• Asia pacific journal of information systems
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• 제20권3호
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• pp.139-166
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• 2010

The supply chain management (SCM) systems have emerged as strong managerial tools for manufacturing firms in enhancing competitive strength. Despite of large investments in the SCM systems, many companies are not fully realizing the promised benefits from the systems. A review of literature on adoption, implementation and success factor of IOS (inter-organization systems), EDI (electronic data interchange) systems, shows that this issue has been examined from multiple theoretic perspectives. And many researchers have attempted to identify the factors which influence the success of system implementation. However, the existing studies have two drawbacks in revealing the determinants of systems implementation success. First, previous researches raise questions as to the appropriateness of research subjects selected. Most SCM systems are operating in the form of private industrial networks, where the participants of the systems consist of two distinct groups: focus companies and vendors. The focus companies are the primary actors in developing and operating the systems, while vendors are passive participants which are connected to the system in order to supply raw materials and parts to the focus companies. Under the circumstance, there are three ways in selecting the research subjects; focus companies only, vendors only, or two parties grouped together. It is hard to find researches that use the focus companies exclusively as the subjects probably due to the insufficient sample size for statistic analysis. Most researches have been conducted using the data collected from both groups. We argue that the SCM success factors cannot be correctly indentified in this case. The focus companies and the vendors are in different positions in many areas regarding the system implementation: firm size, managerial resources, bargaining power, organizational maturity, and etc. There are no obvious reasons to believe that the success factors of the two groups are identical. Grouping the two groups also raises questions on measuring the system success. The benefits from utilizing the systems may not be commonly distributed to the two groups. One group's benefits might be realized at the expenses of the other group considering the situation where vendors participating in SCM systems are under continuous pressures from the focus companies with respect to prices, quality, and delivery time. Therefore, by combining the system outcomes of both groups we cannot measure the system benefits obtained by each group correctly. Second, the measures of system success adopted in the previous researches have shortcoming in measuring the SCM success. User satisfaction, system utilization, and user attitudes toward the systems are most commonly used success measures in the existing studies. These measures have been developed as proxy variables in the studies of decision support systems (DSS) where the contribution of the systems to the organization performance is very difficult to measure. Unlike the DSS, the SCM systems have more specific goals, such as cost saving, inventory reduction, quality improvement, rapid time, and higher customer service. We maintain that more specific measures can be developed instead of proxy variables in order to measure the system benefits correctly. The purpose of this study is to find the determinants of SCM systems success in the perspective of vendor companies. In developing the research model, we have focused on selecting the success factors appropriate for the vendors through reviewing past researches and on developing more accurate success measures. The variables can be classified into following: technological, organizational, and environmental factors on the basis of TOE (Technology-Organization-Environment) framework. The model consists of three independent variables (competition intensity, top management support, and information system maturity), one mediating variable (collaboration), one moderating variable (government support), and a dependent variable (system success). The systems success measures have been developed to reflect the operational benefits of the SCM systems; improvement in planning and analysis capabilities, faster throughput, cost reduction, task integration, and improved product and customer service. The model has been validated using the survey data collected from 122 vendors participating in the SCM systems in Korea. To test for mediation, one should estimate the hierarchical regression analysis on the collaboration. And moderating effect analysis should estimate the moderated multiple regression, examines the effect of the government support. The result shows that information system maturity and top management support are the most important determinants of SCM system success. Supply chain technologies that standardize data formats and enhance information sharing may be adopted by supply chain leader organization because of the influence of focal company in the private industrial networks in order to streamline transactions and improve inter-organization communication. Specially, the need to develop and sustain an information system maturity will provide the focus and purpose to successfully overcome information system obstacles and resistance to innovation diffusion within the supply chain network organization. The support of top management will help focus efforts toward the realization of inter-organizational benefits and lend credibility to functional managers responsible for its implementation. The active involvement, vision, and direction of high level executives provide the impetus needed to sustain the implementation of SCM. The quality of collaboration relationships also is positively related to outcome variable. Collaboration variable is found to have a mediation effect between on influencing factors and implementation success. Higher levels of inter-organizational collaboration behaviors such as shared planning and flexibility in coordinating activities were found to be strongly linked to the vendors trust in the supply chain network. Government support moderates the effect of the IS maturity, competitive intensity, top management support on collaboration and implementation success of SCM. In general, the vendor companies face substantially greater risks in SCM implementation than the larger companies do because of severe constraints on financial and human resources and limited education on SCM systems. Besides resources, Vendors generally lack computer experience and do not have sufficient internal SCM expertise. For these reasons, government supports may establish requirements for firms doing business with the government or provide incentives to adopt, implementation SCM or practices. Government support provides significant improvements in implementation success of SCM when IS maturity, competitive intensity, top management support and collaboration are low. The environmental characteristic of competition intensity has no direct effect on vendor perspective of SCM system success. But, vendors facing above average competition intensity will have a greater need for changing technology. This suggests that companies trying to implement SCM systems should set up compatible supply chain networks and a high-quality collaboration relationship for implementation and performance.

• Journal of Preventive Medicine and Public Health
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• 제7권1호
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• pp.29-94
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• 1974

Today most developed countries provide modern medical care for most of the population. The rural area is the more neglected area in the medical and health field. In public health, the philosophy is that medical care for in maintenance of health is a basic right of man; it should not be discriminated against racial, environmental or financial situations. The deficiency of the medical care system, cultural bias, economic development, and ignorance of the residents about health care brought about the shortage of medical personnel and facilities on the rural areas. Moreover, medical students and physicians have been taught less about rural health care than about urban health care. Medical care, therefore, is insufficient in terms of health care personnel/and facilities in rural areas. Under such a situation, there is growing concern about the health problems among the rural population. The findings presented in this report are useful measures of the major health problems and even more important, as a guide to planning for improved medical care systems. It is hoped that findings from this study will be useful to those responsible for improving the delivery of health service for the rural population. Objectives: -to determine the health status of the residents in the rural areas. -to assess the rural population's needs in terms of health and medical care. -to make recommendations concerning improvement in the delivery of health and medical care for the rural population. Procedures: For the sampling design, the ideal would be to sample according to the proportion of the composition age-groups. As the health problems would be different by group, the sample was divided into 10 different age-groups. If the sample were allocated by proportion of composition of each age group, some age groups would be too small to estimate the health problem. The sample size of each age-group population was 100 people/age-groups. Personal interviews were conducted by specially trained medical students. The interviews dealt at length with current health status, medical care problems, utilization of medical services, medical cost paid for medical care and attitudes toward health. In addition, more information was gained from the public health field, including environmental sanitation, maternal and child health, family planning, tuberculosis control, and dental health. The sample Sample size was one fourth of total population: 1,438 The aged 10-14 years showed the largest number of 254 and the aged under one year was the smallest number of 81. Participation in examination Examination sessions usually were held in the morning every Tuesday, Wenesday, and Thursday for 3 hours at each session at the Namchun Health station. In general, the rate of participation in medical examination was low especially in ages between 10-19 years old. The highest rate of participation among are groups was the under one year age-group by 100 percent. The lowest use rate as low as 3% of those in the age-groups 10-19 years who are attending junior and senior high school in Taegu city so the time was not convenient for them to recieve examinations. Among the over 20 years old group, the rate of participation of female was higher than that of males. The results are as follows: A. Publie health problems Population: The number of pre-school age group who required child health was 724, among them infants numbered 96. Number of eligible women aged 15-44 years was 1,279, and women with husband who need maternal health numbered 700. The age-group of 65 years or older was 201 needed more health care and 65 of them had disabilities. (Table 2). Environmental sanitation: Seventy-nine percent of the residents relied upon well water as a primary source of dringking water. Ninety-three percent of the drinking water supply was rated as unfited quality for drinking. More than 90% of latrines were unhygienic, in structure design and sanitation (Table 15). Maternal and child health: Maternal health Average number of pregnancies of eligible women was 4 times. There was almost no pre- and post-natal care. Pregnancy wastage Still births was 33 per 1,000 live births. Spontaneous abortion was 156 per 1,000 live births. Induced abortion was 137 per 1,000 live births. Delivery condition More than 90 percent of deliveries were conducted at home. Attendants at last delivery were laymen by 76% and delivery without attendants was 14%. The rate of non-sterilized scissors as an instrument used to cut the umbilical cord was as high as 54% and of sickles was 14%. The rate of difficult delivery counted for 3%. Maternal death rate estimates about 35 per 10,000 live births. Child health Consultation rate for child health was almost non existant. In general, vaccination rate of children was low; vaccination rates for children aged 0-5 years with BCG and small pox were 34 and 28 percent respectively. The rate of vaccination with DPT and Polio were 23 and 25% respectively but the rate of the complete three injections were as low as 5 and 3% respectively. The number of dead children was 280 per 1,000 living children. Infants death rate was 45 per 1,000 live births (Table 16), Family planning: Approval rate of married women for family planning was as high as 86%. The rate of experiences of contraception in the past was 51%. The current rate of contraception was 37%. Willingness to use contraception in the future was as high as 86% (Table 17). Tuberculosis control: Number of registration patients at the health center currently was 25. The number indicates one eighth of estimate number of tuberculosis in the area. Number of discharged cases in the past accounted for 79 which showed 50% of active cases when discharged time. Rate of complete treatment among reasons of discharge in the past as low as 28%. There needs to be a follow up observation of the discharged cases (Table 18). Dental problems: More than 50% of the total population have at least one or more dental problems. (Table 19) B. Medical care problems Incidence rate: 1. In one month Incidence rate of medical care problems during one month was 19.6 percent. Among these health problems which required rest at home were 11.8 percent. The estimated number of patients in the total population is 1,206. The health problems reported most frequently in interviews during one month are: GI trouble, respiratory disease, neuralgia, skin disease, and communicable disease-in that order, The rate of health problems by age groups was highest in the 1-4 age group and in the 60 years or over age group, the lowest rate was the 10-14 year age group. In general, 0-29 year age group except the 1-4 year age group was low incidence rate. After 30 years old the rate of health problems increases gradually with aging. Eighty-three percent of health problems that occured during one month were solved by primary medical care procedures. Seventeen percent of health problems needed secondary care. Days rested at home because of illness during one month were 0.7 days per interviewee and 8days per patient and it accounts for 2,161 days for the total productive population in the area. (Table 20) 2. In a year The incidence rate of medical care problems during a year was 74.8%, among them health problems which required rest at home was 37 percent. Estimated number of patients in the total population during a year was 4,600. The health problems that occured most frequently among the interviewees during a year were: Cold (30%), GI trouble (18), respiratory disease (11), anemia (10), diarrhea (10), neuralgia (10), parasite disease (9), ENT (7), skin (7), headache (7), trauma (4), communicable disease (3), and circulatory disease (3) -in that order. The rate of health problems by age groups was highest in the infants group, thereafter the rate decreased gradually until the age 15-19 year age group which showed the lowest, and then the rate increased gradually with aging. Eighty-seven percent of health problems during a year were solved by primary medical care. Thirteen percent of them needed secondary medical care procedures. Days rested at home because of illness during a year were 16 days per interviewee and 44 days per patient and it accounted for 57,335 days lost among productive age group in the area (Table 21). Among those given medical examination, the conditions observed most frequently were respiratory disease, GI trouble, parasite disease, neuralgia, skin disease, trauma, tuberculosis, anemia, chronic obstructive lung disease, eye disorders-in that order (Table 22). The main health problems required secondary medical care are as fellows: (previous page). Utilization of medical care (treatment) The rate of treatment by various medical facilities for all health problems during one month was 73 percent. The rate of receiving of medical care of those who have health problems which required rest at home was 52% while the rate of those who have health problems which did not required rest was 61 percent (Table 23). The rate of receiving of medical care for all health problems during a year was 67 percent. The rate of receiving of medical care of those who have health problems which required rest at home was 82 percent while the rate of those who have health problems which did not required rest was as low as 53 percent (Table 24). Types of medical facilitied used were as follows: Hospital and clinics: 32-35% Herb clinics: 9-10% Drugstore: 53-58% Hospitalization Rate of hospitalization was 1.7% and the estimate number of hospitalizations among the total population during a year will be 107 persons (Table 25). Medical cost: Average medical cost per person during one month and a year were 171 and 2,800 won respectively. Average medical cost per patient during one month and a year were 1,109 and 3,740 won respectively. Average cost per household during a year was 15,800 won (Table 26, 27). Solution measures for health and medical care problems in rural area: A. Health problems which could be solved by paramedical workers such as nurses, midwives and aid nurses etc. are as follows: 1. Improvement of environmental sanitation 2. MCH except medical care problems 3. Family planning except surgical intervention 4. Tuberculosis control except diagnosis and prescription 5. Dental care except operational intervention 6. Health education for residents for improvement of utilization of medical facilities and early diagnosis etc. B. Medical care problems 1. Eighty-five percent of health problems could be solved by primary care procedures by general practitioners. 2. Fifteen percent of health problems need secondary medical procedures by a specialist. C. Medical cost Concidering the economic situation in rural area the amount of 2,062 won per residents during a year will be burdensome, so financial assistance is needed gorvernment to solve health and medical care problems for rural people.

• 미술자료
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• 제96권
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• pp.123-154
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• 2019

국립중앙박물관 소장 <인왕선영도(仁旺先塋圖)>(덕수5520)는 그림과 발문(跋文) 열 폭으로 이루어진 병풍으로, 작가는 조중묵(趙重黙)(1820~1894 이후), 주문자는 박경빈(朴景彬)(생몰년 미상), 발문을 쓴 사람은 홍선주(洪善疇)(생몰년 미상), 제작연대는 1868년이다. 국립중앙박물관은 낱장으로 보관되어 온 <인왕선영도>를 병풍으로 복원하고 특별전 '우리 강산을 그리다: 화가의 시선, 조선시대 실경산수화'에서 최초로 공개하였다. <인왕선영도>에는 오늘날 서울특별시 서대문구 홍제동과 홍은동을 아우르는 인왕산 서쪽 실경이 묘사되어있고 원경에는 북한산 연봉이 그려져 있다. 화면 속에는 인왕산(仁旺山), 추모현(追慕峴), 홍재원(弘濟院), 삼각산(三角山), 대남문(大南門), 미륵당(彌勒堂)이라는 지명이 표기되어있다. 이 지역을 나타낸 조선후기 지도와 비교해보면 지형 표현과 지명 표기에 유사성이 있다. 조중묵은 넓은 공간을 포착하기 위해 지도의 지리정보를 숙지하였을 것으로 추정된다. 실경의 현장을 답사한 결과, 조중묵은 각각의 경물을 과장하거나 생략하였고 수평의 화면에 나열식으로 조합하였음을 알 수 있었다. 조중묵은 남종화풍 정형산수에 뛰어났던 화가로, <인왕선영도>의 세부 표현에서 사왕파(四王派) 화풍의 영향을 찾을 수 있다. 19세기 도화서 화원들이 화보를 활용하여 가옥을 그리거나 토파에 호초점을 찍고 당분법(撞粉法)으로 꽃을 나타내는 등 장식적인 화풍을 구사한 경향도 부분적으로 나타난다. <인왕선영도>에는 바위를 짙은 먹으로 쓸어내리듯 붓질한 기법, 산세의 괴량감, 가로로 붓을 대어 단순하게 그린 소나무 등 18세기 정선(鄭敾)(1676~1759)의 개성적 양식도 가미되어있다. 조중묵은 인왕산 실경산수로 유명한 정선의 양식과 권위를 차용한 것으로 추정된다. 그러나 <인왕선영도>는 유기적 공간감과 현장의 인상이 잘 드러나지 않으며, 연폭 화면이라는 매체도 조중묵의 개인 양식과 잘 어울리지 않는다. <인왕선영도>는 발문의 텍스트와 화면의 이미지가 잘 조응하는 작품이다. 발문의 내용을 여섯 단락으로 나누어 보면 ①무덤의 주인공과 이장 경위, ②무덤의 입지와 풍수, ③묘제(墓祭)와 신이(神異)한 응답, ④무덤 관리에 대한 마을 사람들의 협력, ⑤병풍 제작의 동기인 박경빈의 효성과 수묘(守墓), ⑥발문을 쓴 의의로 파악된다. 이 가운데 화면에서 시각적으로 구현하기 용이한 ②의 내용은 화면에 충실하게 재현되었다. <인왕선영도> 제작의 직접적 동기인 ⑤를 보면 주문자 박경빈이 "무덤이 마치 새롭게 단장한 것 같이 눈에 완연하다."라 하여 <인왕선영도>에 만족했음을 알 수 있다. 경물 하나하나를 설명하듯 나열한 구도는 회화미는 떨어지더라도 무덤의 풍수지리를 전달하는 데는 더 적합했을 것으로 추정된다. 현존하는 상당수의 산도(山圖)는 18세기 이후 제작된 목판본 선영도로서, 족보와 문집에 수록된 경우가 많다. 16~17세기의 기록에서는 족자 선영도를 첨배(瞻拜)의 대상으로 삼은 사례를 찾을 수 있다. 선영도 첨배는 현실적으로 수묘(守墓)가 곤란할 때 이를 대신할 수 있는 의례로 인정되었다. 한효원(韓效元)(1468~1534), 조실구(曺實久)(1591~1658) 등이 선영도를 제작한 후 당대의 명사에게 서문을 요청하고 효심을 과시한 사례는 <인왕선영도>의 선구가 된 것으로 추정된다. <석정처사유거도(石亭處士幽居圖)>(개인 소장), <화개현구장도(花開縣舊莊圖)>(국립중앙박물관) 등은 선영도는 아니지만 계회도 형식의 족자이고 풍수를 도해했다는 점에서 17세기 선영도의 모습을 유추할 수 있는 자료가 된다. <인왕선영도>는 첨배라는 측면에서 초상화와도 의미가 비슷했다. 발문의 "부친의 기침소리를 직접 접하는 듯하고, 그 태도와 몸가짐을 눈으로 보는 듯하다."는 표현과 부친의 초상에 조석 문안을 올린 서효숙 고사에서 그 단초를 찾을 수 있다. 박경빈이 일반적인 선영도 형식이었던 족자나 목판화 대신 연폭 병풍의 실경산수화를 주문한 의도는 분명히 알기 어렵다. 19세기에는 민간에서도 사례(四禮) 의식에 다수의 병풍을 배설(排設)하였는데, 의례의 성격에 따라 그림의 주제를 반드시 구분하여 사용한 것은 아니었다. <인왕선영도> 또한 여러 의례에 두루 배설하거나 장식 병풍으로도 사용하기 위해서 선영 그림이라는 주제를 실경산수화 이미지 아래에 가렸을 가능성이 있다. 특히 <인왕선영도>의 핵심 소재인 무덤 봉분이 모호하게 처리된 것은 사산금표(四山禁標)의 금제 위반을 숨기기 위함일 가능성이 있다. <인왕선영도>에 묘사된 인왕산 서쪽 산기슭은 분묘 조성 금지구역이었다. 1832년에 금표 내에 몰래 쓴 묘를 적발하여 즉시 파내고 관련자를 엄히 처벌한 사례로 볼 때, 19세기 중엽까지도 사산금표 내의 분묘 금제는 효력을 발휘하고 있었던 것으로 추정된다. <인왕선영도>의 발문에는 장지를 얻기 위해 쏟은 정성이 상세하게 쓰여 있다. 장지조성에 마을사람들의 협조와 묵인이 필요했던 것은 금표 구역 내에 묘지를 조성하는 것이 부담스러운 일이었기 때문으로 볼 수 있다. <인왕선영도>와 비교 가능한 동시대 연폭 병풍의 실경산수화로 이한철(李漢喆)(1808~1880)이 그린 <석파정도(石坡亭圖)>(미국 로스앤젤레스카운티미술관)를 들 수 있다. <석파정도> 제작시기를 전후한 1861년에 이한철과 조중묵은 철종어진도사에 함께 참여하였으므로 조중묵이 이한철의 <석파정도> 제작 과정을 보았을 가능성은 상당히 높다. 조중묵이 몇 년 후 <인왕선영도>를 주문받았을 때 <석파정도>의 인상적인 연폭 실경산수를 본 경험이 반영되었을 가능성이 있다. 두 작품의 화풍 차이는 주문자의 취향과 제작 목적의 차이에서 비롯된 것으로 추정된다. <인왕선영도>는 실경산수화와 선영도의 중층적인 구조를 가지고 있어서 관람자의 지식수준과 주문자와의 친분, 관람에 들이는 시간에 따라 천차만별의 의미로 수용되었을 것이다. <인왕선영도>의 발문에는 무덤 주인의 이름과 자호, 본관이 일체 작성되지 않은 채 '박공(朴公)'이라고만 표기되어 있다. 주문자인 박경빈의 인적 사항도 파악할 수 없었으나 다만 관직에 나아가지 못한 가계를 미루어 볼 때 재력이 있음에도 지배계층으로 올라설 수 없는 신분적 한계를 지니고 있었음은 짐작할 수 있다. 발문을 쓴 홍선주 또한 사대부로 보기 어려우며, 『승정원일기』 기록에 나타나는 경아전 서리일 가능성이 있다. 박경빈은 상류 계층에 진입하고 싶은 욕망으로 보수적인 가치인 효(孝)를 강조하여 부친의 무덤을 명당으로 이전하고 <인왕선영도>를 제작하였을 것으로 추정된다. 그러나 <인왕선영도>는 금제위반 적발에 대한 우려, 병풍의 다목적성 등의 이유로 본래의 제작의도를 뚜렷하게 드러내지 못하고 모순적인 이미지가 되었다. 병풍이 제작된 지 47년 만에 각 폭이 분리된 채 미술상을 통해 이왕가미술관 소장품이 된 상황을 보더라도, 박경빈이 <인왕선영도>에서 꿈꾸었던 명당 발복과 가문의 신분상승은 이루어지지 못했던 것으로 생각된다.