남·북한 인구보건지표와 보건의료서비스제도의 비교연구

조성남 이화여자대학교 한국문화연구원 1994 韓國文化硏究院 論叢 Vol.64 No.2-3

This paper has sketched the health indicators and the systems of health services in North and South Korea. It is a picture drawn with broad strokes in an attempt to portray the distinguishing features of each. It provides some comparisons between the North Koreas health care system and that of the South Korea. Until very recently, little has been known about population conditions and health status of the population in the North Korea. The almost complete statistical blackout has prevailed over North Korea to the present day and North Korea has been a country of demographic mystery. The unavailability of statistical information about North Korea reflects the longstanding determination by the political leadership of this closed nation control information about the country. In 1989, however, North Korean officials released to the United Nations a set of tables on its population and related social indicators. While these statistics are more limited, and perhaps less accurate, than the data commonly available for many other countries, they constitute vastly more information on the population than has ever before been available about North Korea. Based on these recent statistics available, general information about the populations of two Koreans and such basic health indicators as life expectancy, fertility and mortality levels, and the cause of death were compared. Though the medical, social, economic, and political systems of North and South Korea are very different, both countries have achieved a fairly low mortality and fertility level, and are characterized by similar patterns of cause-of-death. Both Koreas also seem to have achieved a relatively high expectations of life at birth and low infant mortality for developing countries. In this paper, I have also shown that each health service system has its own unique response to the social, political, and economic conditions of the country. In order to understand how the health service systems are organized and operated in South & North Korea, the differences between planning and regulation of the health care systems have been compared. They are different in the mechanism that they use to provide care. The North Koreas health service system operates on the principles of state ownership and management of medical and public health facilities, and provision of care at no direct cost to the patient. It is essentially a socialized health service system for the provision of health care. The North Koreas health care system appears to be strongly geared toward extensive and preventive treatment. North Korea has a system of universal comprehensive care for its population. All people can use the system at no direct cost, and there are virtually no economic barriers in obtaining health care. North Korea has made the delivery of health services a function of government. The government has a central role in planning and regulating health care. The government also employs physicians, nurses, and other professionals to provide health care to patients at public expense. In North Korea, health professionals are government employees. They work for a salary and the system is funded through general taxation. In comparison to the North Korean system, the health service system in South Korea is a complex and often bewildering process. South Korea has established democracy with a market economy. Most people is South Korea feel that health care is commodity to be allocated through a market system. Health care delivery in South Korea therefore is guided by the demand and supply mechanism with the value of personal liberty and free choice. There also has been a system of public welfare that has provided health care for the poor and other selected groups of individuals. South Korea has a mixed arrangement by free market and social welfare system that uses health insurance, patient fees, public funds, and some general taxes to pay for health care. In South Korea, most of health care professionals are independent. There is relatively less centralized planning and regulation, and no unified system of health care delivery in South Korea. Programs are enacted in piecemeal fashion in efforts to "close the gaps" in a loosely connected set of health services. It is flexible and innovative, but it is also expensive and piecemeal. In South Korea, regional differences in the distribution of health services remain an issue, even though public concern over inequalities in health and health care in general has been increased since the inception of the health insurance. Both South and North Korea have to find its solution with a mutually agreeable and acceptable system of health care for the population of the unified nation in the future.

사회계층별 의료서비스 이용행태에 관한 일 연구

조성남 이화여자대학교 한국문화연구원 1992 韓國文化硏究院 論叢 Vol.61 No.2

This study examines the process of care-seeking behavior for medical treatment among different social classes. The investigation of the relationship between social class and care-seeking behavior in this study emphasizes the process by which people in different social classes come to be perceived as ill and how they respond to illness. Five main aspects of care-seeking behavior and health service utilization are investigated : (1) the types and quantity of health services used for different purposes of care, (2) the perceived severity of illness symptoms and perceived efficacy of different types of health service, (3) the values of health, beliefs about different types of health services, (4) attitudes toward providers as well as general health care orientations, and (5) sources of information about health services among social classes. The data set used in this study is drawn from a small sample survey conducted with a questionnaire by the author in 1990. A total of 355 cases with reasonably homogeneous subsets of different social classes were collected and analyzed. Families in different social classes were treated as the unit of analysis for this study. The occupation of the household head was used as a basic indicator of the social class variable. Housewives were chosen as respondents, who would provide the most information about care-seeking behavior of all members of the family as well as their own values and beliefs about health and health services. The research findings show that people from the upper classes used health services more than those from the lower classes. Moreover, visiting physicians was the primary source of care for most people in the higher class, while pharmacies were the primary source of care for the lower class. Whether in regard to actual use or in response to hypothetical symptoms, people in the higher class were more likely to use physicians while the lower class were more likely to use pharmacies. For symptoms such as a sudden feeling of weakness and joint pains, the respondents, regardless of social class, preferred to use Chinese medicine. In terms of actual utilization, however, the higher class respondents used Chinese medicine more often than the lower class. It was also found that the higher class were more likely to use Chinese medicine, particularly herbal medicine, for the purpose of maintaining good health while the lower class used mostly acupuncture for symptom relief and treatment of acute problems. In order to account for differences in the patterns of health services use among social classes, social psychological factors which have been shown to be associated with the use of health services, were examined. These variables included definition of health and illness, perceived susceptibility, perceived severity of symptoms, perceived efficacy, health locus of control, health care orientation, attitudes toward doctors, and social networks. Findings show that more people in the higher class perceived themselves more susceptible to illness than the lower class. However, there seems to be no significant social class difference in their perception of seriousness of symptoms. Although there were minor differences in the perceived seriousness of symptoms, the rank order of perceived seriousness was nearly identical for social classes. This suggests that cultural knowledge about illness may be homogeneous for social classes. Class differences of beliefs in health locus of control were also not significant. However, the higher class people were found to have more positive orientations toward health services as well as more positive attitudes toward doctors than the lower class. These findings suggest that the positive attitudes among the higher class toward doctors and health services may lead to more visits to physicians, while more negative attitudes by the lower class may become a barrier to seek physicians and health services.

전략경영을 위한 CIO 중심의 IT 거버넌스 수립 방안 연구

조성남 ( Sung-nam Cho ),정택영 ( Taik-yeong Chung ),안성수 ( Sung-soo Ahn ),박찬진 ( Chan-jin Park ),김한국 ( Han-kook Kim ) 한국정보처리학회 2008 한국정보처리학회 학술대회논문집 Vol.15 No.1

최근 많은 조직들이 IT를 경영전략의 핵심적 요소로 인식하고 IT투자를 확대하면서 IT의 효율적 관리와 전략적 활용의 중요성이 커짐에 따라 CIO 기능 강화와 IT 거버넌스 체제 구축에 많은 노력을 기울이고 있다. 그러나 아직까지는 학계나 산업계에서 IT 거버넌스의 개념이 통일되어 있지 못하고, 구성 요소와 체계 및 실행방법 등도 조직의 특성에 따라 매우 다양하게 접근되고 있다. 정부출연연 KISTI를 모델로 삼아 KISTI 정보화에 대한 총괄기획, 정책수립, 운영 프로세스 관리, 정보화사업 관리 등 기관 정보화에 대한 총괄자로서의 CIO 역할과 IT 거버넌스 체제 구축 방안 연구를 통해 종합적이고 효율적인 정보화 추진 및 자산 관리·운영을 하고자 한다.

ITA기반 전략경영 지원을 위한 방안 연구

조성남 ( Sung-nam Cho ),정택영 ( Taik-yeong Chung ),안성수 ( Sung-soo Ahn ),박찬진 ( Chan-jin Park ),김한국 ( Han-kook Kim ) 한국정보처리학회 2008 한국정보처리학회 학술대회논문집 Vol.15 No.1

공공기관 및 기업들은 성장과 생존을 위한 경쟁력을 갖추기 위해 여러 경영 혁신 방법들을 도입하고 끊임없는 변화를 시도해 가고 있으며, 경영전략과 경영활동의 전략적인 연계를 위한 방향 설정과 자원 투입에 노력을 기울이고 있는 상황이다. 이에, 본 논문은 기관의 비전과 목표 달성을 지원하는 전략경영 개념과 관련된 기술동향 및 추진 현황에 대해 이해하고, 전략경영을 추진하기 위한 큰 밑그림으로 ITA 기반의 전략경영정보화체제에 대한 정의와 역할 정립을 통해 향후 추진해야 할 목표시스템을 제시하였다.

세계체계 분석의 사회과학 방법론적 쟁점

조성남 이화여자대학교 대학원 사회학과 1991 이화 사회학 Vol.- No.1

EA 기반 정보자원종합관리체계 수립 방안 연구 - KISTI 사례 -

조성남 ( Sung-nam Cho ),안성수 ( Sung-soo Ahn ),김한국 ( Han-gook Kim ) 한국정보처리학회 2010 한국정보처리학회 학술대회논문집 Vol.17 No.2

정보기술(IT)의 발전과 더불어 정보시스템이 조직의 업무환경 개선, 생산성 향상, 업무의 효율성 및 효과성을 제고함에 따라 그 규모가 방대해지고 복잡해지고 있는 실정이다. IT 기술력이 업체의 생존과 시장 경쟁우위와 밀접한 관계를 갖으면서 이를 뒷받침하는 정보화 자원도 복잡해지고 다양해짐으로써 정보화 자원간의 상호 운영성, 통합관리체계, 시너지 효과 등이 중요한 사안으로 부각되어 지고 있다. 이러한 문제점을 EA를 기반으로 기관에서의 정보화자원을 효과적으로 체계적으로 통합 관리할 수 있는 방안을 제시하고자 한다.

알콜리즘환자의 인격특성에 관한 연구 : MMPI를 중심으로

조성남,이대희 大韓神經精神醫學會 1984 신경정신의학 Vol.23 No.4

In this study, it was attempted to reveal the personality characteristics of the alcoholic inpatients in comparison with the normal drinkers, who were divided in habitual drinkers and social drinkers by the use of the MAST, in the study of the MMPI, SDS, and SAS. There were finally included 4 0cases of alcoholic inpatients, 57 cases of habitual drinkers, and 34 cases of social drinkers in this study. The results were as follows. 1. As to the mean age of each three groups, the alcoholic inpatients were 37.5, the habitual drinkers were 33.8, and the social drinkers were 31. 2. As to the number of drinking episode, the alcoholic inpatients drank more frequently than the habitual drinkers and the social drinkers. 3. As to the hand tremor and the black out episodes, the alcoholic inpatients experienced more frequently than the habitual drinkers and social drinkers. 4. As to the score of the MAST, the alcoholic inpatients had the range of the score from 15 to 52 with the mean score of 32, and the normal drinkers had the range of the score from 0 to 24 with the mean score of 7.25. 5. It was revealed that comparing with the habitual drinkers and the social drinkers, the alcoholic inpatients had the following characteristics in the MMPI. 1) In the validity scales, the alcoholicinpatients had the inverted V shape in comparison with the V shape of the habitual drinkers and the social drinkers, and had the more elevated F score and the more depressed K score than the habitual drinkers and the social drinkers. 2) In the clinical scales, the alcoholic inpatients had the more elevated t-score of the Pd, Pa, and Ma scale. 3) In the two digit high point code types, 4-9/9-4 code type was appeared more frequently in the alcoholic inpatients. 4) In the study scales, A. I and I. R, there were no differences among the three groups. In the SDS and SAS, there were no differences among the three groups. It was concluded that the alcoholic inpatients had the more paculiar personality characteristics than the normal drinkers.

Phenobarbital과 Atropine 前處置 白鼠의 網內系 貪食能에 미치는 Vitamin C의 影響

曺成南,金孝烈,崔湖烈,李東根,李惠洙,崔三任 전북대학교 의과학연구소 1986 全北醫大論文集 Vol.10 No.4

As one of the serial experiment to investigate the effect of vitamin C on the phagocytic function of reticuloendothelial system in rats, the phagocytic activity was assessed by means of carbon clearance method after intraperitoneal administration of vitamin C(50mg/100g of body weight) in the normal rats and pretreated rats with phenobarbital(1mg/100g of body weight) and atropine(0.2mg/100g of body weight) respectively. The following results were obtained; 1. In the vitamin C treated group, the phagocytic activity showed an increased level since one hour after injection, and continued increment until twelve hours after injection. 2. In the group of rats pretreated with phenobarbital, threre was no significant difference in phagocytic activity compared with normal and saline injected control group. 3. In the group of rats pretreated with atropine, there was also no significant difference in phagocytic activity compared with normal and control group. From these results, it may be concluded that phagocytic funtion of reticuloendothelial system is increased significantly following administration of vitamin C, and phenobarbital or atropine induced reticuloendothelial suppression is vanishid by administration of megadosage of vitamin C.

21세기 기업환경 변화와 가족

조성남,강득희 梨花女子大學校 社會科學大學 社會科學硏究所 2000 사회과학연구논총 Vol.4 No.-

우리는 지금 새로운 세기의 문턱을 막 넘어서고 있다. 단순히 새롭기만 한 것이 아니라 이름하여 "슈퍼문명(super civilization)'씨란 빠른 속도감에 현기증이 느껴질 정도이다. 특히 한국사회의 경우 30, 40년간 압축 적으로 경험한 산업화와 이어지는 정보화로의 속도감이 농업 사회적 주기 이데올로기에 사고나 관습이 몸에 베인 노인세대, 산업 사회적 주기의 규칙적 생산활동에 적극적으로 적응해 왔던 중년세대, 디지털시대에 기능적으로 발빠르게 적응할 수 있는 젊은 세대가 모두 함께 하나의 생활 현장에서 상호작용을 하며 살아가고 있기에 더욱 갈등과 혼돈이 증폭되고 있는지 모른다. 즉 일상생활의 생산과 재생산을 구현하는 현장인 직장과 가정에서 이질적 경험과 가치관을 지닌 체, 협력을 통해 기능적 유기적 관계를 이루어나가야 하기 때문에, 혹은 혈연 공동체 구성원으로서 관계를 맺어 나가는 데 있어 풀어나가야 할 갈등이나 문제점이 빠른 변화의 속도감 때문에 더 어렵게 느껴질 수도 있다. We are standing at the beginning of a New Era. Especially, Korea has rapidly industrialized for these several decades and is now shifting to information society at a dizzying speed, so called "super civilization" . In this context, we have studied 25cases working and living style of employees' and their families' from three different companies by qualitative approach. The conclusions would be drawn as follow: First, the changes in organizational structure of company have brought about changes in employee's life cycle, and thus changed their life style of work and family. Second, the changes in working environment of company have brought about changes in the relationship with people, therefore eventually changed the traditional relationship-based culture of Korean company to the task-oriented culture of American company. In some sense, such company culture in this era would be considered as one phenomenon in the process where business becomes globalized. Third, as the task/achievement-based pay and promotion system, "yon-bong system", each employee feels far more stress in that he or she has driven all colleagues into highly competitive atmosphere in working. The senior employees feel more stressful than younger because seniors are accustomed to the seniority-based pay and promotion system, "yon gong so yol system", in which the importance of relative ages is the foundation for the wages, recruitment and promotion. Forth, the more the changed wage and promotion system makes employees be insecure in the company, the more they become to seek their emotional security and peace in their family and at home. Fifth, most of all employees from our cases want to run a business on their own account if they have to leave their company. This phenomenon might be caused by the characteristic of Korean "familiar society". In this context, Koreans have appreciated much the value of family community that makes their own economy independently in order for the wellbeing of the households and for being harmony among family members. Even though there are certain negative points in the traditional family value or concept that have been attacked as they conflicts with the direction the society moves toward, Korean "family community" is a kind of the new "prosumer society" in「The Third Wave」by Alvin Toffler. Today, however, we are in the process of creating a society that is an elaborate array of information feedback systems, the very structure of biological organism. Biology as metaphor suggests: information-intensive, adaptive, holistic, spiral. With a linear perspective, Korean social, economic, political and technological changes have to follow continuously the developed western countries. However, our epistemology, the polarity principle of Yin and Yang in which "yes" and "no" exist simultaneously, holistic approach is preferred and a golden mean is virtuous, is coincident with new trends of digital era. On the other hand, western epistemology, the antagonistic dichotomy in which "yes" or "no" exists exclusively, analytic approach is preferred and a clear cut decision is virtuous, is affinitive with the mechanistic industrial era. New leader of a successful company tries to integrate the oppositional factors of management. For example, the organization of his company must be light but strong, he has to supply customers with commodities, which are low price but good quality and need a win-win strategy to cooperate with a competitive company. These paradoxical managements are against the dichotomy of western epistemology but are affinitive with ours. More over, the rise of Pacific Rim including the four Tigers (Korea, Singapore, Taiwan, and Hong Kong) has been not only economically driven but also culturally With spiral perspective, therefore, we can take as recurrence of our holistic epistemology in order to work well in our company and to be happy in our family in a new era.

정보자원 개인책임제 시행을 통한 효율적인 자원관리 방안 사례 연구

조성남 ( Sung-nam Cho ),김한국 ( Han-gook Kim ) 한국정보처리학회 2011 한국정보처리학회 학술대회논문집 Vol.18 No.2

IT 기술의 급속한 발전과 저변으로 조직에서는 업무의 성과창출 및 생산성 제고 등을 목적으로 IT기술을 업무와 밀접하게 연동을 하면서 정보시스템의 규모는 점점 방대해지고 투자비용은 지속적으로 증대하고 있다. 그러나 정보자원 도입의 중요성에 대해서는 인지하고 있으나 관리는 상대적으로 소홀한 실정으로서 중복투자 발생 및 재활용 미흡 등의 문제가 발생하고 있다. 이에 본 연구는 특정 기관에서 정보자원의 효율적 관리에 대한 노력과 해결 방안을 사례를 들어 정보자원의 종합적이고 효율적인 관리체제와 구축 방안을 제시하고자 한다.