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- 저자 : 홍준현(Hong, Jun-Hyun) (검색결과 32 건)
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홍준현,Hong, Joon-Hyun 한국의료질향상학회 1996 한국의료질향상학회지 Vol.2 No.2
Background : Review of readmissions in health care facilities is necessary from the viewpoint of both economic concerns and quality considerations. To identify the characteristics, factors, and causes of multiple admissions in comparison with single admissions is essential for both providers and payers in order to assure quality care and efficient use of medical resources. Methods: All discharges from an university hospital in 1993 were analyzed, and the characteristics of multiple admissions were identified and were compared with those of single admissions by using the data bases of the discharge abstract and billing for reimbursement. Medical records of patients readmitted within 6 days after the previous discharge were reviewed to identify the reasons for such prompt readmission. Statistical analysis between groups of patients were performed by using SPSS. Result : The mean age was higher in multiple admissions than those of single admissions, and the average length of stay was longer in multiple admissions than in single admissions. The hospital cost per day is higher in single admissions while the cost per case is higher in multiple admissions. More than half of readmissions occurred within one month after the preceding discharges. Above 15% of the readmission within 6 days after the preceding discharges seemed to have close relationship with quality of care provided during the preceding hospitalization. The death rate of the patients readmitted within 6 days was the highest in comparison with multiple admissions and single admissions. Conclusion : Potential preventable readmissions should be reduced by identifying characteristics of multiple admissions, especially unplanned readmission, and by applying some interventions such as standard predischarge assessment or careful follow-up care after discharge for high risk readmission groups. As the results of these efforts, health care facilities could achieve quality improvement in medical care, and effective use of hospital resources.
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洪準賢(Hong Jun Hyun) 한국지방자치학회 2000 韓國地方自治學會報 Vol.12 No.2
The Purpose of this study is to evaluate the operation of the devolution system in Korea and to develop the alternatives to the current system. This study found the following problems in the operation of the devolution system. Since the collection and selection of the central government's functions to be devoluted to the local governments is relied primarily on local governments' suggestions, systematic management of government functions are very difficult. In addition, the Joint Committee for Devolution did not have the full mandate for its decision. The financial and personnel supports from the central government are not enough for local governments to effectively conduct the functions devoluted. To solve the above problems, this study suggested the following alternatives. The whole functions of central as well as local governments should be surveyed to systematically collect the functions suitable for devolution, and the survey should be performed periodically to be updated. The local government council should participate in the deliberation process of the government functions for devolution. To get compliance from local governments, it is necessary to clearly set up the criteria for the selective devolution.
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Making Policy Analysis More Effective : Critiques on Traditional Policy Analysis
Hong Jun-Hyun(洪準賢) 한국정책과학학회 2003 한국정책과학학회보 Vol.7 No.3
The basic assumptions of comprehensive and synoptic methods of traditional policy research and analysis have been criticized in many policy analysis literatures. The fundamental problem of traditional policy research is rooted in positivistic epistemology. Due to the value-neutral epistemology, the conventional methods of traditional policy analysis are likely to produce Type Ⅲ error. Furthermore, the empirical analysis based on the reductionism and scientific fragmentation not only ignore the contextuality but also commit errors of omitting unintended effects. Consequently knowledge produced through a process of rational analysis is not as useful as is often supposed. To make policy analysis and research more effective, this paper suggests the following directions: first, minimize Type Ⅲ error through applying the principle of the methodological congruence; second, solve the environmental uncertainty through reasoning called erotetic rationality; third, synthesize quantitative and qualitative perspectives; fourth, escape out of the dilemma of a single best framework perspective and reductionism through multiple-model and multiple-perspective approaches; and finally, overcome the gap between policy researchers and analysts community and policy makers community.
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홍준현(Hong, Jun-Hyun) 한국지방정부학회 2009 지방정부연구 Vol.12 No.4
본 연구의 목적은 혁신의 확산을 위해 지방자치단체의 제반 혁신활동과 연계하여 구체적으로 어떠한 혁신역량이 부족한지를 확인하는데 있다. 이를 위해 본 연구는 2005년 행정자치부에서 9개 지방자치단체 공무원을 대상으로 혁신역량 관련 설문조사를 한 결과를 활용하였다. 조사 결과, 전체적으로 혁신관리역량보다는 혁신기반역량이 더 많이 갖춰져 있는 것으로 나타났다. 혁신역량이 가장 높은 지방자치단체의 공무원들과 혁신역량이 가장 낮은 곳과의 차이가 가장 크게 나타난 것은 혁신활동의 공유와 관련된 것이었으나, 혁신 장애 극복 및 관리나 혁신활동 관리는 상대적으로 그 차이가 가장 적었다. 또한, 전반적인 혁신역량이 높은 자치단체에서는 혁신이 단순히 혁신업무를 담당하는 사람들에게만 국한된 것이 아니라 조직 내부에 확산되고 있으나, 혁신역량이 낮은 자치단체에서는 혁신이 혁신업무를 담당하는 사람들만의 혁신으로 그치고 있는 것으로 나타났다. The purpose of this study is to identify which aspect of innovative capacity is lacking in relation to the local government"s various innovative activities for the diffusion of innovation. This study utilized the results of the 2005 survey on the public servants of 9 local governments by the MOGAHA. The survey results show that, in general, local governments have more innovation base capacity than innovation management capacity. The largest disparity between local government officials with the highest innovative capacity and those with the lowest lies in the sharing of innovative activities. The least disparity was in overcoming and managing the barriers to innovation and managing innovative activities. In the local governmentswith a high level of overall innovative capacity, innovation is not restricted to the personnel in charge of innovative activities, but is disseminated to the entire organization, while in the local governmentswith a low level of innovation capacity, innovation is only limited to the personnel in charge of innovative activities.
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