• The Korean Society of Law and Medicine
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• v.11 no.2
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• pp.309-335
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• 2010

This study is a paper reviewed legal status of medical personnel and issues of law on recently discovered medical records. As the increase of medical personnel who have gone through the administrative disposal in regards to the medical records, it is needed to examine the legal issue or dispute on the medical records under the current law. Medical records are the statement on patient's medical conditions made by the medical personnel. This records are used as important source for patient's further treatment. This becomes the communication route between the patients and the other medical personnel, and it provides the patients a right to find out their medical information. According to the Medical Service Act (Article 21), a medical personnel shall prepare respectively a record book of medical examination and treatment. And medical personnel shall make a signature. Furthermore, the medical personnel or the opener of the medical institutions must preserve the record book (including an electronic medical record). Meanwhile, the issues of a ban on false entry, additional record, revision or manipulation on the medical record have been recently on the rise. This paper briefly examined the major issues in regards to the medical records. It especially clarified the legal duty on medical records and its major-contentious-issues. At the same time, it pointed out the problems of the unreasonable over interpretation of the law. Furthermore, this suggested the guidelines for the further discussion and review.

• The Journal of Korean Medicine
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• v.28 no.3 s.71
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• pp.116-125
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• 2007

Objective : To overview the protocols of clinical acupuncture research on cancer in the USA. Methods : Using 'acupuncture' and 'cancer' as keyword search terms in Clinical Trials. gov, 28 clinical studies were found. Three studies by non-American institutions were excluded and 25 studies were analyzed. Analytic parameters were cancer condition, primary outcome, research institution, study design, and acupuncture intervention. Results : Breast cancer was the most frequent single condition in the searched protocols. Pain and quality of life were the primary outcomes in many studies. Memorial Sloan-Kettering Cancer Centerin New York has performed the largest number of acupuncture cancer studies. The majority of studies were randomized controlled trials with active controls or placebo/sham controls. Total enrollment varied between the range of 10 and 700 subjects and ages of these subjects were at least above 18 years old (except one protocol). Most protocols had strict exclusion criteria for acupuncture needling such as bleeding disorders, infection, heart disorder, and central nervous system disorder. Conclusions : Clinical acupuncture studies for cancer patients have focused on pain, quality of life, and side effects induced by anti-cancer therapies. Re-evaluation and cautions for strict exclusion criteria in foreign countries are required to perform multi-national acupuncture trials.

• Quality Improvement in Health Care
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• v.2 no.1
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• pp.118-124
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• 1995

Background: Clinical indicators are objective measures of process or outcome of patient care in quantitative terms. This study aims to review the medical records of patients who 'return to operating room during the same admission', which is one of the critical clinical outcomes, and describe the result by unplanned reoperation rate. Methods: Computerized patient registry was used for selecting subject conditions. For medical records retrieved, two nurse evaluators identified the presence of explicit reoperation planning in medical records. Results: Overall reoperation rate was 2.8% and unplanned reoperation rate 1.3%. The main category of reoperation cause was the postoperative bleeding. Duration of stay from previous operation to reoperation of the unplanned group, 12.7 days, was shorter than that of the planned(p< .05). The differences did not reach statistical significance in age, sex and length of stay. Conclusion: Results suggested that unplanned reoperation rate was lower than 'threshold' level other institutions had established. However, this result could become comparable only after management of medical records would be improved and risk adjusted.

• Korean Medical Education Review
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• v.17 no.1
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• pp.20-25
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• 2015

In light of changes in today's medical environment, whether to dismantle the 50-year-old internship training system in the Republic of Korea is under debate. Although the question remains open, discussions on such issues have drawn attention to the quality of the clinical clerkship and student career advisory programs in medical colleges. The purpose of this study is to analyze the experiential clerkship and career exploration issues. Ensuring excellence of the clerkship and career advisory sessions is an essential responsibility of educational institutions regardless of whether the intern training system is dismantled. Important objectives of the experimental clerkship include reinforcing prerequisites established by law, introducing a student practice license, developing a standardized clinical assessment and student portfolio requirement, and publishing a guidebook for clinical directors. For career exploration, it is necessary to broaden participants' experiences of specialties and to manage the variety of student career guidance programs. It is imperative for the Korean Association of Medical Colleges, in collaboration with medical colleges, to play a leading role in focusing more attention and effort on such issues.

• Asian review of World Histories
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• v.2 no.2
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• pp.197-216
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• 2014

This paper examines A. G. Frank's views about 15th-19th Korea (Joseon Dynasty) in his Reorient. A. G. Frank recognized that Korea might have played a great role in the international relations of East Asia, but he did not write systematically about it and he did not treat Korea as an independent player in the history of East Asia. I think the greatest limitation to his re-interpretation of East Asia is in that he depends too much on China's and Japan's perspective. In order to overcome Frank's shortcomings regarding the history of Korea, first I examine what Frank recognized about the Joseon dynasty between 1400 and 1800. Next I compare Joseon's development to that of China and Japan between 1400 and 1800. Frank compared Europe and East Asia (mainly China and Japan) from three aspects of quantities (population, production, productivity, and trade), qualities (science and technology), and mechanism (economic and financial institutions). With this research we insist that Joseon should not be dismissed in 15th-19th East Asia. The reasons are as follows. First, Joseon between 1400 and 1800 had developed economically as much as China and Japan. Second, Joseon had played a great role in connecting China and Japan and had a positive influence on the development of Japan. So we need to reappraise Reorient's view about East Asia. Only when role of Joseon can be correctly estimated, the dynamics and diversity of East Asia can be properly understood.

• The Journal of Asian Finance, Economics and Business
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• v.3 no.4
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• pp.81-90
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• 2016

The core purpose of the paper is to explore perceptual displays of rural India towards the role and impact of ICT in transforming the lives through education and telecommunications. After meticulous review of pertinent literature on ICT, and its policy framework, the researcher administers both quantitative and qualitative field data collected from the villages of Andhra Pradesh, Karnataka, Kerala, and Tamil Nadu with a sample of 250 from each state. More than 90 percent of respondents from the four southern states in India clearly thought that the role and impact of ICT is very momentous. Predominantly, cent percent respondents from Kerala evinced that ICT is the major reason for achieving the tag of "100% Literacy State". And also in the remaining three states viz., Andhra Pradesh, Karnataka, and Tamil Nadu, the literacy rate has crossed mind-boggling figures only because of ICT's reinforcement. Even in the arena of telecommunications, these four states average telecom density is more than the country's average. The paper concentrated only on how ICT function empirically to build human capacity in rural south-India through the sectors of only education and telecom. This study is first of its kind and precious to all stakeholders of the ICT sector like educational institutional, telecom firms, customers, employees, and governments, etc.

• Korean Journal of Oriental Medicine
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• v.13 no.1 s.19
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• pp.125-128
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• 2007

Objective : This study aims to review the current status and problems of Korean Medicine and attempts to come up with the means to present a comprehensive and effective set of statistical data. Methods : We have analyzed the current statistics and tried to show how to establish an effective system to gather and organize statistics related to Korean Medicine, including national surveys by the Ministry of Health and Welfare or other relevant insititutions. Results : The existing statistics in Korean Medicine were established not as a result of national demand based on comprehensive analysis but due to the demand of the government ministries such as the Ministry of Health and Welfare or other relevant institutions. Thus, the statistics have been revealed to possess limitations such as a lack of systemization and consistency. In addition, the statistics analyze only the current industrial status of Korean Medicine, and as a result the information in unable to show systematic data for innovation, which is indispensable for the advancement and development of the Korean Medicine industry. Conclusion : To improve the statistical data in Korean Medicine, the statistics need to get over not only the level of management or regulation in Korean Medicine, but also the production of fragmentary statistics. It has to ultimately reflect the innovative activities in Korean Medicine nationally, and show what we need to advance and develop the industry.

• STI Policy Review
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• v.6 no.1
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• pp.36-53
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• 2015

The rise of latecomer countries across the world directs academic attention to their catching-up and innovation processof seizing technological opportunities and combining internal and external knowledge. Different from the developed economies as well as the newly industrialized economies, China presents a special innovation environment, wherein its technology regime, market opportunities, and institutions are complex and the globalization trend affects competition in a broader way. In thiscontext, we clarify and extend the framework of "secondary innovation". This framework describes the dynamics of those with relatively poor resources and capabilities in their efforts to capture the values of mature/emerging technology or business models by acquiringthem from across borders and then adapting to catching-up contexts. Such processes, differentiated from original innovation that involves the whole process from R&D to commercialization, has become a prevailing regime during paradigm shifts. In particular, unlike the traditional catch-up literature that focuses more on technology, the secondary innovation framework inclusively contains both technology and business model innovation, and puts forward the co-evolution between the two elements, which is more applicable to China's context. In accordance, we also provide implications towards fulfilling the goal of building an innovation-driven nation.

• Journal of Korean Academy of Nursing
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• v.34 no.3
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• pp.552-564
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• 2004

Purpose: This study was to develop a client health status outcome evaluation instrument, and examine content validity, reliability, construct validity, and the acceptability of this instrument. Method: A preliminary list was made of such key information as standards, criteria, indicators and measures, by means of a broad review of literature within the field. After determining the preliminary instruments, the study sought to obtain examination, consensus, and modification of two groups of experts in the home-care field. Finally, the instrument examined content validity, reliability, construct validity, and the acceptability of this instrument. Result: The tool was considered of 13 criteria, 48 indicators, and 167 detail measures. The content validity index of the tool was above 0.8 according to the expert group. Regarding the reliability of the evaluators of standards 1 and 2, the degree of agreement between evaluators was high(96.4% through 98.2%). Construct validity in this study, the difference in the mean score between the baseline point and the follow up point of each of standards 1 and 2 was significant, and the mean score of the follow up point was more than that of the baseline point. After examining the acceptability of this instrument with practice managers and home care nurses in home care institutions, a positive opinion was given of this instrument, and it was indicated that to be useful and applicable in home care practice. Conclusion: The results of evaluating client outcome will contribute to overall outcome-based quality improvement and service marketing in home care by providing a constant gauge of home care effectiveness.

• Journal of the Korean Home Economics Association
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• v.18 no.2
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• pp.57-62
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• 1980

This paper is a review of articles selected from Journal of Home economics (1973~1979) with the purpose of studying new direction of home economics in america. Regarding the future of home economics in America. Regarding the future of home economics, the following points were important : 1) Top priorities for future directions in home economics were developed at the 11th Lake Placid Conference and published in "Home Economics New Directions 11" (May 1975). 2) A new definition of home economics by University of Arizona students described the uniqueness of home economics clearly, and in easily understandable terms. 3) A human ecosystem model which depicts human beings existing I interaction with the total environment was found to be a new approch to the concept of home economics. 4) A proposal was made for offering home economics courses to students in professional human service fields. Some of the problems of home economics which need to be solved: 1) The emphasis on specialization in a major field has made home economics just a collection of specialities. 2) The change of the designation "home economics" to other lables by some institutions has brought confusion. 3) Inadequate supply of competent faculty is the cause of inactive home economics research. 4) Teaching sex defined roles is outdated. The above findings give insights to Korean home economics which is faced with a variety of problems in a rapidly changing society.