• 보건행정학회지
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• 제29권4호
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• pp.394-398
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• 2019

Education on the physician continues with undergraduate medical education, graduate medical education, and continuous medical education. The countries such as the United States, Japan, the United Kingdom, German, and others are required to undergo training in the clinical field for 2 years after completing the national medical examination, and to become doctors after passing the clinical practice license test. Korea can obtain a medical license and become a clinical doctor at the same time if it passes written and practical tests after completing 6 years of undergraduate medical education or 4 years of graduate school. About 90% of medical school graduates replace clinical practice with 4-5 years of training to acquire professional qualifications, but this is an option for individual doctors rather than an extension of the licensing system under law. The medical professional qualification system is implemented by the Ministry of Health and Welfare on the regulation. In fact, under the supervision of the government, the Korean Hospital Association, the Korean Medical Association, and the Korean Academy of Medical Sciences progress most procedures. After training and becoming a specialist, the only thing that is given to a specialist is the right to mark him or her as a specialist in marking a medical institution and advertising. The government's guidelines for professional training are too restrictive, such as the recruitment method of residents, annual training courses of residents, dispatch rule of the residents, and the quota of residents of training hospitals. Although professional training systems are operated in the United States, the United Kingdom, France, and Germany, most of them are organized and operated by public professional organizations and widely recognize the autonomy of academic institutions and hospitals. Korea should also introduce a compulsory education system after graduating from medical education and organize and initiate by autonomic public professional organization that meets global standards.

• 정보관리연구
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• 제36권1호
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• pp.125-154
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• 2005

인터넷의 발달로 개인정보의 수집 및 이용이 일상화됨에 따라 개인정보의 침해가 급속도로 확대 되고 있다. 의료분야에 대한 개인정보보호에 대해서는 '정보통신망이용촉진 및 정보보호 등에 관한 법률'등에 체계적으로 규정되어 있으나, 법적용 대상이 정보통신 서비스 제공자 위주로 규정되어 의료분야에 적용하는 데 한계가 있다. 때문에 본 논문에서는 국내 의료기관이 전자의무기록 시스템에 보안을 적용하기 위해 우선적으로 선행되어야 할 개인의료정보 보호방안에 대해 정의하고, 적용근거를 위한 법 제도의 검토사항을 제시하였다. 또한, 전자의무기록에 대한 전자서명의 구체적인 적용방안을 예시하여 의료분야에 있어서 보안적용을 위한 기준을 제시하였다.

• 한국병원경영학회지
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• 제13권2호
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• pp.36-63
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• 2008

This study carried out a covariance-structural analysis to verify formed causations between general variables and the influences of Medical Social Work Service of officers and NCOs in Korean Community Military Hospitals. The subjects were 7 hospitals, 337 military hospital executives in rear area, and the results of the survey are as below. First, about empowerment level, culture in the organization turned out to be the primary direct influential factor, and personal, organizational, and functional character were influential factor. There was no indirect influential factor present. Second, in Medical Social Work Service, empowerment level was significant on direct effect. In case of personal character indirect effect was important. It showed that the significant influence factor that affects Medical Social Work Service in total effectiveness is personal character and empowerment level. It's productive to suggest the possibility of application of furnish the outcome as a basic data for Military Medical Social Work Service revitalization plan. On the basis of the result, we propose several suggestions for Military Medical Social Work Service as follow. First, to educate empowerment increase program of officers and NCOs in Military Hospital, specific system which allows entrust education to a certain civil education institution or KAMTSW(Korean Academy of Military Social Welfare) is required. Second, need to provide the medical social work service that matches with Military Hospital and distinct from usual hospital. Last, for specific study we expect various follow-up researches on the basis of this study, which can develop concrete empowerment model by inquiring research, would come out.

• 농업과학연구
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• 제47권3호
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• pp.425-435
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• 2020

Official development assistance (ODA) projects are conducted under the auspices of donor countries and on the principle of time-limited implementation for economic development and welfare improvement in a host country. Exit strategies on how to end official assistance are therefore crucial. Sudden economic recession in a donor country could lead to the suspension of ODA projects, which would affect diplomatic relations and project outcomes. Further, exit strategies can help continue the original project and create links with other ODA projects. This study shows how to employ exit strategies in the Korea-Mongolia Greenbelt Plantation Project and has implications for sustainability of development assistance. Exist strategies were not taken into consideration initially. In the course of implementation and management transfer upon the completion of plantation, various facets were considered later on in developing exit strategies. An ideal exit strategy is to reach the extent to which a host country no longer needs official assistance or has capacity of project implementation on its own. A year-by-year transfer of planted areas can be a phase-over strategy. The Korea Forest Service fulfilled transparent cooperation with Mongolian local governments, established appropriate arrangements with stakeholders, secured institutional and financial foundation for follow-up management by a host country, and realized predictability, responsibility, and sustainability. As a local institution, the plantation technology management center has been established for follow-up activities such as the introduction of agro-forestry. When the Korea Forest Service designed an urban forest project as an exit strategy, sustainability was ensured, which has implications in implementing other ODA projects.

• 대한가정학회지
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• 제42권3호
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• pp.119-130
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• 2004

The purpose of this study is to estimate the rate of credit card payment for private education. The results of study can be used to improve credit card handling problems of private educational institutes, leading toward improvements in income transparency, increase in tax burden equity and long-term economic welfare improvement for individual households. 424 households out of 586 household that were surveyed in September of 2002 had 1,700 cases private extracurricular education. 67 of the 1,700 cases that did not have expenditure records were removed from the analysis. Only 3.67％ out of 1,633 cases were paid by a credit cards and the amount of credit card payment were only 5.65％ of the total amount spent for private education. The average fee of private educational institutes that allow credit card payment was higher than the fees of private institutes which don't allow a credit card payment or those of private institutes where consumers don't know whether a credit card payment was allowed. The average fee of private education paid by credit cards was 34,465.46 won higher than that paid by cash. Credit card payments to private educational institutions is an important social issue with respect to fair tax collection and tax burden equity since most private educational services operate in fairly small sizes and are offered by the self-employed, and the expense of private education is a fairly large proportion of the household income. It is also important for consumers if credit card acceptance expands alternatives that consumers can choose in private education. Therefore, credit card payment should be encouraged in private extracurricular education. To do this, private education providers should be forced to join a credit card payment service by the National Tax Service. A regulation that prohibits the refusal of credit card payments should be required, and credit card service charges of private education providers should be incrementally decreased. Also, consumer education and public promotions for credit card use instead of cash in paying for private education fees are recommended.

• 한국가족복지학
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• 제43호
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• pp.5-35
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• 2014

이 연구의 목적은 가정위탁지원센터 실무자들의 실천경험을 이해하고 이를 통해 가정위탁제도의 이슈들을 파악해 가정위탁제도를 개선하고자 하는 것이다. 이 연구는 연구목적을 달성하기 위해 가정위탁지원센터에서 일하는 사회복지사들을 대상으로 한 면접을 통해 자료를 수집하고, 귀납적 접근을 통해 분석하였다. 구체적으로는 중앙가정위탁지원센터와 3개 지역가정위탁지원센터에서 근무하는 4명의 중간관리자와 3명의 상담원, 총 7명의 사회복지사를 대상으로 면접을 진행하였으며, 귀납적 분석을 통해 가정위탁 실천현장에서 경험한 주요 이슈들을 발견하고자 하였다. 분석결과, 네 가지 주제와 15개의 하위주제들이 나타났다. 주요 주제들은 '현실과 먼 정책, 알려지지 않은 제도', '엉성한 네트워크, 엇갈리는 서비스체계', '너무 많은 일들, 너무 다양한 사례들', '배제된 친부모 역할, 제한된 위탁부모역할' 등이었다. 이러한 연구결과를 토대로 가정위탁지원센터의 증설과 실무인력 확대, 네트워크의 충실화, 친가정 서비스 강화 등 가정위탁지원제도를 개선하기 위해 필요한 정책과 실천 지침들을 제언하였다.

• 가정간호학회지
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• 제27권3호
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• pp.356-371
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• 2020

Purpose: This study was conducted to assess the working conditions of home health nurses in hospital-based home health institutions nationwide. Methods: A secondary data analysis study was conducted based on the survey data on the working conditions of home health nurses, jointly conducted by the Korean Home Health Care Nurses Association and the Academic Society of Home Health Care Nurses in September 2020. Results: Of the home health nurses respondents, 82.4% worked in tertiary hospitals and general hospitals. Most of the working hours of home health nurses were 40 hours a week. Traffic accidents accounted for a significant proportion of accidents experienced by the home health nurse while performing their duties. Most of welfare and benefits systems applicable to home health institutions were in place. The time allocated to provision of home health nursing services was usually more than 30 minutes but less than 1 hour. The type of position of the individual in charge of home health care differed according to the type of medical institution. Conclusion: It is recommended that continuous investigation and analysis be conducted in order to establish a direction for improvement of home health nurses' working conditions, based on the related accumulated data.

• 한국융합학회논문지
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• 제12권2호
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• pp.221-231
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• 2021

본 논문은 인구이동의 이론에 따라 혁신도시 이전기관 종사자 구성세대의 이동 요인을 추출하고 요인들의 상대적 영향을 설명하고자 하였다. 개인 및 가구변수와 거리와 인구의 중력모델, 네트워크변수, 지방재정·지역경제·교육·문화·주택 등 전입지와 전출지의 상대적 유용성판단의 지역변수를 선정하였다. 종속변수의 이산성과 데이터의 구조를 감안하여 다층로짓모형 구축하였고 최종모형은 확률절편모델을 선택하였다. 실증분석 결과 개인·가구변수에서는 남성보다 여성이, 30대 미만보다는 30-40대가, 대졸이하보다는 박사학위취득자가, 취업한 배우자보다는 미취업배우자의 이전종사자가 주민등록을 더하였다. 지역변수에서는 중력모델과 관련하여 기관까지 거리가 멀수록 주민등록을 더 한 반면, 이전 시기(t-1)의 일반 유입이 클수록 주민등록 이전을 덜 하였다. 지역간 상대적 유용성과 관련하여 전입지의 지역경제, 교육환경, 주거환경이 클수록 이전을 더하였고 지방재정의 경우는 반대였다.

• 한국의료질향상학회지
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• 제27권1호
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• pp.58-69
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• 2021

Purpose:In this study, we reviewed existing victim support programs implemented in Korea to aid in the development of psychosocial support programs for patients and guardians who have experienced patient safety incidents. Methods: We reviewed similar programs: a support program for suicide survivors operated by the Korea Psychological Autopsy Center (Korea Foundation for Suicide Prevention), a family harmony program for workers in industrial accidents operated by the National Center for Forest Therapy, and the support services for crime victims provided by the Korean Crime Victims Support Association. We reviewed the contents of each website and conducted interviews with key personnel from each institution. Results: The support program for families who have experienced suicide was developed based on the suicide prevention project at the Central Psychological Autopsy Center. The family harmony program for workers who suffered industrial accidents is operated by the National Center for Forest Therapy at the behest of the Korean Workers' Compensation and Welfare Service. The Korean Crime Victims Support Association was established by the Ministry of Justice in accordance with the Crime Victim Protection Act and provides support to victims of crime. Each program was designed and implemented considering the objectives and goals, defining their recruitment plans as well as the selection criteria for their participants, and creating quality content that adequately addressed the struggles of their participants. Conclusion: The summarization of the various types of victim support programs in this study can be helpful in the future development of psychosocial support programs for victims of patient safety incidents.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권1호
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• pp.35-40
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• 2021

Objectives: Among the many intervention programs for children with autism spectrum disorder (ASD), the Early Start Denver Model (ESDM) is one of the few approaches that has succeeded in demonstrating clinical efficacy in randomized control trials. Here, we investigate the clinical efficacy of ESDM intervention in young children with ASD in a community setting within Japan. Methods: All subjects were children with ASD who received ESDM intervention during the study period. Each ESDM session lasted 75 min and occurred once per week for at least 12 weeks. The outcome measures consisted of the Kyoto Scale of Psychological Development (K-test), Aberrant Behavior Checklist-Japanese version (ABC-J), and the Clinical Global Impression-Severity scale (CGI-S). Results: Twenty-seven subjects (29.4±6.4 months old) received ESDM intervention that lasted for 8.0±2.6 months on average. The score on Language and Social developmental quotient on the K-test increased significantly after the intervention. The total scores on the ABC-J and CGI-S significantly decreased after completion of the ESDM intervention. Conclusion: Our results suggest that ESDM intervention could reduce the severity of distinct clinical features of ASD, such as impairments in social interaction and communication assessed by the K-test, and maladaptive behavior rated by the ABC-J and CGI-S. We believe that the ESDM adapted to each institution might become one of the standard options for children with ASD in Japan.