코딩 교육을 위한 기능성 게임 “COngDING” 개발

이수연(Su-Yeon Lee),윤서영(Seo-Young Yun),정소윤(So-Yun Jeong),우탁(Tack Woo) 한국디지털콘텐츠학회 2023 한국디지털콘텐츠학회논문지 Vol.24 No.12

세계화와 국민국가의 복지정책 자율성 : 다국적 제약자본이 우리나라 제약정책 결정에 미친 영향을 중심으로

이수연(Lee Su-Yun),김영미(Kim Young-Mi) 한국사회복지학회 2005 한국사회복지학 Vol.57 No.3

세계화는 제약정책에 모순적인 영향을 미친다. 세계화에 따른 '국민적 경쟁국가'로의 변화는 약제비 절감 정책을 강화하는 한편 다국적 제약자본의 영향에 의한 WTO TRIPS 협정은 신약에 대한 특허 보호를 강화하여 약제비를 증가시킨다. 현재 다국적 제약자본의 이해를 반영하는 초국적 기구(예로, 유럽연합)가 산업적 목표 때문에 국민국가 제약정책에 규제를 가함으로써 국민국가의 약제비 절감 정책의 자율성이 침해당하고 있는 실정이다.<br/> 우리나라도 예외는 아니다. 1990년대 후반까지 우리나라 제약정책의 특징은 성장제일주의 이데올로기에 의한 원가수준의 약제비 통제 정책이었으며 이는 우리나라의 고유한 발전국가적 정책수단이었다. 그러나 세계화로 인한 다국적 제약자본의 힘의 강화는 우리나라 제약정책 자율성을 침해하고 있다. 값비싼 수입의약품은 건강보험 급여 목록에서 제외되었으나 미국 정부의 오랫동안의 압력에 의해 1999년부터 수입의약품도 건강보험 급여 목록에 등재되었다. 또한 의약분업 실시 이후 값비싼 고가약 사용이 증가하자 건강보험 재정절감 차원에서 참조가격제 도입 방안이 마련되었으나 미국 정부 및 다국적 제약회사의 압력에 의해 제도 실시가 유보되어졌다. 뿐만 아니라 미국 정부의 압력에 의해 우리나라 보건의료정책 결정 과정에 영향을 미치는 워킹그룹이 만들어지게 되었다.<br/> 지금까지 세계화와 관련된 논의들은 주로 세계화에 따른 국민적 경쟁국가로의 변화가 복지지출을 축소시켰는가에 관한 것들이었다. 그러나 본 연구는 세계화가 약제비 절감정책을 통해 보건의료비 지출을 감소시킨 측면 뿐만 아니라 세계화가 민간영리 복지서비스 제공자인 다국적 제약자본의 힘을 강화시켜 복지지출을 증가시키는 측면에도 주목하였다. 본 연구는 세계화가 일국의 제약정책에 미치는 모순적인 측면에 주목하면서 이 모순이 어떻게 다국적 제약자본의 이해로 관철되는지를 우리나라의 사례를 통해 살펴보았다. Globalization has conflicting effects on pharmaceutical policies. A change into a 'populist competitive nation' due to globalization strengthens policies to reduce drug manufacturing costs while the WTO's TRIPS Agreement that is affected by multinational pharmaceutical companies increases drug manufacturing costs by bolstering the patent rights on new drugs. Currently, the independency of populist nations' policies to reduce drug manufacturing cost is being compromised because multinational organizations (such as the European Union) which represents the interests of the multinational pharmaceutical companies put restrictions on the pharmaceutical policies of populist nations for purposes of promoting the industrial goals of the multinational companies.<br/> Korea is no exception. Up until the late 1990s, the main feature of the pharmaceutical policies in Korea was keeping the drug price at the cost level based on a growth-driven ideology, and this was Korea's unique policy tools as a developing nation. However, the increase in the power of multinational pharmaceutical companies currently infringes on the independency of Korea's pharmaceutical policies. Expensive imported drugs were originally covered by the national health insurance plan, but starting from 1999 such drugs began to be covered by the plan. After separation of medical and pharmaceutical services, the use of expensive drugs was increased, and the Korean government planned to introduce the reference price policy in order to contain the cost of the national health insurance plan. However, due to pressures from the U.S. government as well as multinational pharmaceutical companies, implementation of the policy has been postponed. In addition, due to a pressure from the U.S. government, a working group was created which would affect the health care policy of the Korean government.<br/> Discussions so far on globalization was about whether the change into populist competitive nations due to globalization resulted in the reduction of welfare spending. However, this study shows not only the reduction of health care cost through policies to reduce drug manufacturing costs but increase in welfare spending by raising the strengths of multinational pharmaceutical companies that are for-profit providers of welfare service. While focusing on the contradictory effects of globalization on pharmaceutical policies of a nation, this study looked at how these conflicting effects end up promoting the interests of multinational pharmaceutical companies by examining the Korean case.

외환위기 전ㆍ후 노동력 유연화와 한국 기업복지제도의 변화

이수연(Lee Su-Yun),노연희(Rho Yeon-Hee) 한국사회복지학회 2006 한국사회복지학 Vol.58 No.2

본 연구는 우리나라 기업복지가 지속적으로 성장할 것이라는 기존 연구들(1990년대 초ㆍ중반)의 전망을 경험적으로 검증하였다. 분석결과, 외환위기를 전ㆍ후로 한 노동력 유연화의 결과 기업복지는 축소되었으며 비용통제가 가능하고 비용효율적인 선택적 복리후생제도의 도입, 고정비용적이기보다는 성과배분적인 사내근로복지기금출연금의 성장과 같은 현상이 나타났다. 기존 연구결과에 따르면 복지국가 위기 이후 국가복지 축소/기업복지 확대의 경로를 보인 국가들도 있지만 국가복지확대/기업복지 축소의 경로를 보인 국가들도 있다. 우리나라는 국가복지확대/기업복지 축소의 한 경험적 사례로 제시될 수 있다. The purpose of this study was to empirically test whether occupational welfare in Korea would have grown since the mid 1990s. The result of this study showed that after the IMF fiscal crisis, the policies of labor flexibility in labor market initiated flexible forms of employer-provided benefits, including cafeteria plan or profit-based funds, which finally led to a decline of occupational welfare rather than a growth. Existing studies haven't agreed on trade-off of statutory and voluntary social provisions since the crisis of welfare state. However, based on the case of Korea, this study suggested archetypal development of welfare system experiencing a decline of occupational welfare paralleled with a growth of state welfare provision.

공공서비스 분야에서의 국가·민간 역할분담에 관한 연구

이수연(Lee Su-yun) 21세기정치학회 2013 21세기 정치학회보 Vol.23 No.2

OECD member countries use a wide variety of institutional arrangements to finance and deliver health care. This study use regression analysis based on crosssection data(OECD Health Data 2010) in order to explain the linkage between the performance of the health system and health care financing/delivery system. Empirical evidence shows that higher public expenditure as a percentage of total expendiure(or higher government-owned hospitals as a percentage of total hospitals) is associated with significantly more positive health care system performance as measured by resource mobilized, services produced, health outcomes achieved, efficiency, effectiveness and productivity. In addition, regression results suggest that health care financing system are more important factors explaining differences in health care system performance across OECD countries than health care delivering system.

김대중,노무현 정부 복지국가 성격에 관한 연구: 국민건강보험 정책결정과정에서의 시민참여를 중심으로

이수연 ( Su Yun Lee ) 한국사회복지연구회 2011 사회복지연구 Vol.42 No.1

This study investigates the nature of the welfare state under the Kim Dae Jung and Roh Moo Hyun regime focusing on participatory democracy in the policy decision making procedure for the National Health Insurance. Participatory democracy was introduced not for the qualitative development of Korean democracy but for securing political legitimacy to change the Korean economic structure after the IMF financial crisis. Although participatory democracy played the positive role in winning higher benefit level in National Health Insurance. an index for the development of the welfare state, in 2007 A policy of higher benefit level ended in failure because of the pursuit of the neoliberal ideology, lack of government`s responsibility for public finance, and thwarting policy holders` substantial participation in the decision-making process. Like those of past welfare systems, participatory democracy under the Kim Dae Jung and Roh Moo Hyun regime was introduced for securing political legitimacy. But it was managed under restrictions imposed by pro-economic-growth ideology. Nevertheless, the Kim Dae Jung and Roh Moo Hyun governments are different from the former welfare states because of the fact that participatory democracy system is not ``service`` system but ``political structure`` and the fact that the grant of powers by participatory democracy played positive roles in the development of welfare state through request of higher benefit level policy.

The Korean Welfare state and Productivist Welfare Capitalism: A Historical Analysis of the Korean National Health Insurance System

이수연 ( Su Yun Lee ),주재현 ( Jae Hyun Joo ) 중앙대학교 국가정책연구소 2014 국가정책연구 Vol.28 No.3

This study examined Korea’s National Health Insurance (KNHI) in order to assess whether Korea’s recent welfare developments have weakened the productivist welfare regime thesis characterizing East Asian countries. By using a revised version of Twaddle’s typology of national healthcare systems (professional, communal, market, and technocratic organizations), the study identified three phases in KNHI’s history of institutional changes: KNHI experienced institutional changes from a technocratic organization established under the authoritarian political regimes to another via a short period of communal organization adopted under the condition of foreign exchange crisis of 1997. Although the second technocratic organization had some elements of communal system, it is difficult to say that KNHI’s communal elements in particular and Korea’s recent welfare developments in general were accompanied by fundamental changes in the pre-existing welfare regime. The establishments such as government-led and only partially open policy process, economy-first policy orientation, tightly controlled state welfare expenditure, etc. have virtually remained intact. In short, KNHI, as a critical case, supports the proposition that the productivist regime thesis is still valid in the East Asian context.

유도가열을 이용한 DME (Direct Melting Extrusion) 방식의 금속3D프린팅에 관한 연구

이수연(Su-Yeon Lee),김창수(Chang-Soo Kim),박진호(Jean-Ho Park),이종범(Jong Beom Lee),김수희(Su-Hee Kim),한윤성(Yun-Sung Han),이희성(Hee-Sung Lee) 한국생산제조학회 2020 한국생산제조학회지 Vol.29 No.1

The 3D printing market is growing rapidly as it enters the 4th industry; metal 3D printing, in particular, is showing remarkable growth. However, the market for metal 3D printing has become monopolistic due to its prevalence in developed countries. The cause of this is the expensive equipment and metal powder material it requires; as such, it is difficult to popularize metal 3D printers. In light of this, we have studied direct melting extrusion (DME) metal 3D printing technology using induction heating to solve this problem. DME metal 3D printing does not use expensive equipment and powder form materials. If these technologies are researched and developed, they can potentially lead the metal 3D printing market.

국가와 의사집단 그리고 전문주의

이수연 ( Su Yun Lee ) 한국사회복지연구회 2003 사회복지연구 Vol.21 No.-

입원,외래서비스 이용경험이 지역사회 보건복지서비스 이용(욕구)에 미치는 영향: 저소득 만성질환보유 노인을 대상으로

이수연 ( Su Yun Lee ),배지영 ( Ji Young Bae ) 한국사회복지연구회 2011 사회복지연구 Vol.42 No.2

The increased needs for medical cost containment and the quality of life improvement for the low-income elderly with chronic disease require the complementary relationship between hospital care and community health services. This study investigated the current status of the linkage between Korean hospital care and community services using Seoul Welfare Panel Study(SWPS) data. Logistic regression analysis was used to examine the effects of experiences of hospitalization and outpatient health services on use and needs of community health services. The analysis results indicated that the elderly with chronic disease who have not experienced outpatient health services were unlikely to receive health and social services in the community. Even those who have experienced hospitalization were not provided complementary health services in the community despite the increasing demand.

신자유주의적 의료서비스 정책의 글로벌화와 한국의 의료서비스 산업화 정책

이수연 ( Su Yun Lee ) 한국사회복지연구회 2007 사회복지연구 Vol.32 No.-