• Journal of Hospice and Palliative Care
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• v.26 no.2
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• pp.42-50
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• 2023

Purpose: The purpose of this study was to identify barriers to effective conversations about advance care planning (ACP) and palliative care reported by health care and community-based service providers in Massachusetts, USA. Methods: This qualitative research analyzed open-ended responses to two survey questions, inquiring about perceived barriers to having conversations about ACP and palliative care with patients and consumers. Data were collected between November 2017 and June 2019 from nine organizations in Massachusetts, including health care provider organizations, health insurers, community-based organizations, and a nursing education institution. Two researchers reviewed and coded the responses and identified common themes inductively. Results: Across 142 responses, primary barriers to ACP included hesitation and lack of understanding and knowledge, discomfort and resistance among service providers, lack of staff knowledge, difficulties with followup, and differences in ACP policies across regions. Common barriers to palliative care were misconceptions about palliative care and lack of knowledge, service providers' lack of preparedness, and limited policy support and availability. Challenges relevant to both ACP and palliative care were fear and discomfort around serious illness discussions, lack of knowledge and awareness, discussions that occur too late, and cultural and language barriers. Conclusion: Health care practitioners and community-based professionals reported consumer-, service provider-, and system-level barriers to facilitating conversations about ACP and palliative care with patients experiencing serious illness. There is a need for more tools and support to strengthen service providers' ACP and palliative care competencies and to promote a structured approach to health care planning conversations.

• The Korean Journal of Archival Studies
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• no.22
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• pp.37-76
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• 2009

This paper aims-through comparative research on two organizations and use of political process theory-to analyze the historical development of, current issues related to and the characteristics of the new transformation of the Freedom of Information Movements (FOIMs) in South Korea. In the ten years since the Freedom of Information Act (FOIA) took effect in 1998, Korean FOIMs have developed along the following course: 'emergence' (1998), 'expansion and extension' (1999-2004), 'institutionalization and retro-institutionalization-' (2005-2008). Specifically, in the early stage of FOIMs, the Freedom of Information (FOI) department of the People's Solidarity for Participatory Democracy, established in 1998, had led the FOI movement by initiating reform of the FOI institution and advocating an end to old practices. Paradoxically, however, following the institutional progress of FOI under the Roh Moo Hyun government, the vitality of FOIMs seemed to be weakening. And under the Lee Myung Bak government, which is showing regression in both the FOI institution and practices, the 'dual transformation' of the FOIMs is being led not by old groups but by new ones. The Center for Freedom of Information and Transparent Society(CFOI), which was founded in 2008, has journalists, researchers of archival studies, citizens, lawyers and nongovernmental activists as members. Through its blog style Homepage, countless reports are becoming "open to the public" and "share with the public." And its various civic education programs are interactive bridges which enable mutual communication between the Center and citizens. CFOI is expanding the FOI movement in different ways than the traditional activists such as the FOI department of the PSPD department, which worked through methods such as policy proposals, disclosing information litigation, comments and public statements, and hosting forums. CFOI is leading the 'dual process of transformation' of FOIMs, namely the transformation from an 'advocacy' movement to an 'empowerment' movement and transformation of the FOI movement's framework from "open to the public" to "share with the public."

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.25 no.2
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• pp.125-145
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• 2014

As Korea becomes a multi-cultural society, Korean government ministries are enforcing various multi-cultural services. Especially, Ministry of Culture, Sports and Tourism, which is in charge of public libraries, is operating multi-cultural services for cultural diversity. The trends in the research on the multi-cultural services in public libraries, however, are rather on adaptation of the multi-cultural people in Korea than on the cultural diversity. In this exploratory study, we investigated the perception of local residences on multi-cultural library services with several in-depth interviews with the local residences not only for the adaptation but also for the cultural diversity. The results shows that they tended to regard public libraries as an institution of local life-long education, and then they think public libraries can take a role for coping with social adaptation and prevention of social problems in terms of multi-cultural population. Based on the results, public libraries would better consider to inform their roles in this multi-cultural society to their local residences based not only on adaptation but also on cultural diversity. For this, the libraries would develop programs, in which both multi-cultural and non-multi-cultural people can be participated, to encourage communication between them.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.36 no.2
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• pp.285-295
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• 2016

The post-evaluation system after construction projects can evaluate estimates of use demand, project cost, and project schedule estimated in the planning phase of construction projects in public sector. Thus, it was introduced in 2000 for the purpose of reduction in future errors during similar constructions by project orderer by referring the post-evaluation results. However, many barriers to the post-evaluation system after construction projects have been reported due to evaluation systems that lack objectivity and reliability and lack of main bodies that utilize the system. Thus, this study derived implications for improvements of the post-evaluation system in Korea by benchmarking building project evaluation system and management as well as utilization systems of developed nations. Then this study conducted a survey with experts who have experienced activities in the post-evaluation committee and members of post-evaluation for public project owners. Therefore it identified the need of installation of specialized post-evaluation institutions as well as functions and work tasks to be taken by specialized institutions. Based on the analysis results, this paper provided revision drafts of related legislations and guidelines to be effective in post-evaluation. Through the study results, many trial and errors can be reduced in similar projects in the future by performing in-depth analysis on large-scale construction projects and repeatedly applied building project practices can be improved to raise technical competitiveness if the specialized institution is installed.

• Korean Journal of Construction Engineering and Management
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• v.10 no.3
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• pp.72-82
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• 2009

Lowering threshold value of construction services is extremely sensitive issue to the small and medium enterprises in construction industry. Because it means opening the construction markets where the small and medium construction companies compete intensely. Nevertheless, it is absent that the analysis on the effect of opening the market lowering threshold value of construction services under Government Procurement Agreements or Free Trade Agreement. This research is to analyze the effects of lowering threshold value of construction service which have been agenda repeatedly in the international agreements such as WTO and FTA. The current threshold value of construction services of Korea under WTO GPA are 5million SDR where the government delivers and 15million SDR where the local government or the public institution deliver. However major parties to an entente such as USA and EU have been demanding to lower threshold value of 15 million SDR where the local government or the public institution deliver to 5million SDR. The analysis figure the effect of this lowering threshold value to be a market reduction by 2trillion Won as '07 fiscal year basis. This market shrinkage will effect to the small and medium construction companies in local considerably.

• Land and Housing Review
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• v.4 no.4
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• pp.317-332
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• 2013

The purpose of this study is to survey the community support program of Green Belt from 2001 to 2011 and propose the improvement of the institution. For research method, the projects were analyzed by year, area, and category using statistical data. The improvement of the institution was drawn through the opinion survey of the interest group such as residents and public servants. For 10 years, 2007 community support projects were carried out and the total amount of government expenditure was 583.9 billion won. Among the support items, life convenience projects comprise 96.7%. For area, metropolitan area comprise 32.5%. There is a bias in items and areas. According to the survey of the residents and public servants, the satisfaction for the community support program is increasing. But it is necessary to enlarge the direct life cost support, activate community involvement and develop new project type. Proposed new projects are such as making characteristic village for income creation, planning for the landscape preservation using historic and traditional resources, making leisure space for nearby residents, and projects for the aged people. And it is proposed to give incentive to the characteristic village projects through competition.

• Journal of the Korean Institute of Landscape Architecture
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• v.42 no.6
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• pp.89-100
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• 2014

The Campus Core is centered at the physical, functional and symbolic environment of a university, which is known as the top academic institution, hence it metaphorically represents not only the educational philosophy when institution first opened, but also the transformed values of the time. Today, universities are asked to actively communicate with the local community in terms of function and be remodeled as pedestrian-friendly campuses in terms of physical environment. For this reason, the study comprehends the concept of the campus core in accordance with a pedestrian-friendly environment and suggests a practical plan for campus cores of district national universities based on previous research examination. Since the purpose of the study is to suggest a change in the circulation system centered on vehicle use to transform into a pedestrian-friendly environment through a planned approach while introducing public mixed-use at the same time, the study supports the fact that it is possible to reorganize the strategy of a pedestrian-friendly circulation system and partially revise the land utilization to yield the expected outcomes. Thus, this study will provide valid suggestions for similar maintenance plans while looking back to the meaning and value of today's campus core.

• The Journal of the Korea Contents Association
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• v.19 no.2
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• pp.368-378
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• 2019

With respect to the growth and development of innocity from improvements in leisure environments, this research examines the factors that affect the level of satisfaction of innocity leisure environments to propose political implications. In order to do so, 43 leisure activities were chosen, and the level of importance of those activities to the residents prior to moving to the innocity was compared to the level of satisfaction the residents felt regarding the activities after moving. As a result, 13 activities, including literature attendance, had greater levels of satisfaction after moving than the levels of importance prior to moving. The rest (30) activities showed the opposite results. We deduced the factors that affect the level of satisfaction by performing logistic regression analysis on 3 dependent variables. As a result, the static and passive leisure activities had higher satisfactory levels, whereas the dynamic and active had lower satisfactory levels. Thus, innocity must develop culture facilities quickly, expand exercise facilities to support sports activties, and promote tourism by improving and networking with tourist attractions in order to improve future satisfactory levels of leisure activities.

• Journal of Korea Entertainment Industry Association
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• v.14 no.1
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• pp.1-16
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• 2020

Busking culture which is a element of Urban Amenities is spreading rapidly in the field of public art culture with the change of media environment. However, the lack of a proper institution and policy to manage the negative aspects of it continue to lower urban amenities and make the conflict among stakeholders. The study aims to increase the advantages from the domestic busking culture and derives suggestions to develop the institution and policy for the soft landing of the busking culture. Applied methods to achieve the research objectives are an in-depth interview and overseas case analysis. The result of analysis is as follows. Stakeholders related to the busking culture in South Korea has presented very strongly and concretely in aspect of policy or institutional improvement. In addition, based on the analysis of oversea cases, the researchers have proposed three ways for settling down a proper busking culture: the busking permit system, the management system for professional buskers, and the civil complaint management system through time and noise restrictions.

• Journal of Science and Technology Studies
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• v.8 no.1
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• pp.55-95
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• 2008

This research was performed with the aim of analyzing the 'expectation dynamics' of embryonic stem cell research which was revealed throughout the establishment process of Stem Cell Research Center from 2000 to 2002. Expectation dynamics is a chained process: expectation construction - raising fund - performing research. Normally, researchers are considerably circumspect and politically neutral in assessing the result of research. However, some researchers are very involved in building the expectation dynamics by developing an overestimated impact of the result, which can be understood as a kind of strategy for solving the financial problem and defending the criticism in terms of bioethics. Nowadays Biotechnology R&D costs a big budget and requires large site human resources, so building the expectation dynamics is a decisive element for a successful R&D performance, which makes the strategy-development in the political context much more important. By analyzing the actors-network of embryonic stem cell research in term of 'expectation dynamics', we can clarify the identify of embryonic stem cell researchers and draw a conclusion which is very helpful for decision makers and the public to make a decision related with embryonic stem cells.