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      • 보건의료인력·시설에 대한 현황분석과 개선방향

        고민석 원광대학교 2005 論文集 Vol.35 No.-

        Our health care resources are allocated mainly to sophisticated medical institutions in urban areas. Quite apart form the dubious social premise on which this is based, the concentration of complex and costly technology on limited segments of the population does not even have the advantage of improving health. There is broad consensus that health care ought to be financed according to ability to pay but delivered according to 'need'. The purpose of this study is to find the present condition and improvement for health care resources. The data for the analysis of the present condition of health care resources came from Health Welfare Statistical Yearbook for 2004 by MOHW. Based on the data, grasps the problem of present condition of health care resources. I researched the change rate of hospital, doctor, and number of hospital bed for people. Through this research, I could find that most health care resources were increased. But most health care resources were increased to urban areas that concentrated population; in rural areas, health care resources were decreased. Therefore, we can know rural and urban still has the gap of access of health services. On the basis of the result, suggests the following improvements. I recommends that governments give high priority to the full utilization of human resources by developing teams composed of community health workers, other developmental workers, nurses, doctors. Also, construct surveillance system for solve the inequality of health care facility resources. I affirmed the need for a balanced distribution of all available resources. And stressed that national strategies to translate policies into action and to make health care available equitably to the entire population.

      • 노인 의료서비스 이용에 대한 현황분석과 개선방향

        고민석,김수열,오평자 원광대학교 대학원 2007 論文集 Vol.39 No.-

        The purpose of this study was to find the present condition and improvement of health care service utilization for the elderly. The data for the analysis of the present condition of health care service utilization came from National Health Insurance Statistical Yearbook for 1992~2000 by National Health Insurance Corporation and Health Insurance Review and Evaluation Statistical Yearbook for 2001~2006 by Health Insurance Review Agency. The result of the investigation shows that health problems of the elderly are still serious and their health care expenditures and utilization of health care service they need to get are continuing to rise. There are even signs of moral hazards that may eventually lead to deteriorating health of the elderly, as it is revealed that payment has been requested with more recipients documented than the number of patients who have been actually treated at hospitals together with more days of treatment than actual ones. I would like to suggest measures for improvement as follows: firstly, the primary health care system for the elderly should be intensified; secondly, the clinical practice guideline for treating the elderly should be developed; thirdly, efforts should be made to finance the health care expenditures for the elderly on the national level; and fourthly, a construct surveillance system for moral hazards in diagnosis and treatment of the elderly.

      • 우리나라 인구구조의 변화와 도시화에 관한 분석

        고민석 원광대학교 2005 論文集 Vol.34 No.-

        The purpose of this study is intended to analyze the population structure trends and urbanizations in Korea form 1960 to the year 2050. This study is based on the population and housing census and population projection data form 2003 to the year 2050 published by National Statistical Office, The Future Estimated Population(2001). The results of this study are as follows; 1. The population growth rate was decreased remarkably on account of family planning project form 3% in 1960 to 1.05% in 1985. In 2023, the population growth rate is estimated to be 0% and population size is 50.683 million. It is expected to decrease to -1.04% in 2050. 2. In 1960, total fertility rate of population was about 6.0, about 2.1 in 1985. It is expected to maintain to 1.6 since 1987. 3. Major Age Composition 0~14 was decreased form 42.3% in 1960 to 20.0% in 2004. It is expected to decrease to 10.5% in 2050. 4. The urbanization of the human population rate was increased since 1960. 5. During 1960~2000, The urbanization of the human population was increase in 6 major cities. But agricultural village population was decreased since 1966. 6. In 1960, A city urban areas trend of population structure was resemble to agricultural village. Major Age Composition 0~49 of agricultural village is expected to decrease since 2000.

      • KCI등재

        한방병원 입원환자의 진료비와 이에 영향을 미치는 요인 분석

        고민석,최준영,Ko, Min-Seok,Choi, Joon-Young 대한예방한의학회 2011 대한예방한의학회지 Vol.15 No.1

        Objective : The present study is aimed at providing basic data to help oriental medical hospitals devise efficient operational plans by analyzing the medical expenses of in-patients in an oriental medical hospital and the factors affecting such expenses. Methods : PASW 18.0 was used to analyze the medical insurance program data of 929 patients who were discharged from a university oriental medical hospital(with 105 sick-beds) during the period from January 1 to December 31, 2010 after treatment under the coverage of health insurance and medical aid. Results : 1) Of all the patients hospitalized, 63.3% were females, their mean age was 52.73 years old, and 87.7% was covered by the health insurance program. The biggest number or 31.2% of the patients were treated by the department of acupuncture, 31.5% suffered mainly from the diseases of musculoskeletal system and connective tissues, and the average length of stay at the hospital was 19.49 days. 2) There were statistically significant differences in total medical expenses by age, clinical department in charge, principal diagnosis, and number of days hospitalized while daily average medical expenses differed depending on age, type of medical security, clinical department, principal diagnosis, and number of days staying at the hospital. 3) Total medical expenses were found significantly influenced by age, type of medical security, clinical department, principal diagnosis, and number of days hospitalized(explanatory power : 95.9%), whereas type of medical security, clinical department and principal diagnosis turned out to exercise significant influence on the daily average medical expenses(explanatory power : 26.9%). Conclusion : Oriental medical hospitals are suggested to make efforts to ensure geographical and economical accessibility for their main clients, the elderly and middle-aged, as well as to improve satisfaction of the clients with the medical service provided. They are also encouraged to work out systems to specialize in treatment with a focus on chronic degenerative and adult diseases. In addition, they are expected to try to enhance people's awareness of oriental medicine in an attempt to diversify the brackets of clients and increase frequency of their utilization.

      • KCI등재

        영재관찰추천 과정에서 담임교사의 영재교육전문성 인식 수준에 따른 영재판별의 차이

        고민석,박병태 한국영재학회 2011 영재교육연구 Vol.21 No.2

        본 연구는 서울 지역 초등학교 교사 184명을 대상으로 교사의 영재 판별 및 추천에 대한 인식을 조사하였고, 교사의 영재교육전문성 인식 수준에 따라 영재 판별에 대한 차이가 있는지 비교해 보았다. 연구 결과, 교사들의 영재관련 경험에 따라 영재교육전문성 인식 수준에 유의미한 차이가 나타났다. 영재직무연수를 이수하였거나 관찰추천을 담당하는 교사의 영재판별에 대한 인식 수준이 일반 교사에 비해 높게 나타났다. 영재관찰추천과정에서 교사들은 영재판별척도로 창의성, 학습동기 및 태도를 가장 높은 판단 기준으로 여겼다. 영재관찰추천과정에서 학부모 추천 및 동료 추천에 대한 교사들의 영재판별척도 중요성 인식은 상대적으로 학습능력, 창의성, 리더십, 학습동기 및 태도에 비해 낮았으며 영재관찰추천과정에서 영재교육전문성 인식 수준이 높은 교사 집단이 창의성, 학습동기 및 태도 영역을 더 중요하게 인식하는 것으로 나타났다. This research looked into the recognitions of a teacher's discernment & recommendations of gifted elementary students targeting 184 elementary school teachers in Seoul district and compared and contrasted their awareness in order to confirm whether there existed a difference in the discernment of gifted elementary students according to their awareness level of professionalism in gifted and talented education. The research results are as follows: There appeared a significant difference in teachers' recognitions level of professionalism in gifted education according to their experience relevant to a gifted elementary student. The teachers, in the process of observations & nominations of gifted elementary students, pointed out creativity, learning motive and attitude as the highest judging standard and also regard such elements as discerning criteria of gifted students. In the process of observations & nominations of gifted elementary students, it was found that teachers' recognitions of importance of discerning criteria of gifted elementary students in relation to parents or fellow teachers' recommendations appeared relatively lower than their recognitions of importance in relation to learning ability, creativity, learning motive and attitude. The research results showed that a group of teachers, who have a high recognitions level of the professionalism in gifted education in the process of observations & nominations of gifted students, perceive the realm of creativity, learning motive, and attitude as more important. This suggests the necessity of elevating teachers' awareness level of professionalism in gifted and talented education in order to discern high-quality gifted students in the process observations & nominations of gifted elementary students putting emphasis on the realm of creativity, learning motive, and attitude.

      • KCI등재

        의료기관 종사자의 공공서비스 신념과 직업소명의식, 직무몰입, 고객지향성 간의 구조적 관계 연구

        고민석 한국보건복지학회 2019 보건과 복지 Vol.21 No.3

        The purpose of this study was to examine the structural relationship among belief in public service, sense of calling, job involvement, and customer orientation for workers in medical institutions. The subjects of this study were 431 workers from 33 medical institutions located in J Province. The collected data was statistically analyzed using SPSS 23.0 and SmartPLS 2.0. As a result, belief in public service and sense of calling have a statistically significant positive effect on job involvement and customer orientation. Job involvement has a partial mediating effect on the relationships between belief in public service and customer orientation, and sense of calling and customer orientation. Therefore, it is necessary to develope and operate job-value education programs for the improvement of belief in public service and sense of calling in the course of the training of the health care workers. In addition, the organizational culture that can maintain and strengthen public service and sense of calling, and the working environment should be created for the improvement of job involvement. 본 연구는 의료기관 종사자의 공공서비스 신념과 직업소명의식, 직무몰입, 고객지향성 간의 구조적 인과관계를 파악하는데 목적이 있다. 이를 위해 J도 소재 의료기관에 재직 중인 431명의 의료기관 종사자에 대해 설문조사를 실시하고, SPSS 23.0과 SmartPLS 2.0을 이용하여 분석하였다. 연구결과, 공공서비스 신념과 직업소명의식은 직무몰입과 고객지향성에 모두 유의한 정(+)의 영향관계가 있는 것으로 나타났으며, 직무몰입은 고객지향성에 유의한 정(+)의 영향관계를 보였다. 또한 직무몰입은 공공서비스 신념 및 직업소명의식과 고객지향성 간의 직접적인 인과관계 속에서 유의한 부분매개효과가 있음을 확인하였다. 따라서 의료서비스 종사자를 양성하는 교육기관에서는 다양한 직업가치관 교육프로그램의 개발과 교육과정 적용을 통해 미래 의료서비스 종사자들이 바른 직업가치관을 형성할 수 있도록 해야 할 것이며, 의료기관에서는 종사자들의 공공서비스 신념과 직업소명의식을 유지․강화할 수 있는 조직문화 형성과 직무몰입 향상을 위한 근로환경 조성 방안을 모색할 필요가 있다.

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