• Korea Journal of Hospital Management
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• v.5 no.2
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• pp.40-58
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• 2000

Nurses are medical personnel, who play a key role in supporting patient care, so it is important to supply them adequately in balance with ever increasing medical demand. But there appears severe shortage of nurses in some hospitals because of their uneven distribution, especially in small sized-hospitals and rural-hospitals. As nationwide distorted distribution of nurses in Korea is just like what monopsony model(a kind of market structure model) tells us, it is attempted to explain this situation of nurse labor market in Korea on the basis of monopsony model and presented in this paper. Specifically, determinants of nurse wage and the level of their relative employment were examined, and monopsony impact on their wage and the level of relative employment controlling those determinants were studied. Major results of this study arc as follows. The most important determinant of nurse wage level in this study was the wage level of a local community where each hospital located Hospital owner's characteristics an educational function of each hospital were also important factors. With these factor controlled, it was found that monopsony power of each hospital was negativel associated with nurse wage level as expected. 1% increase in monopsony power of hospital(measured by Herfindah-Hirschman Index) reduced nurse wage by $5,674{\sim}19,19$ won(in Korean currency). With regard to the level of relative employment, the most important determinant wa the capacity for supplying nurses of the local community. Again, hospital owner characteristics and educational function of each hospital were also important. With these factors controlled, it was found that monopsony power of each hospital was negative associated with the number of nurses per bed, as expected. 1% increase in monopsony power of each hospital(again measured by Herfindah-Hirschman Index) reduced the number of nurses per 100 bed as much as $0.46{\sim}0.67$. In conclusion. structural factors of nurse labor market influence the instability of nurse labor supply in Korea. Further consideration for these market structural characteristics needed for policy making related to nurse resource allocation.

• Proceedings of the Korea Technology Innovation Society Conference
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• 2005.05a
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• pp.182-201
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• 2005

항공우주산업의 선도적 기술혁신은 타 산업으로 연계 파급 효과가 매우 클 뿐 아니라 역으로 연관산업의 발전이 없이는 기술적 우위를 확보하기 어렵다. 항공우주산업이 높은 기술파급효과를 가지는 이유는 수백만 개의 부품을 퍼즐처럼 조립하는 전형적 복합체계종합산업이기 때문이다. 때문에 기술체계가 매우 복잡하고 관련된 산업 기술 분야 또한 매우 넓다. 항공우주 부품의 생산과정이 매우 복잡하고 엄격한 안전규정을 충족해야 하기 때문에 모기업에 대한 의존도가 높은 강한 가치사슬 구조를 지니게 된다. 항공기 개발 산업은 설계, 생산, 자본재 조달에 있어 계약 관계에 크게 의존한다. 수요특성 면에서는 군 또는 대형 항공사가 주된 수요자로서 상당히 높은 수요독점력(monopsony power)을 지니고 있어 관련 업체(Player)간 협상을 통해 계약관계가 형성된다. 계약 관계는 거래 당사자간의 흥정 또는 협상을 통한 게임으로 지배되는 경향이 많아 상호 정보의 교류는 매우 필수적이다. 항공우주산업 완제품 획득에 있어 체계종합과 부품소재 간의 효율적 연계는 매우 중요한 문제이다. 그럼에도 불구하고 필요기술과 그 소요시점에 있어 부품소재 개발자와 체계설계자는 서로 상이한 시각을 지나고 있다. 양자간의 차이점을 밝히고 전략적 연결점을 제안함이 본 연구의 주제이다. 본 연구는 2004년 산업자원부와 한국산업기술재단이 작성한 항공우주산업기술로드맵의 결과를 바탕으로 항공기 개발 과정에 있어 체계설계와 수많은 부품간의 관계를 파악하고 전략적 시사점을 제시하고자 한다.

• Perspectives in Nursing Science
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• v.7 no.1
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• pp.23-35
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• 2010

Purpose: The purpose of this paper is to analyze the demand and supply of advanced practice nurses and suggest alternative benefit strategies in the Korean national health insurance. Methods: A revised demand & supply model was used to estimate the excess supply of APNs, and policy making process and key actors in the Korean health insurance were considered to develop a political approach to the APN issue. Results: The social demand for APNs is currently estimated to be less than 50% of its supply and the APN education program fell into difficulties in recruits. No reimbursement mechanism for APN's services in the national health insurance has given no economic incentive to hospital managers who have monopsony power in nursing labor market, which has caused the demand shortage of APNs in hospital industry. Payment for APN's services recognized as one of the most significant strategies to booster the social demand for APN's services should be carefully designed and implemented in the national health insurance. In line with this, key actors in health insurance policy decision-making include government, national assembly, labor unions, NGOs, civic groups, medical associations, and academia. Conclusion: The basic researches for APN's activities and cost-effectiveness analysis in clinical settings are required to support the strategies aforementioned. Constructing a policy network among key actors is able to make the payment strategy feasible, which will increase the socal demand for APNs.