고령사회에 대비한 건강보험 지불제도 개선방안에 관한 연구

송기민 ( Ki Min Song ),김영우 ( Young Woo Kim ),김윤신 ( Yoon Shin Kim ) 한국고령친화건강정책학회 2013 대한고령친화산업학회지 Vol.5 No.1

사법분야 투고논문 : 자동차보험의 법적성격과 권리구제 개선방안

송기민 ( Ki Min Song ),정정일 ( Jeong Ile Jeong ) 한양대학교 법학연구소 2013 법학논총 Vol.30 No.2

As social security in modern society has rapidly evolved and changed, different areas of social security have become segmented and specialized. The specialization and segmentation of social security programs can result in a number of disputes, big or small, over the distribution of benefits, leading to an increased need for national remedies in the area of social insurance. In 1963, the Automobile Accident Compensation Security Act(hereinafter “AACSA”) was enacted to protect car accident victims and, in 1983, the Special Act for Traffic Accident Treatment was enacted. Since then, cars have been part and parcel of our daily lives. This study examines the legal nature of automobile insurance in connection with the AACSA and whether there are any problems in terms of the protection of people`s and victims` rights. Since the legislative grounds for the AACSA are closely related to social security programs, including the protection of car accident victims against offenders, automobile liability insurance can be deemed to be public as a sort of social insurance. However, despite its nature of social insurance, under the current contradictory system, the legal mandate forces people to purchase car insurance run by private insurance companies, raising the following fundamental problems, especially the lack of remedies. Firstly, no appeal procedure is in place for health care organizations in connection with medical fees in automobile insurance. Secondly, no legal protection is provided to protect the rights of car accident victims. Though a few programs are in place to provide remedies for car accident victims, there is no legal protection that allows the victims to seek legal remedies through an appeal procedure. Since automobile insurance plays a role as social insurance, legal remedies should be in place to protect people`s legal rights. The nature of automobile insurance should be clearly established as public insurance whose purchase is a legal mandate, and amendments should be also made to the AACSA, such as new remedy provisions to provide protection against infringement arising out of insurance management. Furthermore, the government should provide assistance in the form of civil rights protection programs and grants, including the formation of the automobile insurance dispute arbitration center responsible for performing the aforementioned activities.

고령화시대 노인 연령규범에 대한 현행 법제적 고찰

송기민 ( Ki Min Song ),최호영 ( Ho Young Choi ) 한국법정책학회 2010 법과 정책연구 Vol.10 No.3

Though definition of older person is depending on country or society`s political, social, cultural and historical backgrounds and customs that are given in current and future, it is necessary to define the rule for older persons. In ageing society the current norms related to older person are out-of-date and have not unified about it. So the purpose of this study is to identify and analyze the current ordinance provisions for the older persons what is the categories of them and what is the standard of it and through them to suggest problem identifications and legislation to be improved. The results of this study were as follows: First, there is little in legislative standards and categories about older persons. Many laws have no conceptual definition nor operational definition about older persons. Second, the definition of older persons is usually based on age. Third, the Elderly Welfare Act doesn`t play a role as a basic law about older persons because the subject related to the older persons for the concept definition and categories of the older persons were not even decide, and the subjects are to regulations separately according to the related institutions and policies based on age. In conclusion, in aging society, if everyone should recognize the importance of health and welfare of the older persons, the older persons which is the main target and subject of the concept of the older persons in an aging society need to be specified more clearly in statutory.

의료관광 활성화를 위한 제도적 개선 방안에 관한 연구

송기민(Ki Min Song),문승일(Seung Il Moon),최호영(Ho Young Choi),윤태형(Tae Hyoung Yoon),송영민(Young Min Song) 한양대학교 관광연구소 2010 觀光硏究論叢 Vol.22 No.2

최근 세계적으로 의료서비스를 관광 상품과 연계한 의료관광산업이 주목을 받고 있지만, 우리나라는 아직 초기단계에 머물러 있다. 최근 정부의 관심이 증대되고 있으나, 제도적 한계 등으로 인하여 의료관광의 활성화를 기대하기 어렵다. 의료관광의 활성화를 위해서는 관련 제도의 개선이 필요하다 할 것이다. 본 연구는 현행 의료법 등 외국인 의료관광 활성화를 위해 수정·보완되어야 할 법제도적 개선사항을「의료법」을 중심으로 살펴보고자 한다. 우선, 현행 「의료법」 제27조에서는 외국인 환자를 유치하기 위한 소개·알선·유인하는 행위 및 이를 사주하는 행위는 허용하면서, 이를 위한 국내광고를 금지(「의료법」 제56조)하고 있는 것은 개선이 필요하다. 또한, 현행 국민건강보험법상의 요양급여비용과 의료법상의 의료보수 등으로 2원화 의료수가체계에 대한 문제이다. 즉, 전 국민 의무가입 및 전 요양기관 당연가입 등을 특징으로 하고 있는 현행 건강보험체계(NHI) 하에서, 외국인에 대해 의료수가를 어떻게 적용할 것인지에 대한 논의가 필요하다. 셋째, 2009년 7월 l일 개정된 의료법 시행규칙은 숙박업을 할 수 있도록 부대사업이 확대되었으나, 해외병원의 알선, 항공권예약, 통 역 등 더 많은 분야의 확대가 필요할 것이다. 네 번째로, 과실책임주의에 따라, 의료인의 과실을 피해자가 입증해야 하는 의료사고에 있어, 언어문제와 국내 법 제도를 모르는 외국인의료관광객에 대해서는 무 과실보상, 입증책임의 전환, 관련 보험 상품 개발 등 특별한 보호를 위한 개선이 필요하다. 마지막으로 실질적인 원격의료의 허용으로 사전 입국 전 진료를 할 수 있도록 하는 등의 이중개설금지의 개정을 하여야 한다. 향후 의료관광의 활성화를 위해 관련법과 제도가 현실적으로 개선되어야 하고, 이를 위해서는 관광, 의료, 보건, 법률 등 관련 분야의 학제 간 연구가 필요하다. Currently, medical tourism industry is watched by the entire world with keen interest. Medical tourism is that medical service and tourism is combined. But Korea`s medical tourism is still in germ And there are so many various regulation and institutional limitations. Without improvements on the regulations, it seems hard to expect the prosperity of medical tourism in Korea. This study focuses on the institutional improvements in the Medical Service Act for facilitating the medical tourism Although recently, the Medical Service Act was amended by Act No. 9386, Jan. 30, 2009, several matters still remain to be improved to facilitate the medical tourism. The results of this study are as follows. First, within the country the medical advertisement for foreign patients is prohibited. Second, it is not certain for foreign patients how much they pay for medical fee. Third, because the subsidiary enterprise for medical institution is definitive, they can`t run conciliation of foreign hospital, translation etc for inducing foreign patients. Fourth, no certain insurance coverage for foreign patients exists in cases of medical malpractice. Finally, according to the Act, "a medical person may open only one medical institution", but it prohibits the medical institutions really doing the telemedicine and medical tourism. Therefore further improvements in the Medical Service Act are needed for facilitating the medical tourism, and for this we suggest the interdisciplinary approach on the tourism, medical, public health, law etc.

의료기관 종별기준에 대한 현행 법령상의 문제점과 개선방안

송기민 ( Ki Min Song ),김윤신 ( Yoon Shin Kim ),최호영 ( Ho Young Choi ),이영호 ( Young Ho Lee ),고수경 ( Su Kyoung Ko ) 대한보건협회 2008 대한보건연구 Vol.34 No.2

수리조선 작업장에서의 공기중 석면 노출에 관한 연구

심상효,정희태,송기민,김윤신,강용선,Sim, Sang-Hyo,Chung, Hee-Tae,Song, Ki-Min,Kim, Yoon-Shin,Kang, Yong-Seon 한국환경보건학회 2008 한국환경보건학회지 Vol.34 No.4

This paper aims to provide basic data for work environment control, prevention of worker exposure to asbestos and improvement of air quality to protect workers ‘health after measuring the level of airborne asbestos and workers' exposure in a shipbuilding repair businesses. For this study, a total of 27 samples were collected from 27 workers who had been exposed to asbestos during engine, piping, boiler and other manufacturing processes in 'A' Shipbuilding Repair Company in Gyeongnam. This research was conducted from Oct. 1 to 30, 2007 and had the following results: The target group (27 workers) consisted of all men with an average age of 35.9 years and 6.6 years of work on average. Among them, fifteen 15 (55.6%) were smokers. In terms of their duties at work, there were 12 plumbing repair engineers (44.4%), 8 boiler repair engineers (29.6%) and 7 engine engineers (25.9%). The geometric mean concentration of airborne asbestos was 0.004 f/cc. A total of 4 samples exceeded the exposure limit. In particular, three exceeded the legal limit by more than double, which means that some workers have been highly exposed to asbestos. In terms of the concentration of asbestos fibres by work process, plumbing repair was the highest (0.0071 f/cc($0.001{\sim}0.57\;f/cc$)) while boiler was the lowest (0.0015 f/cc($0.001{\sim}0.007\;f/cc$)). Based on this study, proper action needs to be taken as soon as possible to protect workers from the threat of asbestos.

폴리머 시멘트 모르타르의 부착강도에 대한 실험적 연구

박헌일(Park, Hun Il),송기민(Song Ki min),박상순(Park, Sang sun),신홍철(Sin, Hong Chul),신주재(Sin, Ju Jae),김영근(Kim, Young Kun) 한국콘크리트학회 2008 한국콘크리트학회 학술대회 논문집 Vol.2008 No.5

농촌지역 50+세대에 있어 지역사회 계속 거주(Aging in place)를 위한 물리적 고령친화환경 중요요인 연구

김영우 ( Young-woo Kim ),송기민 ( Jeong Jin Wook ),정진욱 ( Song Kimin ) 한국장기요양학회 2021 장기요양연구 Vol.9 No.2

고령자가 노후에 지역사회에서 계속거주(Aging in Place)할 수 있도록 도시환경시설이나 장소를 개선하여 고령자가 손쉽게 이용할 수 있도록 하는 것은 노후에 건강이 악화되었을 때 이를 보완하는 서비스 체계와 관련성이 있으며 이는 장기요양 제도와 무관하지 않다. 본 연구는 50+세대가 노후에도 계속거주할 수 있도록 물리적 도시환경을 개선하기 위한 물리적 도시환경의 중요도를 연구하였으며, 미국은퇴자협회의 고령친화도시 환경 평가도구를 활용하여 문경시에 거주하는 50-64세 이하 대상자로 중요요인을 조사하여 분석하였다. 그 결과 중요요인으로 지역사회 특성영역에서는 자전거 전용도로와 보행로의 구분, 자율방범대, 장애물이 없고 보행자 및 휠체어 등이 접근할 수 있는 정비된 보도, 신체기능과 활동에 상관없이 이용할 수 있는 공동화장실 순으로 나타났다. 또한, 지역사회공동시설영역에서는 저소독자용 임대주택, 문턱이 없고 넓은 출입구 및 침실과 욕실에 손잡이가 설치된 주택, 현 거주지(동네)에서 적정주거비용으로 거주 등이 고령친화도시 환경의 중요요인으로 나타났다. 이에, 50+세대가 계속거주를 위해 필요한 물리적 고령친화도시 환경은 노후에 신체적 기능 저하에 따른 여러 가지 설비의 개선과 노후의 주거 안정성에 중점을 둔 고령친화도시환경 정책이 마련되어야 할 것이다. As we enter an aging society, a number of problems are occurring. Among them, the issue of residence is emerging as an important issue. To enable seniors to continue Aging In Place(AIP) by improving urban environment facilities or places by making them easier for the elderly to use. When health deteriorates in old age, this is related to the service system that complements it. This is related to the long-term care system. This study aimed to ensure that 50+ generations can Aging In Place(AIP) to analyze what are the important factors for improving the physical urban environment by examining the importance of the physical urban environment of the American Association of Retirees (AARP)'s age-friendly city environment evaluation tool, that was investigated and important factors were analyzed. As a result, important factors appeared in the area of characteristics of the local community and the area of community communal facilities. As a specific important factor, in the area of community characteristics, there is a physical aging-friendly city that can be used regardless of physical function and activity, as well as a bicycle-only road and a pedestrian path, an autonomous method, a well-maintained sidewalk that is free of obstacles and accessible to pedestrians and wheelchairs that are appeared as an important environmental factor. In the area of community communal facilities, low-sterilization rental houses, houses without thresholds, wide entrances, and handrails in bedrooms and bathrooms, and living at an appropriate housing cost in the current residence(neighborhood)were found to be important factors for an age-friendly urban environment. Should be prepared necessary physical age-friendly urban environment for 50+ generations can Aging In Place(AIP) and aging-friendly urban environment policy that focuses on the improvement of various facilities due to deterioration of physical function in old age and residential stability in old age.

건강보험ㆍ자동차보험ㆍ산재보험 제도의 국내외 비교

박다진(Dajin Park),고수경(Sukyoung Ko),송기민(Kimin Song) 서울대학교 보건환경연구소 2006 보건학논집 Vol.43 No.2

결혼·출산 친화적 가치관 정립에 관한 연구

권성호 ( Sung Ho Kwon ),이준 ( Ju Lee ),송기민 ( Ki-min Song ),( Sung Mi Kim ) 인구교육센터 2010 인구교육 Vol.3 No.-

저출산 문제를 야기하는 여러 가지 요인이 있으나, 결혼 및 자녀 출산 등 가치관 변화에 대한 분석은 등한시한 채 논의되거나 정책이 입안되고 있다. 이에, 결혼과 출산 가치관 형성에 영향을 미치는 요인을 분석해 봄으로서 결혼 및 출산에 대한 ‘소중함을 인식하고 긍정적·적극적·실천적인 마인드’를 갖춘 ‘결혼 및 출산 친화적(親和的)’ 가치관의 방향성을 제시하고자 한다. 이를 바탕으로 저출산에 대한 근본적인 문제 해결에 보다 접근할 수 있는 인구 정책과 올바른 가치관 정립에 기여할 수 있을 것이다. 이러한 연구의 필요성 및 목적에 따라 저출산 원인인 ‘결혼 및 출산 가치관 요인’을 세 가지 관점에서 제시 하였다. 첫째, 한국 사회가 외환위기의 여파를 극복하는 과정에서 나타난 결혼 및 출산 가치관의 특징과 변화를 살펴보았다 둘째, 결혼 및 출산 기피를 조장하는 매스 미디어에 나타난 현상을 분석하였다. 셋째, 가정과 사회에서의 양성 평등 문제를 살펴보았다. 본 논문에서는 이러한 결혼과 출산에 대한 관점을 변화시키기 위하여 이에 대한 친화력(소중함을 인식하고 긍정적·적극적·실천적인 마인드)을 높임으로서 지향해야 하는 결혼·출산 친화적 가치관이란 무엇인지를 규명하였다 그 다음으로 결혼과 출산에 대한 현재의 인식에서 추가 및 강화되어야 하는 가(加)의 요소와 반대로 집중적으로 약화 및 제거시켜야 하는 감(減)의 요소로 구분하였다 따라서 결혼·출산 친화적 가치관의 효과가 극대화되기 위해서 가감(加減)의 요소는 동시적이며 상호보완적으로 작용해야 한다. Despite various factors contributing to low birthrate, there have been quite a few discussions and policies neglecting the analysis on changes in values of marriage and childbirth. Under these circumstances, this paper, through analysis of those factors affecting marriage and birth-related values, proposes the right direction for ‘marriage and birth-friendly values’ which recognizes the importance of marriage and childbirth as well as is based on positive, active, and action-oriented mind. This will, in turn, help not only set up demographic policies ever closer to solving the root causes of low birthrate but also establish proper values. According to necessity and objective of the research, factors of marriage and birth-related values leading to low birthrate have been suggested from three different perspectives. First, the paperhas studied changes and characteristics of marriage and birth-related values witnessed in line with the efforts of the Korean society to overcome the aftermath of financial crisis. Secondly, the paper has analyzed specific contents of mass media discouraging people from getting married and giving birth. Thirdly, the paper has scrutinized gender equality at home and in the society. The paper, in order to change the viewpoint of marriage and birth, has defined what ‘marriage and birth-friendly values’ we pursue are by recognizing the importance of marriage and birth and at the same time, encouraging positive, active, and action-oriented mind toward them Then, the paper has identified various factors and divided them into those factors to be strengthened or added to the current perspective of marriage and birth, and those to be weakened or removed. To maximize the effects of marriage and birth-friendly values, both of these plus and minus factors should be analyzed based on simultaneous and complementary manner.