LA GESTION DES ADMINISTRATEURS TERRITORIAUX EN FRANCE

Pyun Hae-Ok(변해옥),Eun Jae-Ho(은재호) 서울행정학회 2013 서울행정학회 학술대회 발표논문집 Vol.2013 No.10

후기 신공공관리(Post-NPM)와 관료제 - 프랑스 지방직 고위공무원단의 인사관리전략을 통해 본 관료제의 탄력성 -

Hae-Ok Pyun,은재호 한국비교정부학회 2016 한국비교정부학보 Vol.20 No.4

This study examines the effects of the NPM on the traditional bureaucratic personnel management and the flexibility of the bureaucracy pointed out by Gay et al(2005). For this purpose, this study was conducted by collecting 1,125 senior local government officials called local administrator to examin their tenure and turnover status and to extract their career patterns. In addition, we surveyed 231 local administrators and conducted in-depth interviews with 27 people to examine motivation, career path and job change. According to this study, the French bureaucracy faced big changes when the NPM was introduced and the personnel system based on "motivation", "punishment", "target recruitment". But, the change is not a fundamental one as it is claimed so often by pro-NPM theorits. The change is merely a hybridization or fusions. HR management of local administrators is convergent and it is evident at three levels. First, the local administrative organization considered as an organization with a vertical hierarchy is not so hierarchical in reality. Second, according to the autonomy principle of the local administration, which guarantees for mayors the right to choose or dismiss a local administrator according to his or her needs, the myth of employment stability, which has long been regarded as a privilege of public officials, is not observed. In addition, the subject of the decision of the local administrators was the elected civil servants and the local administrators themselves, rather than the basic laws of local governments. Third, the collective identity of local administrators as cooperatist is strengthened. In conclusion, this observation supports the arguments of the 'flexible bureaucracy' theory, which is one of the theoretical topologies of the post-NPM : bureaucracy is more flexible than it is assumed and adaptable to changes.

Les carrières «motiles» en univers bureaucratique : le cas des administrateurs territoriaux

Hae-Ok Pyun,Frank Bournois,Véronique Chanut 한국정부회계학회 2015 정부회계연구 Vol.13 No.2

2008년과 2011년 글로벌 금융위기 이후 조직 형태 및 고용관계가 많은 변화를 겪고 있 다. 이로 인해 기존의 경력보다는 유동적인 경력 (motile carear)현상이 두드러진다. Arthur와 Rousseau (The boundaryless career, 1996)가 주장한 조직 형태가 사회 환경 의 영향을 받는 것과 같이 경력 형태도 조직 형태의 영향을 받는다고 주장하고 있다. 다시 말해 사회 환경이 불안정하면 할수록, 조직 형태가 관료형태보다는 좀더 유동적인 형태를 취하게 되고, 조직 형태가 유동적이면 유동적일 수로, 구성원의 경력 형태도 더욱 더 유동 적이 된다. 그러나, 본 연구에서는 Arthur와 Rousseau의 기존 연구와 달리 조직 형태가 관 료적임에도 불구하고 구성원들의 경력이 유동적이라는 점을 제시하고 있다. 함축하면 관료 조직에서도 유동적 경력이 있을 수 있다는 것이다. Depuis les années 1970 et surtout les crises 2008 et 2011, l’environnement socio-économique transforme les formes organisationnelles et tout particulièrement, les relations entre salariés et employeurs. Il en résulte, entre autres, la mise en cause des carrières traditionnelles au profit de différentes formes de carrières, notamment des carrières motiles. Pour Arthur, Rousseau et al. (The boundaryless career, 1996), la diversification des formes de carrières est liée à celle des formes organisationnelles et les carrières motiles concernent le plus souvent l’organisation organique. Grâce au soutien de l’Association des Administrateurs Territoriaux de France, notre étude sur 1 125 parcours professionnels d’administrateurs territoriaux démontre que ce phénomène touche également l’organisation bureaucratique.

Free Paper Session : HCC ; Clinical factors related to recurrence after hepatic arterial concurrent chemoradiotherapy for Locally advanced hepatocellular carcinoma (초)

( Hye Jung Cha ),( Hong In Yoon ),( Hae Ok Pyun ),( Woong Sub Koom ),( Jin Sil Seong ) 대한간학회 2011 Clinical and Molecular Hepatology(대한간학회지) Vol.17 No.3(S)

HCC : PE-062 ; The Radiotherapy on HCC in caudate lobe

( Hyun Jung Kim ),( Jih Ye Cha ),( Hae Ok Pyun ),( Jin Sil Seong ) 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.1

Background: Hepatocelluar carcinoma (HCC) in caudate lobe has poor prognosis and is challenging to treat with surgery, radiofreqeuncy ablation (RFA), transcatheter arterial embolization (TACE) because of its unique anatomic location. This study was designed to assess the efficacy and safety of radiotherapy (RT) for HCC in the caudate lobe. Methods: Between January 1996 and August 2011, 58 patients with HCC in caudate lobe were treated with RT. Fifty cases were treated after the failure of previous RFA or TACE. Eight patients were treated as definitive aim. Most of the patients were treated with RT alone (44%) while the others were treated with RT with intra-arterial (34%) or systemic chemotherapy (15%), RT after TACE (7%) within 1 month. Median radiation dose was 45Gy (range, 30.6 - 80 Gy) in 25 fractions. The tumor response was determined by CT scans at post-RT 3 months. Results: The median follow-up period after RT was 10.6 months (range, 1 ? 93 months). The 1 year- and 2 year-local control rates were 73.5% and 47.7%, respectively, and 1 yearand 2 year-overall survival rates were 53.8% and 40.4%, respectively. Complete response was achieved in two patients. In-field local control was achieved in 70% of patients. During the follow-up, 14 patients (24%) developed intra-hepatic metastases and eight patients (13%) developed extra-hepatic metastases: lung, distant lymph nodes, bone, and brain. Seven patients developed grade 1 nausea or anorexia during RT. There were no grade 3 or greater treatment-related toxicities. Conclusions: Radiotherapy appears to be an effective and feasible treatment modality for HCC in caudate lobe.

HCC : PE-062 ; The Radiotherapy on HCC in caudate lobe

( Hyun Jung Kim ),( Ji Hye Cha ),( Hae Ok Pyun ),( Jin Sil Seong ) 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.-

Background: Hepatocelluar carcinoma (HCC) in caudate lobe has poor prognosis and is challenging to treat with surgery, radiofreqeuncy ablation (RFA), transcatheter arterial embolization (TACE) because of its unique anatomic location. This study was designed to assess the efficacy and safety of radiotherapy (RT) for HCC in the caudate lobe. Methods: Between January 1996 and August 2011, 58 patients with HCC in caudate lobe were treated with RT. Fifty cases were treated after the failure of previous RFA or TACE. Eight patients were treated as definitive aim. Most of the patients were treated with RT alone (44%) while the others were treated with RT with intra-arterial (34%) or systemic chemotherapy (15%), RT after TACE (7%) within 1 month. Median radiation dose was 45Gy (range, 30.6 - 80 Gy) in 25 fractions. The tumor response was determined by CT scans at post-RT 3 months. Results: The median follow-up period after RT was 10.6 months (range, 1 - 93 months). The 1 year- and 2 year-local control rates were 73.5% and 47.7%, respectively, and 1 yearand 2 year-overall survival rates were 53.8% and 40.4%, respectively. Complete response was achieved in two patients. In-field local control was achieved in 70% of patients. During the follow-up, 14 patients (24%) developed intra-hepatic metastases and eight patients (13%) developed extra-hepatic metastases: lung, distant lymph nodes, bone, and brain. Seven patients developed grade 1 nausea or anorexia during RT. There were no grade 3 or greater treatment-related toxicities. Conclusions: Radiotherapy appears to be an effective and feasible treatment modality for HCC in caudate lobe.

HCC : PE-063 ; The therapeutic efficacy of radiotherapy for HCC in caudate lobe

( Hyun Jung Kim ),( Jih Ye Cha ),( Hae Ok Pyun ),( Jin Sil Seong ) 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.1

Background: Hepatocellular carcinoma (HCC) in caudate lobe has poor prognosis due to unsatisfactory effect with currenttreatment including surgery, radiofrequency ablation (RFA), transcatheter arterial embolization (TACE) because of its unique anatomic location. This study was designed to assess the efficacy and safety of radiotherapy (RT) for HCC in the caudate lobe. Methods: Between January 1996 and August 2011, 58 patients with HCC in caudate lobe were treated with RT. Fifty patients were treated after the failure of previous RFA or TACE and 8 patients, as definitive aim. Most of the patients were treated with RT alone (44%) while the others were treated with RT with intra-arterial (34%) or systemic chemotherapy (15%), RT after TACE (7%) within 1 month. Median radiation dose was 45Gy (range, 30.6 - 80 Gy) in 25 fractions. The tumor response was determined by CT scans at post-RT 3 months. Results: The median follow-up period after RT was 10.6 months (range, 1?93 months). The 1- and 2- year local control rates were 73.5% and 47.7%, respectively, and 1- and 2- year overall survival rates were 53.8% and 40.4%, respectively. Complete response was achieved in two patients. In-field local control was achieved in 70% of patients. During the follow-up, 14 patients (24%) developed intra-hepatic metastases and eight patients (13%) developed extra-hepatic metastases: lung, distant lymph nodes, bone, and brain. Seven patients developed grade 1 nausea or anorexia during RT. There were no grade 3 or above treatment-related toxicities. Conclusions: Radiotherapy appears to be an effective and feasible treatment modality for HCC in caudate lobe.

아동이 지각한 어머니의 언어통제 유형과 아동의 사회적 행동특성간의 관계

권준희,김미양,김현경(A),변경옥,신윤승,신혜영,양혜성 연세대학교 생활과학대학 1992 婦學 Vol.25 No.-

정서 부조화와 소진 -프랑스 공공간호사를 대상으로-

김선애 ( Kim Sun Ae ),주효진 ( Ju Hyo Jin ),변해옥 ( Pyun Hae Ok ) 한국자치행정학회 2020 한국자치행정학보 Vol.34 No.1

본 연구의 목적은 프랑스 공립 병원 간호사의 정서 부조화 및 소진에 영향을 미치는 요인을 알아보고자 시도되었다. 연구방법으로는 질적연구방법으로 심층 인터뷰를 실시하였으며 총 대상자는 12명의 프랑스 공공병원에 근무하는 간호사였다. 자료수집은 2018 년 1 월에 수행되었으며 분석은 어휘분석을 실시하였다. 분석결과, 개인, 조직, 전문직, 노동, 위계적 지원, 심리적 계약의 총 6가지 주제가 도출되었다. 또한 개인과 개인의 환경, 개인과 병원, 개인과 전문직, 개인과 직업 및 지지에 대한 분석을 실시하였다. 본 연구를 통하여 간호사의 감정 조절이 소진에 중요한 영향을 미치는 것으로 확인되었으며 오히려 부적절한 감정조절 전략은 정서적 피로를 촉진함으로써 소진의 위험에 기여하는 것으로 나타났다. 또한 인식과 사회적 지지의 긍정적 효과를 확인하였다. 따라서 간호사의 정서적 피로를 낮추기 위하여 공공의료분야 간호사의 확대, 맞춤형 프로그램 지원 등 행정적, 정책적 지원이 필요하다. 이와 더불어 다양한 전략을 통하여 간호사의 정서 부조화를 낮출 수 있는 중재 개발이 필요하며 결과적으로 소진을 막고 간호사의 이직을 막을 수 있을 것으로 예상된다. Background : The purpose of this study was to investigate the factors affecting nurse emotional dissonance and burnout in nurses working in French public hospitals. Methods :Data were collected from 12 subjects using in-depth interview techniques. The interviews were conducted in January 2018. Results :The interview guide involved six themes: the individual, the organization, profession, labor, hierarchical support, and the psychological contract. We conducted a lexical analysis of organizational, professional, and job identification. Thematic analysis of the contents of the interview was carried out under Individual and personal environment, Individual and his hospital, Individual and profession, Individual and his job, and Social support. Conclusion: Moreover, inappropriate emotional regulation strategies seem to contribute to the risk of burnout by promoting emotional exhaustion.

협력적 거버넌스 관점에서의 광역지방자치단체 협의체에 대한 비교연구: 영국과 프랑스를 중심으로

김태운 ( Kim Tae-woon ),윤광재 ( Yun Kwang-jai ),변혜옥 ( Pyun Hae-ok ) 단국대학교 사회과학연구소 2017 공공정책과 국정관리 Vol.11 No.3

본 연구는 영국의 카운티의회네트워크와 프랑스의 데파르트멍연합체와 레지옹연합체를 협력적 거버넌스 관점에서 접근하여 협의체의 협력구조를 비교ㆍ분석하고 우리나라 시도지사협의회의 발전적 개선을 위한 시사점을 도출하였다. 본 연구의 분석결과 다음과 같은 정책적 시사점을 도출하였다. 첫째, 영국과 프랑스는 협의체에 대한 직접적인 법규정이 존재하지 않아 보다 자율적이고 유연한 협력관계를 구축할 수 있는 것으로 보인다. 둘째, 영국과 프랑스의 협의체는 하위조직으로 다양한 위원회를 활용하고 있어 보다 실무적이고 전문적인 논의가 가능한 것으로 나타나고 있다. 셋째, 사무기구는 지방행정에 대한 풍부한 실무경험을 가지고 있는 인력으로 구성되어 있다. 넷째, 영국과 프랑스의 협의체는 회원분담금 이외에도 다양한 수입원을 확보하기 위한 노력을 기울임으로써 안정적인 재무구조를 구축하고 있는 것으로 보인다. 다섯째, 영국과 프랑스는 국정과 지역발전을 위해 다양한 정책개선 및 권한이양 등에 대한 연구결과를 제공함으로써 협의체 주장의 논리적 타당성을 확보하고 있다. This study compared and analyzed the collaboration structures of upper local government associations the UK and France the terms of collaborative governance, and drew implications for the developmental improvement of the governor association of Korea. The results of the analysis are as follows. First, the UK and France seem to be able to establish more autonomous partnerships because of the absence of direct legal provisions on the associations. Second, the UK and France associations are sub-organizations that use diverse committees to show more practical and professional discussions. Third, the office organizations of the association are made up of people with rich practical experience in local administration. Fourth, the UK and France associations seem to be building a stable financial structure by making efforts to secure various sources of income in addition to member contributions. Fifth the UK and France have shown the logical validity of the alliance by providing research results on diverse policy improvements and transfer of powers to the national and regional development.