경기지방공사의 혁신사례에 관한 고찰

신삼철(Sam Chul Shin)(申參澈) 한국지방공기업학회 2007 한국지방공기업학회보 Vol.3 No.1

이 연구는 경기지방공사의 혁신사례에 관한 연구로 경기도의 도시 및 주거개발을 선도하는 기업의 경영사례와 이에 따른 성과를 살펴보기 위한 것이다. 경기지방공사는 주로 택지개발사업, 뉴타운건설, 주택건설사업, 산업단지조성 등 경기도의 경쟁력 강화를 위한 지역균형개발과 도민의 복리증진을 위한 개발사업을 주 사업으로 하고 있으며, 파주LCD클러스터 조성사업과 광교 명품신도시, 경기 뉴타운사업 등이 경기지방공사가 현재 추진하고 있는 대표적인 사업들이다. 현재 공사는 지속적인 혁신 노력을 통해 ´06년 매출은 전년에 비해 33% 신장한 3692억원, 당기순이익은 51% 늘어난 476억원을 기록, 창사 이래 최고의 경영성과를 이뤄왔다. 이런 성과는 임직원 전원이 참여한 경영혁신 대토론회 등을 통한 민주적 비전제시와 조직을 본부제로 개편하는 등 책임경영체제 구축 및 성과주의의 결실이다. 이러한 결과를 바탕으로 2007년을 '창조적 도전을 통해 혁신기업으로 거듭나는 해'로 정하고 사업혁신, 관리혁신, 기술과 서비스혁신, 인간과 문화혁신 등 4가지 주제를 바탕으로 창조적 도전을 펼쳐 나가고 있다. 본 논문에서는 고객지향의 선도공기업으로 발돋움하기 위한 경기지방공사의 혁신운동의 배경과 추진성과 그리고 대한민국의 성장엔진인 경기도의 개발정책집행기관으로서의 경기지방공사의 향후계획에 대하여 살펴보고자 한다. This article is to analyze the cases of Gyeonggi Innovation Corporation(GICO)'s success story and its effects, which leads the regional and residential development of Gyeonggi Province. GICO undertakes numerous regional development efforts such as land development for housing, housing construction, and industrial complex creation and is well known for the Paju LCD cluster construction and Gyeonggi "new town" projects of rebuilding old urban centers for balanced development between old & new urban centers and "premium" New Town projects like Gwanggyo New Town. Through consistent innovation effort, GICO has got the greatest management performances last year of its turnover amounting to 369 billion Korean won in fiscal year 2006, an increase of 18% over the previous year and its net profit of 48 billion Korean won in fiscal year 2006, an increase of 51% over the previous year. Such performances result from the democratic vision suggestion by way of Management Innovation Debate joined by all of members and the performance system's result based on reconstructing the organization of 3 headquarters. Based on these results, GICO announced this 2007 as "the year of rebirth aiming the creative challenge" and is proceeding the 4 innovative challenges, such as business innovation, management innovation, technology and service innovation, human and culture innovation. In this article, we look over the back ground of GICO's innovation movement and its success story, of which vision is to be the customer-oriented leading public enterprise and its future plan as an organization enforcing the development policy of Gyeonggi Province, which is the growth engine of Korea.

콜센터 상담사의 직무스트레스와 이직의도와의 관련성

신삼철(Shin, Sam-Chul),조영채(Cho, Young-Chae),김종수(Kim, Jong-Soo),김동현(Kim, Dong-Hyun) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.2

본 연구는 콜센터 상담사의 인구사회학적 특성, 건강행태 및 직업관련 특성에 따른 이직의도 수준을 파악하고, 특히 직무스트레스와 이직의도 간의 관련성을 규명하고자 시도하였다. 조사 대상은 콜센터를 운영하고 있는 병원 9개소와 기업 체 5개소에 근무하고 있는 콜센터 상담사 158명으로 하였으며, 자료 수집은 2013년 2월 1일부터 6월 30일까지의 기간 동안에 자기기입식 설문조사(self-administered questionnaire)에 의하였다. 연구결과, 이직의도에 관련된 요인으로는 연령, 수면시 간, 업무요구도, 업무자율성이 유의한 변수로 선정되었다. 특히 직무스트레스 내용과 이직의도 간의 관련성에서는 업무요구 도가 높아질수록 이직의도가 높은 반면, 업무의 자율성이 높아질수록 이직의도가 낮아지는 것으로 나타났다. 이직의도에 대한 직무스트레스의 위험비는 업무 요구도가 높은 군에서, 업무자율성이 낮은 군에서, 상사의 지지도 및 동료의 지지도가 낮은 군에서 이직의도가 높은 군에 속할 위험비가 유의하게 증가하였다. 따라서 이직의도를 감소시키기 위해서는 직무스트 레스 요인의 개선을 위한 노력이 필요하다고 생각된다. In this study, customer service representatives in call centers, the relevance of occupational stress, and turnover intention as well as the investigation of the relevance to that of demographic characteristics, health behaviors, and job-related characteristics is carried out. In particular, the relevance of occupational stress and turnover intention was attempted to be identified. From the response to the surveys of nine hospitals and five companies, there was a total of 158 people during the investigation. The collection of data was conducted by self-administered questionnaire in the period of February 1, 2013 to June 30, 2013. As the result of study, factors related to turnover intention involved age, sleep, job demands and job autonomy as significant variables. In particular, in the relevance of occupational stress and turnover intention, it was revealed that turnover intention decreases as job autonomy increases while turnover intention increases as job demands become higher. The ratio of danger of occupational stress on turnover intention eminently increased in the group of high job demands, low job autonomy, low support of supervisor and co-worker. Therefore, it is considered that efforts for improvement of occupational stress factors are required to decrease turnover intention.

7개 질병군 포괄수가제 도입에 따른 일개 대학병원의 진료행태 변화 모의실험

신삼철 ( Sam Chul Shin ),강길원 ( Gil Won Kang ),김상원 ( Sang Won Kim ) 한국보건행정학회 2013 보건행정학회지 Vol.23 No.2

Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospi­tals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pat­tern were predicted based on clinicians` opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total rnedical payrnent was reduced by 1 4.4%. The drug payrnent change (8.8%) took rnost of total payrnent reduction. The followings are the change of treatrnent rnaterial cost (3.2%), the change of laboratory tests cost (1.8%), the change of roorn charge (0.5%), and other payrnent change (0.1%), respectively. Second, rnost of the reduction in total rnedical payrnent re­sulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve qualityofcare.

정위적 삼차신경절 고주파열응고술

신근만(Keun Man Shin),신삼철(Sam Chyul Shin),조용 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1

When medical therapy fail to relieve pain at tolerable level for patients confirmed with tri- geminal neuralgia, presence of mass lesion excluded, surgery is indicated. Innumerable surgical strategies have been attempted for the treatment of trigeminal neuralgia but only four have proven appropriate: stereotactic radiofrequency gasserian ganglionotomy, ­ percutaneous glycerol gangliolysis, ® percutaneous microcompression, ? microvascular decompression. Radiofrequency thermocoagulation of the gasserian ganglion stems from the efforts of Sweet. This technique is the surgical treatment of choice around the world for surgical treatment for trigeminal neuralgia. Since 1986, over 14,000 cases have been reported utilizing this technique. To improve the treatment method further, an electrode with a flexible curved tip has been de- veloped for easier and more precise electrode placement and lesion produetion during the thermocoagulation of gasserian ganglion. This operation was performed recently on three patients at Hallym University Hospital, using a curved tip electrode. Complete relief of pain was achieved for all patient. However, some complications were noted.

우리나라 잠복결핵감염 검진전략의 경제성 분석

김상원 ( Sang Won Kim ),강길원 ( Gil Won Kang ),신삼철 ( Sam Chul Shin ),송승은 ( Seung Eun Song ) 한국보건행정학회 2013 보건행정학회지 Vol.23 No.4

Background: Although interferon-gamma release assay (IGRA) is now available alternatives to tuberculin skin test (TST) for detection of latent tuberculosis infection (LTBI), the cost of IGRA test is much higher than TST. So economic analysis of LTBI screening strategies have been done in many countries, but there are few reports in Korea. This study examined cost analysis of LTBI screening strategies in Korea. Methods: The economic outcomes were evaluated by five strategies. These were 1) TST alone, 2) IGRA alone, 3) combination of TST and IGRA (TST followed by IGRA) and 4) no testing no prevention, 5) no testing all prevention. Last two strategies were added to compare with three main LTBI screening strategies. Decision analysis model were used to perform economic analysis. A cohort study of Korean Institute of Tuberculosis and the data of published literatures were used to estimate the cost analysis. Results: In a base-case scenario which was assumed that TST specificity was 80%, TST alone was the least expensive strategy. In a alternative scenario which was assumed that TST specificity was 97%, the combination of TST and IGRA was the least expensive strategy. Sensitivity analysis shows that patients adherent rate to LTBI treatment, TST sensitivity, IGRA sensitivity and IGRA specificity did not have a significant impact on the outcomes. Conclusion: In Korea, for the diagnosis of LTBI at the time of child and adolescent, TST alone reduces medical costs compared with IGRA alone or combination of TST and IGRA.

지역별 옹기에서 발효된 한국 전통간장의 항산화 활성

박선영(Sunyoung Park),이상기(Sangki Lee),박수인(Suin Park),김인용(Inyong Kim),정윤화(Yoonhwa Jeong),유성률(Sungryul Yu),신삼철(Sam Cheol Shin),김미숙(Misook Kim) 한국식품영양과학회 2015 한국식품영양과학회지 Vol.44 No.6

본 연구는 한국 전통간장을 각기 다른 지역별 옹기에서 숙성시키면서 변화하는 색도, protease 활성과 항산화 활성을 비교하였다. 120일간 지역별 옹기에서 발효한 간장의 색도는 적색도에서만 유의적인 차이를 나타내었다. 간장의 갈색도는 발효가 진행될수록 증가하였으며 발효 120일째 예산옹기 간장의 갈색도가 가장 높았다. 간장의 protease 활성은 발효하는 동안 지속적으로 증가하였으며 강진 옹기의 간장에서 가장 높았다. 모든 지역 옹기에서 발효된 간장은 발효될수록 총 페놀 함량과 항산화 활성이 증가하였다. 강진 옹기의 간장은 총 페놀 함량(16.6 mg GAE/mL), FRAP(54.3mg AAE/mL), DPPH 라디칼 소거 활성(43.6%)이 지역별옹기 중에서 가장 높았다. 갈색도와 항산화 활성과의 상관성은 낮으나 protease 활성과 총 페놀 함량과의 상관은 높았다(R=0.85). 120일 동안 발효된 간장의 항산화 활성, protease 활성, 갈색도, 총 페놀 함량은 지역별 옹기에 따라 차이가 있었다. The purpose of this study was to compare color, protease, and antioxidant activities of Korean traditional soy sauce fermented for 120 days in Onggis obtained from five regions-Gangjin, Jeju, Ulsan, Yeoju, and Yesan in Korea. The brown color of soy sauce was increased during the fermentation period and was the highest in soy sauce fermented in Yesan. The values of total phenol contents, protease activity, and ferric reducing antioxidant power (FRAP) and 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging activity activities were also increased during the fermentation period of soy sauce. Soy sauce fermented in Gangjin Onggi showed the highest protease activity, total phenol contents, DPPH radical scavenging activity, and FRAP ability. The partial least squares regression analysis indicated that the regional Onggis affect the quality of soy sauce with in terms of color, protease activity, and antioxidant activity.

단감 증류주의 품질 및 관능 특성

제정정(JingJing Ti),곽한섭(HanSub Kwak),김미숙(Misook Kim),이영승(Youngseung Lee),이춘매(Chunmei Li),유성률(Sungryul Yu),윤성준(Seongjun Yoon),신삼철(Sam Chul Shin),최근표(Geun Pyo Choi),임성빈(Seoung Been Yim),정윤화(Yoonhwa Jeong) 한국식품영양과학회 2015 한국식품영양과학회지 Vol.44 No.10

단감 발효 시 알코올 생성량이 높은 선별된 상업용 효모(Saccharomyces species) 3종을 이용하여 단감 증류주를 제조하여 품질 특성을 알아보았다. 단감 발효주의 pH, 환원당 및 총 당의 변화는 기존의 과실 발효주의 범위를 벗어나지 않아서 발효 과정 중 이상 발효는 없는 것으로 판단되었다. 발효 종료 후 총 균수는 8.67~8.70 log CFU/mL로 시료간에 유의차가 없었다. 총 효모수는 8.17~8.20 log CFU/mL로 시료 간에 유의차가 없었다. 아세트알데하이드 함량은 2차 증류 첫 분획물에서 UC군이 310 mg/L, LB군이 255 mg/L, LD군이 226 mg/L였으며, LB군과 UC군은 2번째 분획물에서도 200 mg/L 이상이었다. 아세트알데하이드 함량이 200 mg/L 이상인 분획을 초류로 제거하고 알코올 함량 40% 이상인 부분을 본류로 하였을 때, 알코올 함량은 LD군이 677.8 mL로 가장 높았다. 알코올 함량은 LB군과 UC군이 각각 408.0 mL 및 445.4 mL였다. 묘사 분석에서 단맛, 신맛, 신향 및 감향의 강도가 시료 간에 유의차가 있어(P<0.05) 이 4가지 묘사 특성이 감 증류주의 품질 평가에 적절하다고 판단된다. The objective of this study was to investigate the quality and sensory characteristics of sweet persimmon mashes and spirits fermented by three different yeasts [Saccharomyces species, labeled as LB (Lalvin BM 4X4), LD (Lalvin DV10), and UC (Uvaferm CM)]. In the production of sweet persimmon wines, UC had the highest alcohol content of 10.20% (v/v) after 9 days of fermentation (P<0.05). The range of pH after fermentation was 3.63∼3.75. The total aerobic bacteria and yeast contents increased until day 3 and then continuously decreased to approximately 8.60 log CFU/mL and 8.20 log CFU/mL, respectively. Reducing sugar contents were 3.37% in UC, 3.91% in LD, and 4.05% in LB after fermentation. Total sugar contents were 4.89% in UC, 6.24% in LD, and 5.47% in LB after fermentation. Two-stage single-pot distillation was conducted to produce sweet persimmon spirits. While conducting second distillation, spirits were collected every 100 mL fraction. The alcohol contents gradually decreased as more fractions were collected. The amounts of acetaldehyde were 226 mg/L for LD, 225 mg/L for LB, and 310 mg/L for UC in the first fraction. LD produced the highest volume (677.8 mL) of alcohol in its body part in comparison with LB (408.0 mL) and UC (445.4 mL). In the descriptive analysis, UC had stronger intensities of sweet aroma, sour aroma and taste, and persimmon flavor (P<0.05). Persimmon characteristics seemed to be well characterized by UC. In conclusion, LD was the most efficient in terms of production cost, whereas UC would be used to produce a more flavorful sweet persimmon spirit.

경후두 Lidocaine 주사가 기관내 삽관에 으한 혈역학적 변화에 미치는 영향

문종선,조용노,신삼철,신근만,최영룡 한림대학교의료원 1994 人間科學 Vol.18 No.11

정위적 요부 교감신경절제술 : 새로운 변형 A New Modification-Case report

김철,신근만,최영룡,신삼철,홍순용 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.32 No.5

Neurolytic or surgical lumbar sympathectomy are commonly used in the treatment of intractable pain and peripheral ischemia. The primary goal of sympathectomy for pain management is to achieve a good result with minimal interruption of nervous tissue and as few side effect as possible. A high incidence of postoperative bleeding, ureteral injuries have been reported in surgical sympathectomy and chemical neuritis or paresthesia has been reported with an incidence of 2∼10% in nerurolytic sympathectomy. Of the techniques which have been applied for sympathectomy, the radiofrequency lesion method has emerged as the most effective with less complications. But, a series of modifications have been tried in an effort to improve results. The more extensive lesions are thought to produce the more effective sympatholysis. We inserted two cannulas for making lesions to one ganglion and 3 or 4 lesions were made at each level. Sympathectomy using this technique was successful in thirteen out of fifteen patients. This new mdified technique has improved the effectiveness of stereotactic radiofrequency lumbar sympathectomy as compared with other previous reports. (Korean J Anesthesiol 1997; 32: 850∼856)