• 보건행정학회지
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• 제32권2호
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• pp.137-153
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• 2022

In the process of promoting policies to strengthen health insurance coverage, the relationship between public health insurance and private health insurance, along with the management of non-benefit, is also emphasized as a policy issue. First, the concept and scope of non-benefit were comparatively analyzed by country. Second, the interaction between the public and private health insurance was classified as 'large or small,' and the government's regulation and management policy on private health insurance was classified as 'strong or weak.' Korea has relatively smaller benefits covered by public health insurance, higher copayment expenses, and more areas and scope of non-benefits. In countries where the interaction between public and private health insurance is small, private health insurance-related policies are weak. And in countries with large interactions had public-private partnerships and the government's management policies were also strong. On the other hand, Korea has a large interaction, but the actual structure of cooperation between public and private insurance and management policies were weak. Because the non-benefit sector in Korea is relatively wide, it is difficult to manage compared to other countries where the concept of non-benefit is limited. In addition, the health authorities rarely perform the role of supervision over private health insurance, and they have so few linkages and cooperation for public-private insurance. Therefore, practical policy enforcement is necessary to achieve the easing of the burden of national medical expenses through linkage and cooperation of public-private health insurance with reference to relevant other countries' cases.

• 보건행정학회지
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• 제23권1호
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• pp.19-34
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• 2013

Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.

• 디지털융복합연구
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• 제17권12호
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• pp.427-434
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• 2019

전공의법은 2015년 12월 전공의의 권리보호, 환자안전, 우수한 의료 인력을 양성하기 위해 제정되었다. 본 연구는 전공의를 대상으로 2015년(1,793명)과 2017년(1,768명) 두 차례 실시한 설문조사 결과를 비교하여 전공의법 시행에 따른 수련환경 변화를 분석하였다. 분석결과, 전공의들은 주당 평균 80시간을 초과하여 근무하고 있었으며('15=92.4h, '17=87.3h), 36시간의 두 배에 달하는 시간을 연속해서 근무하고 있었다('15=89.4h, '17=70.1h). 이 외출산휴가('15=78.5day, '17=82.2day), 표준근로계약서 작성('15=19.3%, '17=40.8%) 및 계약서 교부('15=12.4%, '17=36.1%)도 규정을 준수하지 않고 있었다. 전공의 수련환경은 환자안전 및 국민 건강과 직결되는 문제로 대체인력에 대한 지원, 공정한 수련환경평가와 평가결과에 따른 인센티브 부여, 전공의 및 지도전문의 인건비, 전문과목별 수련 프로그램 개발 비용 등 국가의 지원이 필요하다.

• 한국산업보건학회지
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• 제32권2호
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• pp.172-181
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• 2022

Objectives: In order to reduce the burden on employers and increase the reliability of measurement results, improvements to the provisions related to the work environment measurement reporting system, such as the current Occupational Safety and Health Act and its Enforcement Rules, are planned. This study aimed to suggest improvements for the work environment measurement reporting system through a survey and Delphi investigation. Method: This survey included workplaces (health managers), national institutions (the Ministry of Employment and Labor) that use the results of the work environment measurement reporting system for policy and supervision purposes, and work environment measurement institutions that enter the results were included. In addition to the survey, we tried to derive results through meetings with stakeholders and expert advisory meetings. Results: It is difficult to abolish or partially improve the reporting system under the Enforcement Regulations of the Occupational Safety and Health Act at this point because the opinions of workplaces, supervisory agencies, and measuring agencies differ in terms of its intended purpose and use. In the case of high-exposure harmful factors (over 50% on the basis of exposure) in the "comprehensive opinion" described in the work environment measurement results table, it is necessary to insert unit of work with exposed harmful factors, exposure factors, and current conditions in checklists or tables so that they can be reflected in government policies. In the case of workplaces that are feared to be highly exposed to substances subject to measurement, it seems desirable to improve them so that industrial health instructors registered with the Korea Safety and Health Agency or local labor offices can provide technical guidance. As an improvement plan to increase the reliability of data and the use of big data, it is necessary to improve the input method for processes and jobs. Conclusion: The laws and regulations of the work environment measurement reporting system are difficult to revise due to a lack of consensus among current stakeholders, but improvements can be achieved by improving the Ministry of Employment and Labor's notifications and other means. In addition, in order to effectively utilize the data from the K2B system, it is necessary to improve the input method for processes and jobs.

• 한국항해항만학회지
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• 제38권5호
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• pp.549-559
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• 2014

국제무역지수의 증가로 인한 해상운송 및 항만개발수요의 증가는 국제해사기구(IMO)를 중심으로 선박기인 대기오염, 특히 온실가스 배출규제의 강화를 초래하였다. 이러한 국제환경규제에 대응하고 선박 및 항만기인 환경오염 저감을 통한 자국민의 후생증진을 위하여 미국과 유럽을 중심으로 Green Port 정책의 시행이 점점 확대되고 있는 추세이다. 이에 따라 우리나라도 2010년 녹색성장기본법을 재정하고 국가 Green Port 구축 종합계획을 수립하여 각 항만별 그린포트 구축계획의 수립 및 이행을 촉구하고 있는 실정이다. 따라서 본 연구의 목적은 동북아시아 오일허브 항만을 지향하는 울산항의 지속가능한 친환경 항만운영을 위한 울산항의 Green Port 정책방안의 수립에 있다. 이를 위해 울산항의 친환경 항만정책의 현황 및 문제점을 살펴보고, 해외 해양선진국의 그린포트구축 사례분석과 선행연구 조사, 전문가 자문을 통하여 울산항 그린포트 구축을 위한 정책대안을 도출하였다. 그리고 도출된 정책대안에 대하여 전문가 AHP 설문조사 및 분석을 통해 울산항에 도입 가능한 그린포트 구축 정책대안에 대한 우선순위를 도출하였다. 본 연구의 결과, 울산항의 특성에 맞는 지속적인 그린포트 정책의 시행을 위하여 하드웨어 정책으로 LED 교체와 AMP의 구축, 그리고 소프트웨어 정책으로 항만환경관리부서의 신설이 최우선 정책대안으로 나타났다.

• 한국산업보건학회지
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• 제11권2호
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• pp.169-178
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• 2001

Numerous regulations have been introduced and a various kinds of institutional intervention have been made by government against the occupational safety and health problems. However, it was serious issue to the workers that what can be claimed by those who meet with apparently harmful and risky working conditions in their social systems. In the view point of employees, their right to be free from unacceptable risk and hazards has not been clearly defined. Therefore, workers have very limited rights to take any actions unless employer or government do their actions. It is believed that this undesirable conditions resulted from Jack of legal definition of workers' right to work in the safe and healthy environment. It has been found increased social pressure to make intervention to the industry to protect workers' health. Also, increased pressure has been kept for deregulation. This conflict lay the current situation in dilemma. The concept of the working environmental right has been developed and discussed in this study to overcome this trade-off confliction. It should be clearly separated between legal aspects and administrative and Policy area to make the regulations effective. Strong enforcement to the industry based on the law should be minimum, however, it should be practically effective in the aspect of workers' right. Administration and policy should be focused on supportive and leading activities to achieve the ultimate goal, safe and healthy working environment. It is concluded that establishment of working environmental right would satisfy workers and industry and it would result in improvement workers' environment and conditions.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제12권2호
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• pp.786-799
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• 2018

Recently, NFV has attracted attention as a next-generation network virtualization technology for hardware -independent and efficient utilization of resources. NFV is a technology that not only virtualize computing, server, storage, network resources based on cloud computing but also connect Multi-Tenant of VNFs, a software network function. Therefore, it is possible to reduce the cost for constructing a physical network and to construct a logical network quickly by using NFV. However, in NFV, when a new VNF is added to a running Tenant, authentication between VNFs is not performed. Because of this problem, it is impossible to identify the presence of Fake-VNF in the tenant. Such a problem can cause an access from malicious attacker to one of VNFs in tenant as well as other VNFs in the tenant, disabling the NFV environment. In this paper, we propose Auto-configurable Security Mechanism in NFV including authentication between tenant-internal VNFs, and enforcement mechanism of security policy for traffic control between VNFs. This proposal not only authenticate identification of VNF when the VNF is registered, but also apply the security policy automatically to prevent malicious behavior in the tenant. Therefore, we can establish an independent communication channel for VNFs and guarantee a secure NFV environment.

• Asian Journal of Business Environment
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• 제10권1호
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• pp.45-50
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• 2020

Purpose: This paper examines the theoretical grounds for the disclosure of the Korea Fair Trade Commission. Three central measures of the disclosure are scrutinized: The interconnected status of affiliate companies, the important matters of private affiliates, and the large internal transactions. Contemplating on three measures, respectively, we review the rationale and derive policy implications. Research design, data, and methodology: Collecting the data of violation rates and remedial measures, we analyze the intensity of the disclosure enforcement. These statistics are critically reviewed by the economic literature of mandatory disclosure. Results: Statistics evince that the Korea Fair Trade Commission has enforced the regulatory disclosure quite successfully. Violation rates of the disclosure has declined from the outset. It demonstrates that the Korea Fair Trade Commission has enforced those measures satisfactorily for about a decade. But we cannot ascertain empirically whether the regulatory disclosures are socially and economically beneficial. To evaluate the effect of the regulatory disclosures precisely, we need a further empirical investigation. Conclusions: Despite the lack of policy evaluation, this study suggests complementary measures for current disclosures. First, disclosure of executive compensation in privately held subsidiaries must be introduced. Second, the controlling shareholder/manager should be responsible for information disclosure on foreign subsidiaries.

• 한국컴퓨터정보학회논문지
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• 제19권3호
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• pp.147-153
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• 2014

우리나라의 평생교육제도는 2007년 새롭게 개정 공포된 평생교육법에 의거하여 평생학습사회 구현을 위한 평생교육정책의 실시에 따라 평생교육의 안정적인 기틀이 마련되어 왔다. 그 후 우리나라의 평생교육은 그 체계를 갖추어 가면서 발전하고 있는 것이 사실이다. 따라서 이러한 시점에서 이 연구에서는 이론적인 측면에서 우리나라 평생교육과 관련하여 평생교육제도의 연혁, 평생교육법의 내용, 그리고 현재 우리나라 평생교육제도에 대한 개괄적인 논의를 전개하였다. 따라서 무엇보다도 이 연구는 우리나라 평생교육에 대하여 포괄적인 차원에서 논의가 이루어졌다는 데 그 의의가 있다 하겠다.

• 보건행정학회지
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• 제21권4호
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• pp.599-616
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• 2011

This research was performed to investigate the determination factors of medical service to cover the fee for selecting a doctor which is one of the most important causes of debilitating national health insurance in Korea. Data was from Korea Health Panel and analyzed by Dutton(1986)'s medical service model which was an extended Anderson Model and was widely used in the researches on determination factors of medical service. The results were as follows; In the determinants of selecting a doctor in specialized medical institutions and general hospitals, patients with serious diseases selected doctors more often than other patients. By industrial accident compensation insurance law and enforcement ordinances, insurance covers the fee of selecting a doctor in the hospitals appointed by Labor Welfare Corporation for the patients in critical conditions under industrial accident compensation insurance, while health insurance patients pay the fee themselves for selecting a doctor in all cases. It is suggested that patients with serious diseases proved by medical opinion be provided with health care insurance in selecting a doctor and that the health insurance benefit coverage be enhanced by staged lowering of patient's cost-sharing.