소규모 외식업체용 IP-USN을 활용한 HACCP 시스템 적용 및 유효성 검증 (The Implementation of a HACCP System through u-HACCPⓇ Application and the Verification of Microbial Quality Improvement in a Small Size Restaurant)
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- 한국식품영양과학회지
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- 제42권3호
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- pp.464-477
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- 2013
대부분의 외식산업은 생산 품목, 생산 방법, 생산 기술, 대상자들이 제조가공업체와는 매우 다르고 생산량, 취급인원, 영업규모등도 학교나 병원급식과는 여러 요소의 차이점을 가지고 있다. 본 연구는 소규모 외식업체에서 HACCP 시스템 적용을 위하여 종사자 대상 위생교육과 도입 전후의 미생물 분석과 시스템 도입에 따른 유의성 평가와 평가항목별 상관관계를 분석하였다. 또한 USN를 구축하여 도입 전후의 시간-온도관리 분석을 시행하여 효율성을 평가하였다. 위생교육 전후 조리 종사자의 위생업무 지식에 관한 평가 결과 개인위생, 식품의 공급 및 저장, 식품의 취급 및 배식, 기구의 세척 및 소독에서 유의적인 차이가 있었다. 또한 위생교육 전후 조리 종사자의 수행도에 관한 평가결과 식품의 취급 및 배식, 기구의 세척 및 소독, 작업 환경관리 영역에서 유의적으로 상승한 결과를 보였다. 조리 종사자의 교육 전후의 위생지식 결과는 개인위생(p<0.05), 식품의 공급 및 저장(p<0.05), 식품의 취급 및 배식(p<0.05), 기구의 세척 및 소독 영역(p<0.05)에서 유의적인 차이를 보였다. 모든 항목에서 정답률이 상승하였고 전체 문항에 대한 정답률은 교육 전 75%에서 교육 후 90%로 향상되었다. 조리 종사자의 위생업무에 대한 수행도 결과는 식품의 취급 및 배식(p<0.05), 기구의 세척 및 소독(p<0.05), 작업 환경관리 영역(p<0.05)과 총 점수에서 유의적인 차이를 보였다. HACCP 도입 전후의 소독에 따른 양상추 샐러드 미생물 품질분석 결과는 소독전 일반세균이 양상추 원재료 4.80 logCFU/g에서 소독 후 2.41 logCFU/g으로, 라디치오는 원재료 4.15 logCFU/g에서 소독 후 2.48 logCFU/g으로, 토마토는 원재료 4.10 logCFU/g에서 소독 후 평균 1.68 logCFU/g으로 나타나 중요관리점인 세척 시 소독을 통해 미생물 수치가 감소되었다. 멸치와 꽈리고추의 미생물적 품질결과는 원재료의 일반세균수는 각각 4.52 logCFU/g, 5.72 logCFU/g으로 나타났고, 볶았을 때 멸치는 2.07 logCFU/g, 꽈리고추는 1.50 logCFU/g으로 낮아졌다. 가열 공정 후 대장균군과 장내세균은 검출되지 않았다. 하지만 멸치꽈리볶음의 생산 공정은 재료별로 따로 볶아 버무리는 공정이 있어 최종식품에는 일반세균 4.33 logCFU/g, 대장균군 0.71 logCFU/g, 장내세균 1.65 logCFU/g, 황색포도상구균이 1.27 logCFU/g으로 검출되었다. 숙주나물의 미생물 분석 결과는 조리단계 및 배식단계에서 각각 4.20 logCFU/g, 4.68 logCFU/g의 높은 수치를 나타냈으나, 적용 후의 조리단계 및 배식단계에서는 각각 3.26 logCFU/g, 3.34 logCFU/g으로 나타났다. 숙주나물 및 잡채의 후처리 작업시 HACCP 적용 전 종사자 손의 일반세균수는 평균 5.90~5.99 logCFU/hand에서 적용 후 평균 0~2.30 logCFU/hand로 나타났다. 가열조리 후처리 공정에서는 교차오염을 줄이기 위하여 종사원의 손의 위생적인 관리가 필수적인 것으로 사료된다. 도입 전과 도입 후 2개월 시점의 조리 종사자의 위생지식점수 차이, 위생수행도 차이, 양상추 샐러드와 조리 종사자 손의 미생물적 품질 개선효과 간의 상관관계를 구하였다. 위생수행도의 변화와 양상추 샐러드의 미생물적 품질 개선 효과는 유의한 양의 상관관계(p<0.01)를 보여 위생 수행도가 높아질수록 식품의 미생물적 품질이 개선될 수 있다는 것을 보여주었다. 위생지식의 변화와 조리 종사자 손의 미생물 변화가 유의한 양의 상관관계(p<0.05)가 있었다. u-HACCP 시스템 도입 전후 온도관리에서의 3가지(온도측정의 정확성, 온도관리 효율성, 온도범위의 안정성)를 평가하였는데, 도입 전에는 업무시간에 냉장고
This article is the reserch on actual condition of crime of arson which occurs in Korea and its countermeasures. The the presented problem in this article are that (1) we have generally very low rate concern about the crime of arson contrary to realistic problems of rapid increase of crime of arson (2) as such criminal motives became so diverse as to the economic or criminal purpose unlike characteristic and mental deficiency of old days, and to countermeasure these problems effectively it presentation the necessity of systemantic research. Based on analysis of reality of arson, the tendency of this arson in Korea in the ratio of increase is said to be higher than those in violence crime or general fire rate. and further its rate is far more greater than those of the U.S.A. and Japan. Arson is considered to be a method of using fire as crime and in case of presently residence to be the abject, it is a public offense crime which aqccompany fatality in human life. This is the well It now fact to all of us. And further in order to presentation to the crime of arson, strictness of criminal law (criminal law No, 164 and 169, and fire protection law No. 110 and 111) and classification of arsonist as felony are institutionary reinforced to punish with certainty of possibility, Therefore, as tendency of arson has been increased compared to other nations, it is necessary to supplement strategical policy to bring out overall concerns of the seriousness of risk and damage of arson, which have been resulted from the lack of understanding. In characteristics analysis of crime of arson, (1) It is now reveald that, in the past such crime rate appeared far more within the boundary of town or city areas in the past, presently increased rate of arsons in rural areas are far more than in the town or small city areas, thereby showing characteristics of crime of arson extending nation wide. (2) general timetable of arson shows that night more than day time rate, and reveald that is trait behavior in secrecy.(3) arsonists are usually arrested at site or by victim or report of third person(82,9%).Investigation activities or self surrenders rate only 11.2%. The time span of arrest is normally the same day of arson and at times it takes more than one year to arrest. This reveals its necessity to prepare for long period of time for arrest, (4) age rate of arson is in their thirties mostly as compared to homicide, robbery and adultery, and considerable numbers of arsons are in old age of over fifties. It reveals age rate is increased (5) Over half of the arsonists are below the junior high school (6) the rate of convicts by thier records is based on first offenders primarily and secondly more than 4 time convicts. This apparently shows necessity of effective correctional education policy for their social assimilation together with re-investigation of human education at the primary and secondary education system in thier life. The examples of motivation for arosnits, such as personal animosity, fury, monetary swindle, luscious purpose and other aims of destroying of proof, and other social resistance, violence including ways of threatening, beside the motives of individual defects, are diverse and arsonic suicide and specifically suicidal accompany together keenly manifested. When we take this fact with the criminal theory, it really reveals arsons of crime are increasing and its casualities are serious and a point as a way of suicide is the anomie theory of Durkheim and comensurate with the theory of that of Merton, Specifically in the arson of industrial complex, it is revealed that one with revolutionary motive or revolting motive would do the arsonic act. For the policy of prevention of arsons, professional research work in organizational cooperation for preventive activities is conducted in municipal or city wise functions in the name of Parson Taskforces and beside a variety of research institutes in federal government have been operating effectively to countermeasure in many fields of research. Franch and Sweden beside the U.S. set up a overall operation of fire prevention research funtions and have obtained very successful result. Japan also put their research likewise for countermeasure. In this research as a way of preventive fire policy, first, it is necessary to accomodate the legal preventitive activities for fire prevention in judicial side and as an administrative side, (1) precise statistic management of crime of arson (2) establishment of professional research functions or a corporate (3) improvement of system for cooperative structural team for investigation of fires and menpower organization of professional members. Secondly, social mentality in individual prospect, recognition of fires by arson and youth education of such effect, educational program for development and practical promotion. Thirdly, in view of environmental side, the ways of actual performance by programming with the establishment of cooperative advancement in local social function elements with administrative office, habitants, school facilities and newspapers measures (2) establishment of personal protection where weak menpowers are displayed in special fire prevention measures. These measures are presented for prevention of crime of arson. The control of crime and prevention shall be prepared as a means of self defence by the principle of self responsibility Specifically arsonists usually aims at the comparatively weak control of fire prevention is prevalent and it is therefore necessary to prepare individual facilities with their spontaneous management of fire prevention instead of public municipal funtures of local geverment. As Clifford L. Karchmer asserted instead of concerns about who would commit arson, what portion of area would be the target of the arson. It is effective to minister spontaveously the fire prevention measure in his facility with the consideration of characteristics of arson. On the other hand, it is necessary for the concerned personnel of local goverment and groups to distribute to the local society in timely manner for new information about the fire prevention, thus contribute to effective result of fire prevention result. In consideration of these factors, it is inevitable to never let coincide with the phemonemon of arsons in similar or mimic features as recognized that these could prevail just an epedemic as a strong imitational attitude. In processing of policy to encounter these problems, it is necessary to place priority of city policy to enhancement of overall concerns toward the definitive essense of crime of arson.
국유림경영(國有林經營)은 어느 나라를 막론(莫論)하고 그 사명(使命)과 경영목적(經營目的)으로 봐서 중요시(重要視)되고 있다. 한국(韓國)의 국유림(國有林)도 또한 한국경제(韓國經濟)의 비약적(飛躍的)인 발전(發展)에 따라 목림수요(木林需要)의 계속적(繼續的)인 증가(增加)로 국가적(國家的)인 사명(使命)과 산업경제적(產業經濟的)으로 더욱 중요(重要)한 위치(位置)에 놓이게 되었다. 그러나 지금(只今)까지 한국임정(韓國林政)의 주요목표(主要目標)가 산림자원(山林資源)의 보존(保存)과 국토보전기능(國土保全機能)의 회복(回復)에만 급급(汲汲)한 나머지 임업(林業)의 경제생산성(經濟生產性)을 높이는 산업정책적의의(產業政策的意義)가 적었음을 우리는 부인(否認)할 수 없다. 그리하여 한국(韓國)의 임업(林業)도 한국경제구조중(韓國經濟構造中)의 일환(一環)으로서 산업적(產業的)으로 발전(發展)시킬 필요(必要)에 직면(直面)하게 되어 국유림(國有林)도 합리적(合理的)인 산림시업(山林施業)에 기초(基礎)를 둔 산림생산력(山林生產力)의 증강(增强)이 절실(切實)하게 되었고, 그렇게 하므로써 결과적(結果的)으로 우수(優秀)한 산림(山林)이 조성(造成)되어 자연(自然), 산림(山林)의 국토보전기능(國土保全機能) 기타(其他)의 공익적기능(公益的機能)도 발휘(發揮)될 수 있을 것으로 본다. 한국(韓國)의 국유림(國有林)은 1908년(年) 임적계출시(林籍屆出時)의 역사적(歷史的) 소산(所產)으로서 그 후(後) 국토보존(國土保存)과 산림경영(山林經營) 학술연구(學術硏究) 기타(其他) 공익상(公益上) 국유(國有)로 보존(保存)할 필요(必要)가 있는 요존림(要存林)과 이에 속(屬)하지 않는 부요존림(不要存林)으로 구분(區分)하고 요존국유림중(要存國有林中) 국가(國家)가 직접(直接) 임업경영(林業經營)을 목적(目的)으로 하는 산림(山林)은 3개영림서(個營林署)에서 관리(管理)하고 있으며 기타(其他)는 각시도(各市道) 및 타부처소관(他部處所管)으로 되어있는데 국유림(國有林)은 1971년말현재(年末現在) 전국산림면적(全國山林面積)의 19.5%(1,297,708 ha)를 점(占)하고 있으나 임목축적(林木蓄積)은 전국산림총축적량(全國山林總蓄積量)의 50.1%(
The categories of national health problems may be mainly divided into health promotion, problems of diseases, and population-economic problems which are indirectly related to health. Of them, the problems of diseases will be exclusively dealt with this speech. Rurality and Disease Problems There are many differences between rural and urban areas. In general, indicators of rurality are small size of towns, dispersion of the population, remoteness from urban centers, inadequacy of public transportation, poor communication, inadequate sanitation, poor housing, poverty, little education lack of health personnels and facilities, and in-accessibility to health services. The influence of such conditions creates, directly or indirectly, many problems of diseases in the rural areas. Those art the occurrence of preventable diseases, deterioration and prolongation of illness due to loss of chance to get early treatment, decreased or prolonged labour force loss, unnecessary death, doubling of medical cost, and economic loss. Some Considerations of Innovative Approach The followings art some considerations of innovative approaches to the problems of diseases in the rural Korea. 1. It would be essential goal of the innovative approaches that the damage and economic loss due to diseases will be maintained to minimum level by minimizing the absolute amount of the diseases, and by moderating the fee for medical cares. The goal of the minimization of the disease amount may be achieved by preventive services and early treatment, and the goal of moderating the medical fee may be achieved by lowering the prime cost and by adjusting the medical fees to reasonable level. 2. Community health service or community medicine will be adopted as a innovative means to disease problems. In this case, a community is defined as an unit area where supply and utilization of primary service activities can be accomplished within a day. The essential nature o the community health service should be such activities as health promotion, preventive measures, medical care, and rehabilitation performing efficiently through the organized efforts of the residents in a community. Each service activity should cover all members of the residents in a community in its plan and performance. The cooperation of the community peoples in one of the essential elements for success of the service program, The motivations of their cooperative mood may be activated through several ways: when the participation of the residents in service program of especially the direct participation of organized cooperation of the area leaders art achieved through a means of health education: when the residents get actual experience of having received the benefit of good quality services; and when the health personnels being armed with an idealism that they art working in the areas to help health problems of the residents, maintain good human relationships with them. For the success of a community health service program, a personnel who is in charge of leadership and has an able, a sincere and a steady characters seems to be required in a community. The government should lead and support the community health service programs of the nation under the basis of results appeared in the demonstrative programs so as to be carried out the programs efficiently. Moss of the health problems may be treated properly in the community levels through suitable community health service programs but there might be some problems which art beyond their abilities to be dealt with. To solve such problems each community health service program should be under the referral systems which are connected with health centers, hospitals, and so forth. 3. An approach should be intensively groped to have a physician in each community. The shortage of physicians in rural areas is world-wide problem and so is the Korean situation. In the past the government has initiated a system of area-limited physician, coercion, and a small scale of scholarship program with unsatisfactory results. But there might be ways of achieving the goal by intervice, broadened, and continuous approaches. There will be several ways of approach to motivate the physicians to be settled in a rural community. They are, for examples, to expos the students to the community health service programs during training, to be run community health service programs by every health or medical schools and other main medical facilities, communication activities and advertisement, desire of community peoples to invite a physician, scholarship program, payment of satisfactory level, fulfilment of military obligation in case of a future draft, economic growth and development of rural communities, sufficiency of health and medical facilities, provision of proper medical care system, coercion, and so forth. And, hopefully, more useful reference data on the motivations may be available when a survey be conducted to the physicians who are presently engaging in the rural community levels. 4. In communities where the availability of a physician is difficult, a trial to use physician extenders, under certain conditions, may be considered. The reason is that it would be beneficial for the health of the residents to give them the remedies of primary medical care through the extenders rather than to leave their medical problems out of management. The followings are the conditions to be considered when the physician extenders are used: their positions will be prescribed as a temporary one instead of permanent one so as to allow easy replacement of the position with a physician applicant; the extender will be under periodic direction and supervision of a physician, and also referral channel will be provided: legal constraints will be placed upon the extenders primary care practice, and the physician extenders will used only under the public medical care system. 5. For the balanced health care delivery, a greater investment to the rural areas is needed to compensate weak points of a rurality. The characteristics of a rurality has been already mentioned. The objective of balanced service for rural communities to level up that of urban areas will be hard to achieve without greater efforts and supports. For example, rural communities need mobile powers more than urban areas, communication network is extremely necessary at health delivery facilities in rural areas as well as the need of urban areas, health and medical facilities in rural areas should be provided more substantially than those of urban areas to minimize, in a sense, the amount of patient consultation and request of laboratory specimens through referral system of which procedures are more troublesome in rural areas, and more intensive control measures against communicable diseases are needed in rural areas where greater numbers of cases are occurred under the poor sanitary conditions.
The general objective of this research is to study behavioral pattern of health care utilization and to measure the level of utilization of the traditional medicine. The specific objective is to study utilization pattern and content of folk medicine which is the indegenous medical technology recognized part of traditional medicine. This research was under taken to generate valid information that will provide basis data for formulating general direction for health education activities and for designing service package for general population. A social survey method was employed to obtain required information for the research activities, The survey field team consisted of 20 surveyors who all participated is an intensive 2 day training course. A total of 3091 households were visited and interviewed by the field team during the period 7 September to 6 October 1987. The major findings obtained from the information collected by the field survey are as follows ; 1) General characteristics of the study households 2562 households out of 3091 households visited were selected for final data process, 80.2 of the selected households were nuclear families ; 17.4%, extended families ; others 2.4%. Only 4.3 percent of the study population in the urban households indicated "no schooling" whereas 14.2% of the rural household members falls within this category. Study population in the urban areas are more protected against diseases by the national medical insurance system than those in rural areas. In their self appraisal of living standard, those who responded with low group are 39.6% and 50.3% respectively by urban and rural households. 2) Morbidity status Period prevalence rate for all diseases during the preceding 15 days before the date of the household interview v as 243,0 per 1,000 study population. For cases with the illness duration of within 15 days, the initial points of medical entry were diversied ; 56.9%, drug stores ; 30.9%, clinics and hospitals ; 4.6% folk medicine ; 1.7% clinics of Korean oriental medicine. Among the chronic case; with illness duration of over 90 days, 34.6% of these people utilized clinics and hospitals of modern medicine ; 31.6%, drug stores ; 18.6% clinics of Korean oriental medicine ; 6.8% folk medical techniques. Noticeable is the almost ten fold increase from the mere 0.9% in the utilization of Korean oriental medicine, whereas in the utilization of folk medicine, it is short of two-fold increase. 3) Folk medicine and its utilization Households that use folk medicine for relief and care of signs and symptoms commonly encountered in daily life, number 1969 households, which accounts for 76.9% of all the study households. This rather high level use of folk medicine is not different from rural to urban areas. The order of frequency of utilizing folk medicine among the study people are : the highest 14.3% for the relief of indigestion ; 8.6% for burns ; 5.1% for common cold ; 4.7% for hiccough ; and 4.2% for hordeolum. A present various procedures of folk medicine is being used to relieve all kinds of symptoms. 192 symptoms are identified at present. The most frequently used procedures of folk medicine appear to be based either on principles of the Korean oriental medicine or of scientific knowledge. Based on these survey findings, proposals for utilizing folk medicine are as follows First, this survey's findings will be feed back to both on the job training and on the spot guidance of community health practitioners, public health nurses and other peripheral work force in the health field, who are in daily contacts with community. This feed back will assure that the health personnel carry out their health education and information activities that are based on the utilization pattern of folk medicine as found in the survey result. Second, studies will be soon implemented that are designed to measure the efficiency and potency of these procedures and to improve these procedures of folk medicine were most frequently used by the community. Third, studies will continue to systematize medicinal plants and skills of Korean oriental medicine that are easily available at minimal cost in daily life for the prevention of diseases and management of emergency cases.
도시가 발전하기 위해서는 다양한 자원과 성장에 필요한 제반조건과 총체적인 환경을 요구하고 있다. 도시의 성장과 발전은 역사 문화 경제 사회 공간 제도적 요인들이 서로 영향을 주면서 다양한 변화를 통하여 발전하고 있다. 그러나 항만이 입지하고 있는 배후지역의 도시개발계획이나 지역경제 활성화에 있어서는 원활한 경제활동이나 도시성장에 많은 도움을 주지 못하고 있다. 중앙정부나 지방자치단체의 행정환경 추세는 성숙한 분권형 국가운영시스템을 요구하고 있는 시대적 변화에 부응하지 못한 채 현실을 간과하고 있다. 이러한 이유에서 평택항과 광양항이 입지하고 있는 항만도시를 대상으로 배후지역 도시성장에 어떻게 영향을 주고 있는지에 대한 명확한 관계를 살펴보는 것은 의미가 있다. 본 연구의 목적은 항만의 입지가 배후지역 도시성장에 어떠한 영향을 미치고 있는지에 대한 분석을 통하여 항만과 배후도시와의 관계를 확인하고, 향후 항만개발과 운영방향에 대한 정책적 시사점을 탐색하는데 있다. 본 연구는 항만이 입지함에 따른 항만입지와 관련된 특정 요인이 평택항과 광양항에 어떠한 영향을 주고 있는지를 비교분석하였다. 분석결과 항만입지특성이 도시성장에 미치는 요인 중 수출입물동량이 평택항과 광양항 모두에 영향을 주고 있는 것으로 분석되었다. 이러한 맥락에서 항만당국인 중앙정부와 지방자치단체 간의 적극적인 계획과 협조가 반드시 병행되어야 한다. 또한 국가적 이미지 개선에 보탬이 되고 인적 물적 유인효과를 제고하는 지역적 특성이 반영된 정책을 수립하여 실행하는 전략을 추진할 필요가 있다. 따라서 본 연구의 결과는 중앙정부 주도의 항만정책 추진에 대한 대안을 제시하고 항만입지 특성과 배후도시 성장에 영향을 주는 다양한 추진 전략을 실행해야 하는 중앙정부와 지방자치단체의 협력적 관계를 모색할 수 있는 중요한 시사점을 제공할 수 있을 것으로 기대하고 있다.
This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However,
최근 전 세계 보험업계에도 기계학습, 자연어 처리, 딥러닝 등의 인공지능 기술 활용을 통한 디지털 전환이 급속도로 확산하고 있다. 이에 따라 인공지능 기술을 기반으로 한 인슈어테크와 플랫폼 비즈니스 성공을 이룬 해외 보험사들도 증가하고 있다. 대표적으로 중국 최대 민영기업인 평안보험그룹은 '금융과 기술', '금융과 생태계'를 기업의 핵심 키워드로 내세우며 끊임없는 혁신에 도전한 결과, 인슈어테크와 디지털플랫폼 분야에서 괄목할만한 성과를 보이며 중국의 글로벌 4차 산업혁명을 선도하고 있다. 이에 본 연구는 평안보험그룹 인슈어테크와 플랫폼 비즈니스 활동을 ser-M 분석 모델을 통해 분석하여 국내 보험사들의 인공지능 기술기반 비즈니스 활성화를 위한 전략적 시사점을 제공하고자 했다. ser-M 분석 모델은 기업의 경영전략을 주체, 환경, 자원, 메커니즘 관점에서 통합적으로 해석이 가능한 프레임으로, 최고경영자의 비전과 리더십, 기업의 역사적 환경, 다양한 자원 활용, 독특한 메커니즘 관계가 통합적으로 해석되도록 연구하였다. 사례분석 결과, 평안보험은 안면·음성·표정 인식 등 핵심 인공지능 기술을 활용하여 세일즈, 보험인수, 보험금 청구, 대출 서비스 등 업무 전 영역을 디지털로 혁신함으로써 경비 절감과 고객서비스 발전을 이루었다. 또한 '중국 내 온라인 데이터'와 '회사가 축적한 방대한 오프라인 데이터 및 통찰력'을 인공지능, 빅데이터 분석 등 신기술과 결합하여 금융 서비스와 디지털 서비스 사업이 통합된 디지털 플랫폼을 구축하였다. 이러한 평안보험그룹의 성공 배경을 ser-M 관점에서 분석해 보면, 창업자 마밍즈 회장은 4차 산업혁명 시대의 디지털 기술발전, 시장경쟁 및 인구 구조의 변화를 빠르게 포착하여 새로운 비전을 수립하고 디지털 기술중시의 민첩한 리더십을 발휘하였다. 환경변화에 대응한 창업자 주도의 강력한 리더십을 바탕으로 인공지능 기술 투자, 우수 전문인력 확보, 빅데이터 역량 강화 등 내부자원을 혁신하고, 외부 흡수역량의 결합, 다양한 업종 간의 전략적 제휴를 통해 인슈어테크와 플랫폼 비즈니스를 성공적으로 끌어냈다. 이와 같은 성공사례 분석을 통하여 인슈어테크와 디지털플랫폼 도입을 본격 준비하고 있는 국내 보험사들에게 디지털 시대에 필요한 경영 전략과 리더십에 대한 시사점을 줄 수 있다.