조금 비율은 공립기관이 57.30%로 매우 높았다. 간접보조금으로 세금감면 효과인 고유목적사업 관련 비용 비율은 사립대학교병원이 6.69%로 가장 높았으며, 결손 또는 운영보조 목적인 연구 수익 비율은 국립대학교병원이 2.8%로 가장 높았고 기부금수익 비율은 공립기관이 36.4%로 가장 높았다. 보조금이 수익성에 미치는 영향을 살펴본 결과, 국립대학교병원은 사업수익 대비 고유목적사업 관련 비용의 비율과 연구수익 비율이 낮을수록 사업수익 순이익율이 높았으며, 의료법인과 재단법인은 사업수익 대비 고유목적사업 관련 비용 비율이 높을수록 사업수익 순이익율이 높았다는 것을 알 수 있었다. 이러한 결과는 고유목적사업과 관련된 자금의 활용에 따라 수익성이 변동될 수 있다는 것을 의미한다.

• 보건행정학회지
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• 제33권3호
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• pp.355-362
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• 2023

Background: Financial efficiency in monetary units and operational efficiency in non-monetary units are separately classified and evaluated. This is done to prevent the duplication of monetary units and non-monetary units in inputs and outputs. In addition, analyses are conducted to determine the factors that affect each aspect of efficiency. To prevent duplication of monetary and non-monetary units in inputs and outputs, financial efficiency, consisting of monetary units, and operational efficiency, comprising non-monetary units, are separately classified and evaluated. Furthermore, an analysis is conducted to identify the factors that affect each aspect of efficiency. Methods: This study conducted a panel analysis of 34 regional public hospitals and influencing factors on efficiency for 5 years from 2015 to 2019. Financial efficiency and operational efficiency were calculated through data envelopment analysis. Moreover, multiple regression analysis was conducted to identify the factors that influence both financial efficiency and operational efficiency. Results: The factors that affect financial efficiency include the number of medical institutions within the treatment area and the ratio of patients receiving medical care. Additionally, operational efficiency is influenced by the type of medical institution, the number of medical institutions within the treatment area, and the number of nursing positions per 100 beds. Conclusion: In order for regional public hospitals to faithfully fulfill their functions and roles as regional base public hospitals, several measures are necessary. Firstly, continuous monitoring and reasonable support are required to ensure efficient operation and performance. Secondly, a financial support plan tailored to the characteristics of local medical centers is needed. Additionally, local medical centers should strive to enhance their own efficiency.

• Structural Engineering and Mechanics
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• 제42권6호
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• pp.799-813
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• 2012

Five two-span reinforced concrete (RC) slabs and seven two-span RC beams were tested under the ISO 834 standard fire with different durations. CFRP strengthening was then applied to some of the specimens after the damaged concrete was removed from the specimens and replaced with polymer mortar. All the specimens were loaded to failure to investigate the influence of fire-damage and the effectiveness of strengthening methods. Test results indicated that the flexural capacities of specimens decrease with the fire duration increases. Moreover, fire exposure had more significant effect on the flexural rigidity than on the bearing capacity of the specimens. After rehabilitation, the bearing capacities of specimens reached or even exceeded that of the reference RC specimen, and the strengthening methods seemed to have limited effect on flexural rigidity recovery. From the analysis of moment redistribution of tested beams, elevated temperature is found having different impacts on sagging moment region and hogging moment region. The damage of RC continuous member is definitely a comprehensive response of different regions.

• 대한설비공학회:학술대회논문집
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• 대한설비공학회 2007년도 동계학술발표대회 논문집
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• pp.474-479
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• 2007

The innovation city, which meets the best innovation condition to cooperate with the public institution and the industry-university-researcher closely and the good environment of housing, education, health and culture, was promoted to make the local city characteristic and independent. The plan to make the locally independent base have to consider the economical condition, the quality of life and the sustainable development. First of all The balanced city-planning is demanded to build friendly environmental and sustainable city. energy-efficient buildings shuld be designed to deal with the energy and environment problem. So we analyze the energy demand plan and the method to introduce the renewable energy system. As a result, the reduction ratio of the energy demand are greatly imbalanced between innovation cities. and only the Gwang-ju Jeon-nam innovation city is planed to apply the renewable energy to 5% of total energy demand.

• Journal of Preventive Medicine and Public Health
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• 제41권2호
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• pp.100-106
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• 2008

Objectives : We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates. Methods : A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1 - May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels. Results : Among 985 survey respondents(380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened. Conclusions : In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.

• 농촌의학ㆍ지역보건
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• 제49권2호
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• pp.132-145
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• 2024

본 연구는 국내 의료기관 중심 보건의료·복지통합 서비스 활성 방안을 모색하기위하여 대구의료원 달구벌건강주치의사업, 삼척의료원 301 네트워크 사업, 부산의료원 3 for 1 사업 을 프로그램 논리모형을 적용하여 사례 비교하였다. 상황적 측면에서 세 사업 모두 보건의료·복지 서비스의 분절과 의료사각지대 문제를 해결하기 위해 고안되었으며, 투입 요소 중 인력은 모두 다학제 팀 구성 현황은 유사하였으나 구체적인 구성 분야, 채용 규모, 고용 형태, 에서는 기관별 차이가 있었다. 예산을 지원받는 재원 출처의 차이로 각 사업은 지역사회와 협력하고 지원하는 방식과 향후 방향성에서의 차별성도 확인할 수 있었다. 산출은 수혜대상자 수와 진료 건수에 차이가 있었으며, 투입인력 또는 운영비 대비실인원 수, 수혜대상 1인당 사업비 비교시 다른 결과를 확인하였다. 의료기관 중심의 보건의료·복지 통합제공체계의 설계 시 우선적으로 권고하는 상황은 안정적인 기금마련 기전을 확보하고 이에 합당한 대상자와 서비스 전달체계를 구축하라는 것이다. 또한, 의료기관 내 사례관리 전담기구로서 각 부문의 활동을 연계할 수 있도록 위탁이 아닌 전담부서 설치, 적정 규모의 채용, 안정적 고용 체계가 필요하며, 민·관 협력 및 경증부터 중증까지 제공할 수 있는 포괄적 제공체계 구축을 제안한다. 이를 통해 의료기관 중심보건의료복지 통합 서비스 제공 사업은 지역사회에서 풀리지 않는 난제였던 보건의료 서비스 강화와 촘촘한 연계를 가능하게 함으로 궁극적인 지역사회 건강안전망 역할 강화를 기대한다.

• 한국도서관정보학회지
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• 제14권
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• pp.1-37
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• 1987

The purpose of this research is to expand much more the facilities and collections of public libraries in Korea for performance of its function, for the life-long education institution. In order to accomplish the purpose of this study, I looked in to the present conditions of the facilities, collections, service facilities in public libraries and suggested a tentative plan on the basis of every kinds of statistics. The result of this thesis can be summarized as follows : 1. Now, 227, 110 populations of the effective service per library are so many that 181 public libraries in Korea have largely deficient state. To solve, a n.0, pplied for Armstrong's standards (5, 000 populations of the effective service per library, and the number of an elementary school 5, 412 elementary schools in Korea). In the former case should be establish 8, 221 public libraries, in the latter case should be established at least 5, 412 public libraries. 2. The public library in Korea is possessed of building areas of 82, 267 pyong (468 pyong per library). They are very poor state comparing with population. Therefore, the building area should be expand according to population by region. Also, the reading facilities of 88, 455 seats, 465 population of the effective service per seat, are largely insufficient of situation. And consequently they should be secured at least 205, 535 seats with standards of five seats per 1, 000 population. 3. The public libraries in Korea keep collection of 4, 517, 280 volumes. As there are 11 volumes per 100 persons, they are very deficient state in figures. Therefore, in this study, suggested Schenk's standard (1 volume per a person) and IFLA standard (2 volumes per a person). Under the circumstances of our country, however, they should be secure at least 41, 106, 993 volumes with a Schenk's standard of one volume per a person. To meet this kind of necessary conditions, there must not only be a national policy but also be a facility for every residents to utilize for educational place, and to every librarians of public libraries, they have to do their best to open their library to every citizens, when needed, with their self-conceit. Cooperating with policy-makers, users, and librarians, making every endeavors to develope Korean libraries, we can promise the hope that our public library will be progressed towards future.

• 경영과정보연구
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• 제37권4호
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• pp.109-123
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• 2018

민간 기업에서 뿐만이 아니라 공공기관의 대민업무를 수행하는 공무원들에게도 중요한 개념으로 강조되고 있는 감정노동은 그 중요성에도 불구하고 상대적으로 이론적 연구는 부족한 상황이다. 본 논문은 민원업무를 수행하는 공무원들을 대상으로 감정노동 중 표면행위의 부정적 영향을 파악하고 이를 줄이기 위한 사회적 지원의 조절영향을 검증하는 것으로 연구목적으로 하였다. 사회적 지원으로는 조직지원인식(POS)와 상사지원을 구분하여 그 완화효과를 파악하였으며, 더 나아가 어떠한 지원이 보다 효과가 큰가를 파악하였다. 본 연구모델과 가설을 검증하기 위하여 공공기관에서 민원을 처리하는 업무를 수행하는 종업원 250명을 대상으로 진행하였다. 본 연구 결과들을 정리하면 다음과 같다. 첫째, 표면행위는 감정소모에 매우 유의한 영향을 미치는 것으로 파악되었다. 내면의 감정과 표현된 감정 간의 부조화로 인한 감정소모의 증가는 기존의 민간 기업들을 대상으로 한 연구결과와 동일하게 나타났다. 둘째, POS와 상사 지원 모두 표면행위와 감정소모 간의 관계를 유의하게 줄이는 것으로 나타났다. 셋째, POS와 상사지원의 조절효과는 상사지원의 조절효과가 보다 강하게 나타남으로써 표면행위가 감정소모의 영향을 보다 강하게 줄여주는 것으로 나타났다. 본 연구 결과는 민원업무를 수행하는 공무원들 대상의 감정노동 교육 실시의 중요성과 민원담당 공무원들의 감정소진과 스트레스를 해소할 수 있는 다양한 프로그램들이 제공되어야 함을 시사하고 있다. 더불어, 높은 수준의 POS와 상사지원을 위한 보다 적극적인 조직 지원제도 및 리더십훈련 설계의 필요성을 제안하고 있다.