의료보장체계 개혁의 결정요인에 대한 연구김철주

김철주 한국사회복지정책학회 2007 사회복지정책 Vol.28 No.-

This article analyzes the healthcare reforms of the developed capitalist states focused on the three aspects-security of medical service, control of cost, and quality of medical. The result shows the trilemma of the aspects and we can find three types of healthcare reform. Type I is successful at security and quality but fails in control. Type II is successful at cost control and security but fails in medical quality. And Type III is successful at medical quality and cost control but fails in security. The analysis on the causality of healthcare reform is carried out through the search of causal conjuncture of 8 dependence values. Type I joins together strong left party, low christian party, low trade openess, and low state autonomy. Type II joins together low GDP, low old age, low left party, and strong state autonomy. Lastly, Type II joins together low GDP, weak left party, low, unemploy, low old age, and high government deficit, high trade openess, strong christian party. Key words: healthcare reform, trilemma, qualitative comparative analysis

공공기관의 사회적 책임 강화방안

김철주,이상엽 충북대학교 사회과학연구소 2012 사회적경제와 정책연구 Vol.2 No.1

염화네오디뮴 수용액으로부터 탄산네오디뮴 결정화

김철주,윤호성,김준수,이승원,Kim, Chul-Joo,Yoon, Ho-Sung,Kim, Joon-Soo,Lee, Seung-Won 한국자원리싸이클링학회 2007 자원리싸이클링 Vol.16 No.2

In this study, the crystallization of neodymium carbonate from neodymium chloride solution by addition of ammonium bicarbonate was investigated. The concentration of reactants such as neodymium chloride and ammonium bicarbonate, and reaction temperature play an important part in order to obtain the crystal of neodymium carbonate. It seemed that amorphous neodymium carbonate was prepared by aggregation of primary particles formed through nucleation. If reaction rate was increased by increasing the concentration of reactants and reaction temperature, then neodymium carbonate crystal could be obtained. Lanthanite-type neodymium carbonate[$Nd_2(CO_3)_3{\cdot}8H_2O$] and tengerite-type neodymium carbonate[$Nd_2(CO_3)_3{\cdot}2.5H_2O$] could be obtained with reaction renditions. Lanthanite-type neodymium carbonate was sensitive to temperature. The thermal decomposition of neodymium carbonate contained the processes or dehydration, decarbonation and crystalization of $Nd_2O_3$. The shape of lanthanite-type neodymium carbonate was irregular lump type, and tengerite-type neodymium carbonate had the shape of needle type. The shape of $Nd_2O_3$ was affected by the shape of neodymium carbonate.

독일의 원격의료의 법제와 제도에 관한 연구

김철주,홍세영 한국사회법학회 2018 社會法硏究 Vol.0 No.36

Amid the aging trend, countries are seeing increasing social costs for the elderly and older people becoming increasingly vulnerable to medical care. Conscious of this problem, we explored the legal and institutional features of German telemedicine systems, which are already considered advanced models as a technical means of reducing social costs and delivering effective medical services in the future. Germany has tried to digitize medical services since the 1990s to prevent the financial crisis of medical care caused by aging and to provide high quality medical services to the medical-medication areas, and is emerging as a national competitive industry today. Germany is strengthening remote medical care through the fourth industrial-based smart-halt industry. In particular, from the 2000s, the legal basis for institutionalizing telemedicine was created. Germany's social laws are federal and smart. In Volume 5 of the Social Act, there is a statutory requirement concerning social insurance. Policies and enforcement systems for smart helicopters underlying telemedicine are based on the GKV-Modernisierungsgeset of 2003 Social Insurance Act. The Das E-Health-Gesetz, established in 2015, provided the infrastructure for telemedicine. In fact, according to Article 7 of the German Academy of Sciences, doctors are allowed to meet and treat patients directly in medical practice, but are allowed to provide patients with general information about diseases at long distances. In 2010, the national strategy presented a multilateral strategy to universalize and develop the telemedicine system. The most important result is the National Medical Portal, which can plan standards and interoperability for future projects. 세계적으로 고령화가 진행되는 추세 속에 노인들은 점점 더 의료 취약계층으로 전락하고 있다. 이러한 문제 의식하에 미래에 사회적 비용을 절감하고 효율적인 의료 서비스 전달을 위한 기술적인 방안으로 이미 선진적 모델로 평가받고 있는 독일의 원격의료 시스템의 법적 제도적 특징을 탐색하였다. 독일은 고령화로 인한 의료의 재정난을 막고 의료취약지역에 질 높은 의료서비스를 공급하기 위해서 1990년대부터 의료의 디지털화를 시도하였으며 오늘날 국가 경쟁력있는 산업으로 부상하고 있다. 독일은 4차 산업기반의 스마트 핼쓰 산업을 통해 원격의료를 더욱 견고하게 하고 있다. 특히 2000년대부터 원격의료를 제도화하기 위한 법적 기반을 만들기 시작하였다. 바로 연방법의 성격을 가진 사회 법과 스마트 핼쓰법이다. 사회법 제 5권에서 사회보험과 관련된 법적 규정이 있다. 원격의료의 기반이 되는 스마트 핼쓰에 대한 정책과 집행제도는 2003년 사회보험법령의 현대화법(GKV-Modernisierungsgesetz)에 근거하고 있다. 2015년에 제정된 스마트핼쓰법(Das E-Health-Gesetz)을 통해 원격의료의 인프라 구조를 마련하였다. 사실 독일의사전문가 강령 제 7의 4에 따르면, 의사가 의료행위를 하는데 있어서 직접 환자를 만나 치료할 수 있도록 규정하고 있지만 원거리에서 질병에 대한 일반적인 정보를 환자에게 제공하는 것은 허용하고 있다. 2010년 국가 전략에서 원격의료 제도를 보편화하고 발전시키기 위한 다각적인 전략을 제시하였다. 가장 중요한 결과는 “국가 의료 포털”로 미래의 프로젝트를 위한 기준과 상호운영가능성을 기획을 할 수 있게 되었다.

자연순환 온수 난방장치에서 열부하에 미치는 코일관 보일러의 형상인자들에 대한 연구

김철주,송기환 成均館大學校 科學技術硏究所 1992 論文集 Vol.42 No.2

So called "Saemaul-Boiler"is a domestic heating system composing a closed loop of tube, through which is circulating a hot water mobilized by natural convection effect in boiler. This heating system was simplified to a single phase closed thermo-loop, having an element of helically coiled tube heated externally by electric resistance wire. The investigation was put on some parameters of coil tube such as helix angle, curvature ratio and tube diameter in order to understand their effects on mass flow rate of working fluid in the loop system. From the results of the experiment it was shown that : 1) The heilx angle and diameter of coil tube might have a considerable importance on improuvement of thermal load by increasing mass flux of working fluid. 2) But the curvature ratio had relatively negligible effect.

한국과 독일의 사회변동에 따른 스포츠조직 구조변화

김철주,김일광 한국스포츠학회 2010 한국스포츠학회지 Vol.8 No.2

열파이프가 부착된 평판형 태양열 집열기의 열전달 특성에 대한 실험적 고찰

김철주,임광빈 대한기계학회 1993 대한기계학회논문집 Vol.17 No.5

In this study, a model of a flat plate solar collector using a heat pipe was manufactured and tested to investigate such operational characteristics of the present system of solar collector as start-up process, temperature distribution on the absorber plate and operation of the heat pipe. Moreover, collector efficiency was measured for 20-30 minutes of operation at various conditions of weather and the result was compared with that tested by Hill et. a. for a flat plate solar collector using direct circulation of coolant. Some results obtained in this study could be summarized as follows. (1) The required time for the initial start-up process was about 5-6 minutes, but the heat pipe began to operate as soon as the absorber plate was exposed to solar radiation. (2) On the absorber plate, the temperature distributions in axial direction maintained nearly constant, while temperature distributions in transversal direction showed smooth decrease with $3-5^{\cird}C$ along with solar radiation. (3) Thermal inertia of the collector system had a favorable effect to damp the turbulent variation of solar radiation. (4) The collector efficiency of the present system showed nearly the same tendency but a decrease of about 10% compared with that using direct circulation of coolant.

한·불 New Town 개발 비교분석

金哲柱 關東大學校 社會科學硏究所 1998 社會科學論叢 Vol.3 No.1

정보화시대의 원격교육 활용에 관한 연구

김철주 한국교육시설학회 1997 교육시설 Vol.4 No.2

Distance learning is becoming recognized as the key to meeting the needs of more people on more subjects with cost-effective way. The purpose of this paper was to review the literature and current information related to distance education. The topics include, the characteristics of distance education, definitions of distance education, various applications of distance education, and needs of distance education in our society. This paper focused on lastest technologies of distance education such as two-way videoconferencing, e-mail, and on-line classroom. Suggestions for the effective implementation in our educational environments that include, proper teacher training and as an interactivity of the distance education program were discussed.

교육정보화의 확산을 위한 교원교육의 방향

金鐵柱 강남대학교 2000 論文集 Vol.36 No.-