• 한국임상약학회지
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• 제20권3호
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• pp.242-247
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• 2010

Controlling inappropriate antibiotics prescribing for acute upper respiratory infections(URI) is a very important for prudent use of antibiotics and resistance control. Health Insurance Review and Assessment Service (HIRA) introduced Prescribing Evaluation Program and publicly reported antibiotics prescribing rate for URI of each health institution. We performed segmented regression analysis of interrupted time series to estimate the effect of public report on antibiotics prescribing rate using national health insurance claims data. The results indicate that just before the public report period, clinics' monthly antibiotics prescribing rate for URI was 66.7%. Right after the public report, the estimated antibiotics prescribing rate dropped abruptly by 12.3%p. There was no significant changes in month-to-month trend in the prescribing rate before and after the intervention.

• 대한통합의학회지
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• 제6권3호
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• pp.43-57
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• 2018

Purpose : The act of reporting child abuse by people obliged to report child abuse is a way to detect long-term incidents of child abuse in early stages and to prevent a vicious cycle of social crimes. Thus, this study intends to enhance the reporting of child abuse through a study on the perception of people obliged to report child abuse through the public service announcement on child abuse. Methods : First, in order to identify the demographic characteristics of the subjects, the frequency and percentage were calculated. Second, in order to verify the reliability of the variables, Cronbach ${\alpha}$ was calculated. Third, in order to examine the perception of people obliged to report child abuse and the perception of reporting, a t-test (verification) and One-way ANOVA were conducted. Fourth, in order to identify the relationship between variables, a Correlation analysis was conducted. Result : The results show that people obliged to report child abuse did not perceive the public service announcement on child abuse positively and it varied depending on their jobs. The correlation between the public service announcement on child abuse and sub-factor of perceptions of reporting showed that a positive correlation was found in reliability, interest, understanding, perceiving the public service announcement on child abuse, perceiving severity and effectiveness, whereas a negative correlation was found in perceiving hazards. Conclusion : The education for preventing child abuse is required by the job type of people obliged to report. It is necessary to convey the message of effective public service announcement. The public service announcements on child abuse must be nationwide and long-term projects.

• Journal of Preventive Medicine and Public Health
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• 제41권5호
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• pp.339-344
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• 2008

Objectives : The objective of this paper is to discuss the importance of obtaining informed consent for conducting epidemiological studies and public health activities, based on the Report of the UNESCO's Working Group on Informed Consent. Methods : The Report of the UNESCO's Working Group on Informed Consent was reviewed and discussed in connection with the ethical considerations of public health activities and epidemiological research. Results : It was at the Nuremberg Trial for the German war criminals of the Second World War that the principle of 'consent' was first stated as a consequence of the medical abuses carried out during the War. As a result of the Trial, the Nuremberg Code came out in 1947. Since then, various international declarations or ethical principles on 'informed consent' have been developed and published. These ethical principles on 'informed consent' have mostly to do with the clinical research that involves human subjects, and not with epidemiological studies and public health activities. However, UNESCO recently issued a comprehensive Report on Informed Consent based on the Universal Declaration on Bioethics and Human Rights adopted in 2005, and this included detailed guidelines on informed consent in epidemiological studies and public health activities. Conclusions : Universal Declaration on Bioethics and Human Rights emphasizes the principle of autonomy to protect the human rights of the human subjects involved in any public health activities and epidemiological research. As a practical guideline, obtaining informed consent is strongly recommended.

• 의학교육논단
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• 제24권1호
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• pp.35-45
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• 2022

Needs for public healthcare have recently increased. This paper proposes education topics for competency development in public healthcare in line with the needs of the times. In Korea, various lifelong education providers have already provided public health-related education. For example, the Research Institute for Health Policy (RIHP) under the Korean Medical Association provided an "executive course for physicians' public health care competencies" in 2019 and 2020. At the end of the course, the RIHP published a comprehensive report, entitled "Curricular development and evaluation for doctors' public healthcare competencies." This article is based on a summary of that report. To develop a curriculum for public healthcare, the RIHP adopted the following methodologies for a needs analysis; reviewing already-existing education subjects, evaluating end-of-course reports, and conducting in-depth focused group interviews and questionnaire surveys with doctors at public healthcare-related institutions. The results from the needs analysis can be categorized into two domains of education topics for public healthcare. The first domain includes education subjects related to the theory and practice of public healthcare, as follows: a general overview, community or population health, organizational administration, planning and evaluation, budget and finance, responses to disasters such as infectious diseases, health policy, and the legal system. The second domain contained education topics related to general professional competencies: leadership, communication, cooperation, teamwork, and professionalism. In conclusion, the curricular content for public healthcare will be an appropriate combination of competencies specific to public healthcare and core competencies for health professionals.

• 기록학연구
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• 제37호
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• pp.145-188
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• 2013

생산현황통보는 국내 기록관리의 주요 성과이자 특징으로, 전 세계적으로 유례를 찾아보기 힘든 한국적 기능이다. 1999년 "공공기관의 기록물 관리에 관한 법률" 제정 당시, 법률에 생산현황통보 제도를 포함시키기 위한 여러 노력이 있었고, 2006년 법률개정 이후에도 여전히 그 기능이 존재하고 있다. 그러나 생산현황통보에 대한 시스템, 서식 등의 업무적 지원이 미비할 뿐만 아니라, 형식적인 기능으로 변질되고 있는 실정이다. 이에 본 연구에서는 생산현황통보 제도의 제정목적과 함께 현재 실무 현황 및 업무지원을 위한 시사점을 도출하고자 한다. 우선 생산현황통보 제도 전반을 이해하고, 취지와 목적을 확인하기 위해 법률 제정 관계자와 생산현황통보제도를 집행하는 영구기록물관리기관 관계자와의 면담하였다. 제도를 실무 현장에서 수행하고 있는 현장의 기록물관리 전문요원과의 면담도 수행하였다. 이를 통해 생산현황보고에 대한 전문가 집단의 견해와 함께 상호간의 의견 차이를 확인하였고, 시스템을 통한 실무지원이 가능하도록 현재의 기능을 평가하고, 향후 개선점을 제안하였다.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2023년도 봄 학술논문 발표대회
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• pp.289-290
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• 2023

According to relevant laws, in the case of a construction project with a total construction cost of 30 billion won or more, a post-construction evaluation must be performed after completion. In addition, a post-construction evaluation report must be prepared and entered into the Continuous Acquisition & Life-cycle Support(CALS). As a result of reviewing the currently accumulated post-construction evaluation reports, since the report is not standardized, it is difficult for public project owners to write the report. It also hinders the post-construction evaluation and management center from verifying contents, analyzing data, and deriving meaningful results. In order to improve the convenience of the public owners who must conduct post-construction evaluations and the work efficiency of the center, evaluation factors were standardized and a standard post-construction evaluation report format for road construction was developed in Excel. Through this, the data in the reports will be effectively accumulated, managed, and analyzed, so that meaningful results will be produced and be helpful in future construction work.

• 의료법학
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• 제24권3호
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• pp.59-104
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• 2023

본고는 베버리지 보고서 원문에 담긴 의료보장 및 복지 구상을 검토하고, 베버리지의 기획이 오늘날 영국 NHS를 통해 어떠한 방식으로 현실에서 구현되었는지를 규명하고자 노력한다. 20세기 복지 사회의 근간을 형성한 베버리지 보고서의 영향력을 염두에 둔다면, 보건의료 영역에 관한 베버리지 보고서의 본래적인 기획은 무엇이었으며, 그것이 국가 의료 시스템인 NHS로 얼마나 충실히 계승되어 구현되었는지를 알아보는 과제는 흥미롭지 않을 수 없다. 또한, 보건복지 정책이 현대 국가에서 차지하는 비중을 고려한다면, 베버리지가 제시한 의료보장 기획 및 그 내용이 오늘날까지 이어져 왔는지를 살피는 노력은 시의적절하다. 위의 문제의식을 바탕으로, 본고는 베버리지 보고서에 담긴 의료보장 구상과 NHS를 통한 구현을 다음과 같이 알아본다. 우선 베버리지 보고서의 역사적인 배경을 다루어 베버리지가 제시한 복지체계의 기원을 살피며, 복지 제도의 개혁을 주동한 시대정신의 역할 및 영국 전시생산체제와 응급의료서비스의 경험을 주요 논점으로 부각한다. 그 후 당대의 사회현실로부터 태동한 베버리지 보고서의 의료보장 구상이 무엇인지를 분석하는 단계가 진행되며, 이때 사회복지를 향한 목표와 의료보장에 관한 계획이 주목된다. 마지막으로, NHS의 지향과 운용 방식, 치료 유형, 재활 프로그램을 포함한 현황을 차례로 검토하고 베버리지 보고서와 비교분석하여 저자의 기획이 현실에서 충실하게 구현되었는지를 살핀다. 이 과정에서 본고는 베버리지 보고서 원문은 물론이며, 잉글랜드 NHS 헌법과 1946년 국민보건서비스법을 비롯한 주요 법정책 자료를 참고하여 연구 목적을 달성하고자 노력한다. 본고의 탐구는 단지 베버리지 보고서의 답습에 그치지 아니하고, 현대의 관점에서 복지국가에 대한 베버리지의 기여를 평가하여 되돌아본다는 지점에서 그 의의가 있다. 베버리지 보고서에 담긴 지향과 정책 등을 구조화하여 분석하고, 이를 NHS의 현실에 접목하여 비교분석하는 본고의 서술은 베버리지의 기획이 영국에서 착실하게 구현되었는지를 살피는 적절한 기회를 마련할 수 있다. 더 나아가 본고는 보건의료 분야 복지의 과거와 현재를 비판적인 시각에서 반추하려는 노력의 일환이며, 한국 의료보장 및 복지 관련 법 제도의 미래와 개선을 염두에 두는 건설적인 탐구에 적절한 시사점을 남길 수 있으리라고 기대한다.

• 경영과정보연구
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• 제7권
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• pp.141-168
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• 2001

The causes that the transparency of Korean accounting information was rated low, a short supply of faithful and transparent accounting information from the limitation of external audit environment must be pointed out. Purpose of the external audit is a expression of the auditors about that financial statements an enterprise made public were appropriately drew up in accordance with the corporate accounting principles from important point of view. Analysis of the audit opinion and so fourth according to 6,541 individual audit reports and introduced to the bill securities forward committee as a subject of external audit according to the raw of corporation external audit show that considerable change to the contents of audit report. This show as it is that uncertainty of future that is now being faced by our enterprise, because corporation which present audit reports since 1997 because of enterprise dishonor and contents of existence probability as a continued enterprise following to general economic crisis after 1998 occupy important position in special matters of audit report. Also, increase in special matters is due to application of the corporate accounting principles revised on December 11, 1998. In 1999, audit opinion under limitation(limitation, incongruity and rejecting opinion) increased greatly according to existence doubt as a continued enterprise, and this is the consequence of strengthening audit to the continues enterprise because of limited enterprise dishonor according to the stagnancy of business activities after 1997. Now financial supervisory service put in effect electromagnetic public announcement system about a project report of listed corporation (including an audit report) keeping pace with a documentary public announcement system as first phase since 1999 and expand to the unlisted corporation from 2000. As electromagnetic public announcement of public announcement documents including audit documents of external audit subject get a duty, approach of external user to the accounting information will be easier. Fixation of this system will make deep and wide analysis to the audit opinion, and this will draw up a plan to reconsider confidence of accounting information.

• 기록학연구
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• 제57호
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• pp.137-163
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• 2018

기록관리는 기록의 생산 시점부터 시작된다. 공공기관이 기록을 제대로 생산하거나 관리할 수 있도록 하는 통제의 방안과 정책이 필요하다. 우리나라는 공공기록물법 제정 시점부터 기록의 생산 시점부터 생산 통제를 위해 생산현황통보제도를 도입하였고, 현재까지 운영 중에 있다. 그러나 생산현황통보 제도는 목적에 부합하는 운영이 되지 않고 있으며, 실제 제도를 실행하는 기록물관리전문요원들 사이에서 무용론이 제기될 만큼 그 실효성이 의심받고 있다. 뿐만 아니라 제도를 관장하는 국가기록원 내에서도 제도의 존폐여부에 대해 이견이 존재한다. 이에 본 제도가 존재하여야 하는 이유에서부터 운영의 문제점, 나아가 대안에 대한 의견까지 실제 기록전문가들의 면담을 통해 정리해보았다.

• 한국보건간호학회지
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• 제24권2호
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• pp.270-284
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• 2010

Purpose: This study examined differences in perceptions and intention to report on elder abuse between nurses and elderlies. Methods: A cross-sectional survey design was used. The participants were 301 nurses and 326 elderlies (>60 years) living in Seoul. Data were collected by convenience sampling. The research instrument utilized in this study to measure perceptions and intention to report were 11 of 12 scenarios adapted by Yoo & Kim from Moon and Williams(1993). Data were analyzed with descriptive statistics, t-test, Chi-Square and Pearson's correlation. Results: The mean score of perceptions on elder abuse was 3.11 for nurses and 2.98 for elderlies. The most severely perceived type of abuse was sexual abuse, followed by physical abuse, neglect, financial abuse, and emotional abuse. Statistically significant group differences were evident in perceptions of elder abuse in six of the scenarios and in all scenarios for intention to report. Conclusions: Differences in perceptions and intention to report on elder abuse between nurses and elderlies should be considered in developing effective measures in prevention and intervention of elder abuse.