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이봉숙 서울시립대학교 도시과학대학 세무학과 1992 稅務學論集 Vol.5 No.-
다국적 기업의 조세회피현황과 방지대책에 대한 고찰
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이봉숙 한국콘텐츠산업학회 2024 콘텐츠와 산업 Vol.6 No.1
이 연구는 한국의 연명의료결정법이 지닌 한계점을 살펴보고 그에 따른 대안을 제시하는데 목적이 있다. 2018년 시행된 연명의료결정법은 노화 및 각종 원인에 의한 만성질환으로 임종 과정에 접어든 환자가 무의미한 생명 연장 의료를 중단하고, 인간으로서 존엄과 품위를 유지한 채 죽음을 맞이할 수 있도록 자기 생명에 대해 스스로 결정할 수 있는 권한을 부여한 법제이다. 이러한 측면에서 연명의료결정법이 지닌 의의는 상당하지만, 그에 상응하는 한계점 또한 다수 내포하고 있다. 연명의료 중단 범위에 있어서 특수연명의료로만 한정하고 있어 일반 연명의료를 포함한 일체의 연명의료를 거부하는 환자의 경우 현 연명의료결정법은 존엄사 허용의 본래 취지와는 괴리가 있다. 또한 연명의료 중단 선언에 있어서도 담당 의사와 해당 분야 전문가 1명으로 규정하고 있어 담당 의사에게 너무 과한 부담을 지우는 규정이라는 지적도 제기되고 있다. 그뿐만 아니라 법 적용 대상자에 있어서도 무연고자를 제외하고 있음은 물론 인정 질환의 범위 및 기준에 있어서도 모호함이 있다. 저출산 초고령사회를 눈앞에 둔 한국 사회에서 만성질환자의 증가 및 무연고 독거노인의 증가는 쉽게 예상되는 사안이다. 이러한 사회 구조적 측면을 고려하여 연명의료결정법이 안고 있는 특정 부분에 대한 입법적 보완이 필요시 된다. 질병에 노출될 위험이 높은 노령층은 물론 일반 국민이 존엄사와 연명의료 중단에 대한 이해를 높이고, 자기생명결정권에 대한 헌법적 권리를 보장받기 위해 존엄사에 대한 인식 확대 및 이와 관련된 정보제공 방법의 다양화를 다각도로 모색해야 할 필요가 있다. 특히 사전연명의료의향서 등록 기관의 확대를 통해 법적 테두리 밖에 놓이게 되는 무연고환자로 분류될 가능성이 큰 연령층에 대한 사전 예방적 활동도 강화해야 할 필요가 있다. The purpose of this study is to find out the limitations and alternatives of Life-Sustaining Treatment Decision Act(LSTDA) in Korea. With the remarkable development of medical technology, the life expectancy is currently approaching 90. Extended human lifespan, however, does not mean that they will live a long with the healthy life. Human being is bound to deteriorate with aging. As a result, the probability of exposure to various chronic diseases increases as the age increases. The Life-Sustaining Treatment Decision Act gives people the authority to make their own decisions about their lives in the situation of terminally ill, so that they can die while maintaining dignity as humans. Therefore, it might be said that terminally ill patient can be guaranteed by LSTDA having a right to self-determination under the constitution. The LSTDA, which took effect in 2018, is most meaningful in that humans are guaranteed the right to die with dignity. In the case of life-sustaining treatment suspension, only special life-sustaining treatment suspension is included among the areas related to life-sustaining treatment, and general life-sustaining treatment is excluded from the scope of suspension, so the current life-sustaining treatment decision law differs from the original purpose of allowing life-sustaining treatment. In addition, the suspension of life-sustaining treatment for patients without life-sustaining treatment is also treated as an exception. The increase in the number of elderly people living alone and the number of patients without life-sustaining treatment in Korean society, which has entered an aging society, is easily expected. Legislative supplementation on these areas is needed, and prior to this, it will be necessary to diversify the methods of providing information on life-sustaining treatment decisions and to expand registration institutions for advance letter of intent to strengthen preventive activities for age groups that are likely to be classified as patients without life-sustaining treatment in the future.
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COVID-19로 인한 교육생태계의 변화와 그에 따른 교육 형평성에 관한 연구
이봉숙 한국콘텐츠산업학회 2023 콘텐츠와 산업 Vol.5 No.1
In the past three years, the field education has been facing unprecedented rapid changes and demands of the times due to COVID-19. Temporary postponement of classes inevitably occurred, and school classes had to be rapidly converted to online classes. In this process, both instructors and learners had to struggle to adapt to the new teaching method, and a considerable amount of time and budget had to be invested in preparing and adapting various facilities to activate learning tools according to the learning method. Over the three-year period of the outbreak of infectious diseases, the field education is gradually adapting to the demands of change, and infectious diseases are also evaluated as relatively stable, but the educational field is still facing various practical challenges. It is an advisory on whether the right to receive education, which is a basic human right, is being conducted fairly and equally in the educational field in the circumstances of natural disasters. It is skeptical about returning to the existing teaching method that the infectious disease has entered a stable state. The educational paradigm has already changed, and it is facing the reality that the demand for experimental education through virtual reality cannot be ignored. In order for a new educational method reflecting realistic demand to be activated realistically, various financial support such as manpower support, student support, and educational facility support is required. Unless equitable government-level support is provided, the polarization of education between individual learners and universities is clear. The purpose of this study, therefore, is to find out the way of providing good education in which the converted face-to face learning mode to online learning mode within the circumstances of COVID-19. In contents of this paper, the considerable issues related to each teaching mode is identified, then the next part, it will approach the right of education in the paradigm of constitutional and legal perspectives. Equity of education related to economic status is another issues raised in circumstances of the COVID-19. Therefore, this paper will suggest the alternative way of improving the quality of education and providing good education in the aspect of policy level.
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이봉숙,길윤경,김정연,구자영,유지연,이현민,박주희 병원간호사회 1999 임상간호연구 Vol.4 No.2
The purpose of this study was develop the nursing assessment tool on Intensive Care Unit The purpose of this tool was use as nursing assessment tool for patient admitted on Intensive Care Unit The following is the summary of the study. At first, we estabilish theoritical frame work. The theoritical frame work is based on the Reference, the medical record and the ICU flowsheet. Secondly, the pilot tool was designed. After that, we cofirmed the nursing assessment tool. This tool was made as a check-list form to save time. Nursing assessment tool was used for 50 patients admitted on Intensive Care Unit. The period fron April 27, 1998 to May 10, 1998. We expect that this assessment tool can contribute to a written communication tool of clinical team. Also, we expect it is used on Intensive Care Unit continuously ; therefor, this tool will increse the quality of nursing care.
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