공무원노동조합 활동요인이 공무원 후생복지 수준에 미치는 영향: 수도권 지방자치단체를 중심으로

권기태,김동원 서울대학교 한국행정연구소 2016 行政論叢 Vol.54 No.2

The purpose of the study is to find the effects a public union’s activities have on the welfare of civil servants, which is the most critical purpose of the union. To do this, the study conducted a survey of 611 members of the National Public Official’s Union working in the Seoul Metropolitan Area. As a result, the levels of welfare were higher as the operation of the union was more effective or labor relations were more cooperative, and particularly as the party in government was more cooperative in negotiations. However, the positiveness or competency of union leaders did not affect the level of welfare, and proactive behavior by unions to reflect member’s opinions had negative effects on the level. Therefore, union leaders need to listen to the demands of members rather than trying to increase their activities to improve the welfare outcomes, and meanwhile enable government representatives to be more proactive in negotiations through cooperative labor relations. 본 연구의 목적은 공무원노조활동(노조운영 효과성, 노조지도부, 노사관계)이 그 노조의 가장 핵심적인 목적인 공무원 후생복지의 수준에 미치는 영향에 대해 평가하는 것이다. 이를 위하여 수도권에서 근무하는 전국공무원노조 소속 조합원 611명을 대상으로 설문조사를 실시하였다. 분석 결과, 노조운영이 효과적일수록 혹은 노사관계가 협력적일수록, 특히 정부 측이 협상에 적극적일수록 복지수준이 높은 것으로 나타났다. 그러나 노조지도부의 적극성이나 역량은 대체로 복지수준에 영향을 미치지 않거나, 특히 노조원의 의견을 반영하려는 적극성은 오히려 복지수준에 부정적인 영향을 미치는 것으로 나타났다. 따라서 노조지도부가 공무원의 후생복지 향상을 극대화시키려면 리더십의 강도보다는 조합원 수요중심의 방향성이 보다 중요하며, 정부 측이 협상에 적극성을 보이면서 협력적 노사관계가 조성되는 것이 효과적인 대책으로 제시되었다.

A Study on the Strategic Vitalization Plan of Korean Integrated Medical Tourism

권기태,김화경 대한한의학회 2013 대한한의학회지 Vol.34 No.2

Objectives: As a newcomer to the medical tourism industry, Korea needs to differentiate itself from the leading competing countries to vitalize its early-stage medical tourism industry. This study aims to introduce a strategic plan to vitalize the Korean integrated medical tourism so that Korea can differentiate itself from competing countries and create high added value. Methods: The concept and actual conditions of medical tourism and Oriental medical tourism were examined. A plan to differentiate Korea from the competing countries in the medical tourism industry was studied to create high added-value through strategic vitalization of its medical tourism industry. Results: Korean integrated medical tourism must be developed differently from those of other South-East Asian countries in order to strategically promote the cash-cow medical tourism industry. In order to develop such medical tourism, Korean medical practice, which integrates Western and Oriental medicine, is to be developed through mutual understanding and fusion of other disciplines among medical doctors and Oriental medical doctors who are working in local healthcare for health promotion of local residents and disease prevention and control. This will play a key role in developing a unique medical tourism product of Korea by means of strategic alliances as an integrated medicine. Manpower specialized for integrated medicine is to be specially supplied for Oriental medicine-related business lines at city, county and borough levels, among local governments, that are enthusiastically carrying forward Oriental medical tourism with an interest to promoting more active and strategic business development and raise the effectiveness and efficiency of public health centers handling related medical tourism. Manpower specialized for Korean integrated medical tourism is to be specially supplied for the Ministry of Culture, Health and Tourism, a policy control tower to develop and vitalize high value-added fusion (theme) tourism products such as the Korean integrated medical tourism, in order to discover, promote and support Korean integrated medical tourism’s differences from existing medical tourism. Conclusions: The differentiated integrated medical tourism that only Korea can offer in a variety of forms, in order to create a key area of high value-added medical tourism, should be strategically vitalized through a liaison between integrated medicine and tourism and the realization of patient-centered health care services with medical technology developed based on mutual understanding of Western and Oriental medicine.

항생제 사용관리 프로그램의 실행

권기태 대한의사협회 2022 대한의사협회지 Vol.65 No.8

Background: The antimicrobial stewardship program (ASP) is a coordinated intervention designed to improve and measure the appropriate antibiotics use by selecting an optimal antibiotic drug regimen, including dosing, therapy duration, and administration route. The implementation of ASPs decreases the consumption, cost, and adverse effects of antibiotic use. Additionally, it improves the clinical outcomes, and decreases Clostridium difficile infection and antimicrobial resistance. Current Concepts: To overcome the antimicrobial resistance and implement ASPs worldwide, various efforts are underway, such as enacting ASP guidelines, developing core elements for ASP implementation, introducing ASPs to the healthcare accreditation system, and providing healthcare facilities with adequate incentives to implement ASPs. In Korea, ASP guidelines were published in September 2021, and core elements for ASP implementation are being developed at the time of writing. However, there is a shortage of personnel required for the ASP team, including healthcare workforce and infectious disease specialists for leading the team Moreover, financial support for ASP implementation in the National Health Insurance Service is not provided yet. The awareness of hospital leadership and clinicians prescribing antibiotics for ASP implementation is still low. The reimbursement system establishment and workforce for ASPs are prerequisite for the implementation of ASPs. Discussion and Conclusion: At the national level, it is necessary to provide financial support for ASPs in healthcare facilities, nurture the healthcare workforce in performing ASPs, and advocate ASP education and publicity.

Full Cementation in Revision Total Knee Arthroplasty Using a Constrained Condylar Knee Prosthesis with an Average 7-Year Follow-up

권기태,한규영,이운상,김도훈 대한슬관절학회 2017 대한슬관절학회지 Vol.29 No.4

Purpose: To evaluate clinical and radiological outcome of the full cementation technique in revision total knee arthroplasty (TKA) using a constrained condylar knee (CCK) prosthesis. Materials and Methods: Between January 2008 and March 2012, 18 cases (16 patients) of fully cemented revision TKA were performed using a CCK prosthesis. Fifteen cases of aseptic loosening (13 patients) and 3 cases of infection were included. There were 2 males and 14 females with a mean age of 76.7 years at the time of surgery, and the average follow-up was 81 months. Clinically, the pain score, function score and Hospital for Special Surgery (HSS) score were evaluated. Radiologically, loosening, radiolucent lines and migration of implant were evaluated. Results: Preoperatively, the pain score, function score and HSS score were 50.3, 24.4 and 61.8 points, respectively. At the latest follow-up, the scores were improved to 84.8, 63.6 and 85.6 points, respectively (p<0.05). Loosening or migration of implant was not observed in any cases. Radiolucent lines were observed in 5 cases underneath the tibial component without progression during the follow-up. Conclusions: The full cementation technique in revision TKA using a CCK showed excellent clinical results. Although radiolucent lines were observed in 27.8% underneath the tibial component, there was no progression to loosening or instability.

노년내과 심포지엄-노인질환의 예방 : 새로운 예방접종: 대상포진, 폐렴사슬알균

권기태 대한내과학회 2013 대한내과학회 춘계학술대회 Vol.2013 No.-

웹기반 소프트웨어 요구 조정 시스템의 설계 및 구현

권기태,Gwon, Gi-Tae 한국정보처리학회 1999 정보처리학회논문지 Vol.6 No.11

One of the most important prerequisites for a successful software process is the collaboration and software requirements negotiation of all stakeholders in the software development process. Remote users using computer networks can negotiate software requirements by computer supported system, and can share their informations. The goal of software requirements negotiation system is an integration of all win conditions and an agreement after resolution of conflicts. The existing systems need an exclusive system and must be dependent on specific platform and network. Users must have the knowledge of all stakeholder's status and use homogeneous collaborating applications. This paper presents the Web-based software requirements negotiation system for the purpose of resolution of the existing systems' problems. The Web-based software requirements negotiation system can be driven by WinWin Spiral model, and it is based on hybrid execution method. The proposed system is validated and tested on heterogeneous environments.

이임사 (대한토질공학회지 제3권 제2호 : 1987년 6월)

권기태 한국지반공학회 1987 지반 : 한국지반공학회지 Vol.3 No.2

Microbiology and Antimicrobial Therapy for Diabetic Foot Infections

권기태,David G. Armstrong 대한감염학회 2018 Infection and Chemotherapy Vol.50 No.1

In addition to being the prime factor associated with amputation, diabetic foot infections (DFIs) are associated with major morbidity, increasing mortality, and reduced quality of life. The choice of appropriate antibiotics is very important in order to reduce treatment failure, antimicrobial resistance, adverse events, and costs. We reviewed articles on microbiology and antimicrobial therapy and discuss antibiotic selection in Korean patients with DFIs. Similar to Western countries, Staphylococcus aureus is the most common pathogen, with Streptococcus, Enterococcus, Enterobacteriaceae and Pseudomonas also prevalent in Korea. It is recommended that antibiotics are not prescribed for clinically uninfected wounds and that empirical antibiotics be selected based on the clinical features, disease severity, and local antimicrobial resistance patterns. Narrow-spectrum oral antibiotics can be administered for mild infections and broad-spectrum parenteral antibiotics should be administered for some moderate and severe infections. In cases with risk factors for methicillin-resistant S. aureus or Pseudomonas, empirical antibiotics to cover each pathogen should be considered. The Health Insurance Review and Assessment Service standards should also be considered when choosing empirical antibiotics. In Korea, nationwide studies need to be conducted and DFI guidelines should be developed.

빅 데이터 소프트웨어 비용산정을 위한 FP 응용

권기태 한국소프트웨어감정평가학회 2014 한국소프트웨어감정평가학회 논문지 Vol.10 No.2

Era of large volumes of data that data increases exponentially has arrived. This is because the holdings of smart devices per use and one of the social services has increased. Regardless of the development costs and the importance of scale calculation of precise software in the early stages of development in big data project management, cost estimation study reflects the big data environment was not nearly done. In this study, for an attempt to overcome these limitations, we have proposed a FP method of applying fuzzy logic. The proposed method in this paper is to reflect the actual size of the components of the FP, it is possible to correct cost estimation. Only the level FP value associated with an increase(decrease) in the boundary value increases(decreases), it is possible to minimize the ambiguity even ripple effect FP during the early stages of development. Fuzzy FP method proposed in this study, it is possible to calculate the appropriate cost for large-scale software in big data environment.

소프트웨어 아키텍처 기술 언어의 요구 조건에 관한 연구

권기태,변분희 국립7개대학공동논문집간행위원회 2002 공업기술연구 Vol.2 No.-

As the size and complexity of software systems increase, the design and specification of overall system structures become more significant issues than the choice of algorithms and data structures. Structural issues include the organization of a system as a composition of components; global control structures; protocols for communication, synchronization, and data access etc. In this paper we show why the existing software architectural description method is not satisfied, and suggest the necessity of the new architectural description language and the requirements of the software architectural description language.