• 제목/요약/키워드: public health policies

검색결과 613건 처리시간 0.025초

포용적 생활 SOC 정책 추진을 위한 공원결핍지수 개발 연구 (Development of Index of Park Derivation to Promote Inclusive Living SOC Policy)

  • 김용국
    • 한국조경학회지
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    • 제47권5호
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    • pp.28-40
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    • 2019
  • 지역 및 인구집단의 사회경제적 지위에 따른 생활 SOC 공급의 불균형 문제를 해결하기 위해 포용도시 정책에 대한 논의가 확장하고 있다. 본 연구의 목적은 포용적 도시공원 정책 추진을 위한 대안적 지표로 공원결핍지수(Index of Park Derivation, IPD)를 제안하고, 이를 7대 광역시에 적용해 공원 정책 필요도가 상대적으로 높은 지역을 선정하는 것이다. 주요 연구결과는 다음과 같다. 첫째, 포용도시와 공원기능에 대한 관련 이론 및 선행연구 검토를 통해 포용적 도시공원 정책 개념을 "노인, 어린이, 저소득층, 폭염 미세먼지 등의 환경 재난 재해 취약계층 등 사회경제 및 환경적 지위가 낮은 지역 및 인구집단을 우선적으로 고려해 양질의 공원서비스를 공급 관리하는 정책"이라고 조작적으로 정의했다. 둘째, 공원서비스 수준, 인구구조 특성, 경제 및 교육 수준, 건강 수준, 환경적 취약성 등 5개 부문의 17개 변수를 종합하여 공원결핍지수(Index of Park Derivation, IPD)를 개발했다. 공원결핍지수를 구성하는 변수들은 체육시설, 어린이집, 유치원, 공공도서관 등 공원 외의 생활 SOC 정책에도 적용 가능할 것으로 판단된다. 셋째, 7대 광역시 1,148개 읍면동 지역에 공원결핍지수를 적용한 결과 광역시별 공원서비스 필요도가 상대적으로 높은 지역들이 도출되었다. 서울특별시 강북구 삼각산동, 부산광역시 강서구 대저1동, 대구광역시 동구 안심1동, 인천광역시 부평구 삼산1동, 광주광역시 광산구 신창동, 대전광역시 대덕구 회덕동, 울산광역시 북구 농소3동이 지역별 공원 정책필요도 1순위로 도출되었다. 본 연구는 정부 및 지자체가 쉽게 접근 활용할 수 있는 통계 및 지리정보 데이터에 기반해 포용적 도시 공원 정책을 추진할 수 있는 대안적 지표를 제안했다는 의의를 갖는다.

An Analytic Case Study on the Management of an Upper-level General Hospital(2010-2012)

  • Park, Hyun-Suk;Lee, Jung-Min;Baek, Hong-Suck;Lee, Jun-Ho;Park, Sang-Sub
    • 한국임상보건과학회지
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    • 제2권1호
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    • pp.1-16
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    • 2014
  • Purpose. For a more efficient hospital management, this study aims to provide basic data so that the hospital management and staff in charge of hospital administration may systematically classify and collect hospital information, by analyzing the ordinary characters of an upper-level general hospital system and its common-type balance sheet, common-type profit and loss statement and financial ratio. Methods. By using information about an upper-level general hospital in C Province, provided by Alio(www.alio.go.kr), a public organization information provision site, Health Insurance Review & Assessment Service(www.hira.or.kr) and Ministry of Health and Welfare(www.mw.go.kr), this study analyzed 3 year's data from 2010 to 2012 and provided basic data by analyzing the ordinary characters of an upper-level general hospital system, and its common-type balance sheet, common-type profit and loss statement and financial ratio. Results. After analyzing the ordinary characters, common-type balance sheet, common-type proft and loss statement and financial ration of this general hospital, based on the 2010 to 2012 data, this study came to the following conclusions. Firstly, out of all the 1,069 hospital staff, there were 272 doctors working for 24 medical departments, out of whom the majority was 33 physicians. Most of the nurses were third-class ones, and about 2,000 outpatients and 600 inpatients on average were treated per day. Secondly, as a result of analyzing the common-type balance sheet, this study discovered that intangible assets out of fixed assets accounted for 41%, the majority, out of which usable and profitable donation asset buildings were of great importance, and the liquid assets increased more in 2012 than 2011. In the financial structure, the ratio of liquid liabilities was over 50% out of all the liabilities in 2012, and the ratio of purchase payables was high as well. The ratio of fixed liabilities reached up to 40%, out of which the retirement benefit appropriation fund was quite high. The capital was over 80%, but the surplus was in a deficit state. Compared to the capital, the ratio of total liabilities was about 90%, which indicates the financial structure of this general hospital was vulnerable. Thirdly, as a result of analyzing the common-type profit and loss statement, this study found out that the medical profits from inpatients were higher than profits from outpatients. The material cost was related to the medical quality of this general hospital, and it was as high as 30% out of the total costs and was about 45% of the labor cost. This general hospital showed 10% in the ratio of non-medical profits, and it seemed because of government subsidies. The ratios of medical profits and current net income were gradually changing for the better in 2012, compared to 2011. Lastly, as a result of analyzing the financial ratio, it was found that the liquidity ratio kept decreasing, from 110.7% in 2010 and 102.0% in 2011 to 77.2% in 2012. Besides, it was analyzed that the liquidity ratio and the net working capital ratio greatly decreased, while the quick ratio and the liquid ratio kept decreasing. Conclusions. 1. It is necessary to take the risk management into more consideration, and particularly, it is needed to differentiate and manage the levels of risk in detail. 2. By considering the fact that investments into hospital infrastructures were mostly based on liabilities, it is needed to deal with the scale of losses when evaluating risks. 3. By reflecting the character that investments into hospital infrastructures were based on liabilities, it is necessary to consider the ratio of ordinary profits as well as the ratio of operating profits to sales, and it is also important to consider sales productivity factors, such as the sales amount per a sickbed, by comparing them with other hospitals. As for limitations of this study, there may be some problems in terms of data interpretation because of the lack of information about the number of inpatients and the number of outpatients per year, which are needed for the break-even point analysis. Besides, to suggest a direction for the improvement of hospital management through analyses, non-financial factors should be reflected, such as the trend of economy, medical policies, and politic backgrounds. However, this study only focused on the common-type balance sheet, common-type profit and loss statement and financial ratio, so this study is actually limited to generalizing all the factors by analyzing public data only.

보육시설 급식운영관리 실태 조사 (Assessment of Foodservice Management Performance at Child Care Centers)

  • 이미숙;이재연;윤선화
    • 대한지역사회영양학회지
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    • 제11권2호
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    • pp.229-239
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    • 2006
  • This study was carried out to investigate foodservice management practices of 100 child care centers nationwide, and to provide background information for developing foodservice management policies at child care centers. Approximately 20% of the child care centers had a separate dining room; most of the centers were vulnerable to sanitation or safety problems. The percentage of the centers that planned menus was about 60% and 10% established standardized recipes. Fourteen percent of the centers kept records for distribution and menu evaluation and 33% kept sanitation management records. Since only 7% of the centers employed a dietitian, foodservice in most centers were not managed by professionals. The results of menu assessment revealed that 56.5% of the national/public child care centers received 19 points or higher out of 21 points, whereas 5.6% of the private child care centers received the same scores. Proper usage and storage of raw food, sanitary management of equipment and facilities, waste management/leftover food treatment, and basic facility of cooking zones were performed well by many centers. The overall scores of foodservice performance were only 31.2 out of 60 points, representing relatively poor safety management, food procurement management, and facilities and equipment management. These results indicate that the foodservice management of the child care centers are in a relatively poor state. Since nutrition management of the most centers was performed by non-professionals, it may not be possible to provide proper nutrition for health and normal growth of preschool children and to perform efficient nutrition education programs. The following suggestions are strongly recommended in order to improve foodservice performance at child care centers. First, foodservice administration should be performed by a dietitian, and second, efforts should be focused on strengthening nutrition and sanitation management.

의료행위에 관한 용어정리 및 판례분석 (An Analysis of Korean Supreme Court Cases Regarding Medical Practice and Clarifying the Meaning of Medical Practice)

  • 노태헌
    • 의료법학
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    • 제11권2호
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    • pp.11-74
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    • 2010
  • This article analyzes legal meaning and definition of medical practice examining Korean Supreme Court cases. Until now, there is no right answer about the meaning of medical practice and it is also hard to define of it. Moreover, not only Acts and regulations containing medical practice but also many cases ruling a person who practice medicine, the concept of medical practice involves various meanings. So, it has caused confusion. In order to solve this problem, this article divides the medical practice's meaning into range and nature within prohibition article of the Medical Act about unlicensed personnel who practice medicine. After providing a explanation of the meaning of medical practice according to amendment of the Act, this article disputes the meanings of the several cases following the amendment. And then analyzing non-medical person's unlicensed medical practice and medical person's unlicensed medical practice. In order to provide more accurate legal concept of medical practice when Korean government amends the Medical Act or making policies in this field, this classifying analysis approach should be needed. Looking at the result, in general, Korean Supreme Court has interpreted unlicensed prohibition clause of the Medical Act widely; not only non-medical person's unlicensed medical practice but also medical person's unlicensed medical practice. Therefore, this article suggests that the prohibition clause needs to be careful applying to non-medical practice. Because, in fact, even though there are some necessity of non-medical practice, there are no qualificatory or license system of non-medical practitioner in the Medical Acts or regulations forbidding whole non-medical practices. Furthermore, the Supreme Court has decided medical person's unlicensed medical practice too narrowly, thus it does not keep up with rapid change of medical development and people's demands these days. Regarding this subject, in order to take advantage of medical practitioners effectively and cope with increasing people's medical demands, this article proposes that medical person's unlicensed medical practice only to be prohibited in case of endangering our public health.

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문화콘텐츠기술(CT) R&D 연계 고령친화산업의 수요와 공급에 관한 탐색적 연구 (An Exploratory Study on the Demand & Supply to Senior friendly industry to Culture Contents Technology(CT) R&D)

  • 김연정
    • 한국산학기술학회논문지
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    • 제10권12호
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    • pp.3848-3855
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    • 2009
  • 본 논문은 노인세대를 위한 고령친화산업으로서 노인여가산업과 관련된 정보기술(IT, CT)의 참여현황을 분석하고 노인을 포함한 소외계층을 타겟으로 한 '공공문화서비스' 분야의 CT R&D 로드맵과 현재의 기술현황을 제시함으로써 향후 베이비부머 세대 소비계층의 정보기술의 니즈를 충족시킬 수 있는 콘텐츠 기술(CT) R&D 분야의 정책적 방향을 제시하고자 한다. 고령친화 CT R&D의 수요측면에서 지식정보 고령친화산업의 성장과 정보통신기술, 문화콘텐츠 기술 참여 수요와 여가문화를 분석하여 디지털 기기와 서비스에 대한 중노년층의 참여현황을 분석하였다. 고령친화 문화콘텐츠산업의 기술 R&D 공급 분석에서는 문화관광부가 정한 주요 CT R&D 산업의 대분류 중 '게임'과 노인, 장애인을 타겟으로 한 '공공문화서비스 분야'의 기술공급 현황을 분석하였다. 고령친화 문화콘텐츠 산업의 기술 R&D는 창의적이고 감성적이고 경험에 기반 하는 소통할 수 있는 콘텐츠가 포함되어야 하며, 건강, 경제적 안정성과 정보의 공유와 같이 비 게임적 요소들에 대한 니즈를 충족시켜야 하는 것으로 나타났다.

예방의학의 발전방향 (Directions for Future Development of Preventive Medicine in Korea)

  • 김준연
    • Journal of Preventive Medicine and Public Health
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    • 제39권3호
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    • pp.185-189
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    • 2006
  • It is the actual state of the medical society in our country that many graduates of medical schools want to be clinicians, and accordingly Korea's medical situation is relatively too focused on curative medicine. However, this situation is changing due to several factors including a growing number of doctors, inappropriate regulations for medical fees, changes in social status of doctors themselves, and excessive competition between doctors. Furthermore, we expect more advances in medical field of Korea since Korean government started to attach great importance to sciences and produced policies to support sciences, and as a result, more and more interest and effort in the fields of basic research including preventive medicine is being attached especially by young doctors as compared against the past. However, decline of clinical medicine fields doesn't always mean bright future for the field of preventive medicine. True future is possible and meaningful only when we prepare for it by ourselves. In other words, as the promising future is closed to one who spares no effort, we shouldn't fear to oppose unknown challenges and simultaneously need to support colleagues who bear such a positive mind. It is the most important thing for our preventive medicine doctors to evaluate the past and the present of preventive medicine and to foster a prospective mind to prepare for the future of preventive medicine. I set forth my several views according to directions for the development of preventive medicine which we already discussed and publicized in the academic circle of preventive medicine. Those directions are recommendation of clinical preventive medicine, promotion of preventive medicine specialty, fostering the next generations, improving the quality of genetic epidemiologic study, participation in control of environmental pollution and food safety, contribution to chronic disease control, and preparation to role in medical services for unified Korea.

한방의료기관평가에 대한 한방의료기관 근무자의 인지도 (A Study on Cognition of Oriental Medical Hospital Employees on the Oriental Medical Institution Assessment)

  • 전현숙;정상혁;유승흠;정우상
    • 대한한의학회지
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    • 제29권4호
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    • pp.114-122
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    • 2008
  • Objectives: To determine the factors affecting the assessment of Oriental medical institutions under the Oriental Medical Institution Assessment System and thereupon, provide for some basic data and alternative measures for assessment of Oriental medical institutions. Methods: The researcher sampled 320 people employed by 26 Oriental medical institutions designated as model Oriental medical institutions subject to assessment in 2008 and 2009 and thereupon, used a structured and open-ended survey table for them to collect the data. The size of the final sample was n=302. Results: The Oriental medical institution staff were highly aware of the Oriental medical institution assessment (OMIA), After adjusting the other factors by multiple regression, the factors affecting such recognition were different significantly depending on age (those in their 30's), types of job (nurses and treatment assistants) and locations of hospital (GyeongSang-do). The staff expected the OMIA could helpful for improving facilities and system of hospitals, thus promoting satisfaction of patients. To do so, they felt it necessary to develop an assessment scale reflecting the special conditions besetting the Oriental medical institutions as well as the indices for improvement of Oriental medical service quality. Conclusion: It is hoped that this study will be followed up by future studies which will comparatively analyze Oriental medical institution staff's perception of the assessment system before and after its operation and thereby, suggest some ideal policy alternatives for assessment of the Oriental medical institutions. Furthermore, future studies are requested to research into Oriental medical institution staff's needs and consumers' needs as well in consideration of the characteristics of the Oriental medical institutions and thereupon, suggest some alternatives for continued education, development of the assessment tools, methods and policies.

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글로벌 시대의 기술혁신과 리스크 거버넌스를 위한 의사결정구조의 변화 (Local and global governance of emerging technologies and risk)

  • 서지현;원동규
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2007년도 추계 종합학술대회 논문집
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    • pp.183-187
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    • 2007
  • 고도의 지식 기반사회인 현대사회에서 과학적 지식과 기술 혁신은 개인과 사회, 그리고 국가의 경제 발전과 경쟁력을 위한 필수적 요소로서 자리매김해 왔다. 그러나 이와 동시에 줄기세포연구, 유전자조작기술 등 기술혁신에 따른 잠재적 위험성은 사회적 불안 및 갈등요소로도 작용하고 있다. 기술에 대한 불확실성이 증가하고 사회가 다원화하면서 과학기술정책의 의사결정과정도 기존의 톱다운 방식인 '거버먼트(Government)'에서 점차적으로 '거버넌스(Governance)로 옮겨가고 있다. 다양한 사회 구성원의 참여로 의사결정이 이루어지는 거버넌스는 복잡한 사회 현상들에 대한 다원적 접근을 가능하게 한다. 본고에서는 거버넌스, 특히 기술혁신과 관련된 리스크 거버넌스를 중심으로 과학기술지식을 기반으로 한 의사결정모델을 살펴보고, 글로벌 시대에 과학기술과 사회의 지속가능한 발전을 위한 거버넌스 체계를 모색해보고자 한다.

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도메인 지식 기반 이슈 탐지 모델링 - 해외 발생 감염병 국내 유입 이슈를 중심으로 (Socio-National Issues Detection Modeling based on Domain Knowledge - Focusing on the Issue of Increase in Domestic Inflow Infectious Diseases)

  • 황미녕;이승우
    • 한국콘텐츠학회논문지
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    • 제17권12호
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    • pp.158-168
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    • 2017
  • 빅데이터 관련 기술의 발전으로 공공 보건 분야 등을 필두로 데이터에 기반한 정책을 결정하는 체계적인 방법론에 대한 관심이 증가하고 있다. 본 연구는 데이터를 기반으로 국가, 사회의 주요 이슈를 지능적으로 탐지하기 위해서 도메인 전문가와의 협업을 통해 이슈 탐지 모델을 개발하는 방법을 제안한다. 우선, '해외 발생 감염병 국내 유입' 이슈를 대상으로 이슈에 영향을 주는 요인을 도출하고, 영향 요인을 대표하는 변수 들을 설정한다. 다음으로 시스템 다이내믹스 기법을 이용하여 각 영향요인 간의 인과 분석을 통해 인과지도를 구성하여 영향력 높은 주요 요인들을 찾아낸다. 이 과정에서는 데이터 분석가와 감염병 도메인의 전문가와의 협업을 통해 실증적인 모델링을 진행한다. 이러한 도메인 지식 기반 이슈 탐지 모델을 기반으로 하여 상시 모니터링이 가능한 이슈 탐지 체계가 구축되면 더욱 효과적인 정책 의사 결정이 가능할 것이다.

국내 나노안전성 관련 규제의 법체계 고찰 (A Study on the Legal System of Korea Nano-safety Related Regulations)

  • 이천무;윤종민
    • 기술혁신학회지
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    • 제19권4호
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    • pp.736-767
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    • 2016
  • 최근 일부 나노물질과 나노제품의 보건 및 환경에 대한 유해성과 위해성 문제가 사회적 이슈로 제기되는 등 과거 예상하지 못했던 부정적인 영향이 현실화되면서 나노물질 또는 나노기술이 적용된 제품의 안전성 확보가 선결되어야 한다는 사회적 공감대가 확산되고 있다. 나노물질이 환경과 인체에 미치는 위험으로부터 국민건강과 안전을 확보하기 위해 전 세계적으로 나노물질에 대한 관리 및 규제정책을 강화하고 있는 추세이며, 한국은 2011년에 '나노안전관리 종합계획(2012~2016)'을 수립하여 나노안전성 확보를 위한 범부처 정책을 추진하고 있다. 하지만, 제도적 측면에서 명확한 근거가 될 수 있는 나노안전 법제가 미비하고 나노물질의 응용범위의 다양성을 고려할 때 기존 관계 법령의 개정을 통해서는 사후대응적 한계와 전주기적 관리 및 종합적인 관리체계가 부족한 것이 현실이다. 이에 본 논문은 국내 나노안전 관리에 관한 국가정책 및 관련 법제현황을 분석하고 현행 제도상의 한계점들을 검토하여 나노안전 기반을 확립할 발전적인 법제적 개선방안을 제시하고자 한다.