• Title/Summary/Keyword: Unintended consequences

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Healthcare Accreditation in Korea: The Current Status and Challenges Ahead (의료기관 인증제도의 현황과 과제)

  • Lee, Sang-il
    • Health Policy and Management
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    • v.28 no.3
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    • pp.251-256
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    • 2018
  • The origin of hospital accreditation in Korea is the Hospital Standardization Program of the Korea Hospital Association. Current accreditation program implemented by the Korea Institute for Healthcare Accreditation has succeeded in stimulating quality improvement activities of participating hospitals since its launching in 2010. However it has been criticized due to some unintended consequences of accreditation. In order to fully enjoy the benefit of the accreditation program in Korea, national efforts to expand accreditation scheme and coverage, upgrade accreditation standards, insure substantiality of accreditation process, provide consumers with more useful information, and strengthen the professional capacity of accreditation organization will be needed.

How the United States Marched the Semiconductor Industry into Its Trade War with China

  • Bown, Chad P.
    • East Asian Economic Review
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    • v.24 no.4
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    • pp.349-388
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    • 2020
  • The US-China trade war forced a reluctant semiconductor industry into someone else's fight, a very different position from its leading role in the 1980s trade conflict with Japan. This paper describes how the political economy of the global semiconductor industry has evolved since the 1980s. That includes both a shift in the business model behind how semiconductors go from conception to a finished product as well as the geographic reorientation toward Asia of demand and manufactured supply. It uses that lens to explain how, during the modern conflict with China, US policymakers turned to a legally complex set of export restrictions targeting the semiconductor supply chain in the attempt to safeguard critical infrastructure in the telecommunications sector. The potentially far-reaching tactics included weaponization of exports by relatively small but highly specialized American software service and equipment providers in order to constrain Huawei, a Fortune Global 500 company. It describes potential costs of such policies, some of their unintended consequences, and whether policymakers might push them further in the attempt to constrain other Chinese firms.

A Spiritual War: Religious Responses to Marketization in Rural North Vietnam

  • Nguyen Thi Thanh Binh
    • SUVANNABHUMI
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    • v.15 no.1
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    • pp.149-180
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    • 2023
  • This article explores religious responses to significant cultural and social change in a northern Vietnamese delta village from 1996 to 2008-the second decade after de-collectivization. Drawing upon extensive fieldwork in both the village and surrounding religious networks, the article teases out the meanings of the new religious movements for northern rural people in the new era of market economy; the symbols, language, and metaphoric resources people used in response to their uncertainty and mistrust of the new social landscape; and the unintended consequences of rapid societal development such as marginalization, tensions, and social disintegration. The article argues that as in milleniarism elsewhere, new religious movements in northern rural Vietnam embody unorthodox syncretism between world religious and local traditions, thus linking past, present, and future. However, when drawing upon a common reservoir of memories and experiences to cope with risks and challenges of the new market world, local people not only drew on the power and imperial metaphor of deities in their traditional religion and belief, but became more creative to recuperate meanings, standards, and symbols from revolutionary discourse to reorient themselves, and overcome alienation and marginalization.

Systems Thinking for the Crisis and Improvements of Healthcare Delivery System (시스템사고로 본 의료전달체계의 위기와 개선방안)

  • Chung, Yoon;Lim, Jae Min;Lee, Kyun Jick
    • Korean System Dynamics Review
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    • v.17 no.1
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    • pp.5-24
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    • 2016
  • This study structurally analyzes major inefficiency of Korea's healthcare delivery system by utilizing the systems thinking. In particular, the phenomenon of patient's concentrated visits to large hospitals, waste of resource due to competitions between clinics and large hopitals, and the structure of oversupply were visualized using the causal loop diagram. The inefficient structure of healthcare delivery system can be understood more clearly by utilizing the major system archetypes of 'success to the successful', 'tragedy of commons', 'escalation' and 'limits to growth'. This study also finds solution from archetypal structure suggested by Wolstenholme. The inefficient status of healthcare delivery system might be explained by the 'out of control' archetype. In conclusion, the public resources such as the national health insurance need to be acknowledged as the entire achievement. All the participants should cooperate with each other in order to improve the inefficiency of the healthcare delivery system. In addition, the arrangement of incentive system for cooperation, acceleration of health information technology, and development of innovative business models make the sustainable healthcare delivery system.

Advanced Bioremediation Strategies for Organophosphorus Compounds

  • Anish Kumar Sharma;Jyotsana Pandit
    • Microbiology and Biotechnology Letters
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    • v.51 no.4
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    • pp.374-389
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    • 2023
  • Organophosphorus (OP) pesticides, particularly malathion, parathion, diazinon, and chlorpyrifos, are widely used in both agricultural and residential contexts. This refractory quality is shared by certain organ phosphorus insecticides, and it may have unintended consequences for certain non-target soil species. Bioremediation cleans organic and inorganic contaminants using microbes and plants. Organophosphate-hydrolyzing enzymes can transform pesticide residues into non-hazardous byproducts and are increasingly being considered viable solutions to the problem of decontamination. When coupled with system analysis, the multi-omics technique produces important data for functional validation and genetic manipulation, both of which may be used to boost the efficiency of bioremediation systems. RNA-guided nucleases and RNA-guided base editors include zinc-finger nucleases (ZFNs), transcription activator-like effector nucleases (TALENs), and clustered regularly interspaced short palindromic repeats (CRISPR), which are used to alter genes and edit genomes. The review sheds light on key knowledge gaps and suggests approaches to pesticide cleanup using a variety of microbe-assisted methods. Researches, ecologists, and decision-makers can all benefit from having a better understanding of the usefulness and application of systems biology and gene editing in bioremediation evaluations.

Design of Lightning Induced Transient Protection Circuit for Avionics Equipment Considering Parasitic Inductance (기생 인덕턴스를 고려한 항공기 탑재장비의 간접낙뢰 보호회로 설계)

  • Sim, Yong-gi;Cho, Seong-jin;Kim, Sung-hun;Park, Jun-hyun;Han, Jong-pyo
    • Journal of Advanced Navigation Technology
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    • v.21 no.5
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    • pp.459-465
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    • 2017
  • In this paper, we introduce the design consideration of the lightning induced transient protection circuit for the indirect lightning strike on the avionics equipment. The lightning induced surge voltage, which is so-called as indirect effects of lightning, may cause a functional failure or physical damage to the electrical and electronic equipment of aircraft. In order to protect the electrical and electronic equipment of aircraft from the indirect effects of lightning, we should analyze the effect of lightning strike on aircraft and consider applying protection design for each avionics device. However, lightning induced transient protection circuits can have unintended consequences because parasitic inductance elements are exist in PCB and TVS diodes. In this paper, we introduce the design method of the protection circuit considering the parasitic inductance of the protection circuit. In addition, we show the result of verification test performed to validate the protection circuits for indirect effects of lightning.

Analysis and Ethical Review of the Compensation System for Clinical Trial Injury in India (인도 임상시험 피해보상제도 분석 및 윤리적 고찰)

  • Lee, Chan Joo;Choe, Byung In
    • The Journal of KAIRB
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    • v.3 no.1
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    • pp.1-10
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    • 2021
  • In 2004, India began investing in the clinical trial industry; the country now boasts a 20% market share with the help of a valuable resource - the world's second largest population. The Contract Research Organization has been able to generate profits efficiently conducting clinical trials via a large pool of participants, skilled researchers, and reduced developmental costs. As the demand and sheer number of global clinical trials increased, the International Council of Harmonization-Good Clinical Practice was introduced, and the need for the Institutional Review Board increased. While the clinical trial industry in India boomed, it came at the expense of the participants' civil rights. The increased media attention regarding the ethical issues forced the Indian Supreme Court to take action. Consequently, India is the only country, by law, that specifically compensates participants suffering from injury directly resulting from participation in clinical trials. This research paper will describe and compare the relevant laws of India and Korea including compensation criteria. In addition, the ethical issues and aspects of indemnity in clinical trials will be discussed. While the clear advantage of the compensation is one of the protected rights of a clinical subject, the current system is not perfect. Furthermore, laws created to redeem ethical issues can have unintended, negative consequences.

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A Study about the Changes in Movie Theater Work after the COVID-19 : Focusing on the Cinema Industry of Korea (코로나 19시대 이후 극장체재 변화에 관한 연구 :한국 영화 산업을 중심으로)

  • Suh, Jung-In
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.447-453
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    • 2021
  • The whole world was confused, unintended "COVID-19". It has become a constant phenomenon, not a temporary one, and people are getting used to this era. Among them, We are combating the form of "the film" which is playing a role of a multiplex in Korean film industry. Now we have studied the development of the future korean industry based on the movie theater form through our cultural industry, New platform OTT. As a result for the research, the OTT platform, which is located in one genre today, should be regarded as an opportunity to develop films, and the movie theater, which is a part of the development of the film industry, differs from the OTT platform. with "memory of space", the result was that "The audience's footsteps can move again." The crisis of "COVID-19" should bring about the consequences of turning into opportunity.

Changes in Public Hospital Employees' Perceptions Following the Introduction of the New Diagnosis-Related Groups (DRG)-Based Payment System in the Republic of Korea (공공병원 직원들의 신포괄수가제 참여 전후 인식변화)

  • Kim, Hyun Joo;Lee, Jin Yong
    • Quality Improvement in Health Care
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    • v.27 no.2
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    • pp.30-44
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    • 2021
  • Purpose: The aim of this study was to investigate the changes in perception of the New Diagnosis-Related Group (DRG)-based payment system, make overall evaluation after participation, and examine opinions on further policy improvement among employees of a public hospital participating in the pilot project in Korea. Methods: We investigated changes in perception of the New DRG-based payment system before and after participation in the pilot project using a qualitative research method. We conducted individual in-depth interviews with the management and healthcare professionals and Focus Group Interviews (FGIs) with the staff in the nursing and administrative departments. Results: Before implementing the pilot project of the New DRG-based payment system, the management was in favor of participating in the pilot project, whereas the healthcare professionals were strongly opposed to participation in the pilot project, and the staff in the nursing and administrative departments were slightly opposed to participation. After implementing the pilot project, there were remarkable changes in the perception of the New DRG-based payment system among healthcare professionals and the administrative staff. Healthcare professionals' perception was altered in a positive way, while the administrative staff's perception of the system became negative. Conclusion: There were no restrictions on clinical practice or deterioration of quality of care observed in association with the participation in the New DRG-based payment system. However, certain unintended consequences of the New DRG-based payment system may arise as well. Therefore, the government needs to examine the problems identified in this study to reflect on and improve the New DRG-based payment system for stable expansion.

Study on Participants' Perceptions of Sharing Economy Policies: A Text Ming Approach to Online Community Posts (공유경제 참여자의 비즈니스 등록정책에 대한 인식과 심적기재: 온라인 발화에 대한 텍스트마이닝)

  • Park, Soo Kyung
    • Journal of Digital Convergence
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    • v.20 no.2
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    • pp.47-56
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    • 2022
  • With the advent of online platforms, individuals have been able to trade small resources, such as a room, in the market. However, as there is no clear regulation on these economic activities, various side effects have emerged. Accordingly, the government reestablished related policies to resolve the unintended consequences of these economic activities. However, the policy has not been implemented yet, and many participants do not comply with the policy. Therefore, this study intends to examine their perceptions in detail. For this purpose, a text mining technique was applied. Posts and comments from major online communities were collected. By applying the topic modeling technique, 5 topics were derived. Compliance with the government's policy is a voluntary decision. Therefore, it is necessary to carry out an in-depth understanding of the policy target. Therefore, based on this study, it is expected that in the future, methods to induce them to conform to policy can be discussed in detail.