Earticle

ChatGPT has had a significant impact on society, business, and academia by influencing individuals and organizations through knowledge generation and supporting users in locating conversational inquiries and answers. It can transform how people seek answers by combining human-like conversational skills with AI. By eradicating the cumbersome process of selecting from multiple options, users can conduct preliminary research or create optimized solutions. The purpose of this research is to investigate how consumers use ChatGPT and digital transformation, specifically in terms of knowledge development, searching and recommending, and optimizing accessible possibilities. Using many linked theories, we address the potential implications and insights that can be gained from ChatGPT’s early stages and its integration with other applications such as robotics, service automation, and the metaverse. Finally, the application of ChatGPT has practical, theoretical, and phenomenological impacts, in addition to improving users’ experiences.

Purpose: The goal of this study was to explore and describe the process of nursing home placement decision making and adaptation among adult children caregivers of demented parents in Korea and to generate a substantive theory grounded in their experiences. Methods: The participants were 16 adult children caregivers who had placed their demented elders into nursing homes. Data were collected by in-depth unstructured interviews with individual participants. Data were analyzed by Strauss and Corbin’s Grounded Theory methodology. Results: Analysis revealed that the core category of the process of nursing home placement decision making and adaptation among adult children caregivers was accepting the inevitable and reorienting to changes. It consisted of four phases: realizing a dead end, seeking a way out, accepting the inevitable decision, and reorienting to changes. Participants were driven to the corner of making the inevitable decision by the overwhelming care situation and confronted by various challenges in dealing with the decision. But they managed to accept the inevitableness of the decision and further learned to reorient themselves to the changed care situation utilizing various action/interaction strategies. Conclusion: The findings of the study provide the basic information for developing proactive strategies to support family caregivers better in the difficult period of nursing home placement.

본 연구는 재난 현장에서 소방 지휘관의 의사결정 과정에 작용하는 요인 규명과 실무적 시사점을 도출하 는 것을 목적으로 한다. 10년 이상 다양한 재난 대응과 현장 지휘의 경험이 있는 소방관 21명을 대상으로 근거이론 연구 방법, 심층 인터뷰로 자료를 수집하였고 개념화하여 핵심 범주를 도출하였다. 연구 결과 재난 현장의 극심한 시간 압박과 불확실한 정보, 생명 구조와 대원 안전이 충돌하는 딜레마 상황에서 효과적인 의사결정을 순간적으로 가능하게 하는 요인은 경험에 기반한 패턴 인식과 직관, 소방관 특유의 성장 마인드셋, 지휘관과 대원 간 절대적인 신뢰에 기반한 팀워크, 스트레스 저항력이 나타났다. 따라서, 본 연구는 재난 현장에서 의사결정 과정의 복합적 맥락을 실증적으로 규명하며, 소방관 또는 유사 직무 종사자들이 실제 현장에서 적용하고 작동할 수 있는 실용적인 방안으로 활용할 수 있기를 바라며 재난 현장에서 의사결정, 스트레스 관리, 조직 문화개선과 제도적 인프라를 구축하는 함의를 제시한다.

This study aims to identify the factors influencing the decision-making process of fire commanders at disaster sites and to derive practical implications. Data were collected through in-depth interviews based on the grounded theory method, targeting 21 firefighters with more than 10 years of experience in disaster response and command. The collected data were conceptualized, and core categories were derived. The findings revealed that under conditions of extreme time pressure, uncertain information, and situations where life-saving and crew safety may conflict, the factors enabling effective decision-making include intuition based on experience, a firefighter-specific mindset, trust-based teamwork between commanders and crews, and stress resilience. Accordingly, this study empirically identifies the complex context of decision-making in disaster sites and provides implications for improving decision-making, stress management, organizational culture, and institutional infrastructure in disaster response settings.

재난 현장에서는 의사결정에 충분한 시간과 정보가 제공되는데 한계가 있고 재난 현장 초기 단계에서 소방관은 매 순간 대원의 안전과 인명구조 사이에서 딜레마에 직면한다. 이러한 의사결정을 과정적 경험으로 살펴보기 위해 전현직 소방관 21명을 목적 표집하였고, 연구 참여자가 겪은 비교적 장기간에 걸쳐 일어난 복잡한 현상과 경험에 관한 자료를 수집하고 분석하였다. 연구 결과, 재난 현장에서 소방관 의 의사결정 과정을 설명할 수 있는 핵심 범주로 위험한 현장에 본능적으로 진입하는 소방관 마인드셋인 본능적 행동이 나타났다. 이러한 움직임을 위해서는 대원과 지휘관의 정서적 신뢰와 의사결정의 압박감 을 이겨낼 수 있는 스트레스 저항력을 통해 어려운 판단을 다루는 것으로 나타났다. 본 논문에서 접근한 연구 방법이 시간적인 압박과 이해관계가 있는 재난 상황에서 재난 대응 의사결정권자의 의사결정을 지원할 수 있는 연구 방향의 출발점이 되기를 바란다.

At the disaster scene, time and information are limited for decision-making. In the early stages of a disaster, firefighters face dilemmas at every moment between the safety of their crews and saving lives. To explore this decision-making as a processual experience, this study purposively sampled 21 current and former firefighters and collected and analyzed data on the complex phenomena and experiences of the participants over a relatively long period. The study found that a key category that can explain the decision-making process of firefighters at disaster scenes is instinctive behavior, the firefighter mindset of instinctively entering a dangerous scene. This behavior requires emotional trust in the crew and commanders and stress resistance to handle difficult judgments under pressure to make decisions. The significance of this research lies in its potential to support decision-making by disaster response decision-makers in time-pressured and high-stakes disaster situations, thereby enhancing the effectiveness of emergency response.

With the increasing interest in formative assessment (FA) in ESL classrooms, teachers’ classroom practices have drawn more interest. While studies in the area have focused on teachers’ assessment literacy, the research on ESL teachers’ FA practices is inadequate. Decision-making, a key aspect of teachers’ FA practices, remains underexplored in applied linguistics literature. This multiple-case study explored ESL teachers’ FA decision-making process and the corresponding shaping factors involved in the process. Five teachers working in an institution of higher education in India participated in the study. Data for the study were collected through classroom observation, stimulated recall interviews, teachers’ FA tasks, and field notes. Both phronetic and inductive approaches were followed for coding the data and addressing the research questions. The results indicate that teachers make decisions regarding various aspects of FA before, during, and after the assessment. While most decisions were made before and during the assessment, assessment literacy determines teachers’ interpretation and use-related decisions. Curricular, institutional, teachers’ personal and professional, and student factors shape decision-making, with institutional norms and teachers’ assessment literacy emerging as the most impactful ones. The findings have implications for assessment practices, assessment training, and policy-practice gaps in FA.

2003년 10월 31일 한나라당이 국민연금 개정안을 제출한 시점에서 본격적인 기초노령연 금제도의 논의가 시작되어 2007년 7월 3일 입법안이 통과 될 때까지 정책결정과정에서 정 책환경, 정책이슈들의 변화가 많이 있었다. 이러한 결정과정에서 주요행위자들의 다양한 상호작용과 연계구조들이 복합적이고, 역동적으로 이루어지며 각 시기별로 다른 양상들이 나타났다. 본 연구의 분석결과 정책네트워크의 상호작용은 정책행위자들의 신념체계, 옹호 연합, 중개자, 정책지향학습지향의 형태를 확인 할 수 있었다. 기초노령연금제에 대한 논의 가 진행될수록 각 정책행위자들의 상호작용의 빈도와 채널이 점차 증가하였고 갈등역시 고조되었음을 알 수 있었다. 그리고 다양한 정책행위자들의 출현과 이들의 정책참여 노력 으로 정책네트워크가 폐쇄적 구조에서 점차 개방적이고 수평적인 네트워크 구조로 변화되 었다. 따라서 본 연구는 기초노령연금제도의 관리체제에서 발생되는 문제를 놓고 관계부처 간 에 협의를 통해 제도설계 및 운영방식 등을 일반화시킬 수 있는 이론적 틀의 생성이 필요 한 경험적자료 역할로서 기여할 것으로 본다.

With Korea accelerating into an aging society, the state of welfare for seniors is gaining more attention. This study reviews the process of formation and enactment for the senior welfare policy, the Basic Old-Age Pension Scheme, which is aimed to expand pension coverage for low-income senior citizens. The purpose of this dissertation is to analyze what is the impact of the elderly population-defined as people aged 65 and older-especially on the welfare policy making process for the aged. The model development process as well as the policy making process on the basic old-age pension scheme were examined based on the combination of ‘policy network theory' and ‘ACF(Advocacy Coalition Framework)'.

The purpose of the study is to articulate pastoral ethical leadership in church administration and the decision-making process. In the 21st century, as society becomes even more demographically diverse, pastors need to be able to develop, foster, and lead tolerant and democratic faith community. Church leaders, today, will have more difficulties of decision-makings and face real-life dilemmas in their churches and communities. From this point of view, ethical leadership is necessary for church administrators and leaders to solve the dilemmas in their everyday decision making process. Moreover, pastoral leaders need moral principles which inform and guide lay leaders who make hard choice under complex and ambiguous circumstances. Through the study of ethics, thus, pastoral leaders of tomorrow will be better prepared to recognize, reflect on, and appreciate differences. This need for ethical preparation is important for church leaders in an increasingly diverse society. This study will attempt to synthesize and explain a large body of literature with which pastoral leaders want and need to be familiar. First, it will explore the nature of leadership and pastoral leadership. Then, it will explain the needs of ethical leadership in church administration and decision making. Next, it will introduce a multiple ethical paradigm approach to assist church leaders in grappling with complexity and diversity. Finally, it will discuss William Grace’s the four "V" model for ethical leadership development in administration programs.

본 연구는 SoCoMo 마케팅의 중요성을 인식하고 그 개념에 기반을 두고, 소비자들이 레스토랑을 결정할 실 질적인 스마트 폰의 활용과 소셜 미디어의 유용성에 대하여 조사하였다. 이 연구는 소셜 미디어 사용의 이질성 을 파악하고, 다른 의사결정 과제에 따라 소셜 미디어의 다른 기능을 알아보기 위한 상황 요인 (방문한 레스토 랑의 유형)을 고려하여 연구를 진행하였다. 또한 본 연구는 연구결과의 신뢰성을 높이기 위해, 응답자들이 작성 한 설문지에 근거하여 주제를 파악하도록 도와주는 Ground Theory 접근법을 선택하여 본 연구 방법론에 접목 하였다. 따라서, 본 연구는 소비자들이 의사결정과정을 위해 첨단 테크놀로지를 손쉽게 그리고 적극적으로 활 용하는 현시점에서 그들의 레스토랑 의사결정과정과 방법을 이해하는 데에 기본적인 이론의 틀을 제공해줄 것 이며, 또한 마케팅 담당자들이 효과적인 소셜 미디어를 활용한 마케팅 커뮤니케이션 방법을 개발하고 실행하 는 데에 실질적인 시사점을 제공해줄 것이다.

Based on the importance of SoCoMo (Social Context Mobile) marketing, this study investigates consumers’ activities and the usefulness of social media on smartphones when deciding on a restaurant. More importantly, this research takes into account the three different stages of consumers’ consumption (pre-, during, and post purchasing) separately to understand the heterogeneity in consumers’ usage of social media, and considered a situational factor (types of restaurant they visited) to identify different functions of social media according to different decision tasks. In order to highlight the “authenticity” of the findings, the ground theory approach was adopted and conducted for this study to address the goal of identifying themes based on the descriptions created by the actual respondents. Thus, this study provides a foundation for the understanding of consumers’ restaurant decision-making behaviour in advanced information technology, and offers practical implications for marketers to develop effective social media marketing and suggest persuasive communication.

This paper presents how Fuzzy Cognitive Map (FCM) technique can be used for open data analytics for a policy decision maker to support the policy impact evaluation using the example of Policy Compass, an EU research project. The practical usage example on drug policy shows the potential of FCMs as a policy impact modelling and decision support tool that can utilise the open data. Through the provision of a more intuitive and easier means of using open data based on FCM techniques, the Policy Compass project can play a critical role for both policy maker and lay public to evaluate the policy impact and prepare for future policy making.

This study attempts to extend the customer value – customer satisfaction – customer loyalty framework by introducing key constructs of scarcity messages as a major environmental stimulus and the urge to buy impulsively as its response in the context of group-buying social commerce, across countries including Korea and China. More specifically, this study proposes that scarcity messages influence customers’ value perception (i.e., utilitarian value and hedonic value) and thereby influencing customer satisfaction and further customer loyalty. Moreover, the study suggests that scarcity messages and utilitarian and hedonic values arouse the urge to buy impulsively. In the Korean sample, the results show that scarcity messages increase both utilitarian and hedonic values as well as the urge to buy impulsively, which in turn leads to customers’ satisfaction and further loyalty. Besides, customer satisfaction is determined by utilitarian value, not hedonic value. In the Chinese sample, utilitarian value-related relationships are insignificant. More specifically, scarcity messages only influence hedonic value which increases the urge to buy impulsively. Besides, customer satisfaction is determined by both utilitarian and hedonic values, but not by the urge to buy impulsively.

한국의 약물중독 치료는 교정기관 중심의 강제치료가 주를 이루고 있다. 치료공동체는상호자조를 통해 변화를 시도하는 모형으로 오랜 기간 효과적인 중독치료모형으로 제안되어왔다. 본 연구는 약물중독 치료공동체에 대해 고찰하고 약물사용자의 치료공동체서비스이용 의사결정과정과 그 영향요인을 분석하는 데 목적이 있다. 연구는 요인모형으로 대표되는 건강서비스이용행동모형과 과정모형인 의사결정과정모형을 통합한 도움추구과정단계모형을 분석틀로 하였다. 분석결과 약물사용자의 치료공동체 서비스이용의사결정과정은 문제인식-치료서비스 이용의도-치료공동체 서비스이용 의사결정의 단계를 거치는 것으로 입증되었다. 구체적으로 살펴보면, 성별, 과거치료경험, 유죄판결횟수, 사회적지지, 약물사회망, 약물남용심각도는 문제인식 단계에 영향을 미치며, 그중성별과 과거치료경험, 약물남용심각도는 문제인식단계를 거쳐 치료서비스 이용의도에영향을 미치는 것으로 나타났다. 치료공동체 서비스이용 의사결정까지 유의미한 영향을미치는 요인은 과거치료경험으로 분석되었다.

This study aims to review Therapeutic Community(TC) Model which has been proved as effective drug abuse treatment and to analyze factors influencing the decision-making process of TC service among drug users. This study was conducted based on the help-seeking process model which integrated the factor model of health service utilization and the process model of decision-making process model. Findings showed drug users' decision to use the TC service has undergone the stage of problem recognition ? intention to use of treatment services ? decision-making of TC service use. In specific, gender, previous treatment experience, number of convictions, social support, drug social network, and severity of drug use influenced the first stage. Next, gender, previous treatment experience, and severity of drug use affected the second stage through the first one. Finally, previous treatment experience was the only significant factor in the decision-making process for the use of TC Service.

본 연구의 목적은 신경심리검사를 통해 정신병질자의 의사결정과 반응역전 능력을 확인하여 일차와 이차 정신병질자의 신경학적 기능이상을 추론하는 것이었다. 먼저 대학생 500명에게 Levenson 자기보고식 정신병질 질문지(LSRP)를 사용하여 정신병질 경향성 집단과 통제 집단을 선발하였고, Welsh 불안 척도(WAS)를 사용하여, 정신병질 경향성 집단을 일차 정신병질 경향성 집단과 이차 정신병질 경향성 집단으로 분리하였으며, 각 집단에게 아이오와 도박과제와 반응역전 과제를 실시하였다. 도박과제 수행 결과, 두 정신병질 집단이 통제 집단보다 유의하게 많은 비합리적인 의사결정을 하는 것으로 나타났다. 그러나 반응역전 과제 수행 결과, 일차 정신병질 경향성 집단은 통제 집단과 비슷한 수준의 수행 오류를 보인 반면, 이차 정신병질 경향성 집단은 통제 집단보다 수행오류가 유의하게 더 많았다. 이러한 결과로 인해 일차 정신병질 경향성 집단은 편도체 기능이상과 이차 정신병질 경향성 집단은 안와전두피질 기능이상과 밀접하게 관련된 것으로 추론할 수 있었으며, 이러한 추론을 통하여 정신병질자의 문제 행동 원인과 개입에 있어서 고려점 등을 제안하였다.

This study investigated the task performance of individuals with primary psychopathic and secondary psychopathic tendencies. The tasks have been known as sensitive to amygdala and orbitofrontal cortex (OFC) functioning. Group with Psychopathic tendencies(n=23) and control gruop(n=23) were defined by Levenson's self-report psychopathy(LSRP)[Levenson et al., 1995]. In addition, individuals with primary(n=12) and secondary(n=11) psychopathic tendencies were divided by Welsh Anxiety Scale(WAS) [Welsh et al., 1956]. They completed a IOWA gambling task(Bechara et al., 1994) and the intradimensional/extradimensional (ID/ED) shift task, (Dias et al., 1996) which are related to amygdala and orbitofrontal cortex (OFC) functioning. On the gambling task, all participants with psychopathic tendencies showed a global tendency to choose in a disadvantageous way. Specifically, they showed an impaired learning ability over the course of the task. On the ID/ED task, the number of error in response reversal stages of individuals with primary psychopathic tendencies was not significantly different from a control group, but significant impairments were found in individuals with secondary psychopathic tendencies. In conclusion, individuals with primary psychopathic tendencies show amygdala dysfunction, but individuals with secondary psychopathic tendencies are lack of OFC.

본 연구에서는 방송콘텐츠 제작에 있어 주요 생산주체인 방송사 - 연예매니지먼트사 - 제작사 중 최근 권력의 주체로 떠오르는 연예매니지먼트사를 대상으로 첫째, 조직의 구조적 특징을 파악하고, 둘째 내부조직의 의사결정구조의 특성과 의사결정에 영향을 미치는 조직 내부의 문제들, 셋째 매니지먼트사의 산업구조 개선을 위한 방안을 살펴보았다. 연구결과 매니지먼트사의 구조적 문제가 발생할 수밖에 없는 이유로 조직 구성 및 기능의 내적 충돌현상을 발견하였고, 각 기업의 대표, 실무책임자, 관련 전문가 릴레이인터뷰를 통해 비정상적인 기업행위의 주요 요인 중 대표적으로 수익모델의 부재와 대형화에 대한 환상, 연예인의 권력화 양상, 기업행위에 대한 보상과 책임시스템 결여 등의 문제가 있음을 확인하였다. 끝으로 산업구조 개선을 위해서는 전문성 확보, 법제적 장치 마련, 자본흐름의 투명성 확보 등이 필요하며 무엇보다 전체 환경변화를 위해서는 방송사의 변화가 핵심이라는 의견이 지배적이었다.

This study attempts to describe 1) the overall characteristics of the organizational structure of entertainment management companies, to identify 2) the inherent causes of the problems in the decision making process within the current entertainment management industry, and to suggest 3) the solutions to enhance the industrialization of the entertainment management, in order to understand the Korean entertainment management industry as one of emerging primary players in entertainment business, which primarily consists of TV stations, production studios, and entertainers. This study found that the entertainment management’growth into a decent industry is impeded by the internal conflicts. The relay interview method was used to interview entertainment companies’CEOs, staffs in charge, former employees and other several experts. This study concluded that the lack of business model, the myth of quantitative growth, and the lack of the evaluation system of false business practices were the primary problems in the current industry. Finally, it is necessary to introduce some legal system for fair contracts, to obtain specific expertise for better service, and to establish the transparency in overall capital flow. More importantly, the change of TV station side is inevitable in order to achieve the changes in media production environment as a whole.

우리나라는 여성의 교육참여율이 과거 어느 때보다 높은데 비해 인력활용율은 OECD국가 중 최저 수준에 머물고 있다. 이렇게 고학력 여성인력의 활용률이 저조한 원인으로 진로상담영역에서 ‘진로선택’과 관련된 원인에 주목하였다. 전통적으로 직업을 여성중심 또는 남성중심 직업으로 분류할 때 아직까지도 많은 여성들이 남성중심 직업을 회피하는 경향이 있으며, 이러한 편중현상을 해소해야만 다양한 인력활용이 가능할 것이다. 이를 위해 본 연구에서는 남성중심적 직업을 희망하는 여대생들에 대한 질적 연구를 통해 이들의 경험구조 및 직업결정 과정을 밝히고, 그 과정에서 부정적 또는 긍정적으로 작용하는 요인들을 밝혀 여성 진로지도에 활용하고자 하였다. 남성중심적 직업을 선택하며 취업준비중인 대학교 3학년 이상 여학생 8명을 심층면접한 녹음자료를 분석한 결과 총 61개의 개념과 27개의 하위범주, 12개의 범주가 도출되었다. 범주들을 토대로 핵심범주인 ‘특별한 삶을 위해 의지를 갖고 도전해 나가기’가 도출 되었다. 또한 패러다임 분석을 통해 인과적 조건, 중심현상, 맥락적 조건, 중재적 조건, 작용/상호작용 전략과 결과를 구분하였다. 과정 분석을 통해 기질과 포부 인식 단계, 내적결의 단계, 지지와 수용 단계, 도전과 극복의 순환 단계, 긍정과 확신의 단계로 총 5 단계의 직업결정 과정이 밝혀졌다. 논의에서는 연구의 의의와 제한점 및 후속연구에 대한 제안에 대해 언급하였다.

In Korea, recent women's educational standard is more higher than any other period but rate of using human resources is the lowest level among the OECD nations. As the reason of this phenomenon, the career choice attract attention. Traditionally, job is classified female-dominated job from male-dominated job, and most women still avoid male-dominated job. If this unequal concentrated phenomenon is relieved, diversity using of human resource will be available. For the purpose, this study try to determine the experience structure and the career decision-making process of the female undergraduate who want the male-dominated job through the qualitative study method, and to determine factors that work negative or positive on the process to use for the career consult. Grounded theory based data analyses resulted in 61 concepts, 27 sub-categories, and 12 categories from the recorded data of 8 female undergraduates who want the male-dominated job. The core category was “For the special life, keeping challenging with the will”. A paradigm model consist of the casual condition, central phenomenon, contextual condition, intervening condition, actions/reactions and the result was proposed. And the participants went through five stages with time in their career decision-making process: the stage of awareness about the trait and aspiration, the stage of internal determination, the stage of support and accept, the stage of challenge and overcome, and the stage of affirmation and confidence. Implications of the findings and suggestions for the future research are discussed.

본 연구는 학부 4학년에 재학 중인 재한 중국 유학생의 진로 결정 과정을 근거이론 방법으로 탐구하였다. 이를 위해 중국 유학생 15명을 대상으로 심층 면담을 실시하여 정보를 수집하고 분석하였다. 연구 결과 최종 73개의 의미개념, 30개의 하위범주, 12개의 범주가 도출되었다. 축코딩을 통해 도출된 패러다임 모형에서 인과적 조건은 ‘가족의 영향’과 ‘사회․문화적 가치체계의 영향’, 맥락적 조건은 ‘한국과 중국의 정치․사회․문화의 영향’과 ‘코로나19의 영향’, 중심현상은 ‘진로 결정 과정의 혼란과 불확실성’, 중재적 조건은 ‘주변 자원 및 정보 활용’과 ‘심리적․현실적 제약 인식’, 작용/상호작용 전략은 ‘진로 결정 과정에 대한 자기 주도적 대응’과 ‘진로 결정 과정에 대한 태도’이며, 결과는 ‘자신의 욕구에 따른 진로 결정(주도형)’, ‘부모의 뜻에 따른 진로 결정(순응형)’, ‘진로 결정 유예(유예형)’으로 나타났다. 또한, 과정분석 결과, 진로 결정 과정은 ‘순응 단계’, ‘갈등 단계’, ‘내적욕구 활성화 단계’, ‘주도적 대응 단계’, ‘진로 결정 단계’의 5단계로 나타났으며, 핵심범주는 ‘혼란과 불확실성을 뚫고 자기 주도적 진로 방향 설정하기’로 도출되었다. 이를 토대로 연구 논의와 학술적 의의, 제한점 및 후속 연구를 위한 제언 등을 제시하였다.

This study explored the career decision-making process of senior Chinese international students in Korea using grounded theory method. Through interviews with 15 students, data analysis yielded 73 concepts, 30 subcategories and 12 categories. The paradigm model, identified the central phenomenon as ‘Confusion and uncertainty in the career decision-making process’. This was influenced by causal conditions (family influence; social-cultural values) and contextual conditions (socio-political environments of Korea and China; COVID-19). Intervening conditions (resource utilization; psychological/realistic constraints) mediated the action/interaction strategies, leading to three outcome types: ‘Proactive type’ (based on personal desires), ‘Conforming type’ (based on parents’ wishes), and ‘Deferred type’. Furthermore, the process analysis revealed a five-stage progression: ‘Conformity’, ‘Conflict’, ‘Activation of Internal Needs’, ‘Proactive Coping’ and ‘Career Decision’. The core category was derived as ‘Establishing a self-directed career path through confusion and uncertainty.’ Based on these findings, academic and practical implications, limitations, and suggestions for future research were presented.

The purpose of this study was to explore and describe the experiences of the family caregivers using a nursing home, and to assess decision-making process how they choose the nursing home to have the elderly entered. Participants for this study were 10 caregivers. Data were collected through in-depth interviews and analyzed using Strauss and Corbin's grounded theory methodology. As a result of analysis, the core phenomenon of the caregivers' decision-making using a nursing home was 'A ray of hope while nobody can manage it' , and 「Achieving harmonious relationship by throwing away continuing distress of caregivers' burden and sense of guilt」was constructed as the core category through the causal conditions, contextual conditions, intervening conditions, the action/interaction strategy and conclusion. In addition, there were accepting,suffering, decision-making, satisfaction and maturing phases by step by step while caregivers decided to use a nursing home. After using a nursing home,caregivers were grouped by guilty conscience, anxious, affirmative, and maturing types.

본 논문은 복지정책 결정과정에서 대통령, 행정부, 국회, 정당, 시민단체 등만을 분석대상으로 해 온 기존 연구의 한계를 지적하고, 헌법재판소를 보건의료정책 결정과정의 주요 행위자로 포함시켜 분석하였다. 보건의료정책결정과정에서 헌법재판소 역할을 밝히기 위하여 김영삼정부에서 이명박정부까지 관련 헌법재판소 판례 24건을 분석하였다. 분석결과 헌법재판소는 의료공공성 강화를 주장하는 위헌소송에 대해서 기각판결을 내리고 있어 기존의 경제성장주의 도그마를 넘어서 적극적으로 복지를 강화시키는 정책주도형 법원으로서의 역할을 수행하지는 못하였다. 또한 의료민영화를 주장하는 일부 소송에 대해서는 위헌판결을 내림으로서 그들의 손을 들어주었으나 대부분의 소송에서 기존 법률의 의료공공성 기반을 치명적으로 약화시키지 않는 판결을 내림으로서 정부 민영화 정책을 견제하는 역할을 했다.

This paper points out the limitations of previous researches, having focused only on the roles of the President, the Administration, the National Assembly, the political parties and the civic groups in the decision-making process of the welfare policy, and includes the Constitutional Court as the main actor in the decision-making process of healthcare policy. To find out the role of the Constitutional Court in the decision-making process of healthcare policy, relevant 24 cases selected during the period between the Kim Youngsam administration and Lee Myung-bak administration are analyzed. As the analysis shows, the Constitutional Court has rejected the unconstitutionality lawsuits calling for enhancing the public healthcare services, failing to play its role as the Dynamic Court that places public health prior to economic growth. The Court has also agreed with lawsuits claiming privatization of healthcare service by declaring relevant laws unconstitutional, but for the most of the cases, the Court has ruled laws constitutional not to undermine the public foundation of healthcare policy and has served as a check for administrations’ privatizationoriented policies.