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      • 農漁村地域年金制度에 關한 硏究

        朴在元 대구보건대학 1995 대구보건대학 論文集 Vol.15 No.-

        According as the society changes, the changes at a farm and fishing village society are deeper. So family's disperson and nuclear families at the farm and fishing villages increase more than those at cities. The speed of aging is faster, especially the economy of farm and fishing villages is weaker than cities because of UR agreement. The poorer income at the farm and fishing villages requires their pension system. The pension system at farm and fishing villages needs a device demanding minimum correctness, keeping the base on present national pension law for the establishment of consistent policy and early settlement for the national pension system, The pension system will have to enlarge in the center of rural and fishing regions more than to limit and apply to farmers and fishermen, and the system of contribution and allowance will have to apply present national pension system. It must be enlarged in the center of rural and fishing regions, take the easiness of management and must be enlarged at the urban regions. So in the center of this contents, the important facts are as follows : First, the applying range and objects of farmers and fishermen's pension should be farmers and fishermen who live in the rural and fishing areas and people who do an independent enterprise. And the objects of application should be the farmers and fishermen and the family from 18 to 60 years old. Second, the supply for the revenue resource of the farmers and fishermen's pension should be the contributions that the members pay and be governmental volunteering money and the income that runs the fund. The contribution rate apply 3% in equality with the enforcing year of national pension. After that, 3% to 9% the 5 years adjust upward. The imposing system of contributions impose the standard presentation of income report, the income report of the members and rate application, and 3 step system, of adjustment afterwards. Third, allowances should apply to an old-aged pension a handicapped pension and a survivor's pension of present national pension. Possible pension should be paid to the spouse, children under 18 years old and their parents. The middle-aged people over 45 years old should be paid an old-pension of a special case in the enforcing year. Fourth, the use of fund should be made by finances intergration to be managed as present national pension fund and intergrated system in view of national pension system by way of income distribution between classes. Fifth, the organization of management in the farmers and fishermen's pension is driven for natural application of national pension. It is desirable that the computerized system for national pension considering the enlargement of urban regions should be enlarged. By establishing a single computerized management system, it should be prepared for whole national pension. In establishment of management organization in the rural and fishing villages, to minimize the additional expenditures, the established medical insurance association should be used. To apply the above system well, the government distribute proper advertizements and various kinds of prints. The government should realize the farmers and fishermen that this system helps practically the lives of their old ages.

      • 醫療保險과 醫療傳達體系에 關한 硏究

        朴在元 대구보건대학 1987 대구보건대학 論文集 Vol.10 No.-

        The key purpose of carrying out health care delivery system is to serve quality care, health care services equitably and effectively to all the people in the nation. Health care system has indivisible relations to medical insurance system. In the future, therefore, health care system should be able to solve and renovate all the medical insurance problems to be occured in medical insurance system. First of all, medical insttutes, functional assignment of medical man power, formation of medical service area and so on are necessary to establish health care delivery system. According to the functional role of medical institute it was devided into three categories, for example, doctor's office, hospital and general hospital or medical center. Medical insurance services should be done by three eategories and are under the control of medical insurance system. For all the matters go smoothly without any trouble, it goes without saying that government and peoples who are engaged in health cared business keep up intimate dialogues and close co-operation. Not only that, nationwide understanding and co-operation are necessary to do medical insurance business.

      • 우리나라 醫療保險의 當面課題와 改善方向

        朴在元 대구보건대학 1992 대구보건대학 論文集 Vol.13 No.-

        Since compulsory insurance system from medical insurance system has been enforced in 1977, the beneficiaries of medical are widely applied to te whole nation and mark a new epoch of medical insurance system after the lape of 12 years. However, to be taken strong and deep root about medical insurance system, rational medical communicating system should be kept the efficient management of limited medicate resources based on the stabilization of the finance of medical insurance. Also, for managing the abuse and misuse of medical and pharmaceutical products, and for efficient management of medicare resources, the separation of dispensary and medical practice should be taken into consideration. And it is worth due consideration DRG system and total contract system to solve too many unnecessary medical treatment and the examination of doctor's bill. Besides, it needs betterment that the betterment of medical insurance management, rational method of revenue supply. From this point of view, government, the beneficiaries of medical insurance, and persons engaged in midical treatment should be kept medicare charge not to be increased within a certain extent, also have to make perfection more perfect to be albe to quality service of medicare to the whole nation through the reformation of medicare system and practice.

      • 家族計劃事業推進의 效果的인 一方案

        朴在元 대구보건대학 1984 대구보건대학 論文集 Vol.8 No.-

        Since a major national policy of restricting population increase was adopted and the family planning began to be put into practice, the rate of population increase has been kept down to 1.57%per year. But 600,000 people are still increasing every year. Thus population growth accelerates the shortage of resources such as food and energy, deteriorates the housing problem, and leads to the shortage of public facilities like schools. As a result, a severe burden is imposed on our efforts to develop the national economy and to raise the level of living. The practice of the family planning is essential to the removal of the negative factors affecting our society. The family planning is necessarily a most effective measure to restrict population increase. It is not just desirable but essential that the planning be promoted through the education of the public with regard to the present situation and prospect of the Korean population, ways to vitalize the family planning, devices to socially support the family with a small number of children, the exclusion of the idea of preferring sons to daughters. In order to make the family planning go on smoothly, not only the Ministries of the government must positively take part in the promotion of the planning. Therefore, all social groups including business and industrial organizations must go on with the family planning as a national movement. Compared with the advanced countries in America and Europe, our country is far backward in effecting the population restriction policy. Along with the populattion restriction policy, it is desirable to make every effort to reform the consciousness of the public concerning the restriction of the population growth on a nation-wide level.

      • 현역 군인 발생을 중심으로 본 2000년도 국내 삼일열 말라리아 발생 현황

        박재원,김영아,염준섭,유정식,양병국,채종일 대한감염학회 2001 감염 Vol.33 No.4

        Background : Since 1997, the annual case occurrence of vivax malaria in the Republic of Korea have exceeded 1,000 cases since 1997. The military is thought to be an important source of the current outbreak. We collected various informations about malaria cases (soldiers, veterans and civilians) which occurred in 2000, and analyzed the characteristics of the current outbreak. Methods : Informations about malaria cases of soldiers, veterans and civilians, including name, age, sex, day of onset, region, etc., were collected through the National Institute of Health. Results : Out of total 4,141 cases, 1,288 (31.1%) occurred in the military, 1,273 (30.7%) occurred among the veterans, and 1,580 (38.2%) occurred among civilians. The monthly case occurrence reached its peak in early August. Areas such as Cheolwon, Yeoncheon and Paju showed the highest prevalence. Conclusion : It is considered that the current malaria outbreak has escaped from the exponential growth phase, however, more attention should be paid to prevent further spreading of malaria infection. (Korean J Infect Dis 33:280∼284, 2001)

      • 國民年金制度 發展方向

        朴在元 대구보건대학 1994 대구보건대학 論文集 Vol.14 No.-

        The national pension system is the most important social security system along with health insurance program to realize a welfare state. To develop and fix the system in the hopeful direction earily, first of all, national pension program must be expanded to the farmers and fishermen due to the worst income per capita at farm villages that are much lower than cities', Uruguay Round compromises and rapid aging society etc as wll as to one's own businessmen, and also must be studied the methods which are able to grasp their income correctly. To keep a stable management of national pension fund, highly profitable goods must be shared in a higher rate when the investment of financial sector has been made. Not only that, public sector must be operated in the minimum range under the consideration of financial stabiliazation for the fund.

      • 지역의료보험 과세 및 평가소득세대의 소득재분배효과 비교

        박재원,서수교 한국보건정보교육학회 2000 보건정보교육학회지 Vol.2 No.1

        This study compared and analyzed the effect of income-redistribution, calculating the occupied rate of insurance contribution, the occupied rate of insurance benefits, the rate of insurance benefits, income-transfer rate, decile distribution ratio, concentration index and Gini-coefficient by classes of insurance contribution, collecting data on the basis of the estimated details of insurance contribution and individual money wage lists for each one year before and after the combination of medical insurance program for industrial workers, by systematic sampling, extracting each 497 families(taxable income grades and appraised income grades) among people applied to medical insurance program for self employees in Taegu Metropolitan City on the basis of Oct. 1st in 1998. As the result, on the basis of the rate of insurance contribution, the rate of insurance benefits and the rate of medical insurance benefits(insurance benefits/ insurance contribution), we could say that the equality of imposing medical insurance contribution was more re-considered in the taxable income grades than in the appraised income grades. But this study analyzed with classes divided, anyway, on the basis of insurance contribution, we have limit in explaining the correct effect of income-redistribution, because it was not analyzed according to classes of income, though it helps to analogize the effect of income-redistribution. So there must be analysis about the effect of income-redistribution, on the basis of the system, building up the system to grasp the correct income of the insureds of medical insurance program for self employees. The study of the effect of income-redistribution should continuously be accomplished that can grasp the equality about the imposing system of insurance contribution, under the system of combined medical insurance towards enforcement of the law of national health insurance, because the purpose is the building up the system of single insurance contribution on the basis of whole nation income.

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