• Title/Summary/Keyword: 형평

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Historical Review of Modern Public Health Nursing (근대 보건간호의 역사적 고찰)

  • Lee, Bong-Suk;Han, Young-Ran;Yang, Sook-Ja
    • Journal of agricultural medicine and community health
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    • v.43 no.2
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    • pp.114-124
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    • 2018
  • Objectives: The purpose of this study is to examine the modern history of public health(PH) and suggest a way forward for PH nursing(PHN). Methods: This paper is a review article that derives results from literature review. Results: In the period of beginning (up to 1944), PHN began as the PH Department was created in the Hygiene Bureau in 1908 and tasks about nurses were legislated. PHN was limited to infectious disease tasks and performed mostly by missionaries. In the period of foundation formation (1945 to 1961), the Republic of Korea was founded, and PH policies and tasks were defined with the establishment of the central government organization and the applicable laws. In the period of foundation establishment (1962 to 1979), the Regional PH Act was amended, and as a result, PH Centers(PHCs) spread across the country. In the period of foundation expansion (1980 to 1994), the PH referral system of PHCs, PH Units, and Primary Health Care Post was established. In the period of organization in each area (1995 to 2005), PH programs reflecting changes in disease structure and public needs for the quality of life. A regional health care plan was launched. In the period of funtion expansion (2006 to present day), Centers for support health living were established. Conclusions: In the future, PH nurses need to have a macroscopic perspective that views PH through the overall PH system, and to expand from the existing healthcare concept to the national and global healthcare one.

On Institutional Arrangements of Quota-Based Management for China's Marine Capture Fisheries (쿼터제에 기초한 중국연근해 어업관리에 대한 제도적 연구)

  • Mu, Yong-Tong;Choe, Jeong-Yoon
    • The Journal of Fisheries Business Administration
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    • v.32 no.2
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    • pp.91-125
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    • 2001
  • 이 논문은 2002년도 부경대학교 수산경영학과 박사학위논문(A Study on Institutional Arrangements for Quota-Based Management : The Case of China's Marine Capture Fisheries)의 일부이다. 이 논문의 기본목적은 취터제에 기초한 중국의 어업관리를 위한 제도적인 틀을 세우고자 하는데 있으며, 이런 목적을 달성하기에 위해 이 논문은 다음과 같이 구성하여 연구를 진행시켰다. 제1장은 연구목적과 문제의 제기에 이어 제2장에서는 중국 해양어업의 개발과 이에 따른 문제점을 분석하였으며, 여기에서 궈터제에 기초한 어업관리정책의 제도적 제안을 함과 동시에, 제3장에서는 중국 해양어업의 현실과 중국 사회의 일반적인 현상을 분석하여 제4장을 통해 쿼터제에 기초한 중국의 어업관리를 위한 제도적 프레임러크를 제안하였다. 마지막으로 본 논문을 요약하고 향후 계속되어야 할 연구과제를 제시하였다. 본 논문의 중요한 연구 결과는 다음과 같다. 현재 중국 수산업의 관리체제는 질적 규제 중심 관리제도, 그리고 정부 주도하의 어업관리 과정으로 특징지을 수 있다. 이러한 명령과 통제 (command-and-control) 방식의 전통적인 중국어업 관리제도로서는 어업인들에게 있어서 자원 보존에 대한 동기와 제도에 대한 수용성을 약화시키며, 정부 규제를 오히려 무시하게 되는 결과를 초래한다. 결과적으로 현형 중국의 어업관리제도는 어업인에게 있어서 자원 보전에 대한 유인을 약화시키고 단기적인 수익을 극대화하도록 유도하는 맹점을 지니므로 인해 더 이상 지속적인 어업성립의 보장을 할 수 없다는 점을 지적할 수 있다. 중국정부는 이러한 어업관리제도의 불완전성을 인식하여 2000년 10월 31일에 1986년 에 제정된 수산업법을 개정하게 되었으며, 새로운 중국의 수산업법은 어업 허가제도와 함께 할당량제에 기초한 어업관리제도를 국가가 운영하는 것으로 특징지을 수 있다. 그러나 아직까지 중국은 할당제에 근거한 어업관리제도를 미실시중에 있으며, 그 내용도 애매모호한 점을 많이 가지고 있다. 또한 중국의 절대적 어획량은 현재 논란의 여지로 남아있고, 거대 어업 인구의 근본적인 요구와 중국 어선의 국제적인 경쟁력, 그리고 유어(遊漁)에 대한 사회적 요구 등도 중국의 수산정책이 채결해야 할 과제이다. 위에서 고찰한 내용을 기초로 하여 우리는 중국의 쿼터제에 기초한 어업관리에 대해 다음과 같은 몇 가지를 제안한다. 중국 연근해어업에 있어서 할당제 모형에 참가하는 어업 참여자들의 유형은 세 가지로 구분할 수 있다. 첫째는 어촌에 거주하면서 생존수단으로 소규모 어업에 종사하는 경우이고, 둘째는 유어어업의 경우이며, 셋째는 상업적 목적으로 어업에 종사하는 집단으로 나눌 수 있다. 이러한 세 집단을 하나의 제도의 틀로 통합하기 위해서는 국가의 총허용어획량(TAC)을 총 어촌 허용어획량(TAIVCs)과 총 허용 유어 어획량(TARCs) 및 총허용 상업적 어획량 (TACCs)의 세부문으로 나눌 것을 제안한다. 그리하여 다시 TAFVCs와 TARCs, 그리고 TACCs는 어촌별 어획량(ITCQs), 개별 유어 회사별 어획량(IRCQs), 그리고 양도 가능한 개별 상업적 어획량(ITCQs)으로 나누어 관리하도록 한다. 이와 같이 중국의 국가 총허용어획량(TAC)을 IFVQs와 IRCQs, 그리고 ITQCQs의 세부문으로 구분하여 할당하고, 여기에 기초하여 어업을 관리하는 것은 중국에 있어서 사회적 형평성과 경제적 효율성과의 상충관계를 고려하여 고안된 것으로, 중국에 있어서 수산업을 통한 경제적 및 사회적 효과를 동시에 기대할 수 있을 것이다.

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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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A Study on the Various Factors of Liberation of Baekjeong identity by the Present of Multicultural Phenomenon in Korea (우리나라 다문화 현상의 효시로 본 백정신분 해방운동의 복합적 요인에 대한 연구)

  • Sul, Gee-Hwan;Park, Kyung-Ran;Park, Myung-Hea;Ryu, Seuk-Ho
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.305-312
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    • 2018
  • There is a general consensus that Baekjeing means Butcher after the Joseon Dynasty. In the Goryeo Dynasty, the title of "Baekjeong" was named as a general farmer's name, "Hwacheok" and "Jaecheok" from the north, but it changed its name to Shin Baekjeong by nationalization policy in the early Joseon Dynasty. They were multicultural Ancestors who worked for jobs which people despised. The purpose of this study is to examine the background and trends of how these were stripped of their identity and to present a direction for deciding on the policy of multiculturalism which is the subject of our society today. Based on the researches of historical researchers, the study examines the multicultural dynamics of old period and observes the present phenomenon by interpreting the statistics of the related institutions of the government. We realized that the reason for the liberation of the Baekjeong has a various causes and its causes are similar to the phenomenon of today 's multicultural society, so that the depth research on each factor will be added to form a desirable policy base for multiculturalism in our country.

An Analysis on Patients Trend and Income of Primary Care Clinic (일차 진료의원의 진료수입의 형평성 분석연구)

  • Lim, Sun Mi;Im, Geum Ja;Park, Kwan Jun;Park, Yoon Hyung
    • Health Policy and Management
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    • v.24 no.1
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    • pp.92-99
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    • 2014
  • Background: Korea's primary care clinics are seeking increase in consultation fees by expanding supply within the frame of the health insurance system, but inequality of physician income between regions and individuals is exacerbating. The purpose of this study lies in analyzing the distribution of patients of primary care clinics, their specialized field, and the degree of inequality between medical fee income according to region. Data was acquired from the Health Insurance Review and Assessment Service on charged bills made by clinic-size medical institutions from 2008 to 2011. Methods: By comparing the outpatient number per clinic according to the clinic's specialized field, results showed that ophthalmology, otolaryngology, dermatology, orthopedics, and internal medicine showed high numbers whereas plastic surgery, neuropsychiatry, cardiothoracic surgery had fewer outpatients. The number of outpatients for clinic according to region showed Chuncheonnam-do, Jeju-do, Gangwon-do, Chungcheongbuk-do, Ulsan to have higher numbers of outpatients. For those four years, clinics in the Seoul area had a rather lower number. Results: As a result of comparing the decile hierarchy distribution ratio between specialized fields according to primary care clinics income from National Health Insurance, the inequality degree showed that obstetrics and gynecology and general medicine were each 0.130, 0.280 for the decile distribution ratio, which was the highest degree of inequality within the specialized field. Their Gini coefficient were also relatively high at 0.691, 0.528 respectively. On the other hand, the decile distribution ratio for otolaryngology and orthopedics were 0.510, 0.468, respectively, while their Gini coefficient each at 0.318, 0.314 makes their inequality degree relatively lower than other fields. Conclusion: This study is limited in that the data used was the health insurance charges submitted by clinics, which does not provide total information of the doctors' income. However, because most clinics are largely dependant on their income to come from health insurance reimbursements. Therefore, the results of this study can be used effectively. In the future, research that includes data on non-covered service income should be conducted to closely examine policy plans with a new medical fee policy which can resolve the medical fee income inequality issue between clinics as well as revitalize primary medical care.

A Study on Developing the Performance Audit Methodology for Performance Evaluation of Transportation Planning Process (교통계획 분야 성과평가를 위한 성과감사 방법론 개발에 관한 연구)

  • Lee, Yong-Taek;O, Chang-Seok
    • Journal of Korean Society of Transportation
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    • v.29 no.2
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    • pp.47-58
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    • 2011
  • Nowaday OECD countries actively introduce the performance audit to evaluate the performance of public policies. Motivated by the current trend in practice, this paper presents performance audit indices and methodology developed for evaluating the transportation investment projects and policies. The main contribution of this study would be twofold:1) key performance indices, 5Es + 4Cs rule, and methodology of performance audit are derived from foreign (GAO, NAO) and domestic (BAI) audit reports; 2) checklists (key issues and focuses) of performance audit are suggested as ranks. It is also suggested that further studies are needed to maintain the indices and the methodology to achieve sustainable performance of transportation projects and policies.

Productive Welfare and Re-inspection of Asian Values in Korea (한국의 생산적 복지와 아시아 가치의 재조명)

  • Kim, Yil-Jung
    • 한국사회복지학회:학술대회논문집
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    • 2000.04a
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    • pp.847-865
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    • 2000
  • In a broad range of socio-economic and political systems, we could be able to say that the common and highest goal of all nations is the well-being of the people. From this point of view, it can be seen that two significant historic developments were achieved in the 20th century. One was the maximization of productivity through the socially efficient distribution of resources and the other was the concept of national welfare, which assumes social responsibility for the basic livelihood of human beings. In this point, it is need not only to strengthen economic wealth, but also to redistribute resources equitably. Efficiency and equity, economic and growth, and national welfare emphasize the above-mentioned principle, but they are deeply interdependent in that the well-being of the people cannot be guaranteed in the presence of only one of those. This study aims to find out the equilibrium point those problems in the productive welfare policy in Korea. Finally, it is necessary to develop productive welfare systems in order to solve the issues well.

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A Study on the Problems and Development of the Benefits in Work Injury Insurance (산재보험 급여체계의 합리화 방안에 관한 연구)

  • Kim, Jin-Soo
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.119-141
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    • 1999
  • Korea paid attention to the work injury insurance in the early economic development stage as other developed countries did. Thus "The industrial Accident Compensation Insurance Law" was legislated in 1963 and it is now expanded to apply to the workplace with five or more employees. Beside the low coverage of the number of employees, the scope of benefits are the problem of work injury insurance. The work injury insurance's main benefits are for the loss of income and the medical cost caused by occupational accidents. On the other hand, the investment on the prevention accident and the medical, social and employment rehabilitation is very low, even though the occupational accident pension is higher than that in other OECD countries. Practically lay-off benefits and survivor' benefit for some special workers are paid more than they need, therefore they want to remain under the benefit condition and the medical care days are longer. This paper indicates the problems of work injury insurance and suggest how to improve the functions of it.

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The Occupational Socialization of the Security Guards in the Casinos - Case of Security Science Majors - (카지노 시큐리티 종사자의 직업사회화 과정 - 경호학 전공자들을 대상으로 -)

  • Chun, Yong-Tae
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.337-346
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    • 2010
  • The purpose of this study is to explore how security science graduates in casinos are socialized into the workplace. Participants for this study were seven security guards who work for two of three casinos for foreign customers in the city of Seoul. All the participants majored in the security science in colleges. They had 1 to 5 years of work experience. Their main job responsibilities were deterrent to crimes and watch for impending danger in the casinos. A variety of qualitative data collection techniques for this study included formal and informal interviews, stimulated-recall interview, observations, and field notes. Analytic induction and constant comparison were utilized to analyze data. Triangulating and member checks were employed to enhance trustworthiness. The findings of this study were as follow: Firstly, In acculturation, sports experience and media attraction were revealed as factors. Secondly, In professional socialization, college education and senior students in the program were found. Lastly, organizational socialization, Difficulty of relationship, lack of risk management training, lack of team cohesion, pride himself as a security guard, and unclear evaluation system. In conclusion, a variety of influential factors appeared through his occupational socialization even though there were negative and positive factors.

A Study on the Parking Space and Space of Detached Housing Area in Misagangbyeon-City (미사강변도시 단독주택지의 주차공간과 가구의 특성에 관한 연구)

  • Hwang, Yong-Woon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.785-793
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    • 2017
  • The guidelines for the district unit planning(DUP) of detached houses in the area of Misagangbyeon-City (MISA) do not consider the characteristics of the region. Therefore, this study was conducted to analyze the relationship between the blocks and parking lots of the detached houses area. The research results can be summarized as follows: 1) Detailed design guidelines are provided for apartment homes in MISA, but not for detached houses. 2) Apartment home and multi-family house parking lot equivaluation calculations exist in the DUP guidelines, however there are no regulations related to detached houses and the problem of parking for these residents is worsening which causes tension. 3) The DUP guidelines stipulate that the outer wall material of multi-family houses must be glass, however this is a dangerous material for use on the first floor, because cars that park close to this wall. 4) There is a significant risk to elementary and kindergarten students who must walk along the road in the inner blocks where cars are driving quickly. 5) There are a number of issues involved when planning parking lots without considering the characteristics of the area. The local government uses the traditional parking lot codes without considering the current regional characteristics, whereas the number of cars has dramatically increased. 6) The pedestrian mall is not currently being used for pedestrians, because it is full of parked cars due to the lack of parking space.