• 대한예방한의학회지
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• 제24권2호
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• pp.31-41
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• 2020

Background : The introduction of policies expanding the coverage of uninsured Korean Medicine (KM) services have requires an understanding of the following components of the service : current financial expenses, degree of financial burden on the patient, and financial effect of the coverage expansion. Objectives : This study aims to determine the annual trend of outpatients' characteristics and the category of out-of-pocket spending in KM. Methods : This study uses data from the Korea Health Panel to analyze use of KM in the Korean population. Using the user characteristics and behavior drawn from the Korea Health Panel data, out-of-pocket spending trends of KM were analyzed by year. The diagnosis and prescription of out-of-pocket spending were also analyzed. Results : The proportion of patients receiving uninsured medical treatment and the number of uninsured medical treatment in outpatient clinics have increased. However, the average out-of-pocket spending per person and out-of-pocket spending per visit are consistent or have decreased. Meaningful trends are the increase of R00-R99 (unclassified symptoms) and the decrease of K00-K93 (digestive system disease) and J00-J99 (respiratory system disease). Conclusions : Expansion of KM medical service and insurance is influenced by uninsured medical treatment of KM. Hence, research to increase medical treatment categories for out-of-pocket spending or explore diseases where KM diagnosis has been proven effective should be further developed.

• 보건행정학회지
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• 제17권2호
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• pp.68-90
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• 2007

Nurse staffing level is an important factor that influences the quality of health service and patient outcomes. This study was carried out to examine the current state of acute hospital nurse staffing and find out factors that affect the nurse staffing level. Nurse staffing of individual hospitals was measured using the number of registered nurses per 100 beds. Descriptive and multiple regression analyses were conducted using 592 acute care hospitals' data. Regression model included structure factors such as referral level, ownership, medical and general staffing, and financial outcome factors such as occupancy rate, inpatient and outpatient revenues. Market characteristics included strength of competition, supply of nurses, and income and health status level of consumers. The average number of nurses per 100 beds was 28 and showed a great variation according to the referral level. Regression model explained this variation as much as 76.87%. Hospital structure variables which affecting the hospital nurse staffing level positively were ICU bed ratio, the staffing level of specialist, training doctor and employees except doctor and nursing personnel, while the negative factor was nurse aid staffing level. General hospitals employed more nurses than hospitals. Among outcome characteristics, occupancy rate and the amount of health insurance inpatient revenue affected positively on the hospital nurse staffing level. The more supply of the new nurse and the higher consumer income and health status in the medical service markets, the more nurses were employed by the medical institutes. According to the study result, hospitals employed more nurses when they had more financial incentive by increasing nurses. This means appropriate hospital incentive policy and regulation policy, which hospital violate nurse staffing level have to pay penality, should be needed. Clarifying job description between nurses and nurse aids and the reentry program for unemployed experienced nurses will be helpful to increase nurse staffing level.

• 한국화재소방학회논문지
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• 제26권3호
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• pp.49-59
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• 2012

본 연구는 고령화 사회에서 소방인력 활용 및 서비스 증대에 목적이 있다. 지속적인 생활수준 향상과 의료기술의 발달로 노인인구 비율이 높아져 고령화가 빠르게 진행됨에 따라 각종 재난으로부터 안전을 책임지고 있는 소방이 재해약자의 입장에서 종합적이고 체계적으로 관계부서와 연계하여 재해약자의 정확한 현황을 파악함과 동시에 신속한 출동은 물론 적절한 응급조치가 실시될 수 있도록 하여야 할 것이다. 그러기 위해서는 특정대상물위주의 정책에서 수요중심의 정책으로 전환하여 노인들의 생활 안전 교육과 주택안전의 종합적인 대책들이 강구되어야 한다. 또한 근대적 홍보방법에서 벗어서 IT강국의 위용을 활용한 홍보를 하는 등 119서비스 확대로 노인들의 편안하고 안락한 노후생활을 위한 소방서비스를 제공하여야 한다. 고령화 사회에서 노인인구에 대한 고찰이야말로 선진소방으로 가는 최선의 방법이다.

• 토지주택연구
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• 제7권2호
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• pp.103-111
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• 2016

주택정책의 패러다임이 주택공급에서 주거복지로 빠르게 전화됨에 따라 주택물량 확대 정책에서 맞춤형 주거복지정책으로 개편이 필요하여 '주거기본법'이 새로이 제정되었다. 법에서는 주거복지 전달체계에서 주거복지센터의 역할을 규정하였으나, 현재의 주거복지센터로는 숫자나 인력 면에서 그 역할을 담당하기 어렵다. 따라서 주거복지 전달체계의 바람직한 모델은 지역에서 주거복지 수요를 발굴하여 지자체나 인근 주거복지센터 및 관련된 지역 민간기관 등으로 연계하여 주거복지 서비스를 제공받도록 하는 방안이 효율적인 모델로 보인다. 이렇게 하기 위해서는 지역별 커뮤니티를 구축하여 지역 공동체 활성화를 추구함과 동시에 주거복지 서비스 수요를 발굴하는 방안으로 나가는 방향이 필요할 것으로 보인다. 본 연구는 한계는 있지만 이론 및 기존의 연구에 근거하여 주거복지 전달체계에서 커뮤니티의 역할에 대하여 제안한 탐색적 연구이며, 기존에는 없던 연구의 시도라는데 그 의의가 있다고 할 수 있다.

• 가정과삶의질연구
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• 제33권2호
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• pp.53-70
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• 2015

The number of Healthy Family Support Centers has dramatically increased and the services for healthy families such as family education, family counsel, family culture and family care have increased during the past ten years since the Framework Act on Healthy Families was enacted. This growth is largely credited to Healthy Family Specialists. At a time when the family policy delivery system is changing, it is most urgent to enhance the capability of Healthy Family Specialists. In this study, we aim to investigate the current capability of Healthy Family Specialists and suggest the education plan for their empowerment. We collected data from 151 Healthy Family Support Centers by mail and e-mail in June 2014. There were total of 1,001 subjects for analysis(781 by mail and 220 by e-mail). We analyzed the capabilities of Healthy Family Specialist by service areas according to work-related characteristics and possession of a license. Our findings revealed that the capabilities of Healthy Family Specialist varied depending on the service year and whether or not having a licence. These results suggest that the education program for empowerment will provide a differentiated content according to the service year and whether or not having a license. This study contributes to a better understanding of Healthy Family Specialists' current capability and provides insights on how to enhance their capability in order to change the family policy delivery system.

• 보건행정학회지
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• 제20권4호
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• pp.45-57
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• 2010

Background : If different cost efficiency indexes were informed to the same clinic depending on the inclusion or exclusion of pharmacy cost, it may impair the reliability of provider-profiling system. This study aimed to investigate whether the omission of pharmacy cost affects cost-efficiency rankings in medical clinics. Methods : Data for ambulatory care cost at 23,112 medical clinics were collected from the claims database, which was constructed after review by the Health Insurance Review and Assessment Service (HIRA) of Korea in April 2007. We calculated two types of cost efficiency indexes by inclusion or exclusion of pharmacy cost for a medical clinic. The agreement between the decile rankings of the two indexes was also assessed using the weighted kappa statistic of Landis and Koch. Results : When the cost efficiency index for total cost including pharmacy cost was compared with the index for total cost excluding it, the agreement between the two indexes was only 55%. The agreements between the two indexes were relatively low within specialties which have larger pharmacy volume of total cost and lower correlation between total cost with or without pharmacy cost included than the average level of all the specialties. Conclusion : These results suggest that the omission of pharmacy cost may result in contradictory outcomes that may be confusing to a medical institution and may impair the reliability of provider-profiling systems. It is very important to standardize profiling criteria for the reliability of provider profiling system.

• Osong Public Health and Research Perspectives
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• 제9권6호
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• pp.314-324
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• 2018

Objectives: The aim of this study was to analyze research and development projects in mental health services in Korea, using priority evaluation of mental health promotion policies to determine direction of the service. Methods: An online survey was conducted that targeted experts in the mental health service regarding promotion of mental health in Korea in 2016. The survey was based on 32 policy projects that resulted from 12 strategies according to 4 policy objectives. Results: Analysis of 32 mental health projects were assessed regarding the possibility of technology development success, magnitude of the ripple effect, and necessity of a national response. It was observed that 3 policy projects relevant to suicide, had a high relative priority. This was followed by policies for improvement of health insurance and the medical benefit cost system, and policies for reinforcement of crisis psychological support such as those for disaster victims. Conclusion: The prioritization of mental health services should place an emphasis on promotion of a healthy mental lifestyle, rehabilitation support for patients with serious mental illness, and reinforcement of social safety networks for suicide prevention.

• 한국노년학
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• 제39권3호
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• pp.429-449
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• 2019

본 논문의 목적은 제2차 세계대전 이후부터 신 노동당 정부까지 영국의 노인을 위한 개인적 사회 서비스 정책의 복지 다원주의의 역동성을 밝히고, 그것의 정책적 함의를 논하는 것이다. 이를 위해 1945년부터 2010년까지 보수당, 노동당, 신 노동당 정부 및 의회 보고서, 의회 회의록, 전당대회 원고, 법률, 국립기록보존관의 비밀 해제 문서, 각종 연구 기관의 보고서를 내용분석 한 결과, 노인을 위한 개인적 사회 서비스 정책의 복지 다원주의의 역동성에서 국가는 NHS에서와 달리, 해당 시기 내내 민간 영역의 보조 역할에만 머문 것으로 밝혀졌다. 이러한 구조에서 민간 영역의 역할이 국가의 역할 보다 지나치게 강화되었을 때 영국 노인들이 겪었던 부작용은 문재인 정부의 노인을 위한 커뮤니티케어 복지 다원주의 구조 형성에 유의미한 정책적 함의를 제공해주고 있다.

• 농업과학연구
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• 제49권4호
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• pp.761-769
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• 2022

The Livestock Raw Material Purchase Fund is a policy to increase the export of livestock products by providing loans to exporters of livestock products (including byproducts). The policy started in 2015 and the annual budget is about 26 billion won. However, a quantitative evaluation of policy effects has not yet been made. Therefore, in this study, the economic surplus of the policy was analyzed using the equilibrium displacement model (EDM). From the results of the welfare analysis, from 2016 to 2019, producer surplus in the chicken and duck market increased by KRW 70.9 billion, while consumer surplus decreased by KRW 70 billion. In other words, the total economic surplus of the chicken and duck market increased by about one billion won during the same period due to the increase in export demand according to the policy. Therefore, the Livestock Raw Material Purchase Fund can be viewed as a policy to maintain and increase export demand for export livestock products and to improve the economic surplus of the livestock product market. Also, since the policy is based on loans, it does not place a burden on the government's finances. Therefore, this policy should continue in the future.

• 한국생활과학회지
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• 제14권2호
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• pp.251-268
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• 2005

This study analyzes the amendment history of Educare Law of Infants and Children, the Equal Employment Opportunity Law, and Employment Insurance Law, and also examines the present status of the employer-supported child care service through secondary analysis of other policy studies. The three laws concerning employer-supported child care can be said to hold in itself two main concepts: employers' obligations to provide child care, and government's financial support and administrative management. In terms of the first concept, laws have been amended to enlarge the number of enterprises legally-responsible for child care service and to relieve the financial burden from them. In terms of the second, laws have been amended to gradually extend the magnitude of government's financial support and to establish the systematic administrative management. Approximately a half of the policy target enterprises, however, is not complying the laws. In addition, employer-supported child care centers are only occupying less than 1% of the whole child care market. Thus, this study evaluates the current employer-supported child care service system and suggests several principles for its improvement.