• 보건의료산업학회지
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• 제2권1호
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• pp.105-124
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• 2008

The purpose of this research is to provide the data base for the activation of Quality Improvement operation through investigating the status of Quality Improvement operation, and finding out factors influencing on the goal-orientation of QI performers in the medical centers of more than one hundred beds where are practicing Quality Improvement operation. In order to reach the purpose, document study was carried out grounded on the proceeding researches and formulated statistical data in relation with the status of Quality Improvement performers, and proof study was carried out through questionnaire survey. The subjects of the survey were the Quality Improvement performers working in seventy three medical centers in Pusan-Gyeongnam, Daegu-Gyeongbuk, and Ulsan. Among eighty three Quality Improvement performers, fifty, five were questionnaire surveyed, on the result of which Reliability Analysis, Factor Analysis, and Multiple Regression Analysis were made, using statistical program. The the results of the proof analysis on this research are as follows. First, in the factors influencing the devoting to goal pursuit of QI performers, organization-goal contribution(0.44) had significant positive effects, while organization conflict(-0.25) had significant negative effects. In other words, the higher the organization-goal contribution was, the higher the devoting to goal pursuit was, while the less the organization conflict was, the higher the devoting to goal pursuit was, which was statistically significant.(p<0.05). Second, in the aspect of goal performance types of QI performers, the process-centered type showed high level of the devoting to goal pursuit, which was statistically significant.(p<0.05). Third, in the aspect of QI performance degree, the higher the devoting to goal pursuit was, the higher the QI performance degree was, which was statistically significant.(p<0.05). In addition, the performers who perceived their workplaces organic structure showed much higher QI performance degree, which statistically significant.(p<0.05). Generalizing the results of this research, it is possible to offer a few suggestions as follows. First, as the competition among the medical centers is more severe recently owing to medical center evaluation system, medical centers are practicing various Quality Improvement operation in all of medical services such as clinical performance and management performance, to reach the purpose of both cost-cutting and medical quality improvement. Thus in order to practice Quality Improvement operation more efficiently in medical centers, it is essential to nuke use of problem-solving methods and statistical members. This as the willingness of chief executives and positive attitude and recognition of organization members. This requires the installation of divisions in charge and disposition of persons in charge, not to speak of persistent training of Quality Improvement. Second, the divisions in charge of QI carry out Quality Improvement operation at the medical center level, and take the role of generalizing and adjusting QI performances of various departments. Owing to this role, the division in charge of QI is considered indispensable organization in the QI operation of medical centers along with medical QI committee, while it contributes to the government's goal of reducing quality level gaps among medical centers. Therefore it is necessary for government and QI organizations to give institutional support and resources for the sake of QI operation of medical centers, besides to supply systematic trainning and informations to the divisions and persons in charge of QI. Third, it is certain that disposition of persons in charge should be determined in view of the scale and the scope of QI operation in medical centers.

• 대한공업교육학회지
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• 제34권2호
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• pp.1-19
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• 2009

이 연구의 목적은 공업계 고교에서의 산학협력 실태를 조사하고, 산학협력 활성화 방안을 제안하는데 있다. 주요 연구 방법은 문헌 연구와 설문 조사이다. 설문 조사는 공업계 고교를 모집단으로 전수 조사를 실시하였고, 조사 대상은 각 학교의 교무부장, 실과장, 그리고 교육과정 관련 업무를 교무부장이 담당하지 않는 학교의 경우 교육과정 담당부장도 응답에 참여하도록 하였다. 주요 연구 결과는 다음과 같다. 첫째, 공업계 고교에서 산학협력의 목적에 대하여 교사들은 산업현장 맞춤형 직업교육의 기회 제공, 공업계 고교 졸업생의 안정적 직업세계의 진출 확보, 맞춤형 인력의 양성과 공급을 통한 산업체의 경쟁력 확보라고 인식하고 있었다. 둘째, 교사들은 공업계 고교와 산업체간의 산학협력이 잘 이루어지지 않고 있다고 인식하고 있었다. 셋째, 교사들은 공업계 고교에서 산학협력이 강조된 교육과정의 개발과 운영이 필요하다고 인식하고 있었다. 넷째, 공업계 고교에서 학교 교육과정 편성시 산업체의 요구 반영 정도에 대하여 공업계 고교에서는 학교 교육과정 편성시 산업체의 요구를 잘 반영하지 않고 있는 것으로 나타났다. 다섯째, 공업계 고교에서 산업체의 요구를 반영한 주된 교육과정 운영 방법으로는 산업체 현장실습 및 현장 체험 학습 운영, 산학협력에 의한 맞춤식 교육과정 개발 적용, 산업체 인사 참여에 의한 산학겸임교사 제도 운영인 것으로 나타났다. 여섯째, 산학협력 활성화를 위해 학교 교육 영역에서 노력해야 할 사항은 산학협력 대상 기업체 적극 발굴, 산학협력에 기반한 학교 수준 교육과정의 개발 운영 노력, 그리고 정부의 산학협력 기반의 직업교육 정책 사업 적극 참여로 나타났다. 일곱째, 산학협력과 관련하여 공업계 고교 교육과정 선진화를 위해서는 교육과정의 다양화를 위한 선택중심 교육과정 강화, 보통교과 중심의 국가 수준 교육과정 체제 탈피를 통한 전문교과와의 균형성 추구, 원활한 산학협력을 위해 국가수준상의 관련 지침 개정인 것으로 나타났다.

• Clinical and Experimental Pediatrics
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• 제45권3호
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• pp.362-369
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• 2002

목 적 : 빈혈은 아직도 전세계적으로 가장 흔히 볼 수 있는 영양결핍으로 특히 청소년기 여아에 많이 발생하는데, 그 원인은 철분의 불충분한 섭취, 빠른 성장에 따른 철분 필요량 증가 및 월경으로 인한 혈액 손실을 들 수 있다. 본 연구는 건강하게 보이는 중학생 및 고교의 여학생에 있어서 지난 10년간에 걸친 빈혈 및 철분에 관한 영양상태의 발표를 종합하였다. 방 법: 1990년 대구지역에서 도시와 농촌의 여학생에 대해, 1997년 부천지역 여학생에 대해, 1999년 울산지역에서 도시와 농촌지역 여학생에 대해, 2000년 인천에서 도시와 농촌의 여학생에 대해 혈액학적 조사와 신체 계측 그리고 설문지를 통한 조사가 이루어졌다. 빈혈은 혈색소 11.5 g/dL 미만으로 정의하였다. 철 결핍은 혈청 ferritin이 10 ng/mL 미만인 경우로 정의하였고, IDA는 혈색소가 최저 기준치 이하이면서 MCV 78 fL 미만, ferritin 10 ng/mL 미만, 또는 transferrin 포화도 10% 미만인 경우로 정의하였다. 결 과 : 1) 도시와 농촌간의 혈색소 평균치에는 유의할 만한 차이가 없었고, 연령이 증가함에 따라 평균 혈색소의 감소를 볼 수 있었다. 2) 전체적인 빈혈의 유병율은 1990년 13.4%, 1997년 6.9%, 1999년 6.0%, 2000년 5.7%로 감소하는 소견을 보이고 있고, 각각의 조사에서는 연령이 증가함에 따라 유병율도 증가하였다. 특히 여고생에서의 빈혈의 유병율은 1997년 10.1%, 2000년 12.6%로 높게 나타났다. 3) 철 결핍 유병율은 1990년 36.1%에 비해 1997년과 1999년은 13.9%, 13.3%로 감소하는 소견을 보이나 2000년 연구에서는 23.2%로 증가되었다. 4) 연도별 IDA의 유병율은 1990년에는 10.0%, 1997년 4.6%, 1999년 8.3%, 2000년 6.1%로 일정 하지는 않으나 감소하는 소견을 보이고 있고, 연령이 증가하면서 유병율이 증가하는 것을 볼 수 있다. 결 론 : 중, 고교 여학생에 있어서 10년 전에 비하여 철분 영양은 개선되었지만, 농촌과 도시에 관계없이 빈혈 및 철 결핍이 빈발하였고, 청소년기 연령이 올라갈수록 더욱 현저하였다. 더욱이 최근의 다이어트 풍조와 영양섭취의 불균형을 고려할 때, 다른 영양소의 부족 역시 우려할만한 것으로 사료된다. 따라서 중학교 3학년 이상의 여학생과 빈혈의 위험군에 대해서는 선별검사가 요구되며, 아울러 지속적이며 효과적인 영양 교육과 철분지표와 영양지식에 대한 평가가 필요할 것으로 사료된다.

• Journal of Preventive Medicine and Public Health
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• 제7권2호
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• pp.383-393
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• 1974

The importance of the health care for the miners not only concerns the productivity of the enterprises but also as a fundamental human right, it has to be secured and protected by the society and the government. The Korean coal miners began to find their works at overseas since 1963 when the Korean government selected and dispatched its miners to West Germany. As years go by, the demand and the supply of the coal miners, the program of the coal miners health care became the important tasks to be solved and the further studies and research were necessary to support these tasks achievement. The writers made a statistical analysis on health status of the 1,559 Korean applicants applying for the coal miners in West Germany during the year of 1972 and 1973 by the using of the data of physical examination which were directed by the Korea Overseas Development Cooperation. The standard of physical examination which was applied for coal miners applying the jobs in West Germany was authorized by the Government Office of Labor in 1967. The results are as following; 1. The applicants were from the various provinces throughout Korea; Gang Weon 50.2%, Jeon-Nam 16.8%, Chung-Nam 13.7%, Gyeong-Nam 10.5%, City of Seoul 5.4%, and others 3.7%. 2. The ages of the applicants were from 20 to 44. The age group of 25-29(36.3%) and of 30-34(55.2%) together occupied the 91.5 per cent of the total applicants. 3. Among the 1,559 applicants 52.1 per cent passed the physical examinations. The tendency were shown that as the age increased, the passing rate decreased, and the married applicnts had lower passing rates compared to the unmarried applicants. 4. The height of the applicants averaged $168.4{\pm}4.74(cm)$ and the weight averaged $61.3{\pm}5.65(kg)$. 5. The average vision of the left eye of the applicants was $0.92{\pm}0.23$ and the right eye was $0.91{\pm}0.30$. 6. The mean value of the systolic blood pressure of the applicants was $145{\pm}13(mmHg)$ and the diastolic blood pressure was $85{\pm}8(mmHg)$. 7. Fifteen hundred and fifty-nine applicants were taken chest X-ray and 17.2 per cent were found abonrmal. For each 1,000 applicants, 46 Pulmonary calcification and fibrosis, 45 chronic bronchitis, 27 pleural thickening and adhesion, 20 pulmonary tuburculosis, 11 anomalies of the rib, 10 pulmonary infiltration and 21 others diseases were found. 8. Lumber X-ray examination showed that 23.9 per cent (372 applicants) were found abnormal. For each 1,000 applicants, 77 osteoarthritis, 56 lumbarization, 15 fracture of vertebrae, 15 spondyloarthritis, 14 deformity of vertebrae, 13 spina bifida, 12 sacralization, 12 spondylolysis, and 5 others diseases were found. 9. In total, 47.9 per cent of 1,559 applicants failed the physical examinations, and the main causes for the failure were shown to be 7.1% of anomalies of spine, 6.3% of osteoarthritis, 4.7% of pulmonary calcification and fibrosis, 4.6% of chronic brochitis, 3.6% of hypertension (only), 3.4% of fracture of vertebrae. 3.1% of underweight(under 57.0kg), 2.0% of spondyloarthritis, 2.0% oe pulmonary tuberculosis, 1.7% of pleurisy, 1.0% of spina bifida, 1.5% of syphilis, 1.5% of color blindess, and 1.0% of underheight(under 160.0cm).

• Tuberculosis and Respiratory Diseases
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• 제49권3호
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• pp.343-352
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• 2000

연구배경 : 대부분의 국내 중환자실에서는 간호사들에 의해 호흡 치료가 이루어지고 있으나 그 실태는 잘 알려지지 않았다. 본 연구는 국내 중환자실에서 시행되는 호흡요법의 종류 및 호흡치료사들의 필요성을 알아보고자 하였다. 방법 : 중환자실이 설치된 117개 병원의 수간호사들을 대상으로 설문조사를 실시하였다. 결과 : 117개 병원 중 100개 병원에서 회신하여 회신율은 85%(대학병원 97%, 산하병원 81%, 종합병원 77%) 였다. 대학병원 66단위 중 18단위, 종합병원 58단위 중 35단위에서 통합 중환자실로 운영되고 있었으며 중환자실 전담의사가 있는 병원은 47.1% 였다. 호흡요법 전문치료사가 있는 병원은 없었으며 응답자의 92.8%가 전문치료사의 필요성을 인정하였다. 중환자실에서 제공되는 호흡요법 중 기관지흡인, 자세 변경, 타진법, 기침유발 등은 대부분 시행되고 있었으며 진동마사지, 간헐적 양압환기법 등은 종합병원에서의 시행률이 낮았다. 이러한 호흡요법은 주로 간호사들에 의해 시행되어졌으며 평균 8시간 근무 중 이러한 호흡요법 시행에 소모되는 시간은 1시간 미만에서 4시간까지 다양하였다. 산소공급을 위해 사용하는 장치 중 venturi mask, T-piece 등은 종합병원에서의 사용률이 낮았으며 종합병원은 전통적인 인공환기법에 대한 의존도가 상대적으로 높았다. Swan-Ganz catheter monitoring등의 혈역학적 감시 장비도 병원간의 차이를 보였다. 의료장비의 관리 및 보관에서도 담당 의공학과가 갖추어진 곳이 종합병원은 드물었다. 결론 : 국내 중환자실의 호흡치료는 간호사들에 의해 제공되고 있으며 병원 수준에 따라 제공되는 호흡요법 수준의 차이가 커 전문적 호흡요법의 수행을 위해서는 호흡치료사 제도의 도입이 필요할 것으로 사료된다.

• 대한간호
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• 제36권1호
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• pp.59-76
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• 1997

The purposes of this study were to identify the contents and satisfaction level of the patients received home care service, and to compare the differences of the contents by the characteristics of the patients. Seventy eight patients received home care service from 1st Jan. to 30th Sept., 1996 were data-collected to analyze the contents and outcomes of home care service. Sixty-nine patients currently receiving home care service were participated to evaluate the satisfaction level of home care service. The data were analyzed using mean, standard deviation, $x^2$ test, and ANOVA by SPSS $PC^+$ program. The findings of this study were as follow : 1. The contents & outcomes of home care service 1) The mean age of the subjects was 64.4 years: 58% of them were female. Those who living in Seoul were 83% and the rest of the subjects was living in Kyung-Gi. 2) The subjects who had one diagnosis were 41%. Over 60% of them had the disease of neurologic & sensory system. 3) The mean number of visit was 6. Only one visit was 22%. The mean time of care was 79 minutes. Duration of visit from 31 minutes to 60 minutes were 47 %. The subjects who terminated the visit because of death were 67.3%. 62% of the persons who referred them to the home care service were nurses. 4) The pain after the service was more relieved than before. The amounts of intake, the degree of bed sore, edema & fracture after the service were more improved than before. Health status after the service was improved in general. 5) There were significant differences between initial and last conscious level in tracheostomy care & oxygen inhalation care. There was significant difference between initial and last degree of activity in blood sugar check. 6) There were significant differences on the number of visit in assessment of the status, evaluation & observation, vital sign check, skin care, injection, medication, bed sore care, colostomy care, relaxation therapy for pain relief, patient education, family care, exercise therapy, position change, supply of disinfected equipments and infection control. There were significant differences on visiting time in nasogastric tube care, drainage tube care and oxygen inhalation care. 2. The satisfaction level of home care service 1) 50% were male. Over 60 years of the subjects was 61 %. Those who living in Seoul were 82%. 2) The subjects who had one or two diagnosis were 32% respectively. 55% of the persons who referred them to the home care service were nurses. 3) Total level of satisfaction of home care service was very high. 4) The older the age, the higher the satisfaction level. The larger the number of visit, the higher the satisfaction level. 5) The subjects who were in cloudy state were higher level of satisfaction than in alert or coma state. The subjects whose activity were normal or who needed assistance were higher level of satisfaction than bedridden or immobilized subjects. These findings suggested that the patients had substantial need for posthospital care. They tended to be elderly and to have experienced the wide range of health problems associated with aging, chronicity, including limitations in activities, and other serious health problems. So, the nationwide home care systems beyond the limit of demonstration program by local association and the development of the effective financial system of home based health care are necessary for the clients who are in need of home care.

• Journal of Nutrition and Health
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• 제9권1호
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• pp.43-50
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• 1976

This is the report of a food consumption survey of 193 members of 30 farm families in three rural villages of Korea. From a total of 188 households of the three villages, namely Wolgok in Kyunggi Do Province, Wachon in Kangwon Do Province, and Sobong in Cholla Namdo Province, 30 households were chosen for the survey. Four consecutive seasonal surveys, beginning in the autumn, November 1974 and finishing with the summer, August 1975, were made and each survey covered three consecutive days. The Precise Weighing Method was used in evaluating the kinds of food and nutrient intakes of the subjects. This method entails the accurate weighing of all foods by the investigator just prior to their consumption by the subjects under investigation. This survey was male to determine the actual food eaten by the members of these farm families at each season of the year, and to note any special differences in the foods consumed. The results obtained are summarized as follows: Food Intake The traditional ordinary diet of Korean farmers consists mainly of rice and other cereals as staple foods, and simple subsidary foods. The nutritional shortcomings of rice as a staple food are evident in the subclinical status of nutritional deficiencies. The mean consumption of cereals and their products was very high and it was more than half of the daily total food intake throughout all the seasons. The consumption of animal food, fruits, and fat by the farmers was very low. Fruit intake during winter and spring was almost nil. One of the special foods in the Korean dietary pattern is Kim-chi, a variety of pickled and fermented vegetables. The mean intake of Kim-chi during autumn and winter was very much higher than the other seasons. Korean farmers have difficulties in balanced year-round supply of food due to seasonality of food production and lack of food preservation. As nutrition problems of Korean farmers are highly influenced by seasonal variations, the expansion of an appropriate food preservation and storage programme should be encouraged. Special consideration should be given to new methods of preservation, the types of foods preserved, and production and consumption of nutritionally valuable foods for the improvement of the nutritional status in rural communities. Nutrient Intake Average adult rates for calorie and protein in the three study areas were 0.80 and 0.87 respectively, with little variations by villages. The adult caloric intake in averaged 2,928 kcal for autumn, 2,662 for winter, 2,673 for spring, and 2,760 for summer. Cereals contributed most of the total calories. In terms of the recommended daily dietary allowances for the Korean given by the Korea FAO Association, the diets in this survey were adequate except in the winter and spring. The protein intake averaged from 76.4 grams in autumn to 83.4 grams in summer and was near the recommended allowance, but a relatively large proportion of the total protein came from cereals and their products. The fat intake was unsatisfactory, ranging from 19.2 grams to 29.3 grams for the four seasons, and the consumption during farming season was higher than other seasons. It is apparent that the diet of the Korean farmers should be supplemented by calcium during autumn and winter. The highest calcium intake, with a mean of 583.5 milligrams, was recorded in summer. The mean intake of iron ranged from a low of 9.2 milligrams in the autumn to a high of 15.0 milligrams in the spring and it was satisfactory for all seasons. Among the vitamin group, the daily average intakes of vitamin A, thiamine, riboflavin, and ascorbic acid were lower than the desired intake throughout all the seasons. The mean vitamin A intake as ${\beta}-carotene$ ranged from a low of 2,807.8 IU to a high of 5,221.0 IU. The thiamine intake ranged from 0.98 milligrams to 1.19 milligrams, while mean riboflavin intake ranged from 0.92 milligrams to 1.13 milligrams. Ascorbic acid intake was 37.3 milligrams, the lowest, and the highest 47.8 milligrams. Niacin intake among Korean farmers was higher than the recommended allowance throughout all the seasons, and the mean intake ranged from 18.3 milligrams to 25.8 milligrams. The main character of the Korean farmers' diet has been found low in quality of protein and high in carbohydrate. Attention should be paid to the low intake of vitamin A, thiamine, riboflavin, and ascorbic acid among Korean farmers.

• 한국산림과학회지
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• 제82권4호
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• pp.311-318
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• 1993

본(本) 연구(硏究)는 우리나라 양봉농가(養蜂農家)의 경영개선(經營改善)과 육성시책(育成施策)의 수립(樹立)에 필요한 기초자료(基礎資料)를 제공(提供)하기 위하여, 50개소(個所)의 양봉농가(養蜂農家)를 대상(對象)으로 경영실태(經營實態), 경영성과(經營成果)와 적정규모(適正規模)를 분석(分析)하였으며, 그 결과(結果)를 요약(要約)하면 다음과 같다. 1. 양봉농가(養蜂農家) 경영주(經營主)의 연령(年齡)은 50세(歲) 이상(以上)이 64%였고, 고졸(高卒) 이상(以上)이 48%로 나타났다. 또한 사업년수(事業年數)는 10년(年) 이상(以上)이 76%로 나타나서, 경영주(經營主)의 대부분은 고령(高齡), 고학력자(高學歷者)였으며, 오랜 사업경험(事業經驗)이 있는 것으로 나타났다. 2. 종사형태(從事形態)는 부업(副業)이 62%이었고, 전업(專業)이 38%로 나타났으며, 부업종사자(副業從事者)의 대부분(大部分)은 농업(農業)과의 겸업형태(兼業形態)였다. 3. 양봉농가(養蜂農家)의 종사인원형태(從事人員形態)는 가족노동(家族勞動)이 60%로 대부분 가족경영형태(家族經營形態)였으며, 연간(年間) 가족노동량(家族勞動量)은 6.4개월(個月)을 투입(投入)하는 것으로 나타났다. 경영방식(經營方式)은 이동방식(移動方式)이 44%, 고정방식(固定方式)이 56%로 나타났다. 4. 1991년(年) 한 해에 있어서, 재래종(在來種) 꿀벌의 벌통수는 2.94통이 감소(減少)되었지만, 개량종(改良種) 꿀벌의 벌통수는 13.79통이 증가(增加)되었다. 농가당(農家當) 전체(全體) 벌통수에서는 12.66통이 증가(增加)된 것으로 나타났다. 5. 주요(主要) 비용항목(費用項目)의 크기는 종봉구입비(種蜂購入費), 먹이구입비(購入費), 감가상각비(減價償却費), 인부임(人夫賃) 등(等)의 순으로 나타났다. 연간(年間) 수익률(收益率)은 평균(平均) 29.4%로 나타났다. 6. 벌꿀의 매출액(賣出額)을 기준(基準)으로 한 농가당(農家當) 손익분기점(損益分岐點) 매출액(賣出額)은 약(約) 3백만(百萬)원으로 나타났다. 적정매출규모(適正賣出規模)는 52.2l로 나타났으며, 이때 평균생산비(平均生產費)가 53,800원으로 추정(推定)되었다.

• KDI Journal of Economic Policy
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• 제31권1호
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• pp.169-206
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• 2009

본 연구는 1990년대 이후의 한국경제의 성장패턴을 이해하기 위한 노력의 일환이다. 이를 위해, 본 연구에서는 Blanchard and Quah(1989)가 제시한 바와 같이 장기제약식하의 구조적 벡터자기회귀추정법(Structural Vector Auto Regression: SVAR)에 의거하여 우리나라의 경제를 오늘에 이르게 한 다양한 충격들을 식별하고 각각의 상대적 기여도를 구분하고자 하였다. 보다 구체적으로는 Blanchard and Quah의 2-변수 모형과 이를 확장한 3-변수 모형, 그리고 New Keynesian류의 선형모형을 변형시킨 두 개의 모형을 분석하였다. 특히, 후자의 두 모형은 1997년 외환위기 이후 있었던 외환시장체제(고정환율제도에서 변동환율제도)와 통화정책기조(통화총량제에서 물가목표제)의 변화를 반영하도록 구성되었다는 점에서 의의를 갖는다. 이러한 각 모형으로부터의 추정 결과를 충격반응 및 예측오차분해 분석의 형식으로 정리 비교한 결과 다음과 같은 두 가지 공통점을 발견할 수 있었다. 첫째, 경제성장률의 변동은 생산성의 충격에 주로 기인하며, 이와 같은 경향은 2000년대 이후 더 강해진 것으로 보인다. 이는 2000년대 이후 우리 경제의 성장이 잠재성장률과 밀접한 관계를 갖고 있음을 시사한다. 둘째, 2000년대 이후 충격반응의 크기나 지속성이 전반적으로 줄어드는 경향이 있다. 무역의존도가 높은 우리 경제상황에 비추어 2000년대의 전 세계적인 저(低)금리, 저(低)인플레이션 및 견실한 성장세, 그리고 중국경제의 부상이 자본 및 수출 수입 수요의 안정적인 확보를 도모하여 특히 각 부문 충격이 경제에 미치는 영향을 반감시켰을 개연성이 있다. 분석에 사용된 모형과 식별에 사용된 충격의 다양한 조합에도 불구하고 위의 두 가지 패턴은 일관되게 관측되고 있음에 비추어 볼 때, 2000년 이후 우려되고 있는 우리나라의 경제성장률 저하 현상은 잠재성장률 하락에 주로 기인하는 것으로 판단된다.

• 한국인구학
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• 제11권2호
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• pp.33-53
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• 1988

This study aimed at developing a desirable family planning policy and strategy by examining the current status of family planning practice in rural Korea and by indentifying the crucial factors which affect fertility control behavior. For this purpose, an analytical study was conducted, using the survey data collected in July 1985, on an interview basis, on 1, 440 married women living in the Soyi, Wonnam and Maingdong townships of Eumseong County(in North Chungcheong Province). This study population has the typical characteristics of rural areas, and the results of the analysis can be summarized as follows: 1. In regard to the demographic characteristics of the study population : their average age at marriage was 23.7, they had an average of 2.6 children( 1.3 boys, 1.3 girls) :10% experienced the death of their child (ren) :14% had spontaneous abortion(s) :4% weathered stillbirth(s) :35% went through induced abortion (s) : and 5.5% were currently pregnant. The average of their ideal numbers of children was 2.2, while 44% felt that they must have a son. 2. Looking at the contact rate with medical & health institutions, over the past 1 year, the visit rate to health subcenters was 43.7%, while 26.9% visited the (county) health center :59.6% had been to private clinics : and 41.5% went to the Soonchunhyang - Eumsung hospital : thus showing a relatively high rate of accessibility. 3. The utilization rate of family planning services was 76.5%, with tubectomy being the most prominent method at 52.3%, while the informants were health workers in 54.2% of the acceptors. Of the 8.4% who discontinued the use of contraceptive methods, only 26% did so due to want for pregnancy, natural infertility (meno - pause), or other reasons, while the remaining 74% stopped usage on account of side effects, failure in the methods themselves, and inconvenience of use, thus pointing to a situation where the proper choice of family planning methods have not yet been made. It can be noted that there is a strong motivation for early birth stopping as 35.3% practice family planning even with only one child, of which 38.3% have had sterilization operations. According to results of a multiple regression analysis, among the variables affecting contraception usage the most significant variable was the number of sons. 4. 34.8% experienced induced abortions. It was shown as a result of multiple regression analysis that the number of children and attitudes toward induced abortions extensively affected their frequency of abortions conducted. 5. In the regard to the relation between family planning and induced abortions, 33.7% of the women used both, while 52.0% of them used only the former(family planning), with only 1.4 % utilizing solely the latter(abortion), and 12.9% totally abstaining from fertility regulation : again, the discriminant analysis indicated that the choice of family planning and/or induced abortion was determined by the number of children and attitudes toward induced abortion. In view of the above mentioned results, the following are some comments and suggestions concerning problems related to the current family planning policies, in Korea : 1. It is difficult to expect a further quantitative expansion in family planning program operations, as there has been an excessive supply of target-oriented sterilization operations on women. From a maternal and child health care point of view, it will be desirable to have a diversification of service points in the future where family planning methods may be properly chosen, so that choices of methods which suit the mothers' characteristics and tastes may be made by the individuals themselves by strengthening their quality of family planning information services. 2. Along with the strengthening of the qualitative improvement of family planning services policies must be implemented to effectively promote the moral (ethical) deterrents to induced abortions and to preference for sons. From a maternal care standpoint, the social permissive norm toward induced abortion must be modified, and the bias towards son must be analyzed as the women with more daughters have a lower rate of family planning acceptance. Such changes in attitudes, however, can not be hoped to be accomplished with ad hoc policies, but will only be possible when an enhancement of the women's status(within the society) is brought about in a long - term perspective.