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        지방자치와 자치경찰 실태 검토

        김원중 사단법인 한국국가법학회 2024 국가법연구 Vol.20 No.2

        자치경찰제도가 시행되어 오고 있는 현 시점에서 자치경찰제도가 가지는 의미와 그 실태를 통해 지방자치 제도적 취지에 부합하고 있는가에 대한 검토가 필요하다. 자치경찰제도는 지역의 실정에 부합하는 경찰제도를 통하여 지역 치안확립에 그 제도적 취지가 있다. 자치경찰제도는 지역의 치안수요에 부응해 지역별 특성에 부합되게 제도화가 되어야 한다. 그러나 현재 시행되고 있는 자치경찰제도가 지역의 특성에 부합될 수 있게 조직과 운영이 구성되어 있는 가에 대해 의문이다. 지방자치라는 헌법상의 제도적 취지는 주민의 복리 증진을 위해 자치를 시행하도록 하고 있다. 주민의 복리증진이라는 차원에서 지방자치를 접근해 볼 때 자치경찰제도가 주민복리증진에 어느 정도 기여하고 있는 가에 대해서는 재검토가 필요하다. 자치경찰제도는 주민의 의사가 반영될 수 있게 조직이 구성되고 운영되어야 한다. 그러나 현행 경찰법은 자치경찰기관인 자치경찰위원회에 대해 주민의 의사를 반영할 수 있는 기회 제공을 하고 있지 않은 한계를 가지고 있다. 자치경찰위원회는 현행 법상 자치경찰사무에 대해 시·도경찰청장을 지휘·감독하도록 하고 있다. 그러나 이러한 자치경찰위원회의 시·도경찰청장에 대한 지휘·감독이 실제적으로 기능을 수행할 수 있도록 지위를 가지고 있다고 볼 수 없다. 자치경찰위원회는 자치경찰사무에 대하여 합의제 행정기관으로서 지위를 부여하고 있으나, 직접적인 자치경찰사무가 아닌 단순한 행정사무 등에 대해서만 심의·의결권을 통해 지휘·감독권을 행사하고 있다. 따라서 본 연구에서는 지방자치라는 제도적 보장을 달성하기 위한 주민의 복리증진이라는 지방자치 목적에 부합될 수 있게 현행 법제가 가지고 있는 실태를 분석하여 그 개선방안을 제시하였다. 다만, 본 연구의 한계는 문헌적 검토를 통해 실태 분석을 하였고, 법제 상 및 제도상의 실태에 한정하였다는 것을 밝힌다. At the present time, when the autonomous police system is being implemented, it is necessary to review the meaning of the autonomous police system and whether it is in line with the purpose of the local autonomy system through its actual situation. The purpose of the autonomous police system is to establish regional security through a police system that matches the local circumstances. The autonomous police system must be institutionalized to meet the needs of regional security and suit the characteristics of each region. However, it is questionable whether the autonomous police system currently in effect is structured and operated to suit the characteristics of the region. The constitutional purpose of local autonomy is to implement self-governance to improve the welfare of residents. When approaching local autonomy from the perspective of promoting the welfare of residents, it is necessary to reexamine the extent to which the autonomous police system is contributing to improving the welfare of residents. The autonomous police system must be organized and operated to reflect the opinions of residents. However, the current police law has limitations in that it does not provide an opportunity for the autonomous police committee, which is an autonomous police agency, to reflect the opinions of residents. According to the current law, the Autonomous Police Committee directs and supervises the city/provincial police chiefs regarding autonomous police affairs. However, it cannot be said that these autonomous police committees have a status that allows them to actually perform their functions in command and supervision of city/provincial police chiefs. The Autonomous Police Committee is granted the status of a consensus-based administrative agency for autonomous police affairs, but exercises command and supervision rights through deliberation and voting rights only on simple administrative affairs, not direct autonomous police affairs. Therefore, in this study, we analyzed the current state of the law and presented improvement measures to meet the purpose of local autonomy, which is to promote the welfare of residents in order to achieve institutional guarantee of local autonomy. However, the limitations of this study are that the analysis of the actual situation was conducted through a literature review, and it was limited to the actual state of the legislation and the actual state of the system.

      • 特化病院과 非特化病院의 運營成果 比較

        김원중 인제대학교 1999 仁濟論叢 Vol.15 No.1

        This article compares various aspects of managerial performance between specialized and unspecialized hospitals in Korea. Data of 210 hospitals were obtained from the data file of Korea Institute of Health Services Management. The items include general characteristics of the hospitals, fianancial reports, and utilization records. 'Specialized hospital' is defined as one where 'the amount of medical revenue of a certain medical department is equal to or greater than 50% of total medical revenue. 'Based on this definition, the sample hospitals are divided into two groups: specialized and unspecialized. These groups are then compared in terms of various measures of managerial performance, which include operating margin, return on assets(ROA), current ratio, equity ratio, total asset turnover, and current asset turnover. Also, to examine the relationship between specialization and profitability, we estimate the regression model, where ROA is used as the dependent variable and specialization dummy as the independent variable, controlling for the hospital characteristics such as size, type and location. Major findings are as follows : 1. Smaller hospitals located in large cities tend to specialize more frequently than larger and/or rural hospitals. 2. Specialized hospitals have fewer employees compared with the unspecialized, especially in administrative departments, which implies their efficient personnel management. 3. Overall, mamagerial performance is better for the specialized group, where the performance is measured by profitability, leverage, and activity ratios. 4. Regression analysis suggests that there is a positive, statistically significant relationship beween specialization and hospital profitability.

      • KCI등재
      • 정보기술을 활용한 진료행위프로토콜 개발

        강성홍,김원중 한국보건정보교육학회 1999 보건정보교육학회지 Vol.1 No.1

        The main purpose of this paper is to explore the general methodology of developing protocol for medical service activities by using information technology and to actually develop a protocol for the case of cesarean section patients. Data for the study were obtained from a large university hospital located in Seoul, Korea. The data items include discharge summaries, prescriptions, and medical fee records of discharged cesarean section patients for the period of January through March, 1999. We analyzed the data by using newly developed method of 'SAS Enterprise Miner' as well as ordinary statistical programs of SAS. We performed cluster analysis on the basis of length of stay and the amount of medical fees in order to determine the most appropriate group, and the results for the group were used in the development of the protocol. The protocol(major result of this study) is as follows: 1) basic prescriptions -lst day of hospitalization : BR, V/S CHECK, etc. -2nd day of hospitalization : NPO, BR, etc. -3rd day of hospitalization : BR with WA, NPO -4th day of hospitalization : BR with WA, V/S CHECK, SOW -5th and 6th days of hospitalization : BR with WA, V/S CHECK 2) examinations -1st day of hospitalization : NST, FAST, TYPE & SCREENING -2nd day of hospitalization ABGA 3) medication/injection -1st day of hospitalization 5% dextrose -2nd day of hospitalization : metronidazole, methylergometrin maleate, etc. -3rd day of hospitalization : dextrose/ sodium chloride, aminosteril, etc. -5th day of hospitalization : iron protein succinylate, methylergometrin maleate

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