What makes hybrid insourcing successful: A new public–private partnership model for social welfare services

Yang Jae‐jin,Kim Hey Sung,Choi Seong Eun,Ryu Lanhee,Choi Young Jun 한국사회복지학회 2020 Asian Social Work and Policy Review Vol.14 No.1

Outsourcing has been a key policy tool for delivering a range of social services, and regarded as more effective than insourcing or direct government provision. At the same time, it has also caused many delivery issues such as principal‐agent problems, a lack of policy coordination, and poor‐quality welfare services. While the pendulum continues to swing between insourcing and outsourcing, we aim to propose a new public–private partnership model called the “hybrid insourcing model” and examine which factors influence the performance of the model. In South Korea, around 2010, the local government in Namyangju City was the first to implement the “Hope Care Center model,” a kind of hybrid insourcing model, which has been praised for its innovation and widely emulated by central and local governments. Our analysis utilizes data collected between December 2017 and January 2018 from public sector employees and civilian staff in Namyangju and a comparable city, A. From this, we draw a number of implications, both for theory and for policy. We argue that, for public–private partnerships, active cooperation and equality are the biggest factors in contributing to positive performance. These work alongside leaders with a clear vision and with employees' positive attitude

한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

8년간(1992~1999) 산업안전보건연구원에 의뢰된 직업병 심의 사례 분석

강성규,김규상,김양호,최정근,안연순,진영우,최병순,양정선,김은아,채창호,최용휴,김대성,박정선,정호근 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

Objectives : Pneumoconisis and noise-induced hearing loss (NIHL) have been reported as main occupational diseases by the Special Health Examination. The Industrial Accident Compensation Insurance has reported various work-related diseases, however, these two diseases occupied almost a half of compensated cases. Therefore, it was not well known about the status of occupational diseases other than pneumoconiosis, NIHL, and cardio-cerebrovascular accident (CVA). This study was conducted to analyze claimed cases as an occupational disease, that was requested to the Korea Industrial Safety and Health Agency (KOSHA). Methods : The local office of the Korea Labor Welfare Corporation (KLWC) has asked the KOSHA for confirmation of claimed cases as an occupational disease. We analyzed 379 cases requested from KLWC, the Ministry of Labor, employers, unions and occupational health agencies from 1992 to 1999. Results : Male was 80.7 % of the requested cases. Their mean age was 42 years old and 75.5 % of them were more than 35 years old. The requested cases were increased rapidly from 25 cases in 1992 to 108 cases in 1999 and the accept rate was 50.7 %. The majority of requested cases were respiratory diseases(22.4%), cancers(18.5%), Neuropsychiatric problems(14.5%), and musculoskeletal problems(13.5%). The accept rate was high in reproductive, respiratory, musculoskeletal and digestive disorders and low in neuropsychiatric, renal and otologic problems and occupational cancers. 73.6% of them were caused by chemical agents, especially 28.5 % were by organic solvents. 67% of them were clinically confirmed at university hospitals. A half of the cases were from KyongIn area, even the request came from the whole country. Conclusions : A claim was common in workers whose age was over 35 years old and exposure history was over 10 years. The respiratory diseases and neuropsychiatric disorders were still main problems in occupational health and occupational cancers was increasing even though its accept rate was not high yet.

자궁선근증의 방사선학적 진단 : 경질초음파의 유용성과 유용한 소견 Usefulness of Transvaginal Sonogram and Useful findings

양승부,최진수 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Object : To evaluate the usefulness of transvaginal sonogram for radiologic diagnosis of adenomysis uteri and useful trasvaginal sonogram findings. Materials and Methods : Thirty five patients who were performed both ulㅅrasonography and hysterectomy proved as adenomyosis were analysed by sonographic finding of myometrial echo texture and also included 4 cases of combined myoma. Results : Four pattern of myometrial echo texture were analyzed. The most common type is ill defined heterogenous echo(19 case) but sensitivity is low(69%). And then ill defined heterogenous echo with multiple small cystic echoes(3 case), multiple alterating striation echo pattern(11 case), and single cystic echo(2 case) were followed. Ill defined heterogenous echo with multiple small cysts and multiple alterating striation echo pattern were most reliable findings(100% of sensitivity). Conclusion : Most reliable myometrial echo texture of adenomyosis are ill defined heterogenous echo with combined multiple small cyst or multiple alterating striation echo pattern. Multiple alteraing striation echo is the suggested charateristic finding of adenomyosis.

유비쿼터스 컴퓨팅에서 얼굴 정보 인식을 이용한 감성 추론 연구

양동일,박순희,박용,김진봉,최형진 강원대학교 정보통신연구소 2007 정보통신논문지 Vol.11 No.-

Recently, much research have been done on ubiquitous computing models in advanced countries as well as in Korea. Ubiquitous computing is defined as a computing environment that isn't bounded by time and space. Different kinds of computers are embedded in artifacts, devices, and environment, thus people can be connected everywhere and everytime. To recognize user's emotion, facial expression, temperature, humidity, weather, and lightning factors are used and ontology is built using those. Ontology Web Language (OWL) is adopted to implement ontology and Jena is used as an emotional inference engine. The context-awareness service infrastructure suggested in this research can be divided into several modules by their functions.

한강변 응급센터에 내원한 익수환자에 대한 임상적 고찰

양진홍,박규남,최승필,김영민,김세경 대한응급의학회 2001 대한응급의학회지 Vol.12 No.2

Background: There are approximately 2,400 drowning deaths reported every year in Korea, but there are few good reports about submerged patients visiting the emergency room, so this study was designed to investigate the clinical characteristics and outcomes of submerged patients treated at an emergency medical center near the Han river. Methods: A retrospective review of 123 cases of submerged patients admitted to our emergency medical center over a 5 year period from 1996 to 2000 was conducted. Results: Among the 123 submerged patients, there were 66 males and 57 females, and their mean age was 33.18. The common cause of submersions was a suicide attempt, followed by lack of attention, unknown etiology, and water sports such as swimming. Most of the patients were transported to ER by 119 ambulance. In-hospital CPR was performed on 27(22%) cases. At initial ECG rhythm of these cases, asystole was noted if 25 patients; VF and pulseless electrical activity, respectively, were noted in two others. Prehospital CPR had been performed on all in-hospital CPR cases except 2. Prolonged ROSC after succesful CPR was noted in 13 cases, The mean duration of CPR was 26 minutes. Five patients survived after CPR. Their neurologic outcomes were assessed on CPC(cerebral performance category). Three patients were categorized in CPC1, the other two patients were categorized in CPC3 and CPC4. Conclusion: Submerged patient's visits to emergency medical center near the Han river were most frequent in summer for suicide purposes. Drowned patients were more hypothermic than other cardiac arrest cases, and resulted in better outcome even with prolonged arrest time, if they were given appropriate prehospital CPR and aggreissive in-hospital resuscitation.

축산분뇨중의 암모니아성 질소 제거

진양오,최성우,김성우,김익성,신남철,박승조 동아대학교 환경문제연구소 1999 硏究報告 Vol.22 No.2

The purpose of thus study were to investigate the proper conditions of struvite formation in synthetic wastewater and then to apply these conditions to effluent of anaerobic digester of livestock wastewater The conditions of struvite formation had been studied by many researchers. But a little conditions were different among them. Especially, according to suspended solid variation in livestock wastewater was investigated by few researchers. In experiment of synthetic wastewater, the proper conditions of struvite formation were pH 105, l50rpm of mixing rate, 10 minutes of reaction time, and 20 minutes of precipitation time. At same time, the ammonia nitrogen removal rates were about 99.7%, 95.5%, and 96% of synthetic wastewater, raw wastewater, and effluent of anaerobic digester of livestock wastewater at molar ratio of 2(Mg):l(N)2(P) respectively. The larger factor of NH₄/SS constant was, the more effective the removal rate of ammonium nitrogen, SS was, but the less effective COD_(cr), and TOC was. By using XRD analysis, the most certain compound in precipitate of synthetic wastewater was struvite.

C / V 흑연주철의 조직과 기계절삭성에 미치는 안티몬 첨가의 영향

崔洋鎭 大田工業大學 1988 한밭대학교 논문집 Vol.5 No.2

It is very important to obtain gray and C/V irons with completely pearlitic structure by audition a small amount of Sb. In this study, a small amount of Sb(0.0 - 0.10%) that is powerful pearlite stabilizer was added in gray and C/V iron respectively, and inspected it's effects on the microstructure, machinability and mechanical properties. The results obtained from this study are as follows: 1. For gray and C/V iron, the microstructure of graphite appeared to be finer in accordance with increasing of Sb content more than 0.06%. 2. The ferritic structure disappeared from the matrix in accordance with addition of Sb more than 0.06% in gray iron and more than 0.08% in C/V iron. 3. The size of eutectic cells an gray iron was 4.5 to 7 times larger than that in C/V iron, but the decreasing tendency of it's size was more remarkable in gray iron than in C/V iron in accordance with Increasing of Sb content. 4. Machinability of gray and C/V Iron tended Ito decrease in accordance with increasing of Sb content.

골다공증의 동통에 대한 엘시토닌의 효과

양인명,김성운,김진우,김영설,김광원,최영길 최신의학사 1993 最新醫學 Vol.36 No.10

비강 구조에 대한 임펄스 응답 추정 방법에 관한 연구

양진원,최민주,이용학 濟州大學校 情報通信硏究所 2000 情報通信硏究所論文集 Vol.3 No.-

In this paper. the new method of estimating impulse response by modified Wiener filter is presented. The modified Wiener filter is composed of the noise-to-signal power ratio so that the bias in modified Wiener filter depends on the power spectrum of input signal and noise. Hence. in estimating impulse response. noise is effectively suppressed at the band where the frequency content of input signal is becoming less and less. Simulation shows that error is less in the presented method than in the conventional method. In experiments using the Acoustic Rhinometry. the presented method can acquire the more exact geometry from the estimated impulse response.