• Journal of Korean Academy of Nursing Administration
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• v.1 no.2
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• pp.388-407
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• 1995

This study is (a) to describe the history of Total Quality Management (TQM) generated in the industry, health care service, and nursing society ; (b) to define the concept, total quality management including the definition of quality ; (C) to explain the each principle of TQM theory developed by main theorists, E. Deming, J. Juran, and B. Crosby ; (d) to give the examples related to TQM implementation at the health care organization ; and (e) to mention the extent to which the health care organizations are able to evaluate their cultural organization toward TQM and have had the way to measure the effect of TQM implementation. TQM referred to Continuous Quality Improvement(CQI), Quality Improvement(QI), and Total Quality Improvement(TQI), was not recognized by experts in the United States industry, but by economists in Japan until the end of the 1970's. However, the United States' government led to introduce the principles of TQM to general industry as well as health care service area so that TQM became a main philosophy to manage the organizations in health care service. TQM is a structured, systematic process for creating organization-wide participation in planning and implementing continuous improvement in quality. E. Deming established the "Chain reaction in Quality" and the fourteen point of TQM. The Chain reaction in quality is to describe the relationship among the reduction of waste, rework, and delay, quality improvement, customer satisfaction, and productivity. There are fourteen points to explain the principles of TQM by E. Deming. Juran defined the "Quality Trilogy" to improve the level of quality in any organization. Quality Trilogy has three steps such as quality planning, quality control, and quality improvement for implementing the TQM projects. Crosby describes his TQM theory by establishing "Four Absolutes" and "Fourteen steps in TQM" implementation. Until now, most healthcare organizations have made efforts to organize the TQM task team and to implement TQM principles with various issues. There are three priorities to select the TQM issues : High-volume, High-risk, and Problem-prone. However, there is no absolute, credible measurement yet to evaluate the effects of TQM implementation in health care organization regardless of the classification of health care organizations, geographical background, and social influence. Thus, developing the evaluation way in terms of TQM is the foremost task in health service area. The most important thing for TQM implementation in the organization is to settle up the concept, cultural transformation from traditional management toward quality.

• Journal of Digital Convergence
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• v.11 no.12
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• pp.537-549
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• 2013

This study examines implications for the Korean military health survey from literature review on foreign military health surveys. The authors discuss backgrounds, objectives, participants, methods, contents, organizations involved, and cycles of foreign military health surveys from literature review from peer-reviewed journals as well as reports and documents collected from web-sites of governmental organizations. Common and distinguishing characteristics were found from foreign military health surveys. First, the military health surveys have evolved in phases in the direction of reducing health risk factors. Second, the importance of mental health is being emphasized. Third, cooperations and collaborations of governments, universities, and professional agencies are important in order to ensure anonymity and expertise on data collection and analysis. Finally, health surveys are conducted on a regular basis through institutionalization. To monitor and to promote health of military personnel, it is critical for Korea to establish the legal and institutional environment and to recognize the importance as well as the need of military health surveys at the national level.

• Journal of the Korean Society for Library and Information Science
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• v.43 no.2
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• pp.53-90
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• 2009

The purpose of this study was to examine 80 children's libraries in an effort to suggest some of the right directions for the development and management of children's library programs. A survey was conducted on 80 children's libraries in the nation, and the answer sheets from 55 libraries were gathered and analyzed to find out the extent of use, the major users, the book collections, budgets, the types of programs, the target audience of the programs, the terms of the programs, publicity, evaluation and factors determining the success or failure of the programs. In addition, 21 large children's libraries located in Seoul, Gyeongin, Incheon, Busan, North Chungcheong Province, South Jeolla Province and Jeju Island were visited, and the management were interviewed in order to decipher the types and management of the programs, their spatial construction, tie-ups or collaborations with relevant organizations and the utilization of volunteers. Finally, 29 foreign organizations were selected from six foreign countries including the United States, France, the United Kingdom, Singapore, Japan and China, and the cases and states of their programs' management were checked through personal interviews.

• Journal of Society of Preventive Korean Medicine
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• v.23 no.1
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• pp.1-13
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• 2019

Backgrounds : The market of Complementary Alternative Medicine(CAM) in the United State(U.S.) accounts for a large proportion of the global CAM market and has a high growth rate. The recent introduction of Obama Care has brought the change in the health insurance system for CAM, and we need to analyze it for its implication to Korean system. Objectives : The purpose of this study is to investigate the current status of acupuncture and chiropractic health insurance in the U.S., and to draw implications for expanding the health insurance coverage for Korean traditional medicine through the comparison between the U.S. and Korean health insurance systems. Methods : We examined the data through the literature search and from the websites of both U.S. government departments and related organizations for the health insurance policy. Based on the collected data, we analyzed its CAM health insurance system in Korea. Results : The acupuncture covered by public health insurance in the U.S. has a limit in the number of treatments and a range of applied diseases compared with Korea. In addition, the practice of acupuncture is not subdivided. However, the chiropractic in the U.S. which also has a limited number of coverage and only three categories of practices are similar to that of Korea. Conclusions : Although the use of CAM by public health insurance is not active in the U.S., but the organizations such as Veterans Health Administration in Vermont is already discussing the use of acupuncture to solve the problem of opioid overuse. Thus Korea also needs to discuss to promote the expansion of the insurance system for CAM.

• The Korean Journal of Pain
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• v.34 no.1
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• pp.82-93
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• 2021

Background: This study used bibliometric analysis of articles published about the topic of regional anesthesia from 1980-2019 with the aim of determining which countries, organizations, and authors were effective, engaged in international cooperation, and had the most cited articles and journals. Methods: All articles published from 1980-2019 included in the Web of Science database and found using the keywords regional anesthesia/anaesthesia, spinal anesthesia/anaesthesia, epidural anesthesia/anaesthesia, neuraxial anesthesia/anaesthesia, combined spinal-epidural, and peripheral nerve block in the title section had bibliometric analysis performed. Correlations between the number of publications from a country with gross domestic product (GDP), gross domestic product (at purchasing power parity) per capita (GDP PPP), and human development index (HDI) values were investigated with the Spearman correlation coefficient. The number of articles that will be published in the future was estimated with linear regression analysis. Results: Literature screening found 11,156 publications. Of these publications, 6,452 were articles. The top 4 countries producing articles were United States of America (n = 1,583), Germany (585), United Kingdom (510), and Turkey (386). There was a significant positive correlation found between the GDP, GDP PPP, and HDI markers for global countries with publication productivity (r = 0.644, P < 0.001; r = 0.623, P < 0.001, r = 0.542, P < 0.001). The most productive organizations were Harvard University and the University of Toronto. Conclusions: This comprehensive study presenting a holistic summary and evaluation of 6,452 articles about this topic may direct anesthesiologists, doctors, academics, and students interested in this topic.

• Health Policy and Management
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• v.29 no.4
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• pp.394-398
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• 2019

Education on the physician continues with undergraduate medical education, graduate medical education, and continuous medical education. The countries such as the United States, Japan, the United Kingdom, German, and others are required to undergo training in the clinical field for 2 years after completing the national medical examination, and to become doctors after passing the clinical practice license test. Korea can obtain a medical license and become a clinical doctor at the same time if it passes written and practical tests after completing 6 years of undergraduate medical education or 4 years of graduate school. About 90% of medical school graduates replace clinical practice with 4-5 years of training to acquire professional qualifications, but this is an option for individual doctors rather than an extension of the licensing system under law. The medical professional qualification system is implemented by the Ministry of Health and Welfare on the regulation. In fact, under the supervision of the government, the Korean Hospital Association, the Korean Medical Association, and the Korean Academy of Medical Sciences progress most procedures. After training and becoming a specialist, the only thing that is given to a specialist is the right to mark him or her as a specialist in marking a medical institution and advertising. The government's guidelines for professional training are too restrictive, such as the recruitment method of residents, annual training courses of residents, dispatch rule of the residents, and the quota of residents of training hospitals. Although professional training systems are operated in the United States, the United Kingdom, France, and Germany, most of them are organized and operated by public professional organizations and widely recognize the autonomy of academic institutions and hospitals. Korea should also introduce a compulsory education system after graduating from medical education and organize and initiate by autonomic public professional organization that meets global standards.

• Journal of the Society of Disaster Information
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• v.5 no.2
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• pp.50-73
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• 2009

This paper is about the establishment of "Initial Response System." Initial response system is most important and should be treated urgently among all preparations for chemical terrorism. The objects of Initial response system are to protect civilians and the first responder who are exposed directly to chemical terrorism. Therefore, this paper suggests two main issues about Initial response system. One is to prepare immediate and exact information service system which assures the safety and survival of exposed people. The other is to build Scene Response System integrated with Command-Control Procedure for early finished situation. Compared to United States, overcoming the Chemical Terrorism requires to improve the contents of two categories: Counter Citizen Response part and Initial Scene Response part. For Counter citizen response part' s sake, the web-sites of Response leader agencies for searching information about chemical terrorism should be modified specifically. These web-sites have to be re-organized in detail. The existing Information service system which has been vaguely informed as "CBRNE Accident" needs to be divided as "CBRNE Accident" and "WMD terrorism." Further, each of them should be specialized in "Chemical', "Biological", and "Radiological" categories. There is a need to rearrange current Emergency Instruction for civilians against chemical terrorism in feasible way. At the same time, it should be applied consistently to all organizations through agreement between experts and related-organizations. For Initial Scene Response part's sake, "Initial scene response procedure (SOP)" and "Operational conception" should be produced through Simulated Exercises and workshops of all organizations related with initial response. These organizations have to cooperate with Ministry of Environment which is the main leader Agency as the center. Next, there is a need to develop a technology and Scene Response Equipments, and to standardize the response equipments which consider the capability of First Responders for chemical terrorism. Especially, improving capability of equipments is required to overcome the vulnerability of Scene Response Equipments.

• Journal of Korean Society of Archives and Records Management
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• v.15 no.1
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• pp.89-125
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• 2015

The purposes of this study are to compensate for the deficiencies of the presidential records using the documentation strategy and to establish a long-term plan for collecting presidential records that should be considered as references in country governance. For these purposes, this study examined literature reviews, foreign case studies, and the presidential records collection of the United States and Korea, and conducted in-depth interviews in relation to the presidential records collection. Semistructured questionnaires were used for in-depth interviews and 15 target organizations, such as a foundation and memorial affairs agency, central government agencies, and university-affiliated organizations, were selected. A total of 14 records collectors of 12 organizations (82%) of all 17 records collectors of 17 organizations (100%) participated in these interviews, and the interview results were analyzed according to the grounded theory of qualitative research methodology. Based on the accumulated results, this study proposes an effective model in designing collection strategy and operating and collecting presidential records through the use of documentation strategies.

• Journal of Korean Society of Transportation
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• v.23 no.5 s.83
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• pp.57-64
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• 2005

Recently, several national construction projects such as Chunsung Mt. section of Kyungbu High Speed Rail or Sapae Tunnel of Seoul Outer Ring Road have been delayed or suspended due to the objections of residents or environmental organizations. Considering the development of democracy, increased public participation and interests on environmental issues in Korea, the generation of these social conflicts may be natural phenomenon. However, it is necessary to find measures to effectively implement major construction project and save costs related to social conflicts. In this paper, PI techniques in the United States are investigated and in comparison, the weakness and improvement plans for Korea's current public participation system have been suggested.

• Cross-Cultural Studies
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• v.37
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• pp.157-183
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• 2014

Although Marguerite Yourcenar, a representative French woman writer, lived 47 years in the United States from 1939 to 1987, the American influence on her life has not been studied either at home or abroad. The purpose of this study is to examine chronologically the American influence on the following three literary works of Yourcenar: The Little Mermaid (1942), River Deep, Dark River (1966) and Recluse (1982). The Little Mermaid is a drama, presented in musical format, about the identity crisis and inner conflict of Yourcenar. Unlike the little mermaid who burst like a bubble in Hans Christian Andersen's fairy tale, Yourcenar associates her death with the image of ascension. River Deep, dark river is a translation of the Negro spiritual expressing the suffering of African Americans. Recluse, her last novel, deals with the life story of a simple man living in nature on a small island. This novel shows Yourcenar's desire for a pure world that is not defiled by human greed. Yourcenar sponsored major human rights organizations and environmental groups in her life, and donated her entire fortune for human rights and the protection of Wild Fauna and Flora. The American influence on the literary works of Yourcenar can be summarized as a "great turning point", because she was transformed from a humanistic writer into an intellectual actor.