• Title/Summary/Keyword: 재정형평화

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A Crisis of Healthcare and Korea National Insurance's Selection of New Paradigm (보건의료의 위기와 한국 건강보험의 뉴 패러다임 선택)

  • Kim, Myung-Hee
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.477-478
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    • 2014
  • 최근 급변하는 한국 보건의료환경 가운데 저출산과 고령화로 인한 생산가능 인구 감소와 보건의료재정의 적자 및 막대한 비용 상승이 전망되면서 보건의료체계에 위기감이 조성되어왔다. 도입 초부터 줄곧 형평성과 접근성을 강조했던 구 건강보험 패러다임에 대해 사회 일각이 지속적으로 수정을 요구해왔으며 보건의료당국은 최근 "선진형 패러다임"으로의 전환을 공식 선언하고 보건의료체계의 개혁을 예고하였다. 이 논문은 한국 보건의료환경을 진단하여 패러다임 전환의 당위성을 제기하며 신 구 패러다임의 비교분석을 통해 신 패러다임의 특징을 도출하고 정책적 시사점을 제시하는데 목표가 있다. 이를 위해 다양한 국내 외 문헌자료와 전문가들의 인터뷰 자료 등 2차 자료를 수집하여 분석을 시도한다. 비교분석결과, 전환된 패러다임 하에서 한국의 향후 보건의료개혁의 방향은 효율성(equity) 강화와 보건의료에 대한 책임주의(stewardship)를 구현할 것임을 도출하였다.

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A Study on Reconstructing of Local Administrative Districts Using Spatial Analysis and Modeling (공간분석 및 모델링을 이용한 지방행정구역 재설정에 관한 연구)

  • Kim, Kam-Young;Lee, Gun-Hak;Shin, Jung-Yeop
    • Journal of the Korean association of regional geographers
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    • v.16 no.6
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    • pp.673-688
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    • 2010
  • The purpose of this study is to develop an optimization model for reconstructing local administrative districts using spatial analysis and modeling. For this, literature related to reorganization of local administrative systems was critically reviewed and criteria for redistricting were extracted. An optimization model for reconstructing administrative districts was formulated based on these criteria. The model considered three criteria; homogeneity within a reconstructed district, equity among reconstructed districts, and spatial arrangement. Homogeneity for relieving spatial mismatch between administrative and living(economic) boundaries is measured by spatial interaction within a district. Equity among districts is evaluated using population, area, and financial independence. Finally, spatial arrangement is measured by compactness and contiguity. The developed optimization model was implemented using Automated Zoning Procedure(AZP) in GIS environment and applied to a problem aggregating Si-Gun administrative units into broader districts. Application results demonstrate that the model can provide optimal districts according to alternative objective functions.

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A Study on Medical Fee System of the convalescent hospital -Focused on the case of patient group adjustment - (요양병원 수가제도에 대한 소고 -환자군 조정 판결을 중심으로 -)

  • Kwon, Hye Ok
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.195-218
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    • 2017
  • The increase in medical expenses for convalescent hospitals is increasing abnormally, which puts enormous burden on the National health insurance finances. This is a phenomenon that has been associated with the social phenomenon of rapid aging. The fact that the convalescent hospitals are paid the fixed amount per day for hospitalization became the incentive for some hospitals to use the patients as means of making money. And these hospitals intend to get regular care or take medicines at other hospitals in order to reduce medical expenses, even when the medical fee is paid. In order to prevent such financial leaks, the Health Insurance Review and Assessment Service adjusted the patient group for inpatients in a hospital with the above behavior, and then cut the cost of medical care benefits. However, Above decision was canceled by the court on the grounds that there was no basis rule. However, based on the above case, I think that it can be an opportunity to draw up the problem and to improve of the Medical Fee System of hospital. The modified medical fee system can strengthen the medical function of the convalescent hospital. In addition, it seems reasonable to exclude admission for "physically disabled group". Even if admission is allowed for the physically disabled group due to social needs, it should be excluded from the National health insurance for the fianacial soundness and the sustainability of the system.

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An Analysis and the Improvement of Jeju Self-Governing School Policy (제주형 자율학교 정책 분석 및 발전방향)

  • Lee, In-Hoi
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.23-34
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    • 2015
  • The purpose of this study is to analyze comprehensively Jeju Self-Governing School Policy (JSSP) by using the four dimensional views of policy theory frame and to suggest its improvements. The results are as follows: First, JSSP should improve differentiation of curriculum and locality centered on local basis, wide application of the special laws, and professional accountability. Second, JSSP should improve the policy structure of educational governance and differentiated standard of students achievement assessment, resolve equity issue, and secure the self-finance of the schools. Third, JSSP should improve localization of educational administration, administrative and financial support for teachers, parent's empowerment, and students understanding of the policy, and expand principal invitation system, Fourth, JSSP should improve public relations, the roles of the Council and professionalism of assessors, and adopt efficiency approach into the assessment system.

Study of the Priority of Baby Boomer Policy: Emotional Psychology through Analytic Hierarchy (AHP 분석방법을 통한 감성심리 기반의 베이비부머 정책 우선순위 결정)

  • Kang, Ju-Ree;Lee, Chung-Real;Hwang, Du-Kyung
    • Science of Emotion and Sensibility
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    • v.22 no.1
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    • pp.77-88
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    • 2019
  • As the social interest of the Baby Boomer generation is increasing, this study derives implications for lifelong education policy through identification of the need and support for lifelong education among baby boomers lifelong learning, taking into account such aspects of quality of life as emotional psychology-based self-development and self-realization. To optimally explore support for lifelong learning for the baby-boomer generation, first-tier (top-level), sixth-tier (bottom-level), and five-other evaluation criteria were available. For the first layer, we examined whether potentiality or realizability was more desirable, and for the second layer, detailed criteria for realizability were set up, dividing them into financial, legal, and administrative feasibility. A study conducted by experts on the policy priority analysis of Baby Boomers showed that their support for lifelong learning places a greater priority on its feasibility (the more feasible alternative) than desire (the more desirable option). Among the six criteria, lifestyle activities had high priority, and the relative importance of the five assessment alternatives for lifetime learning activities was shown to be higher for employment skills education (0.377), civil participation education (0.181), lifestyle activities (0.200), and 'lifetime activities' (06.11). These results are meaningful: they can help shape and refine the needs of lifelong education, assess their relative importance, and prepare basic data for lifelong learning policies for baby boomers who are about to enter their old age.

Study on Implementation Measures of Provincial Self-governing Police System : Focusing on the Implication from Enlargement of Work Scope of Self-governing Police of Jeju Province (광역자치경찰제의 정착방안에 관한 연구 - 제주자치경찰의 사무확대에 대한 시사점을 중심으로 -)

  • Kim, Seong-Hee
    • Korean Security Journal
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    • no.59
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    • pp.37-69
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    • 2019
  • According to viewpoints of researchers and stakeholders, various opinions can be suggested on self-governing police system. Therefore, success of Korean self-governing police system will be defending on how to balance among conflicting values such as Empowerment, Political neutrality, Financial issues, Comprehensive competence in maintaining public safety. Before the launching of self-governing police system nation-wide, the experience of Jeju provincial police will be valuable model case. In specific, enlargement of work scope of self-governing police in Jeju province which has been introduced since last year will be a useful reference. There is more pessimism about self-governing police of Jeju province so far. However, this perspective is mostly based on the issue regarding hardwares such as manpower, equipment, law and organization. Issues regarding softwares such as organizational culture, operation system and work process need more attention to evaluate self-governing police system properly. To mark the first year after enlargement of work scope of Jeju police, this study demonstrate the overall result and implications of self-governing police of Jeju province based on documents, statistics, reports and media reports. In result, several preconditions are needed to implement the self-governing police system nation-wide successfully. 1. Strengthen the link between local government and local police 2. Establish the foundation for collaboration of state and local police 3. Enhance the aspect of citizen autonomy in local level 4. Reinforcing the capability of handling situation of state and local police 5. Invigorating the inter-organizational working group to operate self-governing police system effectively. The self-governing police system is unclosed topic to discuss. After this study, in-depth studies should be followed with more resources. Particularly, additional perspective including redundancy and equity need to be considered regarding self-governing police. By getting with the changes of macroscopic trends - lowbirth and aging, the fourth industrial revolution and possible reunification of north and south Koreas - these studies should suggest the long-term blueprint of self-governing police system of Korea.