• 한국사회복지학
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• 제63권2호
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• pp.5-29
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• 2011

본 연구는 선진복지국가 중 독일, 스웨덴, 영국의 사회보험제도의 통합사례를 분석하였다. 제도통합과 조직통합이라는 두 가지 차원으로 나누어 세 나라의 사회보험 통합을 역사적 맥락에서 분석하였다. 독일은 여전히 제도와 조직이 분리되어 있고, 사회보험의 적용 징수업무를 질병보험조합이 담당하고 있다. 영국은 제도와 조직 모두 통합되어 있고, 적용 징수업무를 국세청이 담당하고 있다. 스웨덴은 사회보험체계가 각각의 제도별로 구분되어 있지만 운영기관은 통일되어 있고, 적용 징수업무를 국세청이 담당하고 있다. 본 연구는 이러한 선진국 사회보험 통합의 역사적 발전경로에 대한 고려를 바탕으로 한국 사회보험제도가 이제까지 걸어온 과정에 비추어 2011년부터 시행되고 있는 사회보험료 징수업무 건강보험공단 이관이 적절한 선택이었는지를 평가하였다.

• 노동경제논집
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• 제26권2호
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• pp.31-59
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• 2003

본고는 실업보험과 연금을 통합시켜 실직자가 실업급여 이외에 자신의 미래 연금을 담보로 대출을 받게 되는 통합실업보험제의 후생효과를 분석하고 있다. 특히 본고에서는 통합실업보헙제가 기존 실업보험제에 비해 후생을 증가시키는 경우를 제시하고 구체적으로 이 제도하에서 실업급여와 연금담보대출의 적정수준을 결정하는 요인을 분석하였다. 일반적으로 통합실업보험제가 기존 실업보험제에 비해 후생적으로우월하고 실업급여 수준은 근로자 위험기피도, 구직유인의 중요성 그리고 실업기간의 상대적 크기에 따라 달라짐을 보이고 있다. 그밖에 본고에서는 같은 원리에 의해 연금을 실업보험 뿐아니라 다른 사회보험과도 동시에 통합하는 것이 후생적으로 바람직함을 강조하고 있다.

• 보건행정학회지
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• 제10권1호
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• pp.57-94
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• 2000

Korea's social health insurance system was introduced in 1977, which has made a universal coverage possibly by July 1989. Korean government had pursued a single objective for the last decade to put the whole population under the coverage of medical security, and the objective was achieved within 12 years. The rapid accomplishment is primarily due to such factors as limited benefits, high copayment rate, low contributions as well as rapid economic growth. There are several sources of pressure for the implementation of social health insurance such as health professional group, labor unions, politicians, international organizations etc.. However it is important to look at the feasibility of social health insurance. Among other things, it is necessary to identify the administrative infrastructure of insurance system and to assess income for source of fund. As many developed countries, Korea began to apply health insurance to the employees of the large firms, and the expansion based on employment status. Thus the several funds system was inevitable according to the gradual expansion strategy. However many persons had criticized several funds system in respect with equity and efficiency aspects. In the short history of the Korean health insurance, whether one fund or sever or funds had been the most controversial issue. In Febrary 1999, the National Assembly passed the act of one fund system. From July 2000 separate funds will be unifed under new health insurance scheme. In this study we will analyze the policy making process on implementation, expansion and integration of health insurance system of Korea. And also analyse problems related to policy making.

• 보건교육건강증진학회지
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• 제15권2호
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• pp.217-233
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• 1998

This paper analyzed four different perspectives on health care reform in Korea in terms of the basic values, formulated problems and reform plans, implementation methods, and supporting groups. The medical security plan was insisted by social security specialists and social activists focusing on the integration of medical insurance coops in order to enhancing equity and right of the people. However, its perspective was limited to promoting security instead of reforming health care system. The government proposed the health care reform plans in 1994 and in 1997, focusing on promoting efficiency by remedying many problems in health care delivery system. However, its implementation was not successful due to the lack of organizational and financial supporters. Recently, two opposite proposals were issued. The market reform plan paid attention to revitalizing the market function to promoting efficiency by allowing hospitals to treat private patients instead of applying the medical insurance regulation. The government reform plan focused on intensifying governmental planning and intervention in the health care sector in order to removing inefficiency and promoting equity with the supports of social activists and labor unions. Finally, this paper proposed an alternative plan to promote harmonious social relationship between actors in the health care system.

• 대한안전경영과학회지
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• 제8권1호
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• pp.165-179
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• 2006

Flextime system labor problem appeared by social issue going through a late 97s economic crisis. The most important thing among gravity is that act for factor who do to magnify gulf between rich and poor because do so that may polarize labor market at central part and neighborhood and makes preservation of society integration hardly social economy enemy of flextime system worker's spread. Furthermore, new economy surrounding has attribute that deepen uncertainty social bipolarization according as order by 21th century information-oriented society, globalization, knowledge base economy. Therefore, role of the country that control spread of flextime system in fixed level is more important first of all and application of employment insurance may do that have important meaning and social deliquescence.

• 재활간호학회지
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• 제12권1호
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• pp.47-54
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• 2009

Purpose: This paper was to review the concept of rehabilitation sports for the disabled. Method: This paper was reviewed related papers published by KODDI(Korea Disabled People's Development Institute) concerning rehabilitation sports. Result: Rehabilitation sports that is integration of rehabilitation therapy and sports, was introduced in the U.K. during the World War I for the people wounded in the war. Since then, it was introduced into Germany for the wounded and disabled, and institutionalized in public health insurance program since 1960s. The present day, rehabilitation sports in Germany has been affected on promotion of physical, psychological, and social function and is being considered an importance field of sports and rehabilitation therapy for the disabled. Now, in our country, research is being carried out to introduce rehabilitation sports for the people with disabilities.

• 문화기술의 융합
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• 제9권5호
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• pp.669-674
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• 2023

본 연구는 목민심서 애민육조와 진황육조의 분석으로 조선시대 사회복지정책의 구체적 내용을 살펴보고 이에 대한 오늘날 사회복지정책의 연계성을 파악하였다. 그 결과 애민육조에서는 양로(養老)에서 노인복지법과 노인 복지서비스의 기초내용을 담고 있었고, 자유(慈幼)에서는 유아 및 아동과 관련한 복지정책 서비스, 관질(寬疾)을 통해 장애인 복지의 가치계계과 정책 방향을 확인하였으며 구재(救災)에서는 사회적 위기와 재난대응에 대한 사회통합을 요구하고 있음을 알수 있었다. 이는 또한 이는 사회복지정책지표를 통해서도 가족안전, 소득보장, 건강정책, 사회통합 등의 사회복지정책의 주요영역이 강조되어왔음을 확인하였다. 또한 진황육조의 분석을 통하여 비자(備資), 규모(規模), 보력(補力) 등에서 사회보장제도와 사회보험제도의 기초 이념과 가치뿐만 아니라 구체적 정책 시행 내용까지 담고 있음을 살펴보았다. 사회복지 시설을 구비하여 각 대상별 체계적 사회복지서비스를 시행하고 있는 오늘날 사회복지정책 및 사회서비스 정책 등은 진황육조를 통하여 그 근간을 확인할 수 있었다. 이는 현재 정책 시스템인 사회복지정책지표를 통해서도 사회통합과 소득보장 부분의 강조가 진황육조에서 두드러지게 나타남을 확인하였다.

• 정신신체의학
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• 제1권1호
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• pp.14-24
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• 1993

The author discussed present problems and future prospects of psychosomatic medicine in clinical, educational, research, and social aspects. In general, psychosomatic field. particularly. consultation-liaison(C-L) psychiatry in Korea seems to remain on early developmental phase. However, positive change in the general publics' and societal view of psychiatry, specialization of medicine and development of medical technology, implementation of delivery system in medical care could contribute to development of this field. In future, clinically, liaison activity will be more activated. and this field will be developed as main subspecialty of psychiatry. In addition. C-L psychiatry will be subspecialized. and prevention and humanization of medical care could be more emphasized. In education. the main place of education for medical students and psychiatric residents will be changed from closed ward to general ward in which consultation-liaison activity can be performed. In research. consultation liaison model suitable for Koreans will be developed and studies on disease mechanism will be more promoted. In social aspects, this field could influence the general publics' view of psychiatry and change the whole areas of medicine and society toward integration. In order to achieve these goals, medical insurance system and cost relevant to C-L activity should be essentially improved.

• 보건행정학회지
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• 제28권3호
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• pp.226-232
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• 2018

The objectives of this study were to evaluate the current state of governance structure and management of the health system to achieve the goals of the health system in South Korea, and to propose reform plan. This study drew implications from the governance of United Kingdom, Germany, and Netherlands, based on the principle of health system proposed by World Health Organization. The presidency and the health ministry should make macroscopic decision-making. The government has to decentralize the enforcement by municipality to operate public health and national health insurance (NHI), and to distribute the centralized NHI fund by municipality. The front line health centers and community centers should provide integrated health and social services. The government has to establish diversified regulatory bodies to enhance both the patient-centered care and the efficiency and equity of health care, and to provide mechanisms for ensuring autonomy of providers. The governance of the health system should be composed of the centralization of macro decision-making, the decentralization of implementation by municipality, the integration of health and social services on the front line, and the well-balanced regulation and autonomy on both consumers and suppliers.

• 보건행정학회지
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• 제10권3호
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• pp.108-128
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• 2000

The Korean government has implemented the policy for merging 141 health insurers into Korean Unified Health Insurer (KUHI) in July of 2000. The unification of multiple insurers will definitely effect the stability of financial management, equity of premium burdens and efficiency of administrative management. However, it is difficult to predict what forms the far-reaching effects of the unification would take. Thus, pursuing the unification may be express as a huge policy experiment. In order to lead the unification, which lies on a crossroad between success and failure, to the road of success, we need to infer the problems and obstacles predicted in the step-wise processes of merging organizations, finances and the systems of computing premium, and come up with the effective means to maintain the stability of financial management, to improve the equity of premium burdens and to increase the efficiency of administrative management. Thus, I first described the changes of the Korean medical insurance system, and analyzed the performances of self-employed medical insurance 1 year after the integration of societies in October of 1998. At the base of examining the stability of financial management, equity of premium burdens and efficiency of administrative management, I predicted the problems and obstacles that could occur after the unification of the multiple medical insurers, and proposed a few ways of leading the unification of the multiple medical insurers in Korea to success. The most worried factor is that insurance finance would become unstable since the expansion of premium revenues is not easy because raising the premium for all Koreans is to be difficult. In addition, the unification of insurance finance could weaken the insurer's efforts for declaring real incomes of the self-employed and increasing the collection rate of premiums from them. This weakening would be the decisive factor of lowering the equity of premium contributions between the self-employed and employees. And bureaucratization and rigidity that are unavoidable in a gigantic unified organization could lower the efficiency of administrative management. Furthermore, by having 3 labor unions in the unified organization, it is possible to experience frequent difficulties and discords among the unions and between the unions and organization. Thus, when smooth pursuing of the unification of multiple insurers gets difficult, the social expenses derived from the failure would eventually end up on all Koreans. The unification is to be performed after coming up with the ways to eradicate these worries, so that the unification of multiple insurers would step onto the road of success.