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정부 조직구조에 따른 책임은폐와 문제해결의 동학(動學): 국내 가습기 살균제 사건과 일본의 약해간염 사고의 비교
현승효 ( Seung Hyo Hyeon ),이민규 ( Min Kyu Lee ),류화신 ( Hwa Shin Ryoo ) 한국보건행정학회 2020 보건행정학회지 Vol.30 No.4
Background: In this study, we compared the incidents of humidifier disinfectants and incidents of mild hepatitis in Japan to highlight the differences in government response in the health care field in terms of “chain of responsibility”. Methods: We examined whether the three mechanisms of action and the chain of responsibility hypothesis were applied to compare the cases of Korea and Japan. The incident of Japan occurred in 1987 in Misawa city, Aomori prefecture. In the 1990s, the safety of blood products increased dramatically. However, relief for infected victims was neglected. Green Cross did not notify the parties. In Korea, in the spring of 2011, a number of lung disease patients were accidentally admitted to a hospital in Seoul, and a female patient with respiratory failure symptoms expired. The Korea Centers for Disease Control and Prevention conducted animal tests and the Ministry of Health and Welfare issued an order for forced collection of humidifier disinfectants. Results: In the case of Japan, the Ministry of Health and Welfare had to take responsibility for follow-up measures such as the investigation of the cause, so it was tied to a “chain of responsibility”. However, in the case of Korea, the Ministry of Health and Welfare was free from the chain. Conclusion: Through the comparison between the cases of Japan and Korea, we confirmed that whether or not a government organization chooses to conceal responsibility depends on its past behavior, which is whether it is free from the chain of responsibility or not. Therefore, it was reaffirmed that an organization (ministry or department) free from the chain of responsibility must exist within the government.
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의과대학생 국가시험 거부 사태에 대한 고찰: 신호게임 이론을 중심으로
현승효 ( Seung Hyo Hyeon ),김다영 ( Da Young Kim ),이민규 ( Min Kyu Lee ) 한국보건행정학회 2021 보건행정학회지 Vol.31 No.4
Background: Conflict in the medical world in 2020 led to the rejection of the national examination for doctors. This study explained the process until the end of the national test refusal situation triggered in 2020 through the signaling game theory. The government has succeeded in requiring medical students to take the national exam. Methods: To explain the rejection of the national examination, we first compose and show an example of two small non-signaling games where medical students know which type the government is of, then combine them to play a signaling game. Results: The behavior of the government and medical students was examined through the signaling game model. In the context of the coronavirus disease 2019 (COVID-19) pandemic, the government makes an ultimatum, whatever the type. And the medical students accept it. They judged that the government could not be expected to abolish the policy. If COVID-19 had not occurred, medical students would have been able to continue the confrontation. Conclusion: The government instilled in the other party the perception that the government would not bend its policies because it was the surly type and would not be afraid of a strong confrontation. Through the image created in this way, the government was forced to accept the ultimatum by medical students. Academically, this study is to deal with the policy-making process through the signaling game theory. In the area of health care policy, this study suggests that various situations such as the type of government or the spread of COVID-19 can become important in addition to the rationality of the policy itself.
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정부조직의 책임은폐와 문제해결의 역학: 가습기 살균제 사건을 중심으로
현승효 ( Seung Hyo Hyeon ),이민규 ( Min Kyu Lee ) 한국보건행정학회 2020 보건행정학회지 Vol.30 No.1
Since the government is fully aware of the specificity and importance of the healthcare field, it operates bureaucracy and affiliated organizations composed of many government ministries and experts and is also handling the related bureaus. However, recent incidents of humidifier disinfectant not only make these government activities unreliable but also cause disappointment to many people. Why did not the government take active measures to ensure product safety? But why was the Korea Centers for Disease Control and Prevention (KCDC) able to speed up the identification of the cause and the recovery of the product? The purpose of this study is to clarify the behavioral mechanisms of government intervention by comparing the behaviors of the Ministry of Trade, Industry and Energy and the KCDC. Then, we will discuss the desirable government structure.
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권설아(Seol A Kwon),오명근(Myeong Keun Oh),이주호(Ju Ho Lee),이민규(Min-Kyu Lee),박상호(Sang Ho Park),현승효(Seung Hyo Hyeon),류상일(Sang Il Ryu) 한국콘텐츠학회 2019 한국콘텐츠학회논문지 Vol.19 No.3
재난현장의 극한 상황에 노출되어 있는 소방공무원들의 공무상 부상빈도는 꾸준히 증가하고 있다. 그러나 증가하는 공상에 비하여 공상승인이나 관련 절차는 복잡하여 소방공무원의 안전관리 측면에서의 근무환경은 매우 열악한 실정이다. 이에 본 연구는 부산시 소방공무원들을 대상으로 공상관리제도에 대한 실증적으로 살펴봄으로써 향후 소방공무원들의 공상관리제도 개선에 기초자료를 제공하고자 수행되었다. 실증분석 연구결과는 다음과 같다. 첫째, 공상에 대한 경험 빈도가 타 직군에 비해 높다. 둘째, 공상신청이 적극적으로 이루어지지 못하고 있다. 셋째, 공상승인 시 자부담 비용이 발생한다. 이러한 실태분석을 토대로 공상관리제도의 개선을 위한 정책적 요인분석결과는 다음과 같다. 첫째 공상신청 개선 요인을 위해서는 공상신청 심의 시 고위험 제반사항 고려가 필요하고, 공상관리제도 운영 개선 요인을 위해서는 공상자 혜택 및 지원사업 확대가 필요하다. 그리고 공상제도 개선 요인을 위해서는 보상 관련법의 개선이 필요하다. 둘째, 공상관리제도의 개선을 위해서는 피해 예방 및 대처교육 프로그램 마련이 시급히 이루어져야 하며, 또한 공상신청 행정절차의 간소화 및 공상자 혜택 및 지원사업 확대가 조속히 이루어져야 하고, 아울러 기관장의 관심 및 지원 강화가 필요하다는 것을 알 수 있었다. The frequency of official injury of fire-fighting officers exposed to an extreme situation in disaster areas has been continuously increased. In spite of increase of injury, procedures of injury approval are complex, so the working environment of fire-fighting officers is very poor in terms of safety management. This study was, therefore, conducted to provide basic data for improvement of the injury management system for fire-fighting officers, by empirically analyzing the system for those in Busan city. The findings of the empirical analysis are as follows: first, the frequency of injury experienced by them is higher than that of other occupations; second, application for injury is not actively made; third, fire-fighting officers should bear the expense if injury is approved. On the basis of such an analysis on actual conditions, an analysis on policy factors for improving the injury management system shows; first, various high-risk matters should be considered in the review of application for injury, for improvement factors of the application for injury, while it is necessary to extend the benefit and support project for injured officers, for operation improvement factors of the injury management system, and the compensation act should be improved, for the improvement factors of the injury system. Second, it is urgent to develop damage prevention and coping education program for improving the injury management system. In addition, the simplification of administrative procedures of application for injury and the extension of benefit and support project for injured officers should be realized as soon as possible, moreover, the enhancement of directors interest and support is also required.
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