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지방재정 수입·지출의 구조가 재정운용의 재무적 건전성에 미치는 영향
위정복(魏正復) 한국공공관리학회 2015 한국공공관리학보 Vol.29 No.3
본 논문은 지방재정 수입·지출의 구조가 재정운용의 재무적 건전성에 미치는 영향을 분석함으로서 정책적 시사점을 찾으려 하였다. 이를 위해 2009년-2013년까지 패널자료를 활용하였다. 분석결과, 자치단체의 재정자립수준이 높아질수록 기초자치단체에서 재정수지가 약화되었으나 채무부담은 줄어드는 것으로 나타났으며 지방세수입은 광역자치단체와 자치구에서는 재정수지와 채무부담을 개선하는 역할을 하고 있음을 보여주었다. 또한 1인당 투자지출 증가는 광역 및 기초자치단체에서 재정수지 약화의 원인이 되는 한편 광역자치단체 1인당 채무부담 증가의 원인이 되는 것으로 나타났다. 1인당 복지지출은 재정수지와 정(+)의 관계를 나타낸 반면 복지지출비중의 증가는 기초자치단체에서 재정수지에 부(-)의 효과를 보였다. 이는 기초자치단체가 총재원의 증가없이는 복지지출을 확대하지 않고 있으며 복지지출 비중이 높은 자치단체의 경우 지출의 하방경직성으로 재정수지를 약화시키는 것으로 해석된다. This paper focuses on examining the relationship between structural specifics in revenues & expenditures and local financial operative soundness. The results of this study are expected to show some insights for the healthy local financial operation. Two empirical data for annual fiscal balance and debt were used in the estimation of panel data model. Results suggest that in general financial self-sufficiency has negative(-) effects on the healthy financial operation in terms of fiscal balance and annual debt at lower level local governments. Local tax revenues played important role on financial operative soundness in Provincial level and District governments. The investment expenditures per capita tend to cause lower fiscal balance and debt both in provincial and local governments. In case of welfare expenditures, per capita showed positive effect on fiscal balance, while the weight in the total showed negative effect. It suggests that local governments tend to increase welfare expenditure when they can make an increase of whole amount in their revenue and local government with higher weight of welfare expenditure tends to show lower fiscal balance.
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이종현,이기남,문준일,위정복 대한마취과학회 1991 Korean Journal of Anesthesiology Vol.24 No.3
The general intensive care unit of Presbyterian Medical Centar was opened in 1965 with 3 beds and expanded to 17 heds in 1981. Generally, the type of I.C.U. is multidisciplinary and intensive care often means a combination of recovery room service and intensive therapy. Here, we have analyzed clinically 4, 986 LC.U. patients admitted between Jan. 1986 and Dec. 1990. to obtain a better guide and management in the I.C.U.. The results were as follows I) Total number of patients for 5 years was 4,986; 1,071 patients in 1986, 1,102 patients in 1987, 1,012 patients in 1988, 952 patients in 1989, 849 patients in 1990. The ratio of male to female patients was almost 2: 1. 2) Total admission days in the I.C.U. was 26,892 days and average patient stay being 5.5 days. The average age for 5 years was 50.9 year-old-age. 3) The majority of the patients(3,526 cases, 70%) stayed in the I.C.U. less than 5 days The number of patients staying more than 9 days increased from 127 cases(12%) in 1986 to 155 cases (18%) in 1990 4) The group representing the highest number of patients admitted was in the 50 to 59 year-old-age group. About 60% of the patients admitted were in the 40 to 69 year-old-age groups and the highest mortality rate occurred in the 70 to 79 year-old-age group(24.4%). 5) The number of the patients admitted to the department of internal medicine, which was the highest among all departments, was 3,564 caaes. Mortality rate was highest in the department of pediatric. 6) During 5 years, overall mortality rate was 21.9%(1,091 cases) inclusive of the hopeless-dis-charged patients. 7) Liver cirrhosis & variceal rupture of esophagus was the commonest disease. Mortality rate WS8 highest in leukemia(50%) & lymyhoma(50%) and lowest in acute renal failure(0%). 8) After putting into operation of nation-wide medical. insurance scheme, average patient stay and average age were increased. From the above results, it can be concluded that average admission days, average age and patients staying more than 9 days in the I.C.U. increased annually.
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