INTERVIEW한국데이터베이스 진흥센터(KDPC) 전무이사 이준우

이준우,Lee, Jun-U 한국데이터베이스진흥원 2002 디지털콘텐츠 Vol.5 No.-

PIFS를 고려한 열전달 특성 연구

이준우,김재관,김규홍 한국항공우주학회 2010 한국항공우주학회 학술발표회 논문집 Vol.2010 No.4

Do Positive Surgical Margins Predict Biochemical Recurrence in All Patients Without Adjuvant Therapy After Radical Prostatectomy?

이준우,류재현,김윤범,양승옥,이정기,정태영 대한비뇨의학회 2013 Investigative and Clinical Urology Vol.54 No.8

Purpose: The objective was to study whether positive surgical margins (PSMs) predict biochemical recurrence (BCR) in all patients without adjuvant therapy after radical prostatectomy (RP). Materials and Methods: We retrospectively reviewed the medical records of patients who underwent RP for prostate cancer at Veterans Health Service Medical Center from 2005 to 2011. BCR was defined by a prostate-specific antigen (PSA) value ≥0.2 ng/mL. The clinicopathological factors of the PSM group were compared with those of the negative surgical margin (NSM) group, and the predictive impact of a PSM for BCR-free survival were evaluated. In addition, we analyzed the prognostic difference for BCR-free survival between solitary and multiple PSMs. Results: A PSM was noted in 167 patients (45.5%). BCR was reported in 101 men in total (27.5%). The BCR-free survival rate of the PSM group was lower than that of the NSM group (p<0.001). In a multivariate analysis for the total patients, PSM was significantly associated with BCR-free survival (p<0.001). After stratification by pathological T stage, Gleason score (GS), and preoperative PSA value, PSM was significantly predictive for BCR-free survival in men with pT2 and/or GS ≤6 or 7 and/or a PSA value <10 or 10–20 ng/mL (all p<0.05). Multiple PSMs were more predictive of BCR-free survival than was a solitary PSM (p=0.001). Conclusions: A PSM is a significant predictor of postoperative BCR in patients with pT2 and/or GS ≤7 and/or preoperative PSA <20 ng/mL. Multiple PSMs are considered a stronger prognostic factor for prediction of BCR than is a solitary PSM.

한국 노인의 노후생활에 관한 인식

이준우,이현아,황준호 한국노년학회 2011 한국노년학 Vol.31 No.3

The purpose of this study is to understand the meaning and essence of aged life, which Korean elderly experience in real life and restructure them in the context of time and culture. In order to do so an in-depth interview was done with 15 elderlies over the age of 60 living in Hwaseong City,an urban-rural composite area in Gyeonggi Province where diverse elderlies could be found. In result, first, Korean elderly’s understanding of aged life had physical, familial, economical, leisure,and social restoration aspects. Second, it was found that the degree of understanding about preparation for aging and preparedness is quite low. Third, as the gap between actual preparation for aging and aged life that elderly dreamed of became wider ‘resentment on children’, ‘denial of reality’, ‘physical and economical change’, and ‘experience from prolongation of life-cycle’ was found. Based on such results following suggestions could be made. First, the awareness of aged life and preparation for aging should be strengthened and there is a need for diverse educations aiming successful aged life. Second, elderly welfare policy and practical intervention with an integrated perspective based on the realm of life-cycle are demanded. Third, there is a need to strengthen the Aged Income Maintenance System for existing elder generation. Fourth, an intervention about adaptation and coping means of life event is needed. Lastly, there is a need to expand and carry out the aged life planning program for future elder generation. 본 연구는 우리나라 노인들이 삶 속에서 실제적으로 경험하는 노후생활의 의미와 본질을 이해하고 시대적·문화적 배경 속에서 이를 재구성하는 데 목적이 있다. 이를 위해 다양한 유형의 노인들을 접할 수 있는 도농복합지역인 경기도 화성시를 선정하여 만 60세 이상 노인 15명을 대상으로 심층면담(interview)을 실시하였다. 연구결과 첫째, 한국 노인이 인식하는 노후생활은 신체적, 가족적, 경제적, 여가적, 사회환원적 측면으로 나타났다. 둘째, 노후준비에 대한 인식과 준비도는 상당히 낮은 것으로 조사되었다. 셋째, 꿈꿔왔던 노후생활과 실제노후준비에 대한 격차가 커짐으로써 ‘자녀들에 대한 원망‘, ’현실부정‘, ’신체적․경제적 변화‘, ’생애주기의 연장선에서 오는 경험‘으로 나타났다. 이러한 결과에 근거하여 다음과 같이 제언해 보면, 첫째, 노후생활과 노후준비에 대한 의식을 강화하고, 성공적인 노후생활을 목표로 한 교육을 다양화할 필요가 있다. 둘째, 생애주기별 영역에 따른 통합적 관점에 입각한 노인복지정책, 실천적 개입이 요구된다. 셋째, 현 노인세대를 대상으로한 소득보장제도를 강화할 필요가 있다. 넷째, 생애사건에 대한 적응과 대처방식에 대한 개입이 필요하다. 다섯째, 예비 노인세대를 위한 노후생활설계 프로그램을 확대 시행할 필요가 있다.

골프 운동행동의 변화단계에 따른 의사결정균형 및 골프재미

이준우,안길영,정채원 한국스포츠학회 2011 한국스포츠학회지 Vol.9 No.2

노인장기요양보험 재가서비스의 문제점과 개선방안

이준우,서문진희 한국노년학회 2009 한국노년학 Vol.29 No.1

본 연구는 제도 시행 초기인 2008년 10월 현재 여러 부분에서 동시다발적으로 발생하는 노인장기요양보험 재가서비스의 다양한 문제점과 원인을 파악하여 분석한 후, 그에 대한 개선방안을 마련하는 데 목적이 있다. 연구방법은 크게 선행 연구된 2차 자료를 분석하는 문헌조사와 관련 전문가를 대상으로 하는 서베이 조사방식을 통해 진행되었다. 자료의 분석은 길버트와 스펙트의 정책분석틀에 근거하여 대상자체계, 급여(서비스)체계, 재정체계, 전달체계의 영역으로 구분하여 분석하였다. 본 연구를 통해 도출된 노인장기요양보험 재가서비스의 문제점은 첫째, 대상자체계에서는 가입대상자와 서비스 대상자의 불일치, 수요자 추계의 문제점 및 등급판정 관련 문제 등이 있으며, 둘째, 서비스 체계에서는 서비스 인력의 전문성 결여, 방문요양기관 인력기준 완화로 인한 서비스 질 저하, 서비스 이용시간 제한의 불합리성 및 방문요양 수가의 등급별 균등지급의 문제가 있는 것으로 나타났다. 셋째, 재정체계에서는 본인부담금과 비급여항목으로 인한 이용자 부담과중, 기존운영비 지원기관에 대한 지원중단으로 인한 서비스의 사각지대 발생 및 구조조정 및 파트타임 증가로 서비스 질 저하 문제가 나타났으며, 마지막으로 전달체계에서는 서비스의 질 관리체계 미비, 재가장기요양기관 남설로 인한 과다 경쟁, 영리적 운영으로 인한 서비스 공공성과 질저하, 대상자 모집의 어려움으로 인한 운영난 및 요양보호사 교육기관 난립으로 인한 과다배출과 부실교육 등의 문제가 있는 것으로 조사되었다. 이상의 결과에 근거하여 다음과 같이 제언하였다. 첫째, 장기적으로 가입자와 서비스 대상자를 일치시킬 필요가 있다. 둘째, 공단직원의 전문성 향상 및 인력충원이 필요하며, 셋째, 등급외자에 대한 효율적 서비스 연계, 넷째, 체계적인 요양보호사 관리시스템 구축 및 서비스 표준지침서 개발, 다섯째, 서비스 내용과 절차에 관한 일부 법규의 수정이 필요하며, 여섯째, 본인부담금의 일부 조정도 필요하다. 일곱째, 노인복지법에 의한 재가시설에 운영비를 지원해야 하며, 여덟째, 관리감독 기관의 모니터링 시스템 강화 및 서비스 제공 기관과 서비스 인력에 대한 평가 체계 마련, 그리고 마지막으로 기관설치 기준의 강화가 필요하다. The purpose of this research is to analyze the overall problems at the moment of October 2008, and then to find the improvements of home-help services of the Long-Term Care Insurance(LTCI), which has been revealed many problems since it was released in July 2008. The research uses the literature survey which analyzes 2nd-hand materials studied by other people already, and survey research was executed from active social workers in the area of LTCI. Based on the policy analysis framework of Gilbert and Specht, all the data are analyzed in the scopes of client·benefit(service)·finance·transferring system. This research has found the problems in each scope of home-help services of the LTCI. Firstly, the client system has some problems in mismatching between registered and service clients, estimating client number, and judging service levels. Secondly, the service system reveals deficiency in professionality of social workers, service quality lowering by loose qualification criteria on workers, non-reasonable limitation of service time available, and the same fare system applied to visiting-help service in spite of different levels. Thirdly, in financing system, clients need to pay additional money to get extra services such as meal, hair cutting, bathing etc., due to government financial support stopped, some organizations have to reduce services and replace full-time workers to part-time ones, which makes the service quality worse. Lastly, in the transferring system, the management system for service quality is not well prepared. There are too much competion because of allowing too many home-help service organizations and care worker academies. The suggestions that this research has found to improve the policy are as follows. ① It is desirable to make the registered clients the service ones as many as possible in the long term perspective. ② The LTCI organization requires more workers and higher professionality. ③ Many elderly people who are not eligible now require connection system to be more served. ④ Management system and service manual for care worker are to be developed. ⑤ Laws related to the service contents and process should be modified, the proportion of client charge needs to adjust. ⑥ Home-help service organization licensed by the LTCI needs to be financially supported publicly. ⑦ Monitoring system to home-help service organization needs to be strengthened. ⑧ Evaluation tools to home-help service organization and workers is required. ⑨ Specification to open the home-help service organization needs to be more strict.

한국수어 연구의 방향과 제언

이준우 한국장애인복지학회 2018 한국장애인복지학 Vol.40 No.40

본 연구는 한국수어 관련 연구에 대한 비판적 성찰을 통해 농인의 언어적인 권리를 실질적으로 보장할 수 있는 한국수어 연구의 방향을 제시하고 이를 실현할 수 있는 구체적인 연구수행 방안을 제안하는데 연구의 목적이 있다. 이와 같은 연구목적을 달성하기 위해 역사연구 관점과 방법을 사용하였다. 이에 한국수어 연구의 ‘시기’, 즉 ‘시간적 범위’를 1979년부터 2017년까지로 한정하였다. 세분화하면 첫째, 수어 표준화를 지향하는 한국수어 연구(1979~2005) 시기, 둘째, 농인의 생활을 반영하는 한국수어 연구(2006~2015) 시기, 셋째, 「한국수화언어법」 제정 및 시행 이후(2016~2017 현재) 시기이다. 각 시기별 분석 대상은 한국수어 사전으로 저술된 문헌자료 9권과 웹사전 4개 및 한국수어 학습서로 저술된 문헌자료 74권 그리고 한국수어 연구 관련 학술논문 150편 및 한국수어학회의 학술대회 자료집에 수록된 연구논문 112편이다. 연구결과, 1979년부터 2015년까지 한국수어 연구의 가장 뚜렷한 경향으로 ‘수어 표준화 지향성’과 한국수어사전 편찬 과정에서의 ‘관 주도적인 성향’ 및 강력한 ‘전문가 주의’가 도출되었다. 또한 「한국수화언어법」이 시행됨에 따라 농인 당사자의 욕구에 기초하는‘한국수어 사전 및 한국수어 학습서’로의 양적ㆍ질적 변화가 나타나고 있었다. 향후 한국수어 연구의 방향은 첫째, 농인 중심의 연구체제를 국가적 차원에서 확립해야 할 것, 둘째, 민간 영역에서 수행되었던 한국수어 학습서, 학술논문, 연구논문 등의 성과를 국가적 차원에서 활용 가능할 수 있도록 자료화하고, 이를 효과적으로 관리ㆍ운영할 것, 셋째, 한국수어 연구 영역에서 농인 당사자의 연구 역량을 개발 및 강화할 것, 넷째, 상시적이며 지속적인 수어 자료 수집과 활용을 위한 실질적인 접근을 모색할 것, 다섯째, ‘관ㆍ학ㆍ민’ 연구 네트워크 체계가 구체화되어야 할 것이다. 이를 실현하기 위한 실질적인 과업을 제언하였다. The purpose of this research is to propose a direction of study, which can substantially guarantee linguistic rights of the people with hearing disability through critical examination of studies related to Korean sign language, and specific measures of research conduct that can realize such studies. In order to achieve the goal of this study history research perspective and method were used. The ‘time’ or ‘temporal scope’ of Korean sign language was limited from year 1979 to 2017 and it can be departmentalized into three periods of time. First, studies of Korean sign language that aimed for standardization of sign language(1979 ~2005), second period is from year 2006 to 2015, where studies that reflected the life of the people with hearing disability, and the last is the period after enactment and implementation of “Korean Sign Language Act”(2016~2017). The research targets of each period were literature data that include nine Korean sign language dictionaries, four web-dictionaries, 74 study materials for Korean sign language education, 150 related scholarly monographs, and 112 related research papers included in Korean Sign Language Association conference packet. Based on the results of this study, the most evident tendency of Korean sign language studies years from 1979 to 2015 were ‘sign language standardization oriented’, ‘public leading tendency’ in Korean sign language dictionary compilation process, and strong ‘expert oriented’. Moreover, as the “Korean Sign Language Act” came into effect quantitative and qualitative changes based on the needs of the people with hearing disability of ‘Korean sign language dictionary and study material’was found. Future directions of Korean sign language studies will be first, the establishment of research system running on national level with full participation of the people with hearing disability, second, the creation of data, which enables the utilization of achievements such as Korean sign language study materials, scholarly articles, and research papers completed in the private domains on a national level, and effective management of such resources, third, development and reinforcement of research capability of the people with hearing disability, fourth, seeking for actual approach for continuous data collection and utilization, and lastly, the research network system of ‘government, university and public’ should be concretized. Practical tasks are proposed in order to realize such studies.

중증 장애여성의 장애인 활동지원서비스 이용 경험에 관한 내러티브 분석

이준우,김일선장,김정석 한국장애인복지학회 2022 한국장애인복지학 Vol.56 No.56

This study is a qualitative study that identifies and interprets the narratives of severe disabled women experiencing personal assistance services. The ‘narratives about service experience’ by Lee Jin-joo and Kim Bo-seok, the raw data through the interviews, were coded and several codes were grouped into sub-categories. Then, after grouping into core categories, the central theme was derived. And then the contents of the narratives were clearly organized in the order of the central theme, core category, and sub-category, and the contents of each narrative were interpreted. As a result of the study, two central themes, six core categories, and 18 sub-categories were formed, and various narratives existing in each category appeared. The experience of using the personal assistance service was classified under themes:“everyday life made possible with the help of others” and “journey toward true independence”. In other words, it was expected that it would be a journey toward an independent life in a true sense, starting with one-dimensional care by others and facing various difficulties and walls of reality, but establishing a meaningful relationship with the personal assistants and receiving multi-dimensional activities support. Lastly, based on the results of this study, improvement measures were suggested to become an activity support system as a system to realize the dignity and independence of the disabled.

장애인복지공급체계 개편 방향 탐색: 장애인지원센터, 지방자치단체, 서비스제공기관의 역할정립 및 연계방안을 중심으로

이준우,정지웅,임수정 한국장애인복지학회 2012 한국장애인복지학 Vol.- No.19

The purpose of this article is to explore the direction of restructuring of welfare provision system for the disabled, centered on role establishment and connection methods among the national pension service of Korea, local governments and social welfare organizations. This study performed institution analysis on the 'restructuring project of services for the disabled' which stipulates the roles of the center for the disabled, and drew implications of role establishment and connection method among each subjects. In conclusion, this article proposed the role establishment and connection methods among the national pension service of Korea, local governments and social welfare organizations as follows: first, to give administrational and fiscal authorization to the center for the disabled, second, organization restructuring of national pension service of Korea, third, preparing of doing central role of restructuring of entire social welfare provision system, fourth, locality realization and construction of feed-back system between local governments and the center for the disabled, and fifth, expansion of financial support of voucher.

김만두의 사회복지 교육 사상과 실천현장

이준우,강필수 한국가족사회복지학회 2022 한국가족사회복지학회 학술발표논문집 Vol.2022 No.2