지역별 교육재정과 인적자본

황태연 ( Tae Yeon Hwang ),안진 ( Jin Ahn ) 한국재정정책학회 2007 財政政策論集 Vol.9 No.2

In this study, we analyses the relationship of regional human capital and education finance, the former is an element of economic growth and the latter gives an effect to human capital formation. We estimated the local human capital as the average human capital of local labor by the method of which it apply a labor income. And we examined the items of local education finance as respects which are revenue, expenditure and financial surplus and private burden, local government burden, central government burden in the revenue of education finance. In the result of the correlation-analysis on local education finance and human capital, we find that private burden and education finance expenditure have positively correlated with human capital. While local government burden and central government burden have negatively correlated with it. Human capital and private burden have positively correlated, but student, local government burden and central government burden have negatively correlated with the expenditure of education finance. The results of regression analysis of the expenditure of regional education finance show that student and local government burden have significant negative relationship. Private burden has negative relationship. Moreover central government burden and human capital have the significant positive. Finally, local education finance expenditure have characters which reflect the equity of education owing to it depending on central government grants, and the education demand exerted by an effect of human capital.

사고사례 - 송파 고시원 화재 사례

황태연,Hwang, Tae-Yeon 한국화재보험협회 2006 防災와 保險 Vol.116 No.-

해마다 고시원에서 대형 인명피해를 수반하는 화재가 발생하고 있다. 고시원이 갖고 있는 구조적인 문제점과 고시원 화재를 예방할 수 있는 대책 등에 대해 알아보자.

지역사회 정신보건센터의 정신사회재활 성과에 대한 3년간의 추적조사

황태연(Tae-Yeon Hwang),박찬일(Chan-Il Park),이종국(Jong-Gook Lee),고영(Young Ko),이명수(Myung-Soo Lee),이우경(Woo-Kyung Lee),이원혜(Won-Hye Lee) 대한사회정신의학회 2001 사회정신의학 Vol.6 No.2

서울, 경기 지역에서 1995년도부터 시행된 지역사회 정신보건사업은 정신보건센터를 중심으로 정신장애인들과 그 가족에게 포괄적인 정신사회재활 프로그램을 제공하여 왔고, 많은 정신장애인의 사회복귀와 삶의 질 향상에 기여해 왔으나, 프로그램의 효과와 만족도를 평가하려는 노력은 부족했다. 본 연구는 정신보건센터에서 서비스를 제공받고 있는 회원들을 대상으로 한 3년간의 추적 조사를 통하여 정신사회재활 프로그램의 성과를 검토해 보고자 하였다. 1998년 10월부터 1999년 3월까지 서울 및 경기지역의 6개 정신보건센터와 재활센터에 등록되어 있는 169명의 환자를 대상으로‘한국판 정신사회재활성과 측정도구’와‘한국판 정신사회적 기능-증상 척도’를 적용하였고, 2001년 5월부터 7월까지 대상환자를 추적하여 재평가를 실시하였다. 전체 169명의 대상자 중 128명이 추적 조사되었다. 이중 남자 78명, 여자 50명이었고 대부분의 회원은 정신분열병과 정동장애 환자였다. 평균 나이는 38.4세, 첫 발병은 24세, 첫 입원연령은 26세였다. 추적조사 기간 중 평균 입원은 0.35회, 입원일은 1.9개월, 총 지역사회 경과일은 27.8개월이었다. 조사기간 중 주거형태가 다양해지고 독립주거가 증가했고, 다양한 형태의 직업을 가지면서 독립적, 경쟁적 고용 등 경제 활동과 만족도가 증가하였다. 한달 평균 임금을 비롯하여 전체 수입 및 생활비가 증가했고, 문화비 지출은 감소하였다. 센터 프로그램에 대한 회원 설문조사 결과 전반적인 만족도와 자긍심이 증가하였고 정신사회적 증상과 기능 평가에서는 이전에 비해 더 많은 우울 및 정신병적 증상을 호소하였으나 일상생활 기능은 호전되었음을 알 수 있었다. 이러한 정신사회재활적 성과를 고려할 때 정신보건센터 프로그램이 만성정신장애인의 삶의 질과 기능, 자율성을 증가시켰음을 알 수 있었기에, 향후 지역사회 정신보건센터를 확충시키는 정신보건정책이 필요하다고 생각된다. 또한 만성 정신질환자들의 프로그램 만족도를 포함하는 정신사회재활 성과의 지속적인 추적조사를 통하여 프로그램의 평가와 발전이 이루어져야 될 것이다. Community mental health centers(CMHCs) have provided patients with mental illness and their families with comprehensive psychosocial rehabilitation programs and contributed to community integration and improvement of quality of life of the patients. However, there have been few studies on the effectiveness of and patients’ satisfaction to the programs. This study was performed to measure the outcomes of psychosocial rehabilitation programs of CMHCs through 3 year’s follow-up. At the baseline, The Korean version of Toolkit for measuring psychosocial rehabilitation outcomes and The Korean Version of Behavior and Symptom Identification Scale(BASIS-32) were administered to 169 subjects who were members of 6 CMHCs and 1 psychiatric rehabilitation center in Seoul City and Kyonggi province. 128 subjects were followed out of 169 subjects. Authors re-evaluated the same subjects 29 months after the baseline study using same measures. Male members were 78(60.9%) and females were 50(39.1%). Most of them are under diagnosis of schizophrenia( 82.8%) or schizoaffective disorder(7.9%). The mean age was 38.4yr., mean age of onset was 24yr., mean age of first hospitalization was 26yr. Number of hospitalization was 0.35, length of stay at the inpatient unit was 1.9 months, and community tenure was 27.8 months during the 29 months’ period of study. Residences were diversified and independent living was increased. Jobs were also diversified and independent competitive employment wes increased. Total monthly income including labor income and total monthly expenditure were increased. Member survey showed improvement of program satisfaction and improved self-esteem. BASIS-32 showed that the members had more difficulties in the areas of symptoms but reported improvement of daily functioning compared with the baseline. These outcomes tells psychosocial rehabilitation programs of the CMHCs increased the quality of life, functioning, and autonomy of the chronic mentally ill patients in the community that the national mental health policy should be directed to establishment of more CMHCs. In the future, there must be periodic monitoring of the psychosocial rehabilitation program through comprehensive outcome measures.

만성 정신분열병 환자에서 항정신병약물 감량에 관한 연구

황태연,이민수,김형섭,Hwang, Tae-Yeon,Lee, Min Soo,Kim, Hyeong-Seob 대한생물정신의학회 1998 생물정신의학 Vol.5 No.2

Conventional high-dose antipsychotics tend to result in more side effects, negative symptoms and dysphoria, and at the same time lower the cognitive function which is already impaired in most schizophrenics. Florid psychotic symptoms, negative symptoms and cognitive impairment greatly impede psychosocial performance and eventual reintegration into society. The reduction of symptom and the improvement of cognitive funtions and social skills are therefore central to the psychiatric rehabilitation process. The purpose of this study was to evaluate the dose-reduction effects of antipsychotics on chronic schizophrenics prescribed conventional high-dose antipsychotics more than 1,500mg equivalent of chlorpromazine. Fifty-one chronic schizophrenics who maintained high-dose antipsychotics for more than three months were randomly assigned to two groups : 20 patients comprised the dose-maintaining group and 31 patients made the dose-reduction group. Over a sixteen weekperiod Positive and Negative Syndrome Scale(PANSS), Extrapyramidal Symptom(EPS), Nurses' Observation Scale for Inpatient Evaluation(NOSIE-30), Continuous Performance Test(CPT), Quality of Life(QOL), and haloperidol/reduced haloperidol blood levels were determined at the base line and after 2, 4, 6, 8, 12, 16 weeks to evaluate the dose reduction effects of high-dose antipsychotics. The results were as follows : 1) Dose-reduction is highly effective in reducing positive and negative symptoms, and general psychopathology. Effects were most prominent at 8, 12, 16 weeks. Among the dose reduction group, positive symptoms in positive symptom group and negative symptoms in negative symptom group were more reduced. 2 Extrapyramidal symptoms showed no significant difference between two groups. But the EPS was reduced time after time within two groups. 3) Hit rates of Continuous Performance Test, which indicate attentional capacity, increased significantly after dose reduction. 4) Haloperidol and reduced haloperidol blood levels decreased until the 4th week, after which they were constant. 5) Total scores of Nurses' Observation Scale for Inpatient Evaluation were unchanged between the two groups. But among the indices, social interest and personal neatness were improved in the dose-reduction group and retardation was aggrevated in the dose-maintaining group. 6) Total quality of life scores were unchanged between two groups. But in the dose maintaining group, satisfaction scores of attention, autonomy, and interpersonal relationship decreased progressively. These findings suggest that the dose reduction of antipsychotics for chronic schizophrenics on programs of high-dose antipsychotics were effective. Dose reduction should therefore be implemanted to spread the rehabilitation and improve quality of life for chronic schizophrenics.

근대기획에 있어서의 세계시민과 영구평화의 이념

황태연(Tae Yeon Hwang) 한국유럽학회 1995 유럽연구 Vol.3 No.1

The political project of modernity, which the Enlightenment in the 18th century designed, from the beginning were based on the idea of world citizenship and permanent peace. The objective of this idea is the ending of the state of war among the billiard ball like sovereign states and the creation of world confederation of self weakened severeign states and the universal constituting of human rights of men as world citizens. This political idea of the Enlightenment is critically synthesized in the political pholosophy of Immanuel Kant. From the viewpoint of Kant`s political project, this paper considers and interprets the international constitution today: The Enlightenment project is taday in the process of realization. The existence of United Nations, the shaping of the European Union, the codification of the Crimes against Humanity, UN`s Universal Declaration of the Human Rights, European Convention on the Human Rights, the weakening of the state sovereignty, the globalization of the national civil societies etc, are all proofs of progressing, although often suspending realization of the Enlightemment. Besause of this world interpretation, this paper defintively negates the postmodern understanding of the world situation tadays. Simutaniously it objects to the traditional (mis) understanding of the sovereign state as modern state and international `state of nature` amomg states and `balance of power` as modern international sytem. Because these were not elements of the Enlightenmental modernity project, but existing empirical realty, which this modernity project has contrived to break away. This reality war creaied and given by the premodern absolute sovereign states, which belongs to the end phase of the feudalty.

삼성전자의 전과정평가

황태연 ( Tae Yeon Hwang ),허진호 ( Jin Ho Huh ),정연하 ( Yon Ha Chung ),황종수 ( Jong Su Hwang ),최화주 ( Ha Ju Choi ) 한국전과정평가학회 2000 한국전과정평가학회 정기총회 연구논문집 Vol.2000 No.0

우울증 환자를 위한 정신사회 재활치료

황태연,Hwang, Tae-Yeon 대한생물정신의학회 1999 생물정신의학 Vol.6 No.1

While depression is certainly a prevalent disorder, it is often severe and debilitating and does not always have the good prognosis we have been led to expect. Social approaches to affective disorders have not been subjected to the same level of scrutiny as the interventions used in the management of schizophrenia. Psychosocial Rehabilitation is now at a critical stage. Psychoeducation, social skill training, cognitive remediation, family education, vocational rehabilitation and case management programs are essential for the rehabilitation of chronic depression.

디지털 전환 시대의 사회적 갈등 조정과 관리 방안

황태연(Tae-Yeon Hwang),이창언(Chang-Eon Lee),오수길(Soo-Gil Oh) 한국비교정부학회 2021 한국비교정부학보 Vol.25 No.4

(Purpose) The purpose of this study is to prepare a plan that can effectively respond to new conflicts resulting from the digital transformation. In order to effectively manage new conflicts resulting from the rapid digital transformation, respect for diversity among members of society and fair use of digital technology, appropriate policy prescriptions must be made to convert non or passive users of digital technology into active users. (Design/methodology/approach) New conflict issues acre classified into cognitive conflict, technological conflict, and institutional conflict which is expected to contribute to effective management of the increasingly intensifying conflicts in digital transformation. (Findings) This article’s main outcomes are as following; First, the relationship between the occurrence of digital divide and social conflict according to technology and service changes in the era of great digital transformation is analyzed. Second, it analyzes and categorizes social conflict issues that have emerged as a result of the great digital transformation according to the existing conflict theory. Third, the importance of digital democracy as a new paradigm for social conflict management is discussed. (Research implications or Originality) Total approach is needed to the digital transformation not just adaptation to the digital technologies. It may include inevitably societal change not just in the level of companies. And the management of the social conflict according to digital transformation has to be more user-friendly. It include universal technology with analysis on the relationships of subjects and conflicts.

정신보건 영역에서 정신과 의사의 역할과 리더쉽

황태연(Tae-yeon Hwang) 대한사회정신의학회 2000 사회정신의학 Vol.5 No.2

1995년 정신보건법 제정 이후 지역사회 정신보건이 활성화되면서 많은 정신과 의사들이 이 분야에 관심을 갖고 참여하여 병원내와 지역사회에서 기존의 의학적 모델에서의 의사의 역할과 달리 재활모델에서 새로운 역할을 수행하고 있다. 정신의학은 타 정신보건 전문분야와 달리 정신질환의 접근에 있어서 포괄적인 생물정신사회적 관점을 견지하고 있다. 그러므로 정신과 의사는 실제적인 지역사회 정신보건팀의 리더로서 만성정신질환에 치료와 재활을 담당하고, 정신보건 전문가를 지도감독하고, 정신보건 사업수행을 위해 센터치료진을 조직하고, 행정적 역할을 수행하며, 지역사회 조직과 연계를 하고, 재원을 조성하는 등 새로운 역할을 수행하고 있다. 최근 들어 많은 타분야의 정신보건 전문가들이 만성 정신질환자의 재활과 지역사회 정신보건 영역에서 활동을 하고 있고, 정신보건법 시행령의 개정으로 정신과 의사가 맡았던 요양원, 사회복귀시설의 지도감독이나 보건센터장의 역할도 수행할 수 있게 되면서, 법적으로는 지역사회 정신보건 영역에서 정신과 의사의 역할과 정신보건 전문요원의 역할에 별 차이가 없게 되었다. 자칫 정신과 의사의 리더쉽을 침해받을 수 있는 이런 변화 속에서 정신과 의사들은 현실을 직시하고, 타전문가와의 협력적 관계를 유지하며, 독점적이고 배타적인 태도를 지양하고, 전공의 수련과정에서 지역사회 정신보건 영역을 강화하고, 정신보건 정책개발과 재원조성에 관심을 가짐으로써 지역사회내에서 영향력을 행사하고 미래지향적인 리더쉽을 발휘하여야 한다. From the passage of Mental Health Law in 1995, many psychiatrists are performing their new role in the community mental health, which is different from the traditional role under the medical model in the hospital. Psychiatry has a comprehensive Biopsychosocial Perspective in approaching the mental illness and this view differentiates psychiatry from other mental health specialities. As a leader in the community care, psychiatrists are performing;treatment and making plan for the chronic mentally ills, supervising and educating the mental health professionals, organizing the community mental health center and program, linking the community resources for the patients, and doing fund-raising for the community programs. Recently many mental health workers are involved in the psychiatric rehabilitation and community care and rapidly replacing psychiatrists’ supervisory positions in asylum, residential facility and even the director of co-mmunity metal health center according to Mental Health Law Amendment in 2000. So we can see any differ-ences of the roles among psychiatrists and other mental health professionals in the Law. This amendment may change the leadership in the community psychiatry from psychiatrist to mental health workers. In this crisis psychiatrists should not give up and withdraw from their position just like American psychiatrists did since 70th. Psychiatrists should accept the reality, get rid of monopolistic attitude for their own, and cooperate with other professionals. In the residency training program, community involvement and training should emphasized for the leadership and administration. Psychiatrists should maintain their leadership through assertive professional activities and mental health policy development for the community mental health.

척추 질환 예방을 위한 자세교정 의자 개발

황태연(Tae Yeon Hwang),신동훈(Dong Hun Shin),이경민(Kyung Min Lee) 대한기계학회 2021 대한기계학회 춘추학술대회 Vol.2021 No.4