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최세경 중소벤처기업연구원 2016 중소기업정책연구 Vol.1 No.1
This study examines legitimacy of SMB support in terms of conformability between policy value and policy means. And It analyzes why government policy for SMB support is criticized in Korea. Policy value for SMB support has turned out a variety of categories depending on goals on macro and micro economic policy, social policy and enterprise policy for business ecosystem. But in case of Korea, policy value has a limited goal to protect or promote SMB as a industrial policy. This has acted as a major cause to criticize SMB support policy. Therefore, if Korea government seeks to build up the legitimacy for SMB support, it has to enhance the conformability between policy value and policy means in supporting SMB. First, the government has to aim for not only efficiency and equity but also fairness and innovation as policy values for SMB support and make use of sustainability as an adjustment value among policy values. Second, the governmen must has a role as a builder of order composition in market or a supporter for business ecosystem formation. Third, the government has to operate the assessment and monitor system to policy delivery and performance. 이 연구는 중소기업 지원의 정당성을 정책가치와 정책수단 의 정합성 차원에서 검토하고, 중소기업 지원에 대한 국내 비 판론이 주로 문제삼는 영역이 무엇인가를 분석했다. 중소기업 지 원의 정책가치는 거시·미시적 경제정책, 사회정책, 그리고 생태계 측면의 기업정책까지 매우 다차원적인 형태를 갖고 있다. 하지만 국내 중소기업 지원의 정책가치는 산업정책 측면에서 중소기업을 보호·육성하는 것을 주로 강조했다. 이는 중소기업 지원의 정책수 단을 비판하는 주요 원인으로 작용했다. 따라서 정부가 중소기업 지원의 정당성을 확보하려면, 중소기업 지원의 정책가치를 재정 립하고 그에 부합하는 정책수단을 선택하여 정책가치와 정책수단 의 정합성을 높여야 한다. 구체적으로 첫째, 효율성과 형평성을 양립시키기 위해 공정성과 혁신성을 지향하고 여러 정책가치를 조정할 수 있도록 기업생태계의 가치를 고려해야 한다. 둘째, 정 부는 공정경쟁을 보장하는 질서 조성자로서 그리고 기업생태계의 건전성을 높이는 생태계 형성자로서 역할을 담당해야 한다. 셋째, 정부는 중소기업 지원에 관한 다차원의 정책가치를 고려하여 그 에 적합한 정책수단을 선택·조합하며, 그 집행을 모니터링하고 평 가하는 시스템을 갖춰야 한다.
OB-61 : Is IOM recommendations for gestational weight gain proper for Korean women?
최세경,김나리네,윤혜정,천주영,김연희,신종철 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-
목적: The purpose of the study was to propose the proper weight gain during pregnancy based on the World Health Organization prepregnancy BMI definitions for Asian populations. 방법: We retrospectively reviewed the medical records of 1,482 singleton term pregnant women who had delivered babies at Seoul St. Mary`s Hospital and Uijeongbu St. Mary`s Hospital from January 2010 to December 2010. We used World Health Organization definitions for Asian populations of underweight (BMI < 18.5), normal (18.5 ≤ BMI < 23), overweight (23 ≤ BMI < 25), and obese (25 ≤ BMI). We analyzed the incidence of poor perinatal outcomes according to the weight gain during pregnancy. Statistics were performed using SAS 9.2 and results were considered statistically significant for p value < 0.05. 결과: The mean pre-pregnancy BMI was 21.03 ± 4.03 kg/m2; 174 subjects (11.74%) were underweight, 848 (57.22%) were normal, 194 (13.09%) were overweight, and 266 (17.95%) were obese. We analyzed the influences of gestational weight gain on perinatal outcomes based on the prepregnancy, and these were analyzed on the basis of maternal and neonatal complications. In normal weight group, the incidences of perinatal outcomes were significantly increased with excessively less or weight gain. The lower and upper cut-off values for weight gain were 13 kg (OR 2.15; 95% CI= 1.306?3.536) and 17 kg (OR 1.875; 95% CI= 1.919?3.628), respectively. Other groups did not show statistically significant cut- off vales for weight gain. 결론: This study shows proper gestational weight gain for normal weight women based on the WHO BMI definitions for Asian populations. New guideline for gestational weight gain for Korean women is needed because IOM recommendation for gestational gain does not consider BMI definition for Asian population. Further researches including larger number of study populations are required to propose the gestational weight gain guidelines for underweight, overweight, and obese groups.