• 대한예방의학회:학술대회논문집
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• 1994.02a
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• pp.450-468
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• 1994

Scientists have long used conventional toxicological methods to establish 'safe levels of exposure' for chemicals presumed to have threshold health effects or doses below which significant effects are unlikely to occur. These same methods cannot be used to establish safe levels of exposure for non-threshold pollutants. such as carcinogens. Therefore. Federal regulatory agencies in the United States are using risk assessment methods to provide information for public health policy decisions concerning increases in risk associated with increases in exposure to carcinogenic and other non-threshold pollutants. Acceptable exposure/risk levels are decided by policymakers who consider descriptions and estimates of risks together with social and economic benefits from the uses of the chemical. 1bis paper focuses on the development of quantitative risk assessment approaches by Federal regulatory agencies in the United States, and identifies the mathematical models currently being used for risk extrapolation. including their inherent uncertainties. The uncertainties and limitations of these methods have led some scientists to question the utility of quantitative risk extrapolation. The experience of the; U.S. Environmental Protection Agency (EPA). as summarized in this paper. can provide a realistic basis for evaluating the pros and cons. Finally. shortcomings in current risk assessment methods and their use in policy decisions are explored. and areas for possible improvement. given current scientific knowledge. are identified.

• STI Policy Review
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• v.2 no.2
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• pp.25-44
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• 2011

• Journal of the Korean Society of Environmental Restoration Technology
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• v.26 no.3
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• pp.43-55
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• 2023

The railway project is an essential green transportation tool that is considered suitable for the domestic and foreign policy direction of carbon neutrality, but there are some limitations, such as damaging important carbon absorption sources during construction. This study analyzed the environmental impact assessment related to carbon absorption sources of greenhouse gas evaluation items conducted during the railway project, and limitations and implications were derived. The analysis of environmental impact assessment guidelines related to railway projects and carbon absorption sources dealt with prediction and reduction methods related to carbon absorption sources, but guidelines, including environmentally friendly railway construction guidelines, lacked descriptions. Since the greenhouse gas environmental impact assessment, 83 railway project environmental impact assessments have been reviewed, but in some cases, carbon absorption-related predictions have not been implemented, or carbon absorption-related reduction measures have been insufficient. In addition, there were cases where there was a limit to calculating emissions and reduction or where the reduction value was insignificant compared to emissions. In order to supplement the environmental impact assessment in the field of carbon absorption sources related to railway construction projects, alternatives such as quantitative emission and low reduction calculation, review of the no net loss system using the total environmental resource system, and linkage with climate change impact assessment are needed.

• Journal of Environmental Policy
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• v.14 no.1
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• pp.53-83
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• 2015

Recently, climate change risk assessment has been discussed as a medium process for making climate change adaptation policies in the research field of climate change adaptation. Climate change risk assessment has been understood to have an intermediary role among impact assessment, vulnerable assessment and policy, and is used in the process of devising adaptation policies in the United Kingdom (UK). This paper quantitatively assessed the risks of climate change in Korea, applied the methods used in the UK, underwent the classification process and suggested implications of Korean adaptation policies. A survey of experts, based on Delphi's method and the classification criterion developed by Klinke and Renn(2002), was also carried out. A list of climate risks was created from the climate change impact and vulnerability assessment report of Korea, first national adaptation policy of Korea, and general climate risks of the UK. From the results, 42 risks out of total 125 risks were selected based on their importance. The assessed risks with factors, such as high impact and urgency, are related to repeated and large scale damage from storms and floods caused by abnormal or extreme weather events. Ecological changes and social infrastructure risks were engaged as required as a policy response for medium to longer term. As for making the classification, types of climate risks were suggested to manage the basic capacity in relation to social trust, triggering mechanism and responsibility. Following suggestions are put forward as the base of autonomous adaptation: increasing the capacity of civil society, mutual trust and civil participation in adaptation policy process.

• Health Policy and Management
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• v.20 no.2
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• pp.128-143
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• 2010

Objectives : This study aims to estimate the oral antihyperglycemic medications adherence among ambulatory care with adult type 2 diabetes patients and to identify factors affecting the medication adherence in Korea. Methods : This study used the Korean National Health Insurance Database. Study population was 40,082 patients who were 20 years of age or older and first diagnosed with type 2 diabetes (ICD-10: E11) in 2004. The patients were followed up for two years in order to measure adherence with oral antihyperglycemic medications. The level of medication adherence was measured by the medication possession ratio (MPR). Results : The average MPR in the study population was 49.5%. The appropriate adherence rate (MPR$\geq$80%) was 29.4% and showed variation according to the characteristics of individual patients. Multiple logistic regression analysis revealed that the odds of appropriate adherence increased with female (OR:1.21, CI:1.14-1.27), older age, increasing ambulatory care visits, health insurance (OR:1.53, CI:1.33-1.76), decreasing ambulatory care providers, using a specialized general hospital as their main attending medical institution (OR:10.08, CI:8.96-11.33), having co-morbidity, using polytherapy (OR:1.07, CI:1.01-1.13). Conclusions : The medications adherence for patient with type 2 diabetes is low in Korea, and shows variation according to the characteristics of patients. For proper management of diabetes, health care policy is expected to be enacted to improve medications adherence continuously. In particular, more intensive management is needed for patients with low medications adherence. Also, health care policy makers need to develop the program to induce health care utilization by a patient to be more concentrated with the same provider.

• 한국방재학회:학술대회논문집
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• 2008.02a
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• pp.703-706
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• 2008

Structural flood defensive alternatives have been evaluated based on economic feasibility, riskiness of safety and sustainability. Social problems associated with structural flood defensive alternatives such as dams, flood control channels, etc. are currently issued. The evaluation items of policy presented in KDI(2001) are should be modified in order to resolve the social problems. Hence, this study conducted a questionnaire survey of public servants, researchers, and engineers to obtain how to determine evaluation items for policy assessment and to compute their weights in the analytic hierarchy process. This study also compared the weights of the items in KDI(2000) with the weights from the survey in this study. The policy assessment weight was estimated higher than KDI(2000). This result suggests that social awareness increases and the analysis of policy becomes important for selecting optimal structural defensive alternatives.

• Health Policy and Management
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• v.28 no.3
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• pp.272-279
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• 2018

Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as 'limited health technology assessment system,' 'system for postponement of new health technology assessment,' 'one-stop service system,' and 'integrated operation of approval for medical devices and new health technology assessment.' Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.

• Journal of Environmental Impact Assessment
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• v.6 no.2
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• pp.17-28
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• 1997

• Journal of Environmental Impact Assessment
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• v.6 no.2
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• pp.1-16
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• 1997

• Journal of Environmental Science International
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• v.2 no.4
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• pp.245-254
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• 1993

This paper attempts to analyze the institutionalization process of Environmental Impact Assessment(EIA) system within the context of Korean environmental policy. The implementation of EIA in the 1980's was not seriously considered by other government agencies and was sometimes degraded as mere formality due to the inherent problems of the system. With viewing the theory and practice of EIA in Korea, this paper argues that it is essential to reinforce ex post facto management incorporate the participation of residents of concerned areas, upgrade the validity of assessment by selecting a credible assessment-agenices and develop the required technologies. Finally, this paper acknowledge the necessity of devising the mechanism to reconcile the conflict between the regional interest and the national interest.