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.

라이다 및 차량 속도 · 관성 센서와 ICP 정합 알고리즘을 활용한 실시간 도로 표면 프로파일 생성

손영록(Youngrok Son),김소영(Soyeoung Kim),석지원(Jiwon Seok),김성준(Seongjun Kim),조기춘(Kichun Jo),김형진(Hyeongjin Kim),김영재(Yeoungjae Kim) 한국자동차공학회 2022 한국자동차공학회 부문종합 학술대회 Vol.2022 No.6

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.

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.

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.

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.

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.

Alterations of hepatocellular bile salt transporters and effects of immunosuppressants after warm ischemic injury in rats

Hyeyoung Kim,Kwang-Woong Lee,Seung Cheol Oh,Geun Hong,Nam-Joon Yi,Hae Won Lee,YoungRok Choi,Suk-Won Suh,Jaehong Jeong,Suk Kyun Hong,Kyungchul Yoon,Hyo-Sin Kim,Kyung-Suk Suh 한국간담췌외과학회 2015 한국간담췌외과학회 학술대회지 Vol.2015 No.9

Survival Benefit of Liver Resection in BCLC-B Stage Hepatocellular Carcinoma : A Korean Nationwide Multicenter Study with Propensity Score Matching

( Hyeyoung Kim ),( Sung-woo Ahn ),( Suk Kyun Hong ),( Kyung Chul Yoon ),( Hyo-sin Kim ),( Jin Yong Choi ),( Youngrok Choi ),( Hae Won Lee ),( Nam-joon Yi ),( Kwang-woong Lee ),( Kyung-suk Suh ) 대한간학회 2016 춘·추계 학술대회 (KASL) Vol.2016 No.1

Purpose: The recent evidence supporting the survival benefit of liver resection (LR) for Barcelona Clinic Liver Cancer B hepatocellular carcinoma (BCLC-B HCC) is increasing, but remains controversial. Therefore, well designed comparative studies about the results of LR vs. non-surgical treatment for BCLC-B HCC are difficult and still uncommon. The aim of this study was to compare the survival benefit of treatment including LR vs. only non-surgical treatment for BCLC-B HCC between well-matched patient groups. Methods: We reviewed the database of the Korean Liver Cancer Study Group (KLCSG) selected using random sampling from the nationwide multicenter HCC cohort. The registered patients were diagnosed with HCC between 2003 and 2005 (n=4,520) or between 2008 and 2010 (n=4,966). Among the total 887 patients of BCLC-B HCC (multinodular asymptomatic tumors without an invasive pattern), 83 patients underwent LR as the first or second treatment within 2 years after initial diagnosis (LR group; 9.4%). Control was the group of 599 patients who underwent only non-surgical treatment within 2 years after initial diagnosis (non-LR group; 67.5%). To select well-matched patient groups, propensity score matching was used at 1:1 ratio with covariates at the time of diagnosis including registered timing, gender, age, child class, MELD score, tumor number, tumor size, and under lying liver disease. The survival outcomes were compared between the matched groups. Results: The two groups were well balanced by propensity score matching and 80 patients were matched respectively. In LR group, the patients showed significantly better outcome than in non-LR group. The 1-, 2-, 3-, and 5-year overall survivals were 90.1% vs. 78.7%, 87.6% vs. 47.5%, 75.2% vs. 35.1%, and 54.7% vs. 20.2% in LR vs. non-LR group, each (p<0.001). Multivariate Cox proportional hazards regression analysis revealed non-surgical treatments (hazard ratio, 2.974; 95% confidence interval, 1.937 to 4.565, p<0.001), low albumin level (≤3.0 g/dl) at the time of diagnosis (hazard ratio, 2.347; 95% confidence interval, 1.014 to 5.433, p=0.046), and the largest tumor size greater than 5.5cm (hazard ratio, 1.677; 95% confidence interval, 1.109 to 2.535, p=0.014) were significant independent risk factors for overall survival in BCLC-B stage HCC. Conclusion: In BCLC-B stage HCC, treatment with LR offers a significant overall survival benefit compared with non-surgical treatments.

정부예산안의 국회 예산심의 결과에 대한 실증 분석 - 정책 특성, 편익의 범위, 정치적 영향력을 중심으로 -

김영록 ( Youngrok Kim ),김상수 ( Sangsoo Kim ) 한국정책학회 2018 韓國政策學會報 Vol.27 No.2

이 연구는 정책과 사업의 특성, 정책 편익의 범위, 그리고 지출기관의 정치적 영향력이라는 요인들이 국회 예산심의 결과에 어떠한 영향을 미치는지를 실증적으로 분석한 논문이다. 가설을 검증하기 위해 최근 5년간의 국회 예산심의 전후 결과를 확보하여 분석하였으며, 그 결과는 다음과 같다. 첫째, 사업의 산출물이 유형적이면 국회 예산심의 이후 예산이 증가하는 것으로 나타났다. 즉 사업 추진을 통해 유형적인 산출물이 나타나는 사업에 대해서 국회의원들은 우호적인 심의행태를 취하고 있는 것이다. 둘째, 국회에서 심의되는 사업 중 편익이 특정지역에 국한되는 사업의 경우 국회 심의 이후 증액되는 경향을 뚜렷이 나타나고 있다. 이는 우리나라 국회의 구성 비율이 지역구가 다수를 차지하고 있으며, 이들이 특정 지역의 편익에 우호적이라는 사실을 실증한다고 볼 수 있다. 즉, 본 연구는 국회의 예산 심의행태에 관해서 그동안 선행연구에서는 검토되지 않았던 정책 및 산출물의 유무형성과 편익의 범위에 따른 국회 예산심의 결과의 경향성을 실증적으로 확인하였다는 데 그 의의가 있다고 할 수 있다. This study examines whether the type of public policy and business, the scope of policy beneficiaries, or the national agencies lobbying Congress play a pivotal role in affecting budget outcomes in Congress. Little or no research has touched on a relationship between the type of policy or the scope of policy beneficiaries, and allocations to pork barrel projects in Congress. The article's central argument is to illuminate expenditures of pork-barrel politics in terms of the policy type, the individual-benefit and collective-benefit motivations, or the political influence of agencies in Congress. Our hypotheses are empirically tested with a data base derived from secondary sources in the National Assembly from 2013 to 2017. We find that the tangible projects and the legislators' individual-benefit motivations are notable factors that influence budget outcomes in Congress.