• 응용통계연구
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• 제28권4호
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• pp.827-845
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• 2015

본 연구는 2015년 공무원연금 개혁의 성과와 한계를 평가하고, 이들 한계를 극복할 수 있는 개편방안을 제시하고자 하였다. 연구결과에 따르면 이번 연금개혁은 재정적 지속성, 기능적 투명성, 타 공적연금과 형평성 측면에서의 그 성과가 미흡하였다. 이 때문에 향후 공무원연금개혁에 대한 논의는 다시 촉발될 것으로 전망된다. 다음 개혁의 우선 순위는 공적연금 제도 간 통합에 두어져야 한다. 이에 본 연구는 제한적인 효과만을 지향하는 모수적 개혁방안을 지양하고 다양한 정책 목표를 동시에 달성할 수 있는 공무원연금의 구조적 개편안을 제시하였다. 이 개편안의 골자는 공무원연금을 '국민연금 + 직역가산연금(부가연금) + 퇴직수당'의 다층노후체계로 개편하고, 신규 임용 공무원을 국민연금에 가입시키는 것이다. 국민연금이 공무원을 포함한 '전국민'의 '기본적 연금'으로 발전할 때 연금제도간 불평등도 완화되고 사회적 연대연금체제도 구축될 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제16권9호
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• pp.94-104
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• 2016

최근 지역사회가 직면한 문제를 해결하기 위하여 지역주민의 참여, 지역사회 이해관계자들의 네트워크, 그리고 이들의 파트너십에 주목하고 있다. 이는 지역사회문제 해결기제로서 로컬거버넌스의 특성을 활용한 것이다. 이에 본 연구는 광주 푸른길 사례를 중심으로 지역사회복지 관점에서 로컬거버넌스 특성 분석을 시도하였다. 지역사회 문제해결에 있어 지역주민의 참여는 스스로 문제해결에 참여하고 지역사회 구성원과 소통을 통해 더 나은 해결방안을 찾아나감으로써 주민역량을 강화시킨다. 무엇보다 지역주민 참여의 질을 높이기 위해서는 지방정부의 복지정책 입안사항 및 지역사회복지계획 수립과정에 적극적으로 참여하는 등 지방정부와 지역주민간의 네트워킹 및 연대의 방안을 모색해 나가야 한다. 광주 푸른길은 지역사회 구성원들이 삶의 질 향상을 위해서 공동의 연대감을 갖고 사회적 상호작용을 통해 지역사회 내의 문제를 함께 해결하면서 지역사회에서의 공공선에 대한 가치를 실현한 지역사회복지의 사례라고 할 수 있다.

• 농촌의학ㆍ지역보건
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• 제16권2호
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• pp.179-194
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• 1991

Despite its universal coverage of health insurance, the rural health insurance program(RHIP) stands at the crossroads in Korea. The RHIP has weaknesses in stability of financing, problems of inequities in the provision of health services and has suffered from high cost of running the program. The author has analyzed these problems from the perspective of health insurance policy and presented several options for improvement. First of all, this study urged the importance of a firm Governmental commitment of RHIP with the 50% subsidization of contributions as the Government had promised, instead of the current 40%. This can be justified from the 20% subsidization by the Government for the contributions of private school teachers and their dependents, who belong to richer segments of the population. Second, various cost containment measures ought to be sought curbing the rising demand for medical through strengthening health education and increasing individual responsibility, and tightening the claim review process. Third, this study requires the Government to run a demonstration project on the introduction of case payment system for primary health care. Fourth introducing an income-related cost sharing scheme is another possibility. Reforming the cost sharing formula for large medical expenditures is recommendable for a beginning. This measure can take the form of tax credit for medical expenditures of the poor. Fifth, the degree of financial adjustment among health insurance plans should be levelled up for enhancing stability of RHIP and social solidarity. Sixth, health policy should be redirected toward development of rural health resources and higher priority should be put on relieving difficulties in access to care. Seventh. the insurance plan owned-hospital needs to be developed or provision of health services in the medically underserved areas, and the need of such facilities is particularly acute for geriatric care, rehabilitation and renal dialysis, etc. Eighth, more generous insurance benefits are required of the elderly who are suffering the most : elimination of the maximum 180 days of benefit period and provision of glasses and artificial dentures, etc. Ninth. the economies of scale principle is working for the operating expenses of regional self-employed insurance plan. Thus, measures should be instituted to pursue an optimum size of health insurance plans. Lastly, excessive dependence on exclusion items is an evil so that some radical remedies are urgently required to cut them.

• 한국한의학연구원논문집
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• 제13권3호
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• pp.165-178
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• 2007

This article explores how non-dominant medical practitioners shape their own self-images and the identity of relevant medicine and in what ways fashioning of self-images and accompanying modalities of medical practice informs the social evolution of the medicines at specific times and over specific places, by means of the historical configuration of osteopathy and chiropractic in the UK and the US. Attention is directed onto motivations and pursuits for professional recognition and actual strategies and activities of non-dominant medicines and its practitioners by turning to historical instances such as osteopathy and chiropractic in the UK and the US, not least drawing focus on professional desires with regard to circumstances it faces within and without. Some non-dominant medicines as a way with which to acquire and protect the exclusive monopoly of its knowledge and practical skills, adopted various forms of professionalism project, as dominant biomedical groups pressed up non-dominant medicines by virtue of marginalizing tactics. Meanwhile, non-dominant medicines took somewhat distinctive professionalisation strategies from each other. Strategies they took were diversified depending on medical philosophy, healing modality, the degree of occupational solidarity embodied as forms of medical organisation, and especially vocational aspiration and prospect. Change of socio-medical culture and the state's policy seems to have wielded critical influenceon the determination of the ups and downs of non-dominant medicines. From the perspective of long-term time span, dominant biomedicine eventually did not have much influence on the ups and downs of marginalized medicines in so far as in the case of osteopathy and chiropractic in Englandand the U. S.

• 한국중재학회지:중재연구
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• 제25권4호
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• pp.51-75
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• 2015

Administrative ADR to solve new problems has the characteristics of a new project, hence ADR is established and operated with a lack of human and material resources in the process of introducing administrative ADR. Therefore, it is preferred to resolve conflicts by less costly counseling and mutual agreement before mediation. When we try to settle the disputes through administrative ADR at the stage before mediation, it causes problems for the neutrality and impartiality of the dispute settlement procedures. In this case administrative ADR systems should introduce devices that ensure the impartiality of the process. In some issues becoming social problems, relevant administrative agencies are inclined to establish ADR systems. If ADR systems become available, a person who may use ADR services may have some trouble grasping ADR institutions because he/she can hardly distinguish their business affairs. By subdividing administrative affairs, when the disputes have the issues that touch on various fields of the affairs, parties in the disputes have to take ADR procedures one by one in all ADR-related institutions. This may lead to too heavy a burden on the disputing parties, furthermore forcing them to give up the remedies of their rights. For more efficient ADR operations, it is necessary that the institutions which set up and operate ADR systems should actively exchange and cooperate with one another. They need to forge and strengthen the solidarity between administrations and courts. The administrative agencies which run ADR themselves have to build up the devices for preparing human resources and material facilities for administrative ADR.

• 보건교육건강증진학회지
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• 제26권3호
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• pp.35-48
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• 2009

Objectives: The community network is a foundation laid by the local community which has been formed historically and geographically to develop itself. This paper as a Korean way of healthy network survey for the community capacity building is an exploratory research to grasp the character of Korean society and then to organize an resident-governing partnership for that. Methods: Research objectives are CBOs(Community-Based Organizations) in S-district of Seoul. This region is a new town, however the solidarity and volunteerism of this resident is lively. The survey tool is Cho's CBOs Evaluation Questionnaire which was originated to measure the community capacity. The period of survey is from the January 2009 to the March 2009 and the study organizations which were collected by snowball sampling were 80. Results: The result shows two main networks: one is the civil society and craft union cluster, the other is welfare organization cluster. Groups of high centrality were organizations whose members are mainly women and craft organizations which were organized before 1990's. The group of high betweenness was the Association of Women's Organizations(0.188). Bi-components were six and they could be divided by organization's aim. In terms of the determinants of the participation to the health center enterprise, only the number of link(B=-0.60, p<0.04) was statistically significant. It means that when organization variables are controlled a tendency appears: the more the voluntary associations network, the less participation in the health enterprise. Conclusion: CBHOs(Community-Based Health Organizations) enhances residents' spontaneity and cohesion to increase the capability of the local community. If the surveyed healthy network, together the community health project, are used for various community development projects, the existing CBOs including CBHOs will be reorganized and furthered newly. For this it will be needed to construct an effective partnership of healthy network by restructuring the existing networks of voluntary associations.

• 가족자원경영과 정책
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• 제15권4호
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• pp.79-105
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• 2011

In-depth interview research and qualitative methodology were used to find changes in the experiences of family volunteer activities through the use of the Health Family Support Center. Ultimately, 143 items as sub-concepts, 42 items as sub-categories, and 10 items as subjects were found. I will also suggest alternative basic and primary data. First, using 10 subjects, the following points were evaluated in detail. I looked at what kind of changes in the volunteer activities these subjects experienced after working at the Health Family Support Center, and what the specific underlying reasons were for the changes in their family volunteer experience. These included 'community solidarity', 'family community', 'leisure and culture for the family', 'communication', 'personal relations', 'coping skills', 'growth', 'sympathy', 'positive thinking', 'future plans'. Second, families experienced a feeling of belonging as community members and the family realized the importance of their life, learned communication methods and coping skills. Third, families came to have new opportunities to grow as humans and learned a feeling of sympathy for others. Fourth, families found new paradigms to think positively about their daily life and to establish future plans. We will need more effort to empower family experiences of family volunteer activities that use the Health Family Support Center as well as supporting its staff. The following specific factors were the main mediating factors for using such a facility: family volunteer education, family volunteer service agency consulting, program planning, and managing family volunteers and other services.

• 농촌계획
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• 제23권4호
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• pp.169-178
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• 2017

Our society has been dominated by the Dilemma Theory that rational individuals cannot get out of the 'Tragedy of the Commons' without helps from state or market. However, many empirical researches have discovered cases that common pool resources could be managed by cooperative methods of community. Based on the possibility of managing common pool resources by residents' cooperation/solidarity revealed by the recent case researches, this study aims to seek for the theoretical basis to prove it. Generally, public policies are carried forward based on the theoretical basis of the relevant social issues. The objective of this study is to suggest the new direction of policies related to domestic common resources through the researches on community's role in managing local common pool resources represented as "scenic spot". For this, it aims to reveal the influence of community activity on behavioral intention of local common pool resources, by drawing/quantitatively measuring measurement items of local residents' community activity on top of attitude, norms, and behavioral control suggested by the existing Theory of Planned Behavior. The results of this study are as follows; 4 factors such as attitude toward behavior, subjective norm, perceived behavior control, and community activity were all factors that influenced intention to manage.

• 한국콘텐츠학회논문지
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• 제19권1호
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• pp.587-597
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• 2019

우리나라 인구의 빠른 고령화와 일상생활이 어려운 노인들이 증가하여 사회적 연대를 위한 노인장기요양 제도가 실시되었다. 제도 도입 후 나타난 장기요양제도의 구조적 문제 해결을 요구하고 있으며 기관 및 급여유형별로 통합된 요양서비스 제공체계, 노인의료-요양의 연속성 부족에 따른 요양병원-시설 간 기능정립 문제 등도 제기되고 있다. 이 연구에서는 문제점을 개선하기 위하여 입소정원, 종사인력, 제공서비스와 관련한 연구문제를 설정하였으며 FGI를 실시하였다. 연구결과 지역 내 노인 인구와 인정자 수, 노인성 질환자수 등 장기요양 수요를 반영, 지역별 적정 기관 및 인력 수급 정책 방향 제시하고, 지자체별 목표와 수급계획을 수립하여, 장기요양기관 지정요건 절차 강화 및 지정 갱신제 등 인증제도 도입이 검토되어야 하며, 남성요양보호사 육성 및 수가 인상 등을 통한 종사자 처우개선을 통하여 원활한 인력수급이 필요하다고 보았다. 급식비의 보험적용과 유관기관과의 연계를 통한 프로그램 확대제공, 원활한 입소관리를 위한 의료외 사고 중재기구가 필요하다고 나타났다.

• 한국콘텐츠학회논문지
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• 제22권3호
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• pp.1-16
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• 2022

현재 AI의 기술력은 과거 인간만이 가진 능력을 초월할 정도로 빠르게 발전하고 있다. 머지않은 미래, 앞으로 인간과 AI는 메타버스 사회 구성원으로서 서로 영향을 주고받게 될 것으로 예측된다. 이에 본 연구에서는 메타버스에서 AI와 인간이 공생하게 될 시대, 인간이 스스로 존엄성을 지켜가며 행복한 삶을 추구하며 살아갈 수 있는 핵심 역량으로써 공감의 중요성을 강조하였다. 본 연구는 메타버스 내 컴퓨터 매개 커뮤니케이션이 대두되는 사회적 성격을 반영하여, '디지털휴먼공감지표(DHEI)'를 개발하였다. 본 연구는 총 1,100명을 대상으로 설문을 수행하고, 탐색적 요인분석과 확인적 요인분석을 수행하여, 총 7개의 요인, 28개 문항을 도출하였다. DHEI는 관점수용, 자기/타인 인식, 사회체계 장벽의 문맥적 이해, 영향력 가늠, 연대적 노력, 평화 추구, 기기 인격화로 구성되었다. 본 연구의 결과는 공감에 대한 새 기준을 제시하며 미래인재교육의 방향 설정에 기여할 것으로 기대된다.