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Academic Medicine Is Patient-Centered Medicine (Academic Medicine은 환자 중심 의료이다)

  • An, Shinki
    • Korean Medical Education Review
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    • v.21 no.2
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    • pp.80-91
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    • 2019
  • The tripartite mission of 'academic medicine' is education, research, and patient care. Academic medical centers (AMCs) are carrying out the mission and ultimately aiming to improve the health of people and communities. Globally, AMCs are facing a tremendous financial risk stemming from the changes in health insurance reimbursement plans and a shortage of human resources. Innovative AMCs in the United States are trying to transform their physician-centered, and siloed structure into a patient-centered, and integrated structure. They are also building integrated systems with primary healthcare groups to provide continuous patient care from primary to tertiary levels and making strategic networks based on value-based payment and the patient-centered model. These changes have been proven to improve outcomes of patient care and increase fiscal revenues, which are both crucial in supporting education and research. To address the shortage of human resources, programs are being built to develop newly appointed faculty for the future. AMCs have different approaches to bringing changes into their organizations; however, there is a common emphasis on 'a patient-centered approach,' which helps them set more explicit organizational values and make strategic decisions based on their values. Korean AMCs are facing similar challenges to AMCs in the United States in spite of many differences between the countries' healthcare systems. The innovative efforts of AMCs in the United States to address the challenges will be helpful, well-worked examples for Korean AMCs with similar challenges.

A Study on the Records Management System through the Public Records Management Act in the United States: Focused on the Federal and State (미국 공공기록관리법(PRA)을 통한 기록관리 제도에 관한 연구: 연방과 주를 중심으로)

  • Jo, Aeran;Kim, Minkyung;Youn, Eunha
    • Journal of Korean Society of Archives and Records Management
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    • v.19 no.2
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    • pp.213-241
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    • 2019
  • This study looked at the US records management system through the US Records Management Act and derived the characteristics of US records management. The federal and state of the United States were compared to identify the characteristics within the US administrative system. Also, the composition and content of the US Records Management Act were analyzed according to the records management process. As a result, US records management has characteristics of recognizing federal and state independence, yet maintaining cooperative relations between agencies for the protection of permanent values.

Trend and Implication of Primary Care Evaluation in U.S. (미국의 일차의료 평가 동향 및 시사점: 미국의 리얼월드 평가 안내서를 중심으로)

  • Suh, Youshin;Kim, Hee-Sun;Yoo, Bit-Na;Kim, Jin-Hee;Park, Chong Yon
    • The Journal of Health Technology Assessment
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    • v.6 no.2
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    • pp.88-94
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    • 2018
  • This review aims to provide implications for relevant domestic policies and researches from Patient-Centered Medical Home (PCMH), a reinforcement model for primary care and its evaluations in the United States. As chronic diseases became dominant, changes in the health care delivery system in which primary care is central was required. The United States initiated primary care-reinforcing policies based on the PCMH following the increased demand for evidence-based health care policies. The current activities of the United States such as sharing research tools used to evaluate primary care interventions and circulating evaluation findings provide examples to Korea. Systematic evaluations for primary care interventions are required and appropriate methods using various types of data to reflect the real-world settings should be prepared. It is necessary to conduct policy assessment studies of public interests considering regional context. Support for the researches to make and advance from the existing environment must be examined.

Meaning of Marriage & Childbirth among Korean Female University Students Living in the United States: A Phenomenological Approach (미주 한인 여대생이 생각하는 결혼과 출산의 의미: 현상학적 접근)

  • Lee, Sun-Kyoung;Song, Ju-Eun;Kim, Tiffany
    • Journal of Home Health Care Nursing
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    • v.27 no.3
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    • pp.330-343
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    • 2020
  • Purpose: This study aimed to describe the meaning of marriage and childbirth among Korean female university students living in the United States, who are influenced both by Korean culture at home and American culture in social contexts. Methods: This qualitative study used phenomenological approaches. Data were collected through individual in-depth interviews with five Korean female university students living in the United States. Data were analyzed using Colaizzi's method to derive the meaning of marriage and childbirth. Results: From the data, 239 meaningful statements, 49 meaning formations, 22 themes, and 12 theme clusters were extracted. Additionally, five major categories emerged. These categories were 1) marriage as an opportunity for self-growth, 2) the mirror of life: parents, 3) oneself who cannot give up, 4) a desire to live a stable life, and 5) ambivalence on the culture of two countries. Conclusion: To improve the positive meaning of marriage and childbirth, a positive role model such as a happy married life of parents at home must be ensured. Finally, institutional strategies should be established to support the balance between home and work, as well as various policies which support women's pregnancy and childbirth.

Investigating the Relationship Between Accessibility of Green Space and Adult Obesity Rates: A Secondary Data Analysis in the United States

  • Kim, Junhyoung;Lee, Sujung;Ramos, William
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.3
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    • pp.208-217
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    • 2021
  • Objectives: In spite of the importance of green space for reducing obesity-related problems, there has been little exploration of whether access to green space (e.g., parks and recreational facilities) influences the obesity rate of adults in the United States. The purpose of the study was to investigate the relationships among accessibility of green space, obesity rates, and socioeconomic and demographic variables among adults living in the State of Indiana, United States. Methods: We conducted a secondary data analysis to investigate the relationships among accessibility to green space, obesity rates, and socio-demographic variables with employing Geographic Information System in order to measure the accessibility of green space. Results: This study found that accessibility of green space served as a strong predictor of reduced obesity rates among adults (β=-2.478; p<0.10). In addition, adults with higher education levels, as well as better access to green space, were found to have even lower obesity rates (β=-0.188; p<0.05). Other control variables such as unemployment rates, food security, and physical inactivity are additional factors that influence obesity rates among adults. Conclusions: Accessibility of green space may play an important role in facilitating physical activity participation and reducing obesity rates.

Developing a Job Exposure Matrix of Work Organization Hazards in the United States: A Review on Methodological Issues and Research Protocol

  • Choi, BongKyoo
    • Safety and Health at Work
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    • v.11 no.4
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    • pp.397-404
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    • 2020
  • Background: Most job exposure matrices (JEMs) have been developed for chemical and physical hazards in the United States (US). In addition, the overall validity of most JEMs of work organization hazards using self-reported data in the literature remains to be further tested due to several methodological weaknesses. Methods: This paper aims to review important methodological issues with regard to a JEM of work organization hazards using self-report data and to present a research protocol for developing a four-axis (job titles, hazards, sex, and time) JEM of major work organization hazards using the US General Social Survey-Quality of Work-Life (GSS-QWL) data (2002-2018; N = 7,100 workers). Results: Five methodological weaknesses in existing JEMs of work organization hazards using self-report data were identified: having only two axes (hazard and occupation), using psychometrically weak items and scales, including scales having little interoccupational variability, unresolved optimal minimum numbers of subjects per occupation, and low accessibility. The methodological weaknesses were successfully addressed in the proposed research protocol. Conclusion: The work organization JEM to be developed will significantly facilitate and strengthen occupational epidemiological studies on work organization hazards and major health outcomes, improve national and occupational surveillance of work organization hazards, and promote interventions for a healthy work environment in the US.

Research Trend on Internet of Things and Smart City Using Keyword Fequency and Centrality Analysis : Focusing on United States, Japan, South Korea (키워드 빈도와 중심성 분석을 이용한 사물인터넷 및 스마트 시티 연구 동향: 미국·일본·한국을 중심으로)

  • Lee, Taekkyeun
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.18 no.3
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    • pp.9-23
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    • 2022
  • This study aims to examine research trends on the Internet of Things and smart city based on papers from the United States, Japan, and Korea. We collected 7113 papers related to the Internet of Things and smart city published from 2016 to 2021 in Elsevier's Scopus. Keyword frequency and centrality analysis were performed based on the abstracts of the collected papers. We found keywords with high frequency of appearance by calculating keyword frequency and identified central research keywords through the centrality analysis by country. As a result of the analysis, research on security, machine learning, and edge computing related to the Internet of Things and smart city were the most central and highly mediating research conducted in each country. As an implication, studies related to deep learning, cybersecurity, and edge computing in Korea have lower degree centrality and betweenness centrality compared to the United States and Japan. To solve the problem it is necessary to combine these studies with various fields. The future research direction is to analyze research trends on the Internet of Things and smart city in various regions such as Europe and China.

A Study on the Supply Process of Unit Modular Housing through a Comparison of Cases

  • Kim, Kyoon-Tai;Jun, Young-Hun;Kim, Tae-Yeong
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.411-414
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    • 2015
  • The purpose of this study is to conduct a comparative analysis between Korea and the United States of the supply process of unit modular housing at both the factory production phase and the transportation and lifting phase, as part of an attempt to invigorate the unit modular housing market in Korea. Unlike the practice in the United States, one of Korea's unique characteristics is that the floor is constructed with reinforced concrete and hot water heating system. To do this, the wet method in Korea is used that includes concrete placement, curing and constructing hot water floor heating system at the factory production phase, which results in a longer production time and also requires the lifting of heavier loads. In the United States, interior and exterior finishing works of modular housing are performed by different companies, and the distance between the unit module factory and the construction site is quite far. This kind of dualized production structure may cause confusion when it comes to schedule management, procurement management, and stock management. Moreover, problems caused by external environmental factors such as wind and rainfall were reported in the course of long-distance transportation. The results of this case comparison are expected to provide fundamental data that will reduce the amount of trial and error in the unit module production, transportation and lifting work in Korea, which has a comparatively small number of unit modular housing cases.

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Applicability of the Single Rate Presumption for Non-Market Economies within the Framework of the WTO Anti-Dumping Agreement (WTO 반덤핑협정 상 비시장경제 규율에 대한 고찰: 미국의 단일률 적용 관행을 중심으로)

  • Kyoung-Hwa Kim
    • Korea Trade Review
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    • v.46 no.4
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    • pp.113-130
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    • 2021
  • This study aims to analyze the WTO-inconsistent aspects of the single rate presumption of the United States in establishing and imposing anti-dumping duties for non-market economy exporters. By examining the drafting history in the GATT/WTO negotiations and the practice of the single rate presumption for non-market economies by the United States from a comparative perspective, it critically addresses the inherent lack of pertinent disciplines under the framework of the WTO Anti-Dumping Agreement in establishing dumping margins for exporters of non-market economies. The WTO Dispute Settlement Body leaves open the possibility of allowing the investigating authority to consider multiple exporters and the exporting country as a single entity. However, the study argues that it is difficult in practice for the investigating authority to make a single-entity decision in a WTO-consistent manner. The study also finds an incompatibility in the notion between establishing dumping margins for 'individual' exporters and 'non-market economies.' A proper discipline for non-market economies under the multilateral anti-dumping norm needs to be reconsidered in the era of persistent trade conflicts between the United States and China.

Effect of e-Commerce History on Consumer Perception: A comparative study of United States of America versus Vietnam

  • Pham Nguyen Bich Tram;Cheul Rhee;Jiyeol Kim
    • Asia pacific journal of information systems
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    • v.32 no.2
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    • pp.307-326
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    • 2022
  • Currently, Mobile-commerce is active around the world, and consumers' online activities have changed significantly from pc-base to mobile-base. Unlike IT advanced countries such as the United States, which experienced PC-based online commerce (hereafter, PC-commerce) before Mobile-commerce, developing countries such as Vietnam have a relatively short history of PC-commerce. Consumers' experience with PC-commerce may affect their acceptance and use of Mobile-commerce. In this study, we tried to see if different online commerce histories differently affect consumers' online purchasing behavior. We selected the United States and Vietnam, with longer PC-commerce experience and shorter one, respectively. Data were collected for the following four groups: 1) the U.S. PC-commerce (n=256), 2) the U.S. Mobile-commerce (n=283), 3) the Vietnamese PC-commerce (n=159), and 4) the Vietnamese Mobile-commerce (n=225). As results, it was first confirmed that different e-commerce histories in developed and developing countries make the online shopping process different. Second, navigability has a huge impact on consumers' decision support satisfaction in Vietnam where PC-commerce history is shorter. Third, we identified that pre-purchase phase is more related with decision support satisfaction and that purchase phase is more related with task support satisfaction.