• Title/Summary/Keyword: 자가결정

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Constitutional Issue Review of Compensation for Inevitable Medical Accidents During Delivery (불가항력 의료사고 보상사업에 대한 헌법적 쟁점 검토)

  • JUN, HYUN JUNG
    • The Korean Society of Law and Medicine
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    • v.21 no.1
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    • pp.153-185
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    • 2020
  • In principle, even if serious consequences such as death or serious injury of a patient occur as a result of a medical accident, if the medical malpractice of a health care worker is not recognized, the health care worker is not held liable for said consequences. However, with the opening of the Korea Medical Dispute Mediation and Arbitration Agency on April 7, 2012, a system was established to compensate health care personnel for their medical malpractices only in the case of "injuries caused by medical accidents in the course of childbirth" (hereinafter referred to as "program for compensation of medical accidents"). Article 46 paragraph 1 of the current Medical Dispute Mediation Act, which is the basis of the Force Majeure Medical Accident Compensation System, stipulates that "medical accidents under delivery" claims are to be determined by the Medical Accident Compensation Review Committee are subject to the compensation project. And the details of the compensation, ratio of sharing financial resources for compensation, scope of compensation, and the guidelines and procedure for the payment of compensations are prescribed by Presidential Decree. In other words, the Presidential Decree requires the state to pay 70 percent of the compensation funds, and 30 percent of the above funds among health care providers. The Constitutional Court has decided on the 2015Hun-Ga13 that the scope of the health care institution's founders and the share of the compensation funds cannot be directly determined by the law, and that the portion delegated by the Presidential decree does not violate the Principle of Legal Protection nor Comprehensive Nondelegation Doctrine. However, this can be seen as an exclusion of accountability for force-induced delivery accidents even if there is no negligence of the medical staff. If the nature of the system is a type of social security system with a social compensatory nature, it could consider eliminating the health care innovator's cost-sharing provisions, leaving the full cost to the state. However, it is also necessary to review institutional protocols that strengthen the efforts of medical institutions in areas such as analysis of the causes of medical accidents and measures to prevent their recurrence. In addition, I think that the conclusion of the Act is in line with the purpose of the Comprehensive Wage Support Regulations that at minimum the law sets an upper limit of the compensation funds that are to be paid by health and medical institutions. Moreover, it is reasonable for the Medical Accident Compensation Review Committee to specify gestational age and weight of births, which are the criteria for compensation, under the Enforcement Decree of the Medical Dispute Mediation Act, in relation to the criteria for payment of contributions by the Medical Accident Compensation Review Committee, and to set the detailed criteria.

Characteristics of Physiological Variables(EDR, EMG) in Biofeedback Treatment (바이오피이드백 치료에서 나타나는 신체변수(EDR, EMG)의 특성)

  • Seo, Man-Kil;Han, Woo-Sang;Lee, Kyung-Kyu;Yu, Bum-Hee;Lee, Yu-Ri;Kim, E-Yong;Kim, Hyun-Woo
    • Sleep Medicine and Psychophysiology
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    • v.6 no.1
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    • pp.38-45
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    • 1999
  • Objectives: We explored the characteristics of physiological variables such as electrodermal response(EDR) and electromyography(EMG) in patients with insomnia, panic disorder, and other anxiety disorders. we aimed to decide the minimum sessions in biofeedback treatment to make the treatment effective and examine the effects of long-term biofeedback treatment by measuring the physiological variables. Methods: Thirty seven outpatients who received biofeedback treatment were divided into 3 groups according to the number of biofeedback sessions(patients who received 4-5 sessions, who received 6-9 sessions, and who received more than 10 sessions). We measured mean and delta values of EDR and EMG levels, and the Hamilton Anxiety Rating Scale(HARS), and Slef-Relaxation Inventory(SRI) in all patients. Data were analyzed by t-test and repeated measures analysis of variance. Results: The mean and delta values of EDR and EMG levels were not different among the 3 groups during the first 4 biofeedback sessions. However, patients who received more than 10 biofeedback sessions had higher baseline mean EDR value(F=2.233, p=0.036) in the first session, compared with other patients. In patients who received more than 10 biofeedback sessions, mean EDR was significantly reduced after $5^{th}$ session(F=10.41, p<0.01). They showed significant improvement in SRI scores at 12th biofeedback session(t=2.726, p<0.05) and in HARS scores at $6^{th}$(t=3.10, p<0.05) and $12^{th}$ biofeedback session(t=10.93, p<0.001). Conclusions: Wesuggest that patients should receive more than 5 biofeedback sessions to experience internal cues and get a good clinical response to biofeedback treatment.

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Study on shipment time of low-temperature stored apple (저온저장 사과의 출하시기에 대한 실태조사 연구)

  • Yu, Chang-Hwan;Kim, Yun-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.554-564
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    • 2017
  • The purpose of this study is to assist farmers in determining the optimal time for the shipment of stored apples by investigating the market trends, storage status and release dates of low-temperature stored apples. We surveyed 300 apple cultivation farms in Daegu, Gyeongbuk Province, which is the main producer of apples, and examined the cultivars, cultivation areas, storage conditions, and shipment status of apples. The main results are as follows: the proportion of apples cultivatedat different ripening times was surveyed. According to the results, the proportions of early, middle and late varieties were 78.3%, 63.7% and 96.0%, respectively. Also, 48.7% of the farm households surveyed had cold storage facilities. The average storage cost per apple box(15kg) was 978.3 won for self-storage and 1,771.8 won for consignment storage. For the six(6) months between November and April, the proportion of shipped apples was 91.6% of the total stored apples. The (average total?)annual apple shipment, including apples stored in general storage warehouses, was 744.4 boxes. The (average total?) annual shipment of cold storage apples was 616 boxes. The stored apples were mainly shipped to 'wholesale markets', which have the highest sales share, followed by 'production site collectors' and then 'supermarkets'. The most common shipping method of the apples was by general trucks, followed by low-temperature trucks, and finally by delivery services. The analysis of the factors influencing the decision to release apples by period showed that it was affected by the storage cost, loss rate, and customary shipping in the off-season(from May to August). On the other hand, in the general release season(from November to April), the statistically significant decision factors for the release of apples were the future expected price, storage cost and decision of the leading farmer groups. For farmers with a high share of general shipment, the deciding factors for the release of apples were the future expected price, storage cost, high income expectation, and decision by leading farmers.

A Study on The Kinds and Characteristics of Fast Foods - By Highschool Students in Daejeon - (패스트푸드의 종류 및 특징에 대한 연구 - 대전지역 고등학생을 대상으로 -)

  • Bae, Young-kung;Kim, Youngnam
    • Journal of Korean Home Economics Education Association
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    • v.28 no.3
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    • pp.79-88
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    • 2016
  • The purpose of this study was to distinguish which food is fast foods and to define the characteristics of fast foods. The 14 kind of foods(hamburger, pizza, fried chicken, raymyeon, hotdog, doughnut, fried fish cake, jajangmyeon udong, ice cream, dukbokki, spaghetti, sandwich, gimbab, and salad) and 5 characteristics of fast foods(takeout, franchise, fast serving, unhealthy, and cheap price foods) were selected based on the dictionary and previous research papers about fast foods for this study. A total of 306 male and female high school student in Daejeon area were participated. The data were gathered by questionnaire and analyzed by SPSS/WIN 18.0 program. The participants evaluated the fast foods as delicious and convenient foods but non-nutritious, i.e. high fat but vitamin deficient foods. Among the 14 foods examined, hamburger, pizza, and fried chicken were the foods which more than 90% of the participants acknowledged to fast foods. Dukbokki, spaghetti, sandwich, gimbab, and salad were the foods which less than 50% of the participant acknowledged to fast foods. Among the 5 characteristics of fast food examined, unhealthy foods showed the highest sensitivity, specificity, predictive value, and odds ratio(0.803, 0.712, 0.597, and 2.79, respectively), and cheap price showed the lowest values of those(0.565, 0.335, 0.242, and 0.85, respectively) for acknowledging foods to fast foods. As conclusion, hamburger, pizza, and fried chicken were the representative foods of fast foods. Fast foods are generally considered as fast served cheap price foods, but the participants did not think the fast foods as fast and cheap foods. The most distinguished characteristics of fast foods in the students' minds was unhealthy foods.

Effect of Hydraulic Parameters on Water Quality Predictions (수리매개변수가 수질예측에 미치는 영향분석)

  • Kim, Sang-Dan;Kang, Doo-Kee;Shin, Hyun-Suk
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.1641-1645
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    • 2006
  • 수문순환과 수질오염과정의 제반 기작들이 완벽하게 규명되지 않은 상황에서 인위적 또는 자연적 조건에 따른 수질의 평가는 수질모형으로서 추정하는 것이 유일한 대안이며, 다양한 관리대안에 따른 수질환경변화를 예측함으로서 합리적인 관리방안을 도출하는데 유용한 수단이 되고 있다. 현재 시행 중인 수질오염총량관리제에서 또한 수질모형은 핵심적인 역할을 담당하고 있으며, 보다 구체적으로는 단위유역의 목표수질을 결정하는 것에서부터 기본계획 또는 시행계획에 따른 오염부하량 등 환경요인의 변화와 이에 따른 목표수질 설정지점의 수질 변화 등을 모의하는데 이용되고 있다. 그러나 모형에 사용되는 입력 매개변수의 불확실성과 이에 관련된 수질 모형 자체의 불확실성은 수질오염총량관리제와 같이 많은 이해당사자가 관여된 정책의 결정 시에는 공학적으로 많은 부담으로 작용하고 있는 것 또한 현실이다. 실제로 미국의 오염총량관리제의 경우를 살펴보면 모형의 불확실성 분석이 전체 과정의 진행에서 가장 핵심적인 지위를 차지하고 있다고 볼 수 있다. 많은 연구들이 수질모형에 있어서의 불확실성을 정량화하기 위하여 수행되어 왔으며, 특히 미국의 오염총량관리계획의 수립 시에는 이러한 불확실성 분석을 토대로 하여 안전율을 산정하도록 되어있다. 그러나 이러한 연구들의 대부분은 수질모형의 매개변수 중 수질기작에 관련된 매개변수들(예를 들어, DO, BOD, N, P 등에 대한 반응계수)에 대한 연구에 집중되어 있다. 하천의 수질을 적절하게 모델링하기 위해서는 이러한 수질에 직접적으로 관련한 매개변수들 이외에 하천의 수리특성에 관한 올바른 이해를 바탕으로 그와 관련된 수리학적 매개변수들에 대한 연구가 뒷받침되어야 한다. 그동안 수행되어온 수질 모델링의 적용 사례를 살펴본 바에 따르면 하천을 모델링하기 위해서는 현장 특성 자료의 중요성, 특히 하천수리특성에 관련된 기초 자료의 가용성 여부가 모형의 성패에 매우 중요한 역할을 함을 알 수 있다. 이는 유량, 유속 및 폭과 깊이로 대변되는 하천 지형은 물질 이송에 대한 주요 외력 함수이며, 다른 모든 예측치들은 이들에 의존적일 수밖에 없기 때문이다. 따라서 이들의 정확한 표현은 올바른 수질 예측에 있어서 필수적일 수밖에 없다. 많은 모형매개변수들이 유속과 깊이에 의존적이나, 이들에 관한 정보는 종종 현장관측에서 조차 무시되는 경우가 많다. 이에 본 연구에서는 수질모형의 매개변수 중 특히 수리특성에 관련된 매개변수들이 수질에 미치는 영향을 파악하는 것을 목적으로 하고 있다. 이를 위해 적용된 수질모형은 QualKo를 사용하였으며, 대상 하천은 낙동강 본류 경남구간 시점 부근인 회천 합류 전부터 낙동강 본류 경남구간 종점 부근인 밀양강 합류 전까지의 경남 오염총량관리 기본계획 시 구축된 모형 매개변수를 바탕으로 분석을 수행하였다. 일차오차분석을 이용하여 수리매개변수와 수질매개변수의 수질항목별 상대적 기여도를 파악해 본 결과, 수리매개변수는 DO, BOD, 유기질소, 유기인 모든 항목에 일정 정도의 상대적 기여도를 가지고 있는 것을 알 수 있었다. 이로부터 수질 모형의 적용 시 수리 매개변수 또한 수질 매개변수의 추정 시와 같이 보다 세심한 주의를 기울여 추정할 필요가 있을 것으로 판단된다.

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Water Governance and Basic Water Law (물거버넌스와 물관리기본법)

  • Lee, Seung-Ho;Kim, Sung
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.385-389
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    • 2009
  • 본 연구의 목적은 물거버넌스 개념과 1997년, 2006년 물관리기본법안 분석을 통해 한국의 새로운 물관리 체제를 모색하는 것이다. 물거버넌스는 물관리정책과 계획의 수립, 시행, 평가에 있어 정부뿐만 아니라 일반 기업, 시민, 환경단체, 전문가 등 여러 이해당사자를 참여시키는 것을 핵심으로 한다. 거버넌스란 기존의 정부 주도의 정책 계획, 수립, 시행이 아닌 비정부 조직과의 타협, 협의, 논의를 통한 양방향 정책결정 과정을 뜻한다. 따라서 물거버넌스의 가장 중요한 원칙은 다양한 이해당사자 참여를 통한 정책결정의 복수화 과정이다. 한국의 물거버넌스를 시행하기 위해 가장 필요한 요건은 이해당사자 참여를 우선 중앙, 지방정부에서 그 필요성을 인식하고 법, 제도 등을 통해 제도화하는 것이다. 환경부 주도로 입안된 1997년 물관리기본법안은 물관리일원화, 적정사용, 유역관리, 비용부담, 균형배분의 5원칙을, 2006년 물관리기본법안은 물관리일원화 대신 통합물관리, 적정사용 대신 수요관리를 삽입하여 5원칙을 제시하였지만 이해당사자 참여는 원칙에 포함시키지 않았다. 이해당사자 참여 원칙의 제도화가 없이는 위의 두 법안이 제시한 원칙의 적용과 시행이 어려움에 봉착할 가능성이 높다. 왜냐하면 다른 원칙은 다양한 이해당사자 참여를 통한 사회적 합의 없이는 시행이 쉽지 않은 정치적으로 민감한 사항들이기 때문이다. 예를 들어 물의 균형배분 원칙 관련, 만약 상류와 하류 주민 간의 합의가 없이 어느 한 이해당사자의 일방적 행위가 있을 경우 큰 갈등을 유발할 수 있다. 물거버넌스을 실행하기 위해 중앙에 필요한 조직은 물이용 관련 물분쟁 발생 시 이를 조정하고 국가물관리계획을 수립하며 물관리 문제 전반을 총괄하는 조직이다. 1997년, 2006년 기본법안은 국가물관리위원회 설치를 제시하였고 2006년 기본법안에서 보다 구체적으로 위상, 운영, 역할 등에 대해 언급하였다. 하지만 국가물관리위원회는 물관련 중앙부처의 장, 지방행정조직의 장만을 포함하여 유역관리를 책임질 유역관리조직의 장에 대한 언급이 없다. 물거버넌스 실현을 위한 유역관리 시행이 바람직하기에 유역관리조직의 장도 국가물관리위원회에 참여하는 것이 바람직하다. 또한 두 기본법안 모두 국무총리실 산하에 위원회를 속하게 하였는데 이를 수정하여 대통령 직속기구로 규정하는 것이 국가물관리위원회가 정치, 행정, 재정적 압력에서 벗어나 일관성 있는 정책을 펼 수 있는 지름길이 될 것이다. 또한 지방의 물문제를 물관리계획에 적절히 반영하고 대응방안을 수립, 시행하기 위해서는 정부 관료뿐만 아니라 지방의회 의원, 환경단체, 기업, 시민, 전문가 등의 다양한 이해당사자가 참여하는 유역위원회가 필수적이다. 또한 유역 관련 물관리계획을 수립하고 사업을 추진하는 유역관리청도 필요하다. 유역위원회와 유역관리청은 유역 내 여러 이해당사자들이 물관리에 대해 다양한 의견을 개진하고 토론하며 합의점에 이르는 거버넌스를 수립할 수 있는 중요한 조직이다. 두 기본법안은 유역관리 원칙을 제시하긴 하였지만 유역관리 시행 관련 조직, 역할, 운영 등에 대해서는 언급이 없었다. 한국의 물관리는 소득, 문화 수준 향상으로 인한 양질의 물공급에 대한 요구, 시민사회의 발전, 지방분권화 등 정치, 경제, 사회의 변화를 수용하고 발전해 나가기 위해서는 여러 이해당사자의 참여와 합의에 바탕을 둔 물거버넌스 수립이 무엇보다 중요하다. 또한 이를 시행하기 위해서는 물관리기본법을 하루 속히 제정하여 제도적 기반을 갖춰 보다 효율적인 물관리시스템을 수립해야 한다.

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Web-enabled Healthcare System for Hypertension: Hyperlink-based Inference Approach (고혈압관리를 위한 웹 기반의 지능정보시스템: 하이퍼링크를 이용한 추론방식으로)

  • Song, Yong-Uk;Ho, Seung-Hee;Chae, Young-Moon;Cho, Kyoung-Won
    • Journal of Intelligence and Information Systems
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    • v.9 no.1
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    • pp.91-107
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    • 2003
  • In the conduct of this study, a web-enabled healthcare system for the management of hypertension was implemented through a hyperlink-based inference approach. The hyperlink-based inference platform was implemented using the hypertext capacity of HTML which ensured accessibility, multimedia facilities, fast response, stability, ease of use and upgrade, and platform independency of expert systems. Many HTML documents, which are hyperlinked to each other based on expert rules, were uploaded beforehand to perform the hyperlink-based inference. The HTML documents were uploaded and maintained automatically by our proprietary tool called the Web-Based Inference System (WeBIS) that supports a graphical user interface (GUI) for the input and edit of decision graphs. Nevertheless, the editing task of the decision graph using the GUI tool is a time consuming and tedious chore when the knowledge engineer must perform it manually. Accordingly, this research implemented an automatic generator of the decision graph for the management of hypertension. As a result, this research suggests a methodology for the development of Web-enabled healthcare systems using the hyperlink-based inference approach and, as an example, implements a Web-enabled healthcare system for hypertension, a platform which performed especially well in the areas of speed and stability.

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An Evaluation of Parks as Public Services (공공서비스로서 도시공원녹지평가)

  • Shim, Joon-Young;Kim, Yoo-Ill;Lee, Shi-Young
    • Journal of the Korean Institute of Landscape Architecture
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    • v.37 no.6
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    • pp.19-27
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    • 2010
  • The purpose of this study is to evaluate urban parks and green spaces within the public service framework by identifying priority elements. This study surveyed 455 residents from 80 dongs(neighborhoods), of 5 Gu(districts) districts in Daejeon. The results were as follows. Regarding the evaluation of urban parks as a public service, the average survey score, of all 46 questions, was distributed from 2.46 to 3.54(Likert 5 point scale). Interesting findings can be observed in that most of the survey participants gave high scores to Daejon's natural green environments and geographical traits. That is, Daejon residents perceived their urban nature spaces as a natural geographical environment rather than a public service provided by their local government. Therefore, it seems necessary for the local government, by and large, to improve urban parks and urban green space programs. The low scoring items were 'citizen's participation'(mean 2.46), 'acceptance of complaints, comments, and improvement proposals'(mean 2.54), 'citizen's respect', 'inclusive design' (for the physically challenged-mean 2.55), 'diverse programs and activities in the urban park'(mean 2.55) and 'implementation of revision proposals by citizens'(mean 2.61). These results indicate that citizen participation in planning and opinion sharing is needed to build public services that are satisfactory to users. To evaluate the park and green space from the viewpoint of public services is a useful method with a new point of view. In accordance with this study, the factor of 'supply decision maker' is a statistically meaningful variable of resident satisfaction while earlier studies on the satisfaction studies of physical environment, hardly discovered variables on 'supply decision maker', 'acceptance of resident opinions', and 'information usage'. Responding to or taking positive action according to significant factors, such as the findings of this study, can expand the role of public officials to exert a more positive influence on urban parks and green spaces.

The Legal Study on the Demonstration-on-sea (해상시위의 기본권성과 집시법적용가능성 고찰)

  • Lee Kee-Chun
    • Journal of Navigation and Port Research
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    • v.29 no.3 s.99
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    • pp.235-244
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    • 2005
  • A new type qf demonstrations in the temporal and spacial aspects, such as accidental and unprepared demonstration, urgent assembly, demonstration-on-sea, demonstration-on-highway, and etc., which are not intended in the Law of Assembly and Demonstration, are becoming a social problem Especially, the law on demonstration-on-sea needs to be discussed further because it is not clear if the Law of Assembly and Demonstration is applicable here. If so, how can it be explained logically? Or, if not so, which law should be applied to this context? So far, various theories on demonstration-on-sea have been opposed aggressively vs. submissively. However, it should be guaranteed that the demonstration on sea is one of the constitutional rights based on the self-decision right of demonstration's place. Accordingly, these contents have to be interpreted with a concept of demonstration in Demonstration's law in coordination with the Constitution. Therefore, it is not persuasive that Demonstration's law is analogized, or general police law is applied, to such untypical demonstrations. In addition, taking into consideration a demonstrative function for minority under modem situation of demonstration, it is right to apply the Law of Assembly and Demonstration to the demonstration-upon-sea directly.

Study of Extended Application of Workers' Compensation for Artists: Focus on Workers in Broadcasting and Performing Art (문화 예술인 산재적용확대의 보완에 관한 연구 -방송과 공연예술스텝을 중심으로)

  • Shim, Hee-Chul;Yang, Jeong-Ho;Kim, Hern-Sik
    • The Journal of the Korea Contents Association
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    • v.14 no.3
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    • pp.186-194
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    • 2014
  • The purpose of this paper is to review the meaning of extended application of workers' compensation for artists. This study explains by giving specific two examples. The first case is about broadcasting extra who is permitted to receive compensation from Korea Workers' Compensation & Welfare Service without filing a suit. Whereas, The second case is about musical stage crew who is not permitted to obtain compensation for accident during work. The reason why he could not receive compensation is not because he is regarded as worker, but because he is regarded as individual businessman. Extended application of workers' compensation for artists could be a double-edged sword for workers through two cases. Firstly, Broadcasting extras could become much easier to receive workers' compensation according to precedent. Secondly, It is more difficult to get the workers' compensation by the reason of not applying for workers' compensation admission like the second case, even though the second case of forms of employment is similar to that of the first. In other words, New compensation development could generate another obstacles to enter compensation systems. Extended application of workers' compensation should be operated with covering artists' compensation case by case.