• 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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• 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.

• Journal of Preventive Medicine and Public Health
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• 제56권2호
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• pp.128-144
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• 2023

Objectives: The health system reform process is highly political and controversial, and in most cases, it fails to realize its intended goals. This study was conducted to synthesize factors underlying the failure of health system reforms. Methods: In this systematic review and meta-synthesis, we searched 9 international and regional databases to identify qualitative and mixed-methods studies published up to December 2019. Using thematic synthesis, we analyzed the data. We utilized the Standards for Reporting Qualitative Research checklist for quality assessment. Results: After application of the inclusion and exclusion criteria, 40 of 1837 articles were included in the content analysis. The identified factors were organized into 7 main themes and 32 sub-themes. The main themes included: (1) reforms initiators' attitudes and knowledge; (2) weakness of political support; (3) lack of interest group support; (4) insufficient comprehensiveness of the reform; (5) problems related to the implementation of the reform; (6) harmful consequences of reform implementation; and (7) the political, economic, cultural, and social conditions of the society in which the reform takes place. Conclusions: Health system reform is a deep and extensive process, and shortcomings and weaknesses in each step have overcome health reform attempts in many countries. Awareness of these failure factors and appropriate responses to these issues can help policymakers properly plan and implement future reform programs and achieve the ultimate goals of reform: to improve the quantity and quality of health services and the health of society.

• 보건교육건강증진학회지
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• 제15권2호
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• pp.217-233
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• 1998

This paper analyzed four different perspectives on health care reform in Korea in terms of the basic values, formulated problems and reform plans, implementation methods, and supporting groups. The medical security plan was insisted by social security specialists and social activists focusing on the integration of medical insurance coops in order to enhancing equity and right of the people. However, its perspective was limited to promoting security instead of reforming health care system. The government proposed the health care reform plans in 1994 and in 1997, focusing on promoting efficiency by remedying many problems in health care delivery system. However, its implementation was not successful due to the lack of organizational and financial supporters. Recently, two opposite proposals were issued. The market reform plan paid attention to revitalizing the market function to promoting efficiency by allowing hospitals to treat private patients instead of applying the medical insurance regulation. The government reform plan focused on intensifying governmental planning and intervention in the health care sector in order to removing inefficiency and promoting equity with the supports of social activists and labor unions. Finally, this paper proposed an alternative plan to promote harmonious social relationship between actors in the health care system.

• 대한교통학회:학술대회논문집
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• 대한교통학회 1998년도 Proceedings The 4th International Transport Symposium
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• pp.36-42
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• 1998

This article analyzes Chinese railways transportation management system, uses the experiences of other countries' railway transportation management system for reference, as well as discusses the necessity of reform of railway transportation management system based on separating train operation with rail equipment management. Moreover, the article also puts forward an imagination on the reform scheme of railway transportation management system based on separating train operation with rail equipment management.

• 한국병원경영학회지
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• 제23권1호
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• pp.28-40
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• 2018

Purpose: The purpose is to understand the perception of medical providers at tertiary hospitals in Seoul on the importance-performance of the reform on a doctor-designation system, and to provide the policy suggestion of the perception on such a system. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six tertiary hospitals in Seoul. An importance-performance analysis was utilized for an analysis that showed the perception of the reform on a doctor-designation system. Findings: First, it was identified that those medical providers had the highest perception of the importance about the performance of the reform on a doctor-designation system. Second, according to the result of action grid of an importance-performance analysis (IPA), it can be identified that in the 2nd stage of 'Concentrate here' included are the items as to design and effect of medical care quality and subsidies & patient infection and safety and control fees, effect of income security of the method for compensating for loss established by the government and offering sufficient information on general medical services and doctor-designation medical services. In the 1st stage of 'Keep up the Good Work', and the 2nd stage of 'Concentrate here' included is the item as to the performance of patients of the reform on a doctor designation system. Practical Implications: There could be identified the effect of the reform bill on the perception of medical providers. It is expected that a better environment would be provided for patients to use a hospital and for medical providers to offer medical services, if the goverment makes efforts to improve methods for compensating for loss and continuous monitoring of the performance of patients.

• 응용통계연구
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• 제28권4호
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• pp.827-845
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• 2015

본 연구는 2015년 공무원연금 개혁의 성과와 한계를 평가하고, 이들 한계를 극복할 수 있는 개편방안을 제시하고자 하였다. 연구결과에 따르면 이번 연금개혁은 재정적 지속성, 기능적 투명성, 타 공적연금과 형평성 측면에서의 그 성과가 미흡하였다. 이 때문에 향후 공무원연금개혁에 대한 논의는 다시 촉발될 것으로 전망된다. 다음 개혁의 우선 순위는 공적연금 제도 간 통합에 두어져야 한다. 이에 본 연구는 제한적인 효과만을 지향하는 모수적 개혁방안을 지양하고 다양한 정책 목표를 동시에 달성할 수 있는 공무원연금의 구조적 개편안을 제시하였다. 이 개편안의 골자는 공무원연금을 '국민연금 + 직역가산연금(부가연금) + 퇴직수당'의 다층노후체계로 개편하고, 신규 임용 공무원을 국민연금에 가입시키는 것이다. 국민연금이 공무원을 포함한 '전국민'의 '기본적 연금'으로 발전할 때 연금제도간 불평등도 완화되고 사회적 연대연금체제도 구축될 수 있을 것이다.

• 융합보안논문지
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• 제18권2호
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• pp.113-121
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• 2018

우리 군(軍)은 장병의 헌법상 권리와 인권을 실질적으로 보장하고 군 사법개혁에 대한 시대적 요구에 부응하기 위하여 2018년 국방개혁 2.0의 개혁안을 발표하였다. 이와 같은 개혁안을 통해 공정하며 독립적인 군 사법 시스템 구축을 위하여 고등군사법원을 폐지함으로써 군내 온정주의 논란을 근절하고, 평시에 한해 심판관 제도 및 관할관 확인조치권 제도 폐지를 추진함으로써 군 판사의 독립성과 전문성을 제도적으로 보장하여 오로지 법과 양심에 따라 재판할 수 있도록 하였다. 이번 군 사법개혁안은 획기적인 만큼 반대의 목소리도 높지만 더 이상 군대가 민주화의 예외가 될 수 없으며 인권의 사각지대라는 오명에 휩싸이지 않도록 노력하여야 할 것이다.

• Human Ecology Research
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• 제59권1호
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• pp.59-69
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• 2021

In order to find ways to re-use used Hanbok and activate Hanbok reform, it is necessary to investigate the current status and problems of used Hanbok and Hanbok reform in the domestic Hanbok market. The purpose of this study was to investigate the status and problems of the used Hanbok market and the Hanbok reform market through literature data surveys and in-depth interviews with Hanbok experts, and to study ways to activate used Hanbok and Hanbok reform. Based on the results of this study, as a way to activate the used Hanbok market and the Hanbok reform market, expand opportunities and create a social and cultural atmosphere for wearing Hanbok, and research on design, pattern, size, and materials. It also suggested the establishment of a systematic system for separate collection, reform, sales and management, the establishment of a central institution that manages and operates the re-use of used Hanbok and Hanbok reform, support for education institutions and programs for Hanbok reform, public relations, and changes in Hanbok production methods.

• 기록학연구
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• 제17호
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• pp.85-114
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• 2008

갑오개혁기 기록관리의 특징 중에 하나는 왕복과, 이후 문서과가 기록의 생산에서부터 유통에 이르기까지 통제하고 있다는 점이다. 그리고 업무가 종료된 기록은 기록과로 넘겨져 분류와 정리가 이루어졌다. 기존 연구들에서는 갑오개혁기의 이런 기록관리제도는 일본을 통해서 수입된 것으로 파악하였다. 본고는 명치유신 이후 정착된 일본의 새로운 기록관리제도가 당시 프로이센의 등기실체제를 받아들인 것임을 밝혔다. 그러나 프로이센의 등기실체제는 현용기록을 관리하는 체제이고, 이는 기밀국가기록보존소(아카이브즈)를 통해 시민에게 기록을 공개하는 근대적 기록관리체제를 전제로 하는 것이었다. 명치기 일본은 프로이센의 현행 기록관리체제인 등기실체제만 수용하였고, 아카이브즈의 설립을 받아들이지 않았다. 이는 갑오개혁기 조선도 마찬가지였다. 따라서 갑오개혁기 일련의 법규 속의 기록관리관련 규정을 '근대적'인 것으로 평가할 수는 없을 것이다. 즉 갑오개혁기의 기록관련 법규는, 기록에 대한 시민의 권리, 즉 기록의 공개를 법적으로 보장하는 '근대적 기록법규'는 아니었다. 그러나 갑오개혁기 기록관리제도가 우리나라의 기록관리제 도사에 큰 의미를 주는 것이 있으니, 기록의 가치와 기구와 명칭이 기록의 라이프사이클과 명실상부하다는 점이다. 현용기록을 관리하는 기구가 문서과였고, 업무가 끝난 기록을 분류 정리하여 편철하는 기구가 기록과였다. "현용기록=문서=문서과, 비현용기록=기록=기록과"의 개념은 이후 계승되지 못하고, 오늘날에도 현용기록이나 비현용기록이나 기록으로 사용하고 있고, 관리기구의 명칭도 마찬가지이다.