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      • KCI등재

        중앙행정기관 성과지표 적합성 분석 및 정책제언 : 산림청 사례를 중심으로

        김영록 ( Kim¸ Youngrok ),이상덕 ( Lee¸ Sang-Deok ) 한국자치행정학회 2021 한국자치행정학보 Vol.35 No.3

        본 연구는 중앙행정기관의 성과지표에 대한 적절성 분석을 통해 기관들의 성과지표 수준을 진단하고 상대적으로 부족한 점이 무엇인지, 그리고 어떠한 대안 제시가 가능한지를 연구하기 위한 목적으로 수행되었다. 이러한 목적을 달성하기 위해 성과관리에 있어서 우수한 기관으로 인정받고 있는 산림청 사례를 연구하였다. 산림청을 선정한 이유는 정책의 산출물이 유형적이어서 성과지표의 설정과 측정이 용이하여 성과지표 분석의 시사점이 높을 것으로 예측되었기 때문이다. 이를 위해 2008년부터 2018년까지 산림청의 성과지표를 수집하고 이에 대한 적절성 분석을 실시하였다. 또한 보다 현실성이 높은 정책의 시사점을 발굴하기 위해 성과지표 분석 결과에 대한 담당 부서와의 인터뷰를 통해 지표 평정 결과에 대한 평가와 대안, 한계 등을 검토하였다. 연구 분석 결과 가장 보완이 필요한 영역으로 국민체감도가 지적되었고, 지표의 결과지향성도 여전히 보완이 필요한 것으로 나타났으며, 기타 구체성이 부족하거나 측정가능성이 떨어지는 지표들도 꾸준히 발견되었다. 따라서 성과지표 개발 시에는 반드시 해당 기준에 부합하는 지를 살펴볼 필요가 있을 것이다. 또한 성과지표 개발 이후에도 성과지표의 개선을 위해서는 해당 지표 개발과정에 대한 이해가 반드시 필요한 과정으로 판단되어 담당자에 대한 인터뷰와 컨설팅등을 지속적으로 수행할 필요가 있다. This study was carried out for the purpose of diagnosing the level of performance indicators of institutions through an appropriate analysis of the performance indicators of central administrative agencies, and researching what relatively shortcomings are and what alternatives can be suggested. To achieve this objective, the case of the Korea Forest Service, which is recognized as an excellent institution in performance management, was studied. The reason why the Korea Forest Service was selected is because the outcome of the policy is tangible, making it easy to set and measure the performance indicators, and it was predicted that the implications of the performance indicator analysis would be high. For this purpose, performance indicators of the Korea Forest Service were collected from 2008 to 2018 and appropriateness analysis was conducted. In addition, in order to discover the implications of a more realistic policy, the evaluation of the index evaluation results, alternatives, and limitations were reviewed through an interview with the department in charge of the performance index analysis results. As a result of the research analysis, public sentiment was pointed out as the area that needed the most improvement, and the result-orientation of the index still needed to be supplemented. Therefore, when developing performance indicators, it is necessary to check whether they meet the relevant standards. In addition, even after the development of the performance indicator, it is judged that an understanding of the development process of the corresponding indicator is essential to improve the performance indicator, so it is necessary to continuously conduct interviews and consulting with the person in charge.

      • PE-133: Fate of Potential Living Donors for Liver Transplantation

        ( Taishi Fang ),( Ok-kyung Kim ),( Sanghee Song ),( Ok Soo Kim ),( Curi Ahn ),( Hyeyoung Kim ),( Suk Kyun Hong ),( Kyung Chul Yoon ),( Hyo-sin Kim ),( Hyeyoung Kim ),( Youngrok Choi ),( Hae Won Lee ) 대한간학회 2016 춘·추계 학술대회 (KASL) Vol.2016 No.1

        Aims: In this study, we aimed to elucidate the fate of potential live liver donors. Methods: From July of 2011 to June of 2013, 372 potential donors were evaluated for 302 matched recipients. Data was prospectively collected. Results: Among 302 recipients, 209 patients received LDLT finally. Among 302 recipients, 53 recipients (17.5%) had more than 1 potential donor. 64.8% of donors was male and 53.5% was children of the recipients. Among 372 potential donors, 209 donors (56.2%) finally received donor hepatectomy for living donation. 159 cases (42.7%) were excluded for various reasons. Among 159 excluded cases, 87 cases were excluded due to donor reasons. The other 72 cases could not donate due to recipient reasons e.g. death, infection or Deceased donor LT. Donor reasons for exclusion consisted of withdrawal of consents (n=25, 28.7%), medical problems (n=24, 27.6%), small remnant volume (n=17, 19.5%), and others (n=21, 24.1%). The main reasons for donor exclusion were medical problem and withdrawal of consent. Therefore, thorough medical clearing and careful examination for donor voluntarism are important in donor evaluation process. Conclusions: The main reasons for donor exclusion were medical problem and withdrawal of consent. Therefore, thorough medical clearing and careful examination for donor voluntarism are important in donor evaluation process.

      • KCI등재후보

        Solo Reduced Port Laparoscopic Left Lateral Sectionectomy

        YoungRok Choi,Ho-Seong Han,Yoo Seok Yoon,Jai Young Cho,Sungho Kim,In Gun Hyun,Kil Hwan Kim 대한내시경복강경외과학회 2018 Journal of Minimally Invasive Surgery Vol.21 No.3

        Laparoscopic approach for left lateral sectionectomy became the standard procedure. With increasing demand for minimizing of the access ports and with the advancement in surgical technique, reduced port laparoscopic surgery is introducing itself to the fields of hepatic surgery. We report a case of solo reduced port laparoscopic left lateral sectionectomy for a 25-year-old patient with a 1.7 cm sized tumor implant of growing teratoma syndrome. She underwent salpingo-oophorectomy and 3 cycles of chemotherapy with bleomycin, etoposide and cisplatin 2 prior to the operation. Her BMI was 18.3 kg/m2. The total operation time was 85 minutes and estimated blood loss was scanty. The patient was discharged without a significant complication on postoperative day 5. In the video, we demonstrate the surgical procedure of the solo reduced port laparoscopic left lateral sectionectomy using a laparoscopic scope holder.

      • KCI등재후보

        양측 Dix-Hallpike 검사에서 체위성 안진이 관찰된 후반고리관 양성돌발성체위현훈의 임상적 특성

        Youngrok Jo,Gun Min Lee,Youn Jin Cho,Mi Joo Kim,Minbum Kim 대한평형의학회 2023 Research in Vestibular Science Vol.22 No.1

        Objectives: The purpose of this study is to investigate the clinical characteristics of benign paroxysmal positional vertigo (BPPV) which showed torsional nystagmus on bilateral Dix-Hallpike test, and to analyze the clinical features of pseudo-bilateral BPPV. Methods: This study is a retrospective chart review of a total of 341 patients diag-nosed with BPPV of posterior canal (PC-BPPV). Among them, patients who showed torsional nystagmus on bilateral Dix-Hallpike test were defined as “bilateral Dix- Hallpike positive patients,” who were classified into true- and pseudo-bilateral PC-BPPV group through analysis of nystagmus direction. And pseudo-bilateral PC-BPPV were categorized into two subtypes according to their pathomechanisms. Clinical characteristics including sex, age, underlying vestibular disorders, recur-rence and the number of Epley maneuvers were analyzed. Student t-test and Mann- Whitney U-test were used for statistical analysis. Results: Among 341 patients, 27 patients (7.9%) were “bilateral Dix-Hallpike positive patients”. They received more Epley maneuvers than the group of unilateral PC-BPPV until the resolution of nystagmus (2.3 vs. 1.4, p<0.001). Fifteen patients out of 27 were diagnosed with pseudo-bilateral PC-BPPV, who were classified into two subtypes according to their pathomechanisms. The number of Epley maneuvers was not different between true- and pseudo-bilateral PC-BPPV. Conclusions: Patients with pseudo-bilateral PC-BPPV were common among “bilateral Dix-Hallpike positive patients.” For their better treatment, understanding of possible pathophysiology, accurate Dix-Hallpike test and detailed analysis of nystagmus direction are necessary.

      • SSCISCOPUSKCI등재

        Politics, Religion, and Tax Incentives for Charitable Giving in South Korea

        ( Youngrok Kim ) 한국경제학회 2021 The Korean Economic Review Vol.37 No.1

        This study explores the effects of tax incentives for charitable contributions concerning taxpayers’ socioeconomic characteristics, religion, and political preference. Using South Korean household-level panel data, we regard people from a wide range of demographics and religious and political groups as our research subject. We obtain the following results: (1) Controlling for religious and political preferences enhances the estimation result. (2) Taxpayers practicing Protestantism do not significantly respond to tax incentives, although they are the most philanthropic group of all religious groups studied. (3) Political preference significantly affects donation behavior, wherein conservatives react less significantly to tax incentives than progressives. Our results provide evidence that giving intention is not only practice-driven but also ideology-driven.

      • KCI등재후보

        Posttransplant sequential adrenal and spine metastasis of hepatocellular carcinoma responsive to combined regorafenib and radiotherapy: a case report

        Kim Jae-Yoon,이남준,Kim Yoon Jun,Chie Eui Kyu,Kim Jiyoung,Choi Hyun Hwa,Lee Jaewon,Lee Sola,Hong Su Young,Lee Jeong-Moo,Hong Suk Kyun,Choi YoungRok,Lee Kwang-Woong,Suh Kyung-Suk 대한이식학회 2023 Korean Journal of Transplantation Vol.37 No.1

        Adrenal and spinal metastases of hepatocellular carcinoma (HCC) are rare entities with significant morbidity and mortality, particularly after liver transplantation (LT). We report a case of a 49-year-old man who underwent LT for hepatitis B-related end-stage liver disease and HCC (single 4.5 cm lesion [T1N0], without vascular invasion) in 2016. Eighteen months later, adrenal metastasis and hepatitis B seropositive conversion were developed with normal serum tumor. Adrenal metastasis was treated with radiation therapy (RT) and hepatitis B showed spontaneous seronegative conversion. However, 35 months later, spinal metastasis occurred with elevation of the protein induced by vitamin K absence or antagonist-II (PIVKA-II) level (197 mAU/mL), along with hepatitis B seropositive conversion. After sorafenib, sequential regorafenib with RT led to partial response of the spinal lesions, along with hepatitis B seronegative conversion and normal PIVKA-II levels. After 9 months of regorafenib combined with RT, two recurrent lesions were found, as well as hepatitis B seropositive conversion and lesions were treated with transarterial chemoembolization. The patient survived for more than 71 months after LT and 53 months after recurrence under various combinations of therapy. Combined systemic and locoregional therapies can be a treatment option for HCC recurrence, even in LT patients.

      • KCI등재

        국고보조사업의 사전 평가제도 도입을 위한 연구: 적격성심사 제도를 중심으로

        김영록 ( Kim Youngrok ) 한국의회발전연구회 2016 의정연구 Vol.22 No.3

        그간 국고보조사업에 대한 관리가 사후평가위주로 되어 있어 선정단계에서의 엄정한 평가체계의 필요성이 대두되고 있다. 이를 개선하기 위하여 발표된 `국고보조금 부정수급 종합대책(`14.12)` 중 하나인 국고보조사업 적격성심사는 객관적이고 중립적인 사전조사를 통해 보조사업 추진여부의 타당성을 확보하려는 제도이다. 따라서 본 연구는 정부가 제안한 국고보조사업 사전적격성 심사 제도를 보다 완성도 높고, 실효성 있는 제도로 설계하기 위한 핵심 요소들을 제안하는 것을 그 목적으로 한다. 이를 위해 국내외 재정투입을 위한 사전평가제도들에 대한 분석을 통해 시사점을 도출하고, 국고보조사업의 특성을 반영한 제도를 설계하는 데 주안점을 두었다. 분석결과 중앙집권적 평가제도의 수행보다 해당 부처의 자율성을 보장한 자체적인 평가제도를 도입하되, 중앙예산기관은 사전평가제도의 신뢰성과 적절성을 관리하기 위한 가이드라인을 제공하는 것이 바람직할 것으로 나타났다. 또한 투명하고 공정하게 신규 보조사업을 선정할 수 있는 각 부처의 평가능력이 국고보조사업 적격성심사의 정착여부를 결정하게 될 것으로 판단된다. The need for rigorous appraisal system at the stage of government subsidy program selection is on the rise. The feasibility study of government subsidy program that are available in the "Management comprehensive measures of government subsidy(`14.12)" performs an objective and neutral preliminary survey, ensure whether or not the validity of the promotion of auxiliary business try to. The feasibility study of government subsidy program is performed by the business ministry for autonomy and accountability. However, Ministry of strategy and finance is providing the screening criteria in oder to manage the reliability and validity of the appraisal. Evaluation capacity of the ministries that can be transparent and fair selection of the new government subsidy program to determine the success or failure of the feasibility study of government subsidy program.

      • KCI등재

        국고보조사업의 편익 범위에 따른 재정지원의 적절성 분석

        김은지 ( Kim Eunji ),김영록 ( Kim Youngrok ) 한국자치행정학회 2019 한국자치행정학보 Vol.33 No.4

        본 연구는 중앙과 지방의 사무가 혼재되어 있는 국고보조사업을 대상으로 중앙과 지방의 사무배분이 적절히 이루어지고 있는지 분석하는데 목적이 있다. 구체적으로, 국고보조가 이루어져야 하는 경우는 편익의 유출효과(spill over)가 발생하는 사업이어야 한다는 전제하에 실제로 국가적 편익과 지방의 편익 비중에 따라 중앙과 지방 간 사무배분과 재정지원이 이루어지고 있는지를 실증적으로 분석하였다. 분석대상인 2015년 국고보조사업 중 지방자치단체 경상보조 사업 710개를 대상으로 국고지원 비율이 50% 이상을 받는 경우, 50%인 경우, 50% 이하의 경우로 구분하고 사무의 편익이 중앙, 광역, 지방인지를 평정하여 국고보조금 비율과 사업의 영향력에 대한 모형을 추정하였다. 분석 결과 국가 전체에 대한 파급력을 갖는 사업임에도 불구하고 국고보조금이 제대로 지원되지 않는 사업이 59%에 육박하는 것으로 나타났다. 반면, 지방 혹은 광역사무임에도 불구하고 국가의 재정지원이 상대적으로 큰 사업은 16.4%로 나타나 지방 혹은 광역 사업에 필요 이상으로 재정 지원이 과다하게 투입되고 있는 것을 확인할 수 있다. 따라서 편익의 외부효과 발생여부에 따라 재정지원 여부를 재검토할 필요가 있으며, 이러한 기준으로 국고보조사업을 재검토한다면 상당부분 국가 재정 효율화에도 기여할 수 있을 것으로 판단된다. This study empirically analyzes whether central and regional business allocations are being made. For this purpose, we hypothesized that the high national subsidy rate should be a project with high national benefits. Among the fiscal subsidies in 2015, 710 local government subsidies were classified into 50%, 50%, and 50% subsidies. Awareness was assessed to estimate the model of the state subsidies and the impact of the project. As a result, despite the fact that the project has a ripple effect on the whole country, 59% of projects that the government subsidies are not properly supported are close. On the other hand, despite local or regional office work, 16.4% of the countries have relatively high financial support, indicating that excessive financial support is being provided to local or regional projects. The analysis according to the classification by jurisdiction is similar in this way, and it can be interpreted that the distinction between the central office and local office is not preempted in the transfer of office work

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