• 대한본초학회지
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• 제27권2호
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• pp.1-16
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• 2012

Objective : To investigate the current status of prescription drugs in Oriental medical institutes and to draw up a future plan for the revitalization of Oriental medical health insurance, this survey has been performed. Method : The survey has been made with 321 doctors working at Oriental medical institutes in Daegu and Kyungbuk areas for a period of 3 month from June 1, 2010 until September 1, 2010. Result : 1. When it comes to the current status of the use of herbal drugs in Oriental Health insurance, most of doctors surveyed prescribe insurance drugs, and they prescribe insurance drugs to patients, who are less than 20% of total patients visiting their clinics. 2. The awareness of Herbal Health Care Drugs is investigated. When it comes to the understanding of the difference between insurance drugs(powder type drugs) and granular type drugs, doctors admit that they differ only in one aspect, whether or not their being covered by health insurance. Based on the survey results on the understanding of insurance coverage of granular type drugs, doctors, even though they long for granular type drugs to be accepted as insurance drugs, are worrying whether the number of outpatients might dwindle due to increased insurance co-payments. They also point out that the biggest obstacles in the expansion of the granular type drugs as insurance drugs are the lack of understanding of the government and the objection of the Health Insurance Review and Assesment service (HIRA) for fear of increased insurance claims. 3. Upon investigation on Oriental medicine doctors' understandings of herbal pharmaceutical industry, it is found that doctors' responses on pharmaceutical industry are not all positive ones('new product development and neglect of R&D infrastructure' and 'smallness of industry'). When it is investigated what area needs the greatest improvement in herbal pharmaceutical industry, 'securing sufficient capital, good manufacturing, and strengthening quality control', is the highest. 4. When it is asked what are the most needed in order to improve herbal health insurance medicine, responses such as 'the increase in the accessibility to and the utilization of Oriental medical clinics through the diversification of the means of prescriptions', 'the improvement of insurance benefits(cap adjustments)', 'increase the proportion of high quality medicinal plants', 'the ceiling of co-payments(deductible) at 20,000 won or more', 'expansion of the choices of formulations', 'formulational expansions of tablets and pills', and finally 'admittance and expansion of granular type drug as insurance drug' are the highest. 5. Upon investigating the general characteristics of the current status of the usage of Oriental health care herbal drugs, the followings are observed. First, the frequency of use of health insurance drugs by the doctors who use health insurance with general characteristics shows similar differences in case of total monthly sales amount (p<0.001), average number of daily patients (p<0.05). Secondly, as to the willingness of the expanded usage of insurance drugs, similar differences are observed in case of total monthly sales amount (p<0.05). 6. Upon investigating the general characteristics of the perception of Herbal health care drugs, the followings are observed. First, inspecting general characteristics and insurance claims due to increased co-payments(deductible amount) reveals similar differences in case of working period (p<0.01) and in case of total monthly sales amount (p <0.01). Secondly, inspecting general characteristics and the obstacles that hinder granular type drugs from being accepted as health care insurance drugs shows similar differences in case of working period (p<0.05). 7. Upon investigating the general characteristics of the understanding of Oriental Herbal pharmaceutical companies, the followings are observed. First, opinions on the general characteristics of pharmaceutical companies, when examined with variance analysis, shows similar differences in case of total monthly sales amount (p<0.05). Secondly, when opinions are examined on general characteristics and the problems of herbal pharmaceutical companies, similar differences are found in case of working period (p<0.01) and in case of total monthly sales amount (p<0.001). Lastly, opinions on the general characteristics and reforms of pharmaceutical companies, similar differences are observed in case of working period (p<0.001). 8. Upon investigating the general characteristics of the improvement of insurance Herbal drugs, the followings are observed. First, regarding general characteristics and insurance benefits, similar differences are observed in case of working period (p<0.05), in case of total monthly sales amount (p<0.05), and in case of average number of daily patients (p<0.01). Secondly, opinions on the general characteristics and the needs for the improvement of Herbal insurance drugs are examined in 5 different aspects, which are the approval of granular type drugs as insurance drugs, the expanded practices of the number of prescription insurance drugs, the needs of a variety of formulations, the needs of TFT of which numbers of Oriental medical doctors are members for the revision of the existing system, and the needs of adjusting the current ceiling of the fixed amount and the fixed rate. When processed by the analysis of variance, the results show similar differences in case of average number of daily patients (p<0.01). Conclusion : From the results of this study the first measures to take are, to reform overall insurance benefit system, including insurance co-payment system(fixed rate cap adjustment), to expand the number of the herbal drugs to be prescribed matching with insurance benefit accordingly, and to revitalize herbal medicine insurance system through the change of various formulations. In addition, it is recommended to improve the effectiveness of herbal medicine by making plans to enhance the efficacy of herbal medicine and by enabling small pharmaceutical companies to outgrow themselves.

• 한국학교보건학회지
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• 제14권1호
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• pp.131-143
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• 2001

The primary aim of this dissertation is to contribute to the improvement of methods in physical examination by providing quality information for the current school system and advice for improving status. Present status, controversial points and possible remedies in physical examination were analyzed on a frequency and percentage basis. An $x^2$-test was used to verify the statistics between the results from the examination and each variable. In case of multiple categories of variables, an $x^2$ cs was adopted. Chronological data as well as both total and sampling physical examination data verified the statistics using an $x^2$-test. This thesis is based both on the data from middle school health care specialists in Gyunggi Province and on the analysis of physical examinations reported from local schools to the municipal education agency from 1997 to 1999. The results of the study are as follows: First, according to the survey, only 29.0% of the total schools had their school doctors examine all the students while most of the educational institutions failed to implement the whole process of physical examination on the list. It also turned out that the more students the schools have, the lower the rate of implementation of physical examination by school doctors(p=0.014). Second, the average time a school doctor spends for checkup turned out to be approximately 1.7 minutes per student This means that the quality of the physical examination is not guaranteed in the process. Third, 47.7% of those surveryed say that a dental examination was performed, each taking 21.24 seconds on average. In addition, it shows that some 31.5% wanted to have a task force team for dental checkups at the local health center. Given the fact that dental caries among students is progressively on the rise, the dental health centers that are now set up in some elementary schools should be expanded to cover the whole educational institution in order to raise awareness of the importance of dental care. Fourth, 48.5% of those surveyed say that a comprehensive physical examination should be adopted to promote the health of high schoolers. Since it takes a lot of public funds to implement a comprehensive method, it is essential to make sure that in-depth studies should be based on the frequency and methods of physical examination. Fifth, regarding such diseases among 3rd year middle school students in 1999, statistics shows that there was a slight difference in the prevalence rate of color blindness, and allergic diseases for male students ; and color blindness, hearing disturbance and allergic disease for female students. For those items, however, it is too little to say that there is a significant difference and accordingly it is assumed to be a problem of the measuring process. Sixth, the result of analysis on the sample physical examination and the total physical examination of the year 1999 shows as follows: For male students in the 3rd year of middle school, a slight difference appeared to those students in 11 items including eye problems and eye disease, otitis media, tonsillar hypertrophy, spinal shape, respiratory urinary allergic disease and other abnormal diseases(p<0.05). Particularly, the prevalence rate between students with and without disease was shown to be two times more in the following: eye problems, otitis media, tonsill hypertrophy, allergic diseases, etc. For female students in the 3rd year, prevalence rate showed little difference in 14 items(p<0.05). For items including eye problem, otitis media, tonsill hypertrophy, allergic disease, etc. it was shown that the rate was two times more between students with and without diseases. Physical examinations under the current school system are not producing any fundamental results for the health of the students. Methods and results are not trustworthy. Accordingly, a drastic overhaul of the current practices is needed in frequency, methods and items on the list in order to promote the health of the students. Cost-benefit studies as well as political considerations to ensure the development of efficient methods for physical examination are urgently needed at this moment.

• 한국치위생학회지
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• 제7권4호
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• pp.583-594
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• 2007

The purpose of this study was to conduct a survey on the senses that preliminary dental hygienists have on employment, who applied for the National Dental Hygienist Examination, so that it could provide a basic reference required for fostering good human resources specializing in oral health with a sense of mission and responsibility as professional. To meet these goals, a self-administered questionnaire survey was conducted for participants in a refresher education meeting for preliminary dental hygienists across three major regions(Seoul, Daejeon and Busan), which was held by the Korean Dental Hygienists Association(KDHA) on Jan. 15, 2006. Total 289 sheets of questionnaire were collected, and 262 sheets except invalid or incomplete ones were used for examination and analysis. As a result, this study came to the following conclusions: First, it was found that 40.4% respondents wanted to be employed in dental clinic or hospital. Most respondents(90.1%) answered that faithfulness is most valued as prerequisite qualification for employment in hospital, and highest percentage of respondents(39.3%) wanted to earn 16 to 17 million Korean won annually. For internship opportunities, 61.9% respondents replied that they could willingly accept the internship, provided that basic pay and switchover to regular employee are all assured. Second, as the results of survey on employment circumstances around respondents, it was found that most respondents(58.3%) were employed in dental clinic or hospital, and highest percentage of respondents(35.0%) earned 15 to 16 million Korean won. Third, it was found that interpersonal relationships among employees had most significant effects(4.81) on selection of employment, which was followed by in-house welfare benefits 1(monthly/annual vacation, resting room, etc; 4.56). For possible influential factors on the selection of employment depending on whether employed or not, it was found that there were Significant differences in pay, welfare benefit 2(seminar, orientation, refresher training opportunities, etc), post-wedding continued employment and merit system between employees and non-employees(pE0.05). Fourth, the survey on respondents' occupational senses of dental hygienist showed that major tasks of dental hygienists were represented by oral disease prevention(92.6%), case management(71.5%), oral health education(66.3%), hospital/clinic management and dental management support(10.4%) and public oral health activities(6.7%) respectively. For job satisfaction, it was found that almost half respondents(48.9%) showed satisfaction at their job and 32.6% felt satisfied at and proud of their job. That is, majority of respondents(81.5%) felt satisfied at their job as dental hygienist. For follow-up requirements to qualify for dental hygienists, it was found that 73.3% felt it necessary to give more investments to self-development, 62.2% respondents considered protection of membership's rights as one of future assignments that KDHA should be more committed to. For future social awareness about dental hygienists as occupation, 69.2% respondents expected that they would be better developed and treated as professional. And desired training courses as a part of qualification for professional dental hygienists were represented by case management(services, manners, etc; 33.3%), implant(28.9%), esthetics(correction, prosthesis, whitening; 18.9%) and so on. For an item on working years, it was noted that 75.9% respondents would keep working as dental hygienists as long as they could.

• 한국사회복지학
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• 제50권
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• pp.33-59
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• 2002

본 연구는 복지권의 개념을 체계적으로 정립하고 우리나라 국민들의 복지권에 대한 인식과 태도를 조사하여 복지발전을 위안 정책적 시사점을 제시하고자 하였다. 조사방법은 여론조사 전문기관을 통해 전국 16개시도 2,050명을 대상으로 전화설문조사를 실시하였다. 조사결과 첫째, 대다수의 국민들은 복지의 1차책임이 국가에 있으며, 본인의 복지수급권에 대해 긍정적으로 인식하고 있었다. 또한 수급권 자격박탈에 대한 이의신청이나 제도개선을 위한 시민단체활동에 적극적으로 참여할 의사를 보이는 등 권리인식과 권리행사 측면에서 매우 높은 인식적 특징을 보였다. 둘째, 의무이행에 있어 세금인상과 보험료 인상에 대해서는 사안에 따라 찬성 혹은 반대의 유보적 입장이 가장 많았으며 보험료 인상에 대한 반대의지가 좀더 두드러졌다. 거주지 복지시설 설치에 대해서는 90% 이상이 찬성의 뜻을 보였고, 복지 발전을 위한 실천방법에 있어서도 성실한 세금납부, 자원 봉사활동 참여 등 적극적 참여의사를 나타내기도 하였다. 셋째, 우리나라의 전반적 복지수준이나 복지제도에 대한 평가는 매우 부정적이었다. 즉, 복지수준은 중진국 혹은 후진국으로 인식하고 있었으며, 복지보장 수준은 잘사는 사람에게만 일부 보장되어 있거나 전혀 보장되어 있지 못하고, 잘 갖추어진 복지제도는 아무 것도 없다는 인식이 지배적이었다. 결국 우리나라 국민들의 복지권 인식이나 복지발전을 위한 실천의지가 높은데 비해 세금인상이나 보험료 인상에 대한 의무이행의지가 부정적인 것은 현재 우리나라의 복지정책과 복지제도에 대한 불신에 의한 것으로 해석된다. 본 연구는 복지정책이 국민들의 정치적 태도에 중요한 영향을 미치고 있으며, 정책당국은 더 이상 국민들을 수동적인 복지의 대상으로서가 아니라 정책의 파트너로서 인식하고 국민들의 높은 권리의식과 복지발전을 위한 실천의지가 반영될 수 있도록 정책을 수립해야 할 것임을 시사하고 있다.

• 대한기관윤리심의기구협의회지
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• 제2권2호
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• pp.37-48
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• 2020

Purpose: The purpose of this study is to assess the operational status and level of understanding among IRB and HRPP staffs at a hospital or a research institute to the HRPP guideline set by the Ministry of Food and Drug Safety (MFDS) and to provide recommendations. Methods: Online survey was distributed among members of Korean Association of IRB (KAIRB) through each IRB office. The result was separated according to topic and descriptive statistics was used for analysis. Result: Survey notification was sent out to 176 institutions and 65 (37.1%) institutions answered the survey by online. Of 65 institutions that answered the survey; 83.1% was hospital, 12.3% was university, 3.1% was medical college, 1.5% was research institution. 23 institutions (25.4%) established independent HRPP offices and 39 institutions (60.0%) did not. 12 institutions (18.5%) had separate IRB and HRPP heads, 21 (32.3%) institutions separated business reporting procedure and person in charge, 12 institutions separated the responsibility of IRB and HRPP among staff, and 45 institutions (69.2%) had audit & non-compliance managers. When asked about the most important basic task for HRPP, 23% answered self-audit. And according to 43.52%, self-audit was also the most by both institutions that operated HRPP and institutions that did not. When basic task performance status was analyzed, on average, the institutions that operated HRPP was 14% higher than institutions that only operated IRB. 9 (13.8%) institutions were evaluated and obtained HRPP accreditation from MFDS and the most common reason for obtaining the accreditation was to be selected as Institution for the education of persons conducting clinical trial (6 institutions). The most common reason for not obtaining HRPP accreditation was because of insufficient staff and limited capacity of the institution (28%). Institutions with and without a plan to be HRPP accredited by MFDS were 20 (37.7%) each. 34 institutions (52.3%) answered HRPP evaluation method and accreditation by MFDS was appropriate while 31 institutions (47.7%) answered otherwise. 36 institutions answered that HRPP evaluation and accreditation by MFDS was credible while 29 institutions (44.5%) answered that HRPP evaluation method and accreditation by MFDS was not credible. Conclusion: 1. MFDS's HRPP accreditation program can facilitate the main objective of HRPP and MFDS's HRPP accreditation program should be encouraged to non-tertiary hospitals by taking small staff size into consideration and issuing accreditation by segregating accreditation. 2. While issuing Institution for the education of persons conducting clinical trial status as a benefit of MFDS's HRPP accreditation program, it can also hinder access to MFDS's HRPP accreditation program. It should also be considered that the non-contact culture during COVID-19 pandemic eliminated time and space limitation for education. 3. For clinical research conducted internally by an institution, internal audit is the most effective and sole method of protecting safety and right of the test subjects and integrity for research in Korea. For this reason, regardless of the size of the institution, an internal audit should be enforced. 4. It is necessary for KAIRB and MFDSto improve HRPP awareness by advocating and educating the concept and necessity of HRPP in clinical research. 5. A new HRPP accreditation system should be setup for all clinical research with human subjects, including Investigational New Drug (IND) application in near future.

• 한국식품위생안전성학회지
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• 제38권5호
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• pp.373-380
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• 2023

본 연구는 국내 가정에서 사용하고 있는 냉장고 및 냉동고의 온도 분포에 대한 현황을 파악하기 위하여 냉장고 대상 25가구, 냉동고 대상 25가구를 선정하고 온도 측정을 시행하였다. 가정용 냉장 및 냉동고의 실제 공간상의 온도 분포 조사 결과, 냉장고 대상 가구에서 측정된 온도는 최저 -8.2℃, 최고 15.8℃, 평균 3.73℃로 조사되었으며, 공간 위치별 온도 분포는 문 보관 칸 5.06±1.69℃, 내부벽면 4.18±1.19℃, 내부 보관함 3.41±1.36℃로 내부 보관함의 온도가 가장 낮았고, 각 위치에서 상단 및 하단의 유의적인 온도 차이는 문 보관 칸에서만 확인되었다(P<0.01). 냉동고 대상 가구에서 측정된 온도는 최저 -30.3℃, 최고 0.7℃, 평균 -17.95℃로 조사되었으며, 공간 위치별 온도 분포는 문 보관 칸 -17.19±1.68℃, 내부 벽면 -17.81±1.07℃, 내부 보관함 -18.78±1.72℃로 냉장고 결과와 동일하게 내부 보관함의 온도가 가장 낮고, 문 보관 칸에서만 상·하단의 유의적인 온도 차가 확인되었다(P<0.01). 냉장·냉동고 내에서 위치별 최대 온도 차이는 각각 2.18℃, 2.02℃로 확인되었으며, 결론적으로 냉장·냉동고 전체의 온도가 일정하게 유지되는 것이 아니며, 보관되는 위치별로 유의적인 편차가 존재하는 것으로 나타났다. 이에 따라 냉장·냉동고 제조사와 공공기관에서 식품별 권장 보관 위치를 고객들에게 적극적으로 권고하고, 각 가정에서는 온도 변화에 민감한 식품을 보관할 경우 문쪽 보관을 지양하는 등 보관관리 의식을 가져야 할 것으로 사료된다.

• 마케팅과학연구
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• 제18권4호
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• pp.61-118
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• 2008

본 연구는 국내외 프랜차이즈의 해외진출에 대한 연구들을 바탕으로 국제프랜차이징연구의 전체적인 연구체계를 세워보고, 연구체계를 형성하고 있는 연구요인들을 확인하여 각 연구요소별로 이루어지는 연구주제와 내용을 살펴보고, 앞으로의 연구주제들을 제안하고자 한다. 주요한 연구요소들은 국제프랜차이징의 동기 및 환경 요소과 진출의사결정, 국제프랜차이징의 진입양식 및 발전전략, 국제프랜차이징의 운영전략 및 국제프랜차이징의 성과이다. 이외에도 국제프랜차이징 연구에 적용할 수 있는 대리인이론, 자원기반이론, 거래비용이론, 조직학습이론 및 해외진출이론들을 설명하였다. 또한 국제프랜차이징연구에서 보다 중점적으로 개발해야 할 질적, 양적 방법론을 소개하였으며, 마지막으로 국내연구의 동향을 정리하여 추후의 연구방향을 종합적으로 정리하였다.

• Asia Marketing Journal
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• 제14권2호
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• pp.209-237
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• 2012

오늘날의 소비자들은 가격, 제품의 품질 등 실용적 가치 보다 쇼핑의 즐거움, 라이프스타일의 구현, 매력적인 점포쇼핑환경, 브랜드 애착심 등의 정서적 가치를 더 중요하게 생각하고 있다. 이처럼 소비자들은 단순히 상품만을 구매하기보다는 다양한 가치를 얻기 위해 쇼핑을 한다는 사실은 여러 연구에서 제안되었다(안광호와 이하늘 2011; Mathwick 등 2001). 이렇듯 소매점포 선택과 관련한 소비자행동차원의 쇼핑경험가치와 브랜드자산에 대한 중요성과 관심이 높아지고 있지만 관련 연구는 미미한 실정이며 이와 관련한 비교문화적 연구는 매우 미비한 실정이다(황순호 2010). 본 연구는 한국과 중국의 소비자들의 소매점포 선택과 관련한 소비자행동연구의 필요에 의해 시작되었다. 또한 소비자행동분야에서 소비자 경험이 중시되면서 소매점내 쇼핑경험가치에 초점을 맞추었다. 본 연구는 정치, 경제, 사회, 문화적으로 서로 다른 한국과 중국의 소비자들을 대상으로 대형할인점 소매점포에서 고객들이 지각하는 쇼핑 경험가치와 브랜드자산과의 관계를 밝혀내고 이를 통해 점포 충성도와의 관계를 찾아내어 소매점의 쇼핑 경험가치와 관련된 시사점을 찾아내기 위한 국가 간 비교 연구를 시도하였다. 본 연구는 이론적 배경으로 쇼핑가치와 유통브랜드 자산, 그리고 점포 충성도에 대한 이론적 배경을 소개하였으며, 가설 검증을 위한 자료 수집을 위하여 한국과 중국의 대형할인점 고객들을 대상으로 한국과 중국의 대도시 (서울 과 북경) 소비자들을 표본프레임으로 설정하고, 대면 설문조사를 실시하였다. 연구의 결과 한중간 소비성향 차이 비교에 대한 결과를 요약하면 다음과 같다. 첫째, 한국소비자와 중국 소비자 간의 소비성향차이를 검정한 결과 중국 소비자들은 심미적 소비성향과 상징적 소비성향의 평균값이 한국 소비자들에 비해 높게 나타났으며 한국 소비자들은 쾌락적 소비성향이 중국소비자들에 비해 상대적으로 높은 것으로 나타났다. 둘째, 대형할인점에 대한 한국과 중국의 브랜드 자산 지각에 대한 연구결과 중국에 비해 한국 소비자들이 브랜드 인지와 브랜드 이미지를 모두 높게 지각하는 것으로 나타났다. 셋째, 한국과 중국에서 편의점과 할인점 이용 고객들이 지각하는 소매점에서의 쇼핑경험에 대한 탐색적 요인분석결과 각각의 국가에 따라 각기 다른 쇼핑경험가치가 나타났다. 한국의 할인점에서는 소비자이익 가치, 심미성가치, 유희성 가치가 중요한 쇼핑가치로 도출되었다. 또한 중국의 할인점에서는 유희성 가치, 심미성 가치, 소비자이익 가치, 서비스우수 가치가 중요한 쇼핑경험가치로 도출되었다. 이러한 연구의 목적에 대한 실증적 분석을 바탕으로 한국과 중국의 대형할인점 소비자들의 쇼핑경험가치과 브랜드자산을 바탕으로 한국의 대형할인점에 있어서 경험가치의 이론적 중요성에 관한 새로운 통찰력을 제공하여 주며 충성도 제고에 있어서 브랜드관리의 중요성에 대한 이론적 시사점을 제공하여 준다. 이와 더불어 유통의 국제화 시대에 있어서 대형할인점의 국제화에 요구되는 한국과 중국 간의 고객 가치의 차이점에 대한 비교문화적 관점에서 중요한 실무적 시사점을 제시한다. 즉, 해외유통전략을 실행하는데 있어서 쇼핑가치에 기반한 현지화 전략의 중요성에 대한 시사점을 제시하여 주며 국가차원에서의 차별적 유통전략의 개발 필요성을 제안하여 준다.