• 한국병원경영학회지
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• 제27권1호
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• pp.1-10
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• 2022

Background: This study aims to empirically compare and evaluate the current status of medical accessibility and health inequality between people with disabilities and without. We calculated the ACSC hospitalization rate, which is a medical accessibility index, for hypertension, a major risk factor for cardiovascular disease that accounts for more than 20% of deaths among people with disabilities using the 2016 National Health Insurance Big Data. Methods: The subjects of the study were a total of 601,520, including 64,018 people with disabilities and 537,501 people without. Logistic regression was performed to analyze the differences in hypertension hospitalization rates adjusted for demographic and sociological characteristics and disease characteristics using SAS 9.4 program. Results: Before adjusting for the characteristics, the hypertension hospitalization rate of people with disabilities was 1.55%, and the people without disabilities were 0.49%. After adjusting, it was found that people with disabilities were 2.11 times higher than people without disabilities, and it was statistically significant. Conclusion: The preventable hospitalization rate of people with disabilities is higher than that of people without, suggesting that the disabled have problems with access to medical care and health inequality. Therefore, the government's policy improvement is required to close the medical gap for the disabled.

• 통상정보연구
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• 제17권1호
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• pp.265-285
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• 2015

다자간 무역기구인 WTO는 전통적 교역 분야 이외에 회원국의 국내 정책까지 관여하여 지역 정부의 역할과 자주성을 위협함에 따라 최근에는 양자간 FTA 체결이 증가하고 있다. 이와 같은 통상 환경 변화를 활용하기 위하여 한국과 중국은 FTA 체결을 위한 실질적인 합의에 도달하였다. 일반적으로 자동차 분야는 우리나라가 국제 경쟁력을 지닌 주력 산업으로 분류되어 한 중 FTA의 수혜 업종으로 기대되었으며, 실제로 분석 결과 한국의 자동차 산업이 중국에 비해 세계 시장에서 비교우위를 지닌 것으로 나타났다. 그러나 한 중 FTA 관세 철폐 계획에서 자동차는 양허 대상 품목에서 제외되어 우리가 기대했던 관세 철폐를 통한 한국산 자동차의 가격 경쟁력을 누릴 수 없게 되었다. 이에 따라 우리 자동차 업계는 중국의 비관세 장벽 철폐 등 투자 환경 개선을 통해 효율적인 대중국 투자 환경을 조성해야 하고 한 중 FTA상 자동차의 양허 편입에 대비하여 중국 내 세계 유수 자동차 업체의 대한국 수출 확대 가능성 방지를 위한 엄격한 원산지 규정안을 마련해야 한다. 또한 중국 내 브랜드 전략을 더욱 강화하며 친환경 차량 개발 지원을 통해 중국의 환경 정책에 부응하면서 관련 시장을 창출 확대해야 한다.

• 수산경영론집
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• 제30권2호
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• pp.1-23
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• 1999

In the Northeast Asian region fisheries agreements of the past regarding high seas as an agreement area were transformed or new agreements were introduced in order to conform to the EEZ regime. However, the existing joint regulatory zone which “open” status is somewhat similar to the high sea not only disappear, but also two new systems were established. To begin with, parties of the agreement claimed their EEZs to be from the territorial sea baselines to the extent set forth, problem of the fishery access of the other party under the agreement is to be solved on the principle of reciprocity and on recognizing of the catch results achieved in the past. In regards to the overlapping zones like neutral zone of the East Sea of Korea(Sea of Japan) and neutral zone to the south of the Cheju Island, provisional measures zones in the Yellow Sea and in the East China Sea, and transitional zone of the Yellow Sea special fisheries management systems reflecting the legal character of the zone involved are applied. Moreover, as fisheries agreements defining open sea as an agreement zone are not able to conform to the EEZ regime, so new fisheries agreements must be taken out from old systems and conceptions, and must be understood and enforced from the new point view. Therefore, countermeasures needed to do so should be developed, and their basic structure is as follows. Firstly, the basic concept of the EEZ regime requires that the coastal states have sovereign rights on their sea zones' natural resources and bear responsibilities appropriate to their allowed jurisdiction. Each Northeast Asian state should adjust the structure of fishing industries and employ advanced fisheries management system, and should make efforts toward such issues of the state policy as increasing fishery resources and preserving ocean environment. Secondly, measures should be developed to solve the international fisheries disputes which are to occur under enforcement of the new fisheries agreements system. In regards to the acts of violation the fisheries laws in the foreign EEZ the principle of jail sentence prohibition is established by the UN Convention on the Law of the Sea, and every fisheries agreement reflects this principle. Therefore, the present question is to consider concrete measures to enable the easy release of the seamen, who violated fisheries laws slightly and well-intently, through establishment and management of the guarantee fund needed to make collateral reasonable. Thirdly, Korean-Russian and Russian-Japanese fisheries relations were formed on the basis of the EEZ regime, since 1992 and 1977 respectively, and are expected to maintain mutually beneficial cooperative character. As for Korean-Chinese-Japanese fisheries relations, the operational problems of overlapping zones, and problem of the permits for EEZ mutual access should be solved on the basis of the principle of reciprocity and equity rather than unilaterally from any side.

• Asian Pacific Journal of Cancer Prevention
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• 제16권6호
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• pp.2431-2440
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• 2015

Background: Registry data from four major public hospitals indicate trends in clinical care and survival from colorectal cancer over three decades, from 1980 to 2010. Materials and Methods: Kaplan-Meier productlimit estimates and Cox proportional hazards models were used to investigate disease-specific survival and multiple logistic regression analyses to explore first-round treatment trends. Results: Five-year survivals increased from 48% for 1980-1986 to 63% for 2005-2010 diagnoses. Survival increases applied to each ACPS stage (Australian Clinico-Pathological Stage), and particularly stage C (an increase from 38% to 68%). Risk of death from colorectal cancer halved (hazards ratio: 0.50 (0.45, 0.56)) over the study period after adjusting for age, sex, stage, differentiation, primary sub-site, health administrative region, and measures of socioeconomic status and geographic remoteness. Decreases in stage were not observed. Survivals did not vary by sex or place of residence, suggesting reasonable equity in service access and outcomes. Of staged cases, 91% were treated surgically with lower surgical rates for older ages and more advanced stage. Proportions of surgical cases having adjuvant therapy during primary courses of treatment increased for all stages and were highest for stage C (an increase from 5% in 1980-1986 to 63% for 2005-2010). Radiotherapy was more common for rectal than colonic cases. Proportions of rectal cases receiving radiotherapy increased, particularly for stage C where the increase was from 8% in 1980-1986 to 60% in 2005-2010. The percentage of stage C colorectal cases less than 70 years of age having systemic therapy as part of their first treatment round increased from 3% in 1980-1986 to 81% by 1995-2010. Based on survey data on uptake of adjuvant therapy among those offered this care, it is likely that all these younger patients were offered systemic treatment. Conclusions: We conclude that pronounced increases in survivals from colorectal cancer have occurred at major public hospitals in South Australia due to increases in stage-specific survivals. Use of adjuvant therapies has increased and the patterns of change accord with clinical guideline recommendations. Reasons for sub-optimal use of radiotherapy for rectal cases warrant further investigation, including the potential for limited rural access to impede uptake of treatments at metropolitan-based radiotherapy centres.

• Asia pacific journal of information systems
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• 제17권2호
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• pp.83-95
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• 2007

We are motivated by how offline and online firms compete. The Internet made many conventional offline firms build a dynamic online business as another sales channel using their advantages such as brand equity, an existing customer base with comprehensive purchasing data, integrated marketing, economies of scale, and longtime experience with the logistics of order fulfillment and customer service. Even though the hybrid selling using both offline and online channel seems to have advantages over a pure online retailer, all the conventional offline firms are not seen to create an online business. Many conventional offline firms began to launch online business since the Internet era, however, just being online business is not likely to guarantee success. According to Bizate.com's report whether the hybrid channel strategy is successful is still under investigation. For example, consider the classic case of Barnes and Noble versus Amazon.com, Barnes and Noble was already the largest chain of bookstores in the U,S., when Amazon.com was established in 1995, BarnesandNoble.com followed suit in 1997, After suffering losses in its initial years, Amazon finally turned profitable in 2003. In 2004, Amazon's net income was $588 million on revenues of $6.92 billion, while Barnes and Noble earned $143 million on revenues of $4.87 billion, which included BarnesandNoble.com's loss of $21 million on revenues of $420 million. While these examples serve to motivate our thinking, it does not explain when offline firms should venture online. It also does not provide an analytical framework that can generalized to other competitive online-offline situations. We attempt to do this in this paper and analyze a hybrid channel model where a conventional offline firm competes against online firms using its own direct online channels. We are particularly interested in an optimal channel strategy when a conventional offline firm sells its products through its own direct online channel to compete with other rival online firms. We consider two situations where its direct online channel and other online firms are symmetric and asymmetric in the brand effect. The analysis of this paper presents several findings. In the symmetric model where a hybrid firm's online channel is not differentiated from a pure online firm, (i) a conventional offline firm will not launch its online business. In the asymmetric model where a hybrid firm's online channel is differentiated from a pure online firm, (ii) a conventional offline firm can launch its online business if its brand effect is greater than a certain threshold. (iii) there is a positive relationship between its brand effect and online customer costs showing that a conventional offline firm needs more brand effect in order to launch online business as online customer costs decrease. (iv) there is a negative relationship between its brand effect and the number of customers with access to the Internet showing that a conventional offline firm tends to launch its online business when customers with access to the Internet increases.

• 한국환경교육학회지:환경교육
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• 제19권1호
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• pp.1-13
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• 2006

This study was aimed to explore the level of awareness of Korean teachers and college students towards sustainable development(SD) and education for sustainable development(ESD). A survey was conducted to understand the present status of awareness of SD and ESD among 317 college students and 625 teachers in Korea from April to May of 2005. The questionnaire included items asking whether they heard about terms such as sustainability or sustainable development, the source of information on SD, the level of understanding or the urgent task for SD in Korea. It also included questions about experiences in participating in or conducting ESD, the need for ESD, important areas in and the modality for ESD and the willingness to participate in ESD. The results showed that the level of awareness on SD among teachers was low compared to college students, who have a relatively high level of access on SD issues through textbooks and classes in high school. Interestingly, most of college students replied that they never received any ESD, even though they learned SD in class. Both the teacher and student group thought that tile priority of sustainable development should be an 'environment-related' area in the social, economical and environmental perspectives. Most of the students and teachers considered the concept of SD as 'pursuing the balance between environmental protection and economic development.' Some of the teachers recognized the concept of sustainable development in the paradigm of continuous economic development. Both groups responded that the urgent task related to sustainable development is 'environmental protection' and the 'reduction of poverty.' On the other hand, they had experiences in teaching related to natural resources, gender equity, health, human rights, climate changes and other SD issues in class, but not under the name of ESD. They also emphasized 'critical thinking and problem solving & decision-making' in education. Most of the students and teachers responded that it was needed to carry out ESD, and that the way of life for SD would be the priority. It is suggested that various pedagogy and modalities according to various target groups should be considered in providing ESD. It is necessary to use more effective strategies for ESD rather than just introducing the concept of SD. Also, it is needed to review the ESD practices of teachers and improve the quality of education within the scope of ESD.

• 경영과정보연구
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• 제38권3호
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• pp.151-170
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• 2019

본 연구는 문화예술경영의 관점으로 문화이용권에서 상존하고 있는 지대추구행위에 대한 연구를 하였다. 예술의 소비자와 생산자 그리고 정부에게 개방된 예술조직들은 개방체계시스템으로 내외부의 강력한 영향에 좌우된다. 문화민주화 또는 문화민주주의 방향으로 추진되어 온 문화이용권사업의 정책 도입과 법제화 과정에서 지대추구 행위를 발견하였다. 문화이용권사업은 문화바우처의 법률적 용어다. 우리나라 정부는 예산을 급증하거나 문화이용권사업의 정책 변화를 지속적으로 시도했지만, 문화이용권사업의 시행결과는 소비의 장르 편중과 수도권 편중이 심해지면서 정책대상자의 형평성과 소비의 다양성에 역행하였다. 이에 대해 본 연구는 법제화 과정과 관료의 지대추구가 관련되어 있음을 구조적으로 지적한다. 이 연구의 함의는 문화이용권 제도의 효율적 운영 기준이 수혜자의 선택성과 공급자의 경쟁, 그리고 문화이용권에 대한 접근성의 균형이란 점을 재확인한 것이다. 그리고 이 균형을 분석하는 잣대로 지대추구 이론를 적용하여 '문화민주주의'와 '문화의 민주화' 이념의 목적에 맞게 적용된 법체계를 구축할 것과 개인의 창의성과 자율성을 보장할 수 있도록 관료의 보수성을 견제할 평가와 개선의 기준이 필요함을 제시하고 있다.

• 토지주택연구
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• 제13권4호
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• pp.73-89
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• 2022

코로나19의 확산으로 공원의 역할이 강조되고 있다. 사회적 거리두기를 비롯한 방역지침 하에 사람들은 안전하게 머물 곳으로 공원을 찾고 있다. 이러한 변화에 맞추어 공원은 물리적, 위치적 특성에 따라 팬데믹 적응 방안으로서 연구될 필요가 있다. 본 연구는 접근성과 통행기능을 가지는 선형공원의 잠재력을 주변 토지이용 특성에 따라 분석하고자 하였다. 대상지는 경의선 숲길 공원의 연남동 구간부터 염리동 구간까지로 설정하였으며, 집계구 경계와 토지이용 특성을 기준으로 네 개의 구간으로 나누었다. 총 생활인구 수를 종속변수로, 코로나19를 포함한 외부 활동에 영향을 미치는 요인들을 독립변수로 설정하여 구간별 다중회귀분석을 실시하였다. 분석 결과는 다음과 같다. 첫째, 상권과 선형공원의 상호작용이 다양할수록 팬데믹 영향이 크게 작용하였다. 둘째, 다양한 상업시설이 밀집할수록 계절성보다 단기적 날씨변화에 민감하게 반응하였다. 이에 본 연구는 주변 토지이용 특성에 따라 선형공원의 이용에 차이가 있음을 시사한다. 나아가 선형공원에 도시의 위기를 극복하고 녹지 접근 형평성을 높일 수단으로 잠재력이 있음을 밝힌다.

• 한국지역지리학회지
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• 제13권5호
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• pp.576-594
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• 2007

본 연구는 GIS 공간분석기법을 활용하여 서울특별시의 각 동별 노인주간보호시설의 접근성 지수를 산출, 비교 분석하여 향후 시설의 신설 또는 확장을 할 경우에 운영의 공간적 효율성과 형평성을 향상시킬 수 있는 입지 후보지는 어디인지를 파악해 보는데 목적을 두었다. 연구 결과, 전반적으로 서울시 노인주간보호시설의 분포가 시설을 이용하리라 추정되는 노인인구의 분포를 반영하고 있지 못했고, 특히 강서구와 송파구 등 서울의 외곽경계지역에 해당하는 동들의 접근성이 가장 낮은 것으로 나타났다. 이러한 연구 결과는 노인주간보호시설의 운영정책에 있어서 다음과 같은 함의를 가진다. 첫째, 시설이용 노인들의 복지시설에의 접근성 향상이라는 대전제 하에서는 현재 노인주간보호시설로 부터 상대적으로 거리가 먼 지역에서의 시설 설치가 요구된다. 둘째, 예산의 제약 등으로 추가적인 시설의 설치 없이 기존시설의 정원을 늘리는 정책을 전개할 경우 근접성이 높게 나타난 시설들의 규모를 우선적으로 확장함으로써 보다 많은 수의 노인들이 좀 더 용이하고 빈번하게 이용할 수 있도록 하는 것이 바람직하다. 마지막으로 접근성이 중시되는 다른 노인재가시설들과 사회복지시설의 설치와 확대, 평가에 있어서도 본 접근성 분석 기법을 적극 활용함으로써, 이동에 제약이 많은 복지시설 이용자들의 복지권을 보장하는 한편 사회복지 자원 투자의 당위성을 확보할 필요가 있다.

• 한국산학기술학회논문지
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• 제21권7호
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• pp.218-223
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• 2020

본 연구의 목적은 대구광역시의 인구밀집과 거리에 따른 응급실 접근성을 분석하여 메디시티를 지향하는 대구광역시의 응급의료 접근성 문제점 개선 및 질적 수준 향상에 기여하고자 했다. 지리적인 요건을 보기 위해 3km 반경을 기준으로 읍면동 인구수와 이용가능 응급실수, 인구 대비 이용가능 응급실수를 통계청의 S-GIS를 통해 Mapping하여 데이터 시각화했다. 대구광역시 구군별 명확한 응급실 접근성의 차이를 파악하기 위해 ANOVA와 사후검정인 Scheffe을 시행했다. 반경 3km 이내 대구광역시 구별 이용가능 평균 응급실수를 보면 중구 5.7개, 남구 5.0개, 북구 1.6개, 동구 0.4개, 서구 2.4개, 수성구 0.9개, 달서구 3.5개, 달성군 0.1개였고, 유의한 차이가 있었다(p<.001). 3km 반경 이내의 이용가능 응급실수와 인구 천명당 이용 가능한 응급실수는 중앙에 집중되어 있었다. 중앙에서 먼 곳의 시민들에게 응급의료 제공을 위해 중간 허브역할을 하는 지점을 설정하여 도시 응급의료 연계망 구축이 필요할 수 있다.