충북연구원

제Ⅰ장 서론 ·············································································1

1. 연구배경 및 목적 ···················································································1

2. 연구내용 및 방법 ···················································································3

제Ⅱ장 ESG 경영 개요 및 트랜드 ················································4

1. ESG 경영의 개요 ·····················································································4

2. 글로벌 트랜드 ·······················································································11

3. 정부정책 동향 ·······················································································13

4. 충북정책 동향 ·······················································································21

제Ⅲ장 ESG 경영 현황 분석 ·······················································22

1. ESG 등급평가 현황 분석 ········································································22

2. 충북지역 현황 분석 ·················································································30

3. 충북지역 ESG 경영여건 현황 ·································································40

제Ⅳ장 ESG 경영 관련 실태 및 사례 분석 ·····································44

1. 국내 기관의 설문 결과 분석 ··································································44

2. 충북 ESG 경영 설문 조사 결과 ·····························································49

3. ESG 경영 분야별 사례 분석 ··································································51

4. ESG 경영 지자체 지원사업 사례 분석 ···················································58

제Ⅴ장 요약 및 대응방안 ····························································63

1. 연구결과의 요약 ·····················································································63

2. 대응방안 ·································································································68

참고문헌 ·················································································72

제Ⅰ장 서론 ······················································································1

1. 연구 배경 및 목적 ·····················································································1

2. 연구 범위 및 방법 ·····················································································4

제Ⅱ장 선행연구 및 관련 동향 분석 ·····················································6

1. 선행연구 ······································································································6

2. 중소기업 관련 동향 ··················································································10

3. 주요국 관련 정책 분석 ············································································11

  1) 미국 ·······································································································11

  2) EU ········································································································15

  3) 독일 ·······································································································17

  4) 일본 ·······································································································18

  5) 중국 ·······································································································20

  6) 러시아 ···································································································24

  7) 시사점 ···································································································26

4. 국내 관련 정책 분석 ················································································29

  1) 연혁 ·······································································································29

  2) 주요 정책 ······························································································30

  3) 충청북도 관련 정책 ··············································································39

  4) 시사점 ···································································································45

제Ⅲ장 충북 현황 분석 ········································································48

1. 도내 제조업 동향 ·····················································································48

  1) 도내 제조업체 동향 ··············································································48

  2) 충북의 산업구조 ···················································································51

  3) 기초 지자체별 동향 ··············································································54

2. 도내 무역 관련 동향 ················································································56

  1) 수출입 동향 ··························································································56

  2) 해외투자 ································································································65

3. 시사점 ·······································································································74

제Ⅳ장 충북 제조업 수출기업화 관련 실태조사 ·································76

1. 조사개요 ····································································································76

2. 조사결과 분석 ···························································································80

  1) 글로벌시장 진출 여부 ··········································································80

  2) 해외시장 진출 계획·방법·대상국 ·························································89

  3) 해외시장 진출 애로요인 ·······································································92

  4) 해외시장 진출시 지원기관 및 지원제도 활용현황 ······························94

  5) 글로벌 시장 진출시 지원기관 서비스 ·················································98

  6) 글로벌 업무 전담인력 ········································································101

  7) 글로벌 시장 진출을 위한 기술혁신 필요성 ······································105

  8) 글로벌시장 진출을 위한 교육 필요성 ···············································108

3. 시사점 ·····································································································115

제Ⅴ장 결론: 정책적 제언 ·································································119

1. 중소기업 해외진출 지원정책의 전략적 방향 ·········································119

2. 중소기업 해외진출 지원정책 개선방안 ··················································121

  1) 중소기업 해외진출 지원체계 개선 및 지원정책 위상 강화 ·············121

  2) 수출기업의 외연 확대 ········································································122

  3) 산업･기업별 지원프로그램 강화 ························································123

  4) 진출 대상지역 다각화에 대응 ···························································125

  5) 기타 ····································································································126

참고문헌 ························································································129

부록 ·······························································································134

제Ⅰ장 서론 ·························································································1

1. 연구 배경 및 목적 ·····················································································1

2. 연구 범위 및 방법 ·····················································································2

제Ⅱ장 이론적 고찰 ···············································································5

1. 도시경쟁력 개념 및 의의 ···········································································5

2. 경쟁력 분석 방법론 ····················································································6

3. 선행연구 ······································································································9

제Ⅲ장 인구구조 및 인구동태 ·····························································12

1. 우리나라 인구구조 변화 양상 ··································································12

2. 충북 인구구조 변화 양상 ·········································································22

3. 충북 인구동태 변화 양상 ·········································································32

제Ⅳ장 인구구조 경쟁력 지수 ·····························································35

1. 지표체계 및 가중치 설정 ·········································································35

2. 인구구조 경쟁력 지수 산출 결과 ····························································40

제Ⅴ장 결론 ·······················································································49

1. 연구결과 요약 ···························································································49

2. 정책 방향 및 대응 방안 ··········································································51

참고문헌 ····························································································54

제Ⅰ장 연구 개요 ·············································································1

1. 배경 및 목적 ······························································································1

2. 주요 연구내용 ·····························································································2

3. 연구수행체계 ·······························································································5

4. 연구의 기대효과 ·························································································6

제Ⅱ장 디지털 전환 시기의 산업경쟁력 강화요인 고찰 ·······················7

1. 디지털 전환과 제조업 경쟁력 상관성 ························································7

2. 지능형(스마트) 제조기술 요소 ·································································12

3. 디지털 전환에 따른 제조업 기회·위협 요인 ···········································21

제Ⅲ장 국내․외 산업 디지털 전환 동향 ··············································26

1. 해외 산업 디지털 전환 동향 ···································································26

2. 국내 산업 디지털 전환 추진현황 ····························································44

3. 국내 제조업 디지털 전환 대응 현황 ·······················································52

4. 충북 제조기업 디지털 전환 추진현황 ·····················································55

제Ⅳ장 산업 디지털 전환 경쟁력 요인 및 충북 대응전략 ················67

1. 산업 디지털 전환 경쟁력 요인 ································································67

2. 제조업 DX전환 고도화 지원 전략 ··························································78

3. DX전환 공급기술 경쟁력 확보 전략 ·······················································82

4. 충북형 DX전환 지원전략 수립 전략 ·······················································85

5. DX전환 지원기반 강화 ············································································87

제Ⅴ장 결론 및 제언 ···········································································89

1. 결론 요약 ··································································································89

2. 정책제언 ····································································································91

참고문헌 ···························································································93

지난 2015년 제70차 UN총회에서 192개 회원국 만장일치로 채택된 지속가능한발전목표(SDGs; Sustainable Development Goals)는 2030년 까지 인류가 모두 함께 추구하여야 하는 공동의 목표로 대두되었다. ‘단 한 사람도 소외되지 않는 것(Leave no one behind)'을 슬로건으로 인간, 지구, 번영, 평화 및 파트너십 등 5개 방향에서 17개 목표와 169개 세부 목표를 제시하고 있으며, 현재 전 인류가 참여하여 목표 달성을 위해 노력하고 있다.
대한민국 또한 국제사회의 일원으로 목표 달성을 위한 한국형 지속가능발전목표(K-SDGs)를 수립하였으며, 2022년 7월 5일 「지속가능발전 기본법」 시행에 따라 지방정부 또한 5년 단위 추진계획을 수립·이행하도록 정의하고 있다. 코로나19 이후 탄소중립을 비롯 지속가능성에 대한 지구촌 관심이 증대되는 가운데, 지방자치단체의 지속가능발전목표 수립·이행은 중요한 이슈이며, 향후 사회적 관심은 증대될 것이다.
이에 본 연구는 충북의 지속가능발전목표 수립을 위한 기초연구를 지향하며, 지역의 현황과 특성을 고려한 수송부문 목표와 지표들을 발굴하여 제안하는데 목적을 둔다. 연구를 통해 당초 수송부문 2개 목표, 3개 지표를 확대하여, 4개 목표, 7개 세부목표, 25개 지표로 제안하며, 지표의 추이와 지표달성을 위한 정책방향들도 함께 제안하고 있다. 충청북도 지속가능발전기본계획의 이행연도가 초과함에 따라 지역여건을 반영한 새로운 계획이 수립되는 시점에서 수송부문 선행연구로써 가치가 있기를 기대한다.

Ⅰ. 서 론 - 1

1. 연구 필요성 - 3

2. 연구 내용과 구성 - 5

Ⅱ. 지속가능발전목표(SDGs) 의미와 국내외 동향 - 7

1. 지속가능발전목표(UN-SDGs) - 9

2. 국제사회 이행노력 - 15

3. 대한민국 대응동향 - 22

4. 소결 - 28

Ⅲ. 지속가능발전목표(SDGs) 수송부문 시사점 도출 - 29

1. 지속가능발전목표(SDGs) 수송부문 지표체계 - 31

2. 교통/수송관련 계획의 지표체계 - 34

3. 시사점 도출 - 44

Ⅳ. 충북의 수송부문 지속가능발전목표(C-SDGs) 제안 - 45

1. 수송부문 C-SDGs 기본구상 - 47

2. 세부목표 및 지표체계 제안 - 50

3. 목표 달성을 위한 정책과제 - 54

Ⅴ. 결 론 - 79

1. 연구내용 요약 - 81

2. 정책제안 - 83

부록. 참고문헌 - 85

Appendix - 87

ABSTRACT - 89

최근 우리나라는 인구감소 현상의 가속화, 수도권과 비수도권의 인구 역전현상 등 인구문제에 봉착해 있다. 특히, 인구감소 문제는 지방에서 더욱 심각한데, 인구감소에 따른 지역경제 피해와 함께 지방소멸에 대한 위기감이 더욱 고조되고 있기 때문이다. 정부에서는 이러한 지방의 인구감소 문제를 해결하고자 관련법을 제정하여 지원하고, 정책사업을 발굴·추진하는 등의 다양한 노력을 기울이고 있다. 한편, 관광은 관광객의 소비지출을 통해 인구감소에 따른 경제적 피해를 최소화하고, 지역의 부가가치를 창출할 수 있는 유용한 정책수단으로 활용된다. 특히, 체류형 관광은 지역경제를 비롯해 새로운 인구유입에도 영향을 미치는 관광의 한 형태로 논의되고 있다.
충북은 전체 11개 기초지자체 중 6개가 행안부 인구감소지역으로 지정되었으며, 전체 인구 또한 지속적인 감소세를 보이고 있다. 이에 체류형 관광을 통해 인구감소에 대응한 실효성 있는 정책방안이 모색될 필요가 있다. 본 연구는 지역인구 감소에 대응할 수 있는 충북의 체류형 관광 활성화 방향을 도출하는데 목적을 두고 수행되었다. 연구수행을 위해 먼저, 문헌연구를 바탕으로 충북 체류형 관광에 대한 개념을 규정하였다. 또한, 정부정책 및 관련 사례, 충북의 체류형 관광 현황 등을 종합적으로 검토하여 충북의 체류형 관광 활성화를 위한 정책방향을 도출하였다.
연구결과, 도출된 5가지 정책방향은 다음과 같다. 첫 번째는, 데이터 기반의 관광정책 수립 기반 구축이다. 관광객의 다양한 니즈와 관광행태를 파악하기 위해 정기적으로 설문조사 및 빅데이터 조사를 실시하고, 그 결과를 관광정책 수립에 반영하는 체계를 구축하는 것이다. 두 번째는, 체류형 관광 특화 콘텐츠 개발이다. 정부의 체류형 관광 사업 중 충북에서 시행되고 있지 않은 야간관광 활성화 사업, 워케이션 활성화 사업 등을 연계하여 추진하고, 야간시티투어, 야시장, 공정캠핑 등 지역의 특색과 재미를 보여줄 수 있는 체류형 콘텐츠를 개발할 필요가 있다. 세 번째는, 체류형 관광 브랜드 개발 및 마케팅 강화이다. 충북이 체류형 관광 목적지로서 관광객들에게 각인되고, 찾아올 수 있도록 체류형 관광 BI, 슬로건 등 브랜드 체계를 개발하는 것이다. 브랜드는 충북의 강·호수·산 등의 이미지를 살린 휴양·휴식형 방향으로 개발할 필요가 있다. 네 번째는, 체류형 관광을 위한 수용태세 확충 및 개선이다. 충북의 부족한 숙박공급을 보완하기 위해 다양한 형태의 숙박시설을 발굴하고, 콘도미니엄 등의 대형 숙박시설을 확충해야 한다. 또한, 관광객의 체류시간 연장을 위해 음식, 쇼핑, 관광안내, 교통체계 등에 대한 점검과 개선이 필요하다. 마지막으로, 체류형 관광 활성화를 위한 기반 강화이다. 체류형 관광 활성화를 위해 여행사 등을 대상으로 한 인센티브 제도, 충북관광 품질인증제, 다양한 주체가 참여하는 거버넌스 구축 등의 기반을 강화할 필요가 있다.

Ⅰ. 서 론 - 1

1. 연구 배경과 목적 - 3

2. 연구 범위와 방법 - 6

II. 체류형 관광과 지역인구감소 - 7

1. 체류형 관광의 개념 및 특성 - 9

2. 지역인구감소 대응 수단으로서 체류형 관광 - 16

3. 체류형 관광 정책 동향 - 22

III. 체류형 관광 관련 사례분석 - 29

1. 생활관광 활성화 사업 - 31

2. 지방도시 연계 워케이션 추진사업 - 36

3. 야간관광 특화도시 조성사업 - 40

4. 문화재 야행 사업 - 45

IV. 충북 체류형 관광 현황 - 49

1. 충북 체류형 관광 수요 특성 - 51

2. 충북 체류형 관광 공급 현황 - 58

Ⅴ. 결 론 - 65

1. 연구결과 종합 - 67

2. 정책제언 및 향후 연구과제 - 68

참고문헌 - 75

Appendix - 77

ABSTRACT - 79

농촌지역은 민간 병(의)원의 미비로 인한 의료자원의 부족, 원거리 주거지 등으로 인해 돌봄 및 보건의료서비스 전달에 한계가 많다. 그리하여 농촌지역 보건의료의 공공성을 강화할 대책 마련이 꾸준히 제기되고 있다. 농촌지역이 많은 충북은 공공보건의료 실태에서치료가능 사망률, 태아 사망률, 영아 사망률, 암 사망률 등이 전국 평균보다 높게 나타나고있다. 보건의료의 인프라와 지역별 편차도 심하다.
농촌지역의 공공보건의료 강화를 위해 응급의료, 방문진료, 방문간호를 중심으로 일본 사례와 대안의료인 의료복지사회적협동조합, 정부의 일차의료 방문진료와 재택의료 센터 시범사업의 경험과 실태를 조사하였다.
일본은 우선 응급의료에서 지역의 책임과 역할을 강조하고 있다. 지역마다 지자체, 지역 소방, 지역병원과 함께 응급의료 지역 협의체를 구성하여 지역이 보유한 의료기관 인프라를 효율적으로 활용하고 있다. 재택의료는 지역포괄케어의 영향으로 현재 재택의료 수가 체계가 명확히 규정되어 있다. 방문간호는 의사 지시서에 따라 병원이나 진료소 같은 의료기관과 방문간호센터에서 일주일에 1~3회 제공하며, 방문 시간이 30~90분 범위라면 의료보험을 적용받을 수 있다.
한국의 시민사회 대안의료로 도농복합지 성격의 원주, 광주 광산구와 농촌 군지역의 산청, 홍성 의료사협 실태조사에서 전반적으로 도농 및 농촌지역 방문진료, 방문간호의 필요가 크지만, 의료인력과 조합원 확보, 원거리 진료 시 저수가 등의 문제를 가지고 있었다.
2019년 12월 27일부터 16개 지자체의 지역사회통합돌봄 시범사업 추진과 더불어 시행되었던 ‘일차의료 방문진료 수가 시범사업’에서 농촌 노인형 시범사업을 시행했던 진천은 시범사업예산을 활용하여 군내 종합병원 입원환자의 초기 상담과 이를 통하여 퇴원 후 여러 가지 복지 서비스를 병원에서 각 읍면동에 신청 연계 의뢰하여 관리, 지원을 도왔다. 반면 청양군은 군내 민간의료기관이 전무하여 지역 보건의료원에서 방문진료, 방문건강관리 프로그램을 진행하였다.
보건복지부는 지역사회통합돌봄사업을 1차로 22년에 종결하고 사업이 복지와 돌봄에 치중되었다는 판단 아래 의료고도화를 위한 ‘장기요양 재택의료센터 시범사업’으로 전환한다. 참여 의료기관은 의사, 간호사, 사회복지사 등 3명 이상으로 담당팀을 구성해야 하며 방문진료 월 1회, 방문간호 월 2회 이상, 기타 돌봄서비스 연계 등의 서비스를 제공해야 한다. 군지역 보건소에서 신청하여 유일하게 선정된 진천에서는 민간에 위탁하여 1차 의료기관인 진천의원이 재택의료서비스를 제공하고 있다. 청양은 진천처럼 민간병원이 있는 지역이 아니고 사업이 보건의료원에 방문진료 수가 책정이 되지 않기에 이번 사업에는 신청할 수 없었다. 낮은 방문진료 수가와 농촌 수요, 의료 인프라를 고려한다면 농촌에서 방문진료 사업에 참여하기는 사실상 어렵다.
보건의료의 민주적 공공성은 누구나 배제, 소외, 불평등이 발생하지 않고 참여하는 민주성이 담보되어야 한다. 조사 결과를 바탕으로 공공보건의료의 민주적 공공성 강화를 위한 제안을 해보고자 한다.
첫째, 제3의 대안적 의료로 시민사회의 의료사협은 충북에 개설된 곳은 없다. 도나 도내 지자체에서 의료사협 설치에 관심이 있는 시민사회를 지원하여 공공보건의료를 보완할 수 있다.
둘째, 정부의 일차의료방문진료와 재택의료센터사업에 농촌 군지역에서 충북 진천이 유일하게 선정되어 사업을 진행하고 있다. 방문진료에 인적, 물적 제한이 있어서 충분한 서비스에는 한계가 있으므로 도나 지자체에서 지원하여 서비스를 확대해 볼 수 있다.
셋째, 도내 군지역에서 민간 병(의)원조차 찾기 어려운 곳도 있다. 이러한 의료 취약지역은 1 지자체 형태가 아니라 권역별로 묶어서 민간 병(의)원 간의 연계 및 협진 방식을 통해 방문진료나 방문간호를 도모할 수 있다.
넷째, 디지털 원격의료는 한국에서 거의 20년간 시범사업 중이다. 1차 진료가 아닌 만성질환자 관리나 한정된 병종이나 특정 계층을 대상으로 한 시범사업은 지역적 수요에 따라 얼마든지 가능할 수 있다. 디지털 원격의료는 소외 지역의 의료접근성을 향상할 수 있으므로 이에 대한 충북도와 지자체의 관심이 필요하다.
다섯째, 충북도는 올해부터 2026년까지 공공의료가 취약한 도내 7개 지자체의 민간병원에서 운영하는 응급실이 24시간 정상적으로 운영될 수 있도록 전담인력 인건비를 지원한다. 기존 민간병원을 지원하여 공공성을 강화하고자 하는 정책이다. 즉 민간에 공공의 역할을 부여하는 것으로 민주적 공공성 확보에 도움이 된다.
여섯째, 응급의료체계에서도 일본처럼 지역 중심의 응급의료 지역 협의체를 구성하여 지역이 보유한 의료기관 인프라를 효율적으로 활용하는 방안을 찾아야 한다.
결론적으로 정부가 지역 보건의료 기반을 확충시킬 필요가 있지만, 현실적으로 한계가 있으므로 한정된 지역 보건의료자원을 최대한 활용하는 방안을 찾아야 한다. 제반 주체들이 시민의 보건의료 향상을 위해 참여 및 기여할 책임이 있으므로 국가(공공의료기관), 시장(민간 의료시설), 시민사회(의료사협) 등이 협력, 협업, 연계할 방안을 마련하는 것이다.

Ⅰ. 서 론 - 1

1. 연구 배경과 목적 - 3

2. 연구 방법과 내용 - 5

II.  충북의 공공보건의료 실태와 대책 - 7

1. 충북의 공공보건의료 실태 - 9

2. 충북의 공공보건의료 강화 대책 - 12

Ⅲ. 해외 사례 : 일본 - 15

1. 인구구조 변화에 따른 의료수요와 대응 방향 - 17

2. 응급의료체계, 재택의료와 방문간호 - 19

Ⅳ. 국내 공공보건의료 강화를 위한 정책 및 시도들 - 25

1. 시민사회 대안의료 ‘의료복지사회적협동조합’ - 27

2. 정부 ‘일차의료방문진료와 재택의료 센터사업’ - 32

3. 기타 논의 및 시도 : ‘디지털 원격진료’, ‘민관협력의원’ - 36

Ⅴ. 충북 공공보건의료 개선방안 - 41

1. 요약 - 43

2. 정책적 제안 - 45

참고문헌 - 49

Appendix - 55

1. ABSTRACT - 57

2. Table of Contents - 59

▷연구배경
- 그동안 충북은 국토의 중심에 위치하고 있음에도 불구하고 100여 년 전 경부선철도가 충북을 비껴간 후 국가발전계획에서 소외되어 왔음
- 정치·경제·사회·문화 등 모든 분야가 국토의 중심 충북에서 융합된다는 생각보다는그냥 스쳐 지나가는 지역이라는 인식이 팽배함
- 바다가 없고 백두대간에 가로막힌 지리적 한계를 숙명으로 받아들이고 정부의 규제를 당연한 일로 수용하는 소극적 자세가 견지하고 있음

[발상의 전환]
- 충북은 바다는 없지만 호수가 있고, 항구는 없지만 백두대간 있으며, 뱃길은 없지만 세계로 난 만 갈래 길이 있음

[국가발전 축 이동]
- 수도권 일극화 방지와 지방소멸 위기 대응을 위해 충북을 중심으로 한 내륙이 국가발전의 새로운 축으로 부상

[정책기류 변화]
- 윤석열 대통령 청남대 방문(`23. 2월) 시 “규제를 통한 환경정책보다는 과학기술에의한 수질관리 방안” 강조

[권리 투쟁]
- 그동안 충북은 국가발전에 있어 희생만 요구 받아 왔으나, 이제는 그에 합당한 권리를 찾기 위해 보다 과감한 투쟁 필요

※ 본 연구보고서는 미발간 자료로 자료 제공이 불가 합니다. (Tel : 043-220-1103)

I. 서론 - 3

1. 연구 배경 및 목적  - 3

2. 연구 범위 및 방법  - 4

3. 연구수행체계  - 6

II. 레이크파크 르네상스의 이해 및 인식 - 7

1. 추진배경 및 개념  - 7

2. 레이크파크 르네상스에 대한 도민 인식조사  - 14

3. 레이크파크 르네상스에 대한 국민 인식조사  - 20

Ⅲ. 레이크파크 르네상스 모니터링 - 29

1. 추진조직  - 29

2. 중부내륙연계발전지역 지원에 관한 특별법 제정 추진  - 32

3. 3대 분야별 전략사업  - 33

4. 3대 권역별 중점사업  - 36

5. 투자계획  - 47

Ⅳ. 신광역관광개발 구상 대응사업 - 50

1. 호수가람권 광역관광권 설정  - 51

2. 2권역  - 53

3. 3권역  - 63