• 한국병원경영학회지
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• 제15권4호
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• pp.1-26
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• 2010

We achieved both industrialization and democratization during the shortest period in the world. We also achieved good performance in national health insurance: universal coverage, solidarity in financing, equitable access of health care. However, national health insurance system has faced the problem of sustainability: various expenditure and financing problems. The problem of sustainablity has two facets of economic sustainability and fiscal sustainability. Economic sustainability refers to growth in health spending as a proportion of gross domestic product(GDP). Rapid increasing rate of health spending exceeds the growth rate of domestic product. Growth in health spending is more likely to threaten other areas of economic activity. Concern on fiscal sustainability relates to revenue and expenditure on health care. Health care financing face demographic and technical obstacles. Democratic obstacle is aging problem. Technical obstacle is collection of contribution. Expenditure of health care has various problems in benefit structure and efficiency of health care system. In this article, I suggest several policy reforms to enhance sustainability: generating additional revenue from value added tax, changing method of levying contribution, increasing efficiency of health care system by introducing the competition principle. restructuring of benefit scheme of health insurance. contracting with health care institutions to provide health care services.

• 보건행정학회지
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• 제30권2호
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• pp.192-198
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• 2020

Background: Korea National Health Insurance Service (NHIS) is operated as a social insurance system in which people pay a portion of their monthly income as insurance premiums and receive benefits when they experience illness or injury. Since 2005, the national health insurance remained surplus accumulating cumulative reserves each year. However, as of 2018, NHIS revenue recorded 62.11 trillion won and spending of 62.29 trillion won. The deterioration of NHIS finances is expected to accelerate with the aging population, income growth, new medical technology development, and enhanced security policies. Methods: To examine the financial health and sustainability of NHIS, we estimated the future revenue and spending until 2030 using the data from Korea Health Insurance Review and Assessment Service statistical yearbook. 2004-2018 average percentage change in NHIS revenue and spending was calculated. We estimated the future NHIS financial status using two methods. In the first method, we calculated the revenue and spending of the future NHIS by applying the 2004-2018 average percentage change to the subsequent years consecutively. In the second method, we estimated the future NHIS financial status after adjusting for the predicted demographic changes such as the aging population and declining birth rate in South Korea. Results: The estimates from this study suggest that the NHIS's cumulative reserves will run out by 2024. Conclusion: In terms of spending on current health insurance, there should be a search for ways of more efficient spending and funding options.

• 한국군사과학기술학회지
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• 제13권6호
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• pp.1091-1098
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• 2010

Victory and defeat of the war depends on follow-on logistics support. The spending time of follow-on logistics support at combat area is greatly influenced by the degree of combat intensity. The main purpose of this study is to compose a optimal supply route for operational sustainability of combat unit at combat area using transport vehicles. This study suggests a composition of optimal supply route for follow-on logistics support which considers the degree of combat intensity. A mathematical programming model and a genetic algorithm suggest to minimize the total spending time of follow-on logistics support. The suggested mathematical programming model is verified by using CPLEX 11.1. This study computes supply route, total spending time, total travel distance, and the number of transport vehicle.

• 문화기술의 융합
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• 제10권1호
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• pp.369-378
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• 2024

본 연구는 공적연금의 지속가능성과 관련하여 비교연구를 수행하는 것을 목적으로 한다. 공적연금의 지속가능성과 관련한 주류적인 시각은 재정적 지속가능성을 전제로 하고 있는 반면, 본래의 목적인 노후 소득보장성은 간과하여 왔다. 공적연금의 지속가능성은 재정적 지속가능성 뿐만 아니라 인구구조, 노동생산성, 산업구조, 근로세대의 생애주기, 공적연금에 대한 정부지출, 경제성장, 사회적 합의 등과 같은 다양한 요인들에 대한 고려가 필요하다. 본 연구는 이러한 문제의식 하에 한국을 포함한 44개국들을 대상으로 퍼지셋 질적비교연구를 수행하였다. 분석결과 한국은 단년도의 재정적 지속가능성은 높았지만 사회적 협의 및 공적연금 운용과 관련한 통합성이 상대적으로 낮았으며, 보장정도와 다른 연금체제와의 연계 등과 같은 적절성 역시 상대적으로 낮은 것으로 나타났다. 보다 폭넓은 공적연금의 지속가능성은 재정적인 지속가능성 뿐만 아니라 적절성, 통합성 또한 중시되어야 할 것이다.

• 사회복지연구
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• 제47권4호
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• pp.217-254
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• 2016

본 연구는 조세구조에 주목하여, 재정적으로 지속가능한 복지국가의 제도적 특성을 규명하는 것을 목적으로 한다. 분석에서는 복지국가의 재정적 지속가능성이 복지지출에 영향을 미치는 것은 물론 장기적으로 복지지출에 영향을 받을 수도 있으므로, 복지국가의 재정적 지속가능성과 복지지출 수준을 각각의 종속변수로 하는 동시방정식 모형(3단계 최소제곱법 활용)을 추정한다. 분석 결과, 대체로 조세부담 수준을 높이는 것은 복지국가의 재정적 지속 가능성에 정적 영향을 미친다. 반면에, 능력자 부담 원칙과 관련해, 과세원 간의 격차가 확대되는 것은 복지국가의 재정적 지속가능성을 저해한다. 수익자 부담 원칙 차원에서 사회보장기여금과 민간기여의 확충은 복지국가의 재정적 지속가능성 제고에 긍정적으로 기여하는 바 사회보장재원을 다원화하는 것이 장기적으로 복지국가의 재정적 지속가능성 확보에 긍정적인 영향을 할 수 있다.

• 가족자원경영과 정책
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• 제16권4호
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• pp.45-68
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• 2012

This study performed an analysis to determine if an individual can maintain the current consumption, in the case of a single retired elderly person's household using the accumulated assets. Assets are divided into three types, based on the behavioral economics life cycle hypothesis : financial assets, real assets excepting residential assets, and residential assets, and it is assumed that these assets were used on a step-by-step basis. Also, if the assets were sufficient, the maximum withdrawal amount was calculated. The results of the analysis are as follows. First, the monetary assets were sufficient to cover the cost of living for 2.7 years, 6.4 years by using the real assets of the non-occupied housing, and 26.3 years in the case of residential property. Second, in the case of preferentially using the financial assets, 4.4% of the sample households were able to cover the cost of living. Households that were not able to cover the cost of living used the next-stage assets, real assets of the non-occupied housing. Households that were not able to cover the cost of living by financial assets liquidated the real assets with the exception of residential assets and used these to cover the cost of living. A total of 4.8% of the households were able to maintain the current cost of living through the second stage and 25.5% supplemented their funds by using residential assets. That is to say, 35% of the sample households were able to maintain the current level of living by using their assets.

• The Journal of Asian Finance, Economics and Business
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• 제8권4호
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• pp.277-287
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• 2021

This article systematically reviews the adoption of total quality management (TQM) implementation and corporate social responsibility (CSR) initiatives on firm performance. A total of 233 published documents from 1996 to 2020 in international journals have been collected and listed on the SCOPUS database. It aims to fill the existing literature gap regarding TQM and CSR practices and point out a future research agenda. This study employed a systematic literature review approach to review those manuscripts related to TQM, CSR topics focused on firm performance. Consequently, the results stressed that TQM and CSR are excellent tools and have a similarity to support the firms to attain corporate sustainability; however, TQM practices have given more interest than CSR initiatives. Moreover, the results highlighted that only a few articles are interested in simultaneously combining TQM and CSR initiatives although this idea is rising in recent years. Thus, the statistical findings indicated several research gaps that remain unaddressed. It is worthy of considering TQM and CSR integration; however, other scholars need to identify the critical success factors that could enable TQM practices or barriers to CSR adoption. Particularly spending more attention on the transitional economies context, which is considering a promising future research context.

• 보건행정학회지
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• 제27권4호
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• pp.366-371
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• 2017

The National Health Promotion Fund has grown as the increase of tax on tobacco consumption, but more than half of the fund was spent on health insurance supporting. It is important to use the fund appropriately to keep legitimacy and sustainability of health promotion. Therefore, services regarding health promotion should be a priority in spending health promotion fund, and operation system should be established to manage and administer the fund properly.

• 마케팅과학연구
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• 제20권2호
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• pp.199-207
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• 2010

"对我们而言, 成为一名负责的公民和一份成功的事业之间没有区别.....他们对今天的沃尔玛是完全一样的." Lee Scott, 沃尔玛的CEO在2005年卡崔琳娜飓风灾难之后(Esty and Winston 2006) Lee Scott的声明标志着可持续发展的一个新的时代. 作为一个被全球生产商和零售商所关注的全世界最大规模的经销商确认了他们的可持续发展的意图. 近十年来, 环保运动不断增长, 并扩展到全世界. 公司已经诞生, 产品已被创造, 学术期刊 已经展开, 政府已经承诺—所有这一切都在追求可持续发展(Peattie and Crane 2005). 虽然进展的确比一些人渴望的慢了一些, 但是很多大规模的经销商已经为环保做出了可持续发展的努力. 为了更好的理解这个运动我们同时提供高管和消费者参与的有包装的消费品产业的角度. 该研究依赖于三个潜在主题: (1)概念和证据表明,公司为很多理由进行可持续发展 (2)在有包装的消费品行业中, 可持续发展活动的数量在持续增长 (3), 因此, 必须探索可持续发展在消费者意识中起的作用. 根据这些主题, 143名大学生和101名企业高管参加了调查来评估一系列的有关可持续发展的变量包括愿意支付, 行为意图, 态度和偏好. 结果显示高层管理者相信可持续发展的三个最主要的原因是(1)盈利能力的机会; (2)以实现对环境的义务; (3)对顾客和股东负责. 大学生的三大原因: (1)对环境的责任; (2)为子孙后代负责, 和(3):一种有效的管理资源. 虽然企业高管和大学生对支持可持续发展的理由不同, 但是企业高管和消费者的报告显示了对剩下大部分的可持续发展问题的相似性. 另外, 当我们要求消费者去评估6个关键问题的重要性时(医疗保健, 经济, 教育, 犯罪, 政府支出, 和环境), 保护环境仅排在第四位(Carlson 2005). 这6个问题都被认为是重要的, 三个最重要的是(1)改善教育;(2)本地区的经济发展,以及(3)卫生保健. 为了可持续发展的持续性, 我们也将预期结果. 反映社会, 企业利益表现的新定义和执行期的延长同样被揭示出来(Ehrenfeld 2005; Hitchcock and Willard 2006). 基于文献我们发现了三个基本范畴的结果:(1)改进组成的满意度, (2)分化的机会, 以及(3)金融奖励. 在每一种分类中, 我们发现从可持续发展活动中导致11种不同结果的几个特定的结果. 我们的调查结果表明,最有可能的结果最高的前五项依序为公司的可持续发展追求的是:(1)绿色的消费者将会更令人满意;(2)公司形象会更好, (3)公司的责任将得到加强, (4)会降低能源成本;(5)产品将会更多的创新. 另外, 为更好的理解消费者的环境 "身份" 和在市场购买中愿意显示出这个 "身份" 的有趣的交集, 我们扩展了以前Experian Research(2008) 的研究. 因此,受访者分为四个不同类型的绿色消费者(行为绿色,想法绿色, 潜在绿色, 或真正褐色)来获得更好的理解绿色消费者. 我们评估这些消费者愿意从事环保行为评估三种选择. (1)购物零售商支持环保措施;(2)支付更多来保护环境, 以及(3)支付更高的税收,政府可以支持环保措施. 想法绿色消费者表示最愿意改变, 紧随其后的是行为绿色消费者, 潜在绿色消费者和褐色消费者. 这些差异都是显著的(p<.01). 结论和启示我们采用描述性研究, 旨在促进我们理解战略领域的可持续性. 确切地说, 该研究以特定的偏好, 意图, 愿意支付, 行为和态度填补了进行比较与对比的持续性的商业管理者和消费者意见的文献的空白, 对从业人员, 能获得一个战略观点. 此外, 许多结果已经说明, 受访者愿意为产品付出更多来保护环境. 其他特定的结果表明, 女性受访者始终比男性强愿意交流, 为这些产品付更多的钱, 在环保的零售商. 了解这些额外的信息, 实践者现在有了更多的特定市场, 对目标和交流他们为可持续发展所做出的努力. 虽然这项研究仅仅是最初的一步了解实践者和消费者对于可持续发展的异同, 我们的结果对实践与研究都有帮助. 未来的研究应向测试其他变量的影响关系, 以及其他特殊行业.

• 보건행정학회지
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• 제32권3호
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• pp.245-246
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• 2022

Concerns about a global economic recession are rising following the coronavirus disease 2019 (COVID-19) pandemic. Accordingly, government entities, which are committed to overcome two barriers to severe inflation and economic recession, are showing high interest in spending management so as not to undermine fiscal soundness. Since the health care sector especially accounts for a large proportion of fiscal expenditure, it should be managed in a manner that the expense is appropriately spent. The National Health Insurance System and Healthcare System have secured international competitiveness and reliability by effectively responding to the COVID-19 pandemic. Likewise, considerable efforts should be made to reorganize the welfare and healthcare systems so that they can be sustainable during the post-COVID-19 era and the recession.