보건소 방문건강관리사업을 위한 간호사 인력의 적정 수요 추정

배현지 ( Hyun Ji Bae ),김진현 ( Jinhyun Kim ) 서울대학교 간호과학연구소 2015 간호학의 지평 Vol.12 No.1

Purpose: This study attempted to estimate the need for home visiting nurse at public health centers. Methods: A model was generated to estimate a community’s home visiting health service needs in 16 regions and a workload analysis was adopted to estimate the number of required Nurses. Data were collected from 16 public health centers using the South Korean government’s open-information systems. Subjects were divided into three groups: vulnerable social group, bottom 10% income group, and bottom 20% income group. Results: The analysis revealed that 2,158 and 6,667 nurses were needed to provide home visiting health service for the bottom 10% and 20% income groups, respectively. It was estimated that for the vulnerable social group, 10,336 nurses were needed to provide home visiting health service, implying that the need-based demand for nurses is well over 5 times the number currently employed. Conclusion: The results indicate that the number of currently employed nurses is insufficient for the health management of vulnerable social groups. The government should consider active employment policies to encourage nurses to apply for home visiting health service.

간호사 노동시장의 이중구조에 관한 실증 분석 : 수도권 대형병원과 지방중소병원의 비교

배현지(Hyun Ji Bae) 한국자료분석학회 2021 Journal of the Korean Data Analysis Society Vol.23 No.2

본 연구는 고임금과 양호한 근무환경이 보장된 수도권대형병원과 저임금, 열악한 근무환경을 형성하는 지방중소병원으로 분절된 간호사 노동시장의 이중구조 속에서 간호인력 수급 불균형이 발생하는 요인을 분석하였다. 이를 위해 2020년 11월에 전국의 간호사를 대상으로 2주간 온라인 설문조사를 실시하여 총 1,164명이 응답하였고, 탈락자를 제외한 1,142명이 분석되었다. 설문도구는 Doeringer & Piore가 제시한 이중구조를 설명하는 변수에 대한 총 16문항으로 구성되었다. 노동시장의 이중구조의 결정요인을 분석한 로지스틱 회귀분석에서는 간호사 연령, 임금수준, 교육수준, 노조가입유무, 의료기관설립 주체의 5가지 변수로 나타났다. 연령의 경우 50대에 비해 20대, 30대가 각각 6.034배, 4.448배 수도권대형병원에 더 많이 분포하고 있었고, 임금수준은 월250만원에 비해 월 350만원 이상이 32.773배 더 많이 분포하였으며, 교육수준의 경우는 석사학위자가 전문학사자에 비해 수도권대형병원에 분포할 확률이 5.256배 더 많았다. 그 외 통계적으로 유의한 결정 요인은 노조가입 유무와 의료기관 설립주체로 나타났는데, 노조가입자는 미가입자보다 7.573배 더 많이 수도권대형병원에 분포하고 있었고, 공공의료기관에 비해 민간의료기관이 수도권대형병원일 가능성이 2.504배 높았다. 따라서 지방중소병원의 간호사 적정 수급을 위해서는 임금수준 향상, 노조와 같은 민주적 의사결정 구조 개선, 자기 계발을 위한 성장 기회 제공 등 간호사가 선호하는 근로조건을 마련해야 한다. This study analyzed the factors that caused the unbalance in the supply and demand of nursing personnel in the nurse dual labor market divided into large hospitals in the metropolitan area called internal market with high wages and good working conditions and small and medium hospitals with low wages and poor working conditions called external market. Online survey was conducted for two weeks in November, and 1,142 people were analyzed. The questionnaire tool was consisted of 16 questions based on the dual labor structure variables suggested by Doeringer & Piore. In the logistic regression analyzed the factors of internal market, private hospital were 2.504 times more likely to be internal market than public medical institutions, and the case of union membership was 7.573 times higher than non-membership, the case of 3,500,000 won of monthly wage was 32.773 times higher than the 2,500,000 won. On the other hand, nurses in 20s, 30s were 6.034, 4.448 times respectively more likely to work in the internal market than in their 50s. Therefore, in order to properly supply of nurses in local small and medium hospitals, it is necessary to prepare working conditions favored by new nurses. Specifically, improvement in wage levels, expansion of welfare benefits, provision of growth opportunities, and democratic decision-making structures are necessary.

한의사인력의 중장기 수급 추계 연구

김진현,배현지,이선동,Kim, Jin-Hyun,Bae, Hyun-Ji,Lee, Sun-Dong 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.1

Objectives : This study was conducted to estimate the future demand and supply of physicians for korean medicine from 2016 year to 2026 year in order to make an adequate manpower policy in a way of keeping a balance between demand and supply. Methods : Baseline projection method and trend analysis(a polynomial log power equation model) were used in the estimation of future supply and demand respectively. We used data about the amount of oriental doctors from Ministry of Health and Welfare Statistics Yearbook and the treatment days from HIRA Statistics Yearbook. Results : It was projected that the total number of physician of Korean medicine will be 25,178 registered and 18,967 available in clinical setting. According to polynomial equation model which explained the trend of demand and had the highest score of $R^2$ among the equation models, 3,800~5,600 physician in Korean medicine will be oversupplied in 2016 year, 9,000~10,700 physicians in 2021 year and 15,700~17,000 persons in 2026 year depends on annual working days which is 265days, 255days or 239days. Log equation model also showed that overall excess supply of physician manpower in Korean medicine. Conclusions : Alternative manpower policies for Korean medicine doctors should be implemented in a way of both dwindling supplies and growing demand in Korean medical service in terms of Korean medical services utilization and improving physician's productivity.

장기요양기관 종사자의 인건비 수준과 분포에 관한 실증분석

김진현 ( Kim Jin Hyun ),임은실 ( Yim Eun Sil ),배현지 ( Bae Hyun Ji ),서동민 ( Seo Dong Min ),정수용 ( Jeong Su Yong ) 한국장기요양학회 2016 장기요양연구 Vol.3 No.2

장기요양서비스의 수가산정을 위한 기초자료를 제공하기 위해 장기요양기관 종사자의 인건비를 파악하였다. 자료는 표본집단으로 선정된996개 기관을 대상으로 2014년7월~8월 동안 전문조사원이 직접 방문하여 수집하였다. 장기요양기관 종사자 14,505명의 인건비 분석결과 2014년 9월 기준으로 직종 중 요양보호사가 79.8%로 가장 많았고, 종사자들의 4대 사회보험 가입률은 79.5%로 조사되었다. 월평균근로시간을 고려한 요양보호사의 시간당 인건비는 방문목욕이 10,517원으로 가장 높았고, 노인요양시설8,082원, 주야간보호 7,817원, 단기보호 7,750원, 방문요양 7,226원, 공동생활가정6,320원 순으로 조사되었다. 지역별로는 대도시보다 중소도시에서, 중소도시보다 농어촌에서 급여가 높은 것으로 조사되었고, 시설의 규모가 클수록 월평균급여가 높게 조사되었다. 2014년 노인요양시설 종사자의 평균급여는 2012년도에 비해 증가하였으나 2년간 임금인상률, 장기요양 수가인상률을 고려할 경우 수가인상분이 급여인상에 충분히 반영되지 못한 것으로 분석되었다. 종사자의 임금수준을 적정선으로 유지하기 위해서는 수요에 기반을 둔 공급체계 수립, 적정 규모의 장기요양기관 활성화 방안, 임금의 하한선 제시 등 제도적 보완책을 검토할 필요가 있다. The purpose of this study is to analyse the wage level and distribution of workers in long-term care facilities and provide the empirical cost data for long-term care insurance policy in Korea. A national labor cost survey questionnaire for long-term care institutions was developed and the survey was performed in a way that professional investigators visited the 996 sample institutions which were selected randomly during July to August, 2014. The number of subjects was 14,505 employees who has worked at the sample institutions. The results showed that care-givers were the largest proportion(79.8%) of personnels working at long-term care institutions, and a 79.5% of the workers was under the coverage of social-security insurance. The average monthly wage level in institutional service facilities was higher than one in home care service facilities and it was higher in small cities than in metropolis. By scale of the facilities, the larger facilities paid higher wage levels than smaller ones. Overall the wage level of workers delivering long term care services are estimated to be lower than the reimbursement for the services. An alternative policy to support the wage level of workers in providing long-term care services should be designed and implemented.

간호사 자살이 남긴 과제: 일상 속의 예방관리-적극적 개입관리-체계적 사후관리

김형숙(Kim, Hyoung Suk),배현지(Bae, Hyun Ji),강경화(Kang, Kyeong Hwa) 한국간호과학회 2021 Journal of Korean Academy of Nursing Vol.51 No.4

SNS 데이터를 기반으로 하여 맛집의 요약적 키워드를 시각화시킨 워드클라우드 제공 서비스

박서연(Seo Yeon Park),신민정(Min Jung Shin),이하정(Ha Jeong Lee),배현지(Hyun Ji Bae),이미정(Mi Jeong Lee) 한국통신학회 2015 한국통신학회 학술대회논문집 Vol.2015 No.11

아두이노를 기반으로 지문센서를 활용한 음주운전방지장치

손정훈(Jung-Hun Son),이호영(Ho-Yeong Lee),배현지(Hyun-Ji Bae),김윤호(Yun-Ho Kim),이붕주(Boong-Joo Lee) 한국전자통신학회 2022 한국전자통신학회 논문지 Vol.17 No.5

본 논문은 음주운전 사고를 방지하기 위해 시동 전 음주 측정을 하는 음주운전 방지 시스템을 구현하였다. 자동차 내부에서 시동 전 음주 측정을 하여 측정 시 운전자가 아닌 타인이 대신 인증하는 상황을 방지하기 위해 지문 센서를 사용하여 본인인증 수단을 강화하였고, 이후 바람 센서의 설정값 이상 측정 확인 시 알코올센서가 작동하게 구현하였다. 센서들을 여러 실험을 통해 측정값을 정하였고 최종적으로 알코올 농도가 0.03%이상일 경우 DC 모터가 정지하여 차량 운행이 불가능하게 설계하여 음주운전이 사전에 차단되는 시스템을 구현하였다. In this paper, a drunk driving prevention system was implemented to measure drunk driving before starting to prevent drunk driving accidents caused by complacency after drinking. In order to prevent a situation in which a driver but not a driver authenticates instead of a driver, the identification means was strengthened and the alcohol sensor was implemented to operate when the wind sensor measured above the set value set. Through this system, the driver's alcohol measurement process was strengthened. Sensors were determined through various experiments, and finally, when the alcohol concentration was 0.03% or more, the DC motor was stopped and the vehicle was designed to be unable to operate, thereby implementing a system in which drunk driving was prevented in advance.