The World Health Organization and its member states, in 1978, declared that primary health care is a key to attain the goal of Health for All by the goal of Health for All by the yeas 2000. As a member state of WHO, the Republic of Korea has participated in the declaration of ALMA-ATA and committed to put national efforts for devedoping and implementing primary health care approach with the spirit and content of this Declaration. Since 1978, to translate the spirit of the Declaration into realization, Korean goverment has developed a new category of health manpower such as Community Health Practitioners serving people living in remote rural areas and Village Health Workers serving voluntarily their own village, strengthened the function of Health Centers and Health Subcenters through their reorientation and improved the infrastructure by their new construction or renovation. While primary health care is viewed as an essential health care in Korea, there are some circles who follow a narrow definition in referring to the health care at the periphey of a health system, which is erroneous. Considering the PHC is accepted as the best alternative approach to health care to solve problems that modern health systems are facing, we propose the followings as desirable health policy directions that modern health systems are facing, we propose the followings as desirable health policy directions which might translate the persopective into action at the national level after reviewing past and current PHC approach in Korea : 1. To improve the equity through the reduction of gaps between those who have access to health care and those who have not. 2. To reinforce multisectoral approach and intersectoral coordination through the re- establishment of the National Health Council or establishment of equivalent organization at the central level. 3. To stengthen community participation through lacal people's empowerment by leadership training, changing planning process from the top-down approach to bottom-up and giving the priority to human resources rater than technology, 4. To reinforce the Ministries of Health and Social Affairs through upgrading its role and function to Coordinate Ministries which involve human welfare policies, and creating a Division which is in charge of PHC in the Ministry.
Park, Junwon;Lee, Sang-Ho;Kim, Sung-Hoon;Won, Jeong-Hun;Yoon, Young-Cheol
Journal of the Korean Society of Safety
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v.33
no.2
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pp.76-85
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2018
The interest in the Building Information Modeling (BIM) technology has risen remarkably due to the effects on construction work period reduction, cost reduction, work safety improvement, and other factors. In civil engineering field, BIM applications mainly focus on data modeling and virtual construction. In this study, we present the BIM-based virtual construction and analyze the effects of BIM for the railway facilities so that the conventional approach to the equipment operation plan can be improved in order to prevent safety accidents which can result from unclear information during the operation plan. The BIM-based virtual construction technology is applied to establish the construction plan for the site with constraints, the installation of steel girder needs to be completed, avoiding interference with the existing high-speed railway operation within a given limited time. A virtual construction model consisting of topography, structures, equipments, and avatar was built and more detailed model, including safety guard rails, was then created. Specifications of the construction equipment were input as a database, and the virtual construction model was manipulated in the equipment operation planning. Through the BIM-based virtual construction, including the verification of alternative construction method, 311 million won was saved and the construction period was shortened by 87 days compared to the original plan. In addition, it was shown that the interest and participation of the construction workers can be increased by providing the 3D virtual scene for real construction work and various safety hazards occurring during equipment operation can be effectively removed in advance by the interactive worker education.
Since China was admitted to the World Trade Organization (WTO) on December 11, 2001, China has sped up its active participation in the competition of the world economy by lifting its trade and investment restrictions and limits. Its trading system is getting more and more free and its huge market with a population of 1.3 billion has been getting more and more open. With Chinas WTO accession, China has been honoring its commitments to its WTO members by complying with international business practices and WTO rules. For example, it will cut down its import tariffs for automobiles from the present 80% to 25% by 2006. Its financial sector and service industries are open to foreign investors now. As Chinas biggest business partner, Japan has benefited tremendously from Chinas open policies and deepening economic reform. In order to reduce the costs of production, a large number of enterprises from Japan have set up production bases in China since a Chinese workers wages accounts for only one tenth of those of a Japanese worker on the average. Japan has become one of Chinas biggest investors on a par with the United States of America (USA). How are the Japanese enterprises in Japan and in China adjusting themselves to the rapid changes of the Chinese market? What characteristics do the Japanese enterprises in China have? What effects has Chinas WTO accession had on those Japanese enterprises that have invested in China? This paper finds answers to the above questions. It at first reviews the Sino-Japanese economic and trade relations since 1980s, then analyses the situation and characteristics of Japanese-invested enterprises in China, and explores their problems in China. Finally it puts forward some suggestions for the Japanese enterprises in China.
Purpose: The present study was carried out to measure knowledge level and behavior of family health personnel (FHP) in Izmir on early diagnosis of breast and cervical cancers. Materials and Methods: The study population of this cross-sectional study was not selected. A questionnaire was applied to all FHP to measure knowledge level and behavior about cancer. The participation rate was 88%. Breast examination, mammography analysis, Papanicolaou smear applications were determined as dependent variables, and knowledge level about breast and cervical cancer, age, professional time as FHP as independent variables. Data were evaluated using definitive statistics, chi-square and logistic regression tests in SPSS software package for Windows 15.0. Results: A total of 970 family health personnel participated in the research. The age range was 20-45 years (82.4%). Mean age was $37.9{\pm}7.4$. Response rate was 87.3%. Of the participants, 88.4% performed breast self-examination. Rate of performing mammography at least once was 24.1%. Rate of performing Pap-smear examination at least once was 61.0%. In logistic regression analyses, it was determined that people with knowledge on breast and cervical cancer were those performing breast self-examination, mammography and Pap-smear examinations (p<0.05. Conclusions: It is essential that the knowledge, behavior and manners of health providers on early diagnosis for cancer increases awareness in the general population and provides information on execution ofthe most effective methods for generating a healthy society.
Jayakrishnan, R.;Mathew, Aleyamma;Lekshmi, Kamala;Sebastian, Paul;Finne, Patrik;Uutela, Antti
Asian Pacific Journal of Cancer Prevention
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v.13
no.6
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pp.2663-2667
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2012
Objectives: An attempt was made to understand the nicotine dependence of smokers selected for an ongoing smoking cessation intervention programme in rural Kerala, India. Methods: Data were collected from resident males in the age group of 18 to 60 years from 4 randomly allocated community development blocks of rural Thiruvananthapuram district (2 intervention and 2 control groups). Trained accredited social health activist workers were utilised to collect data from all groups through face to face interview. Nicotine dependence among participants was assessed by means of the six-item Fagerstrom Test for Nicotine Dependence (FTND) translated into the local language. The internal consistency of FTND was computed using Cronbach's alpha coefficient. Criterion validity (concurrent) was assessed by correlations of nicotine dependence scores with age at initiation of smoking and cumulative smoking volume in pack-years. Results: Among the 928 smokers identified, 474 subjects were in the intervention area (mean age = 44.6 years, SD = 9.66 years) and 454 in the control area (mean age = 44.5 years, SD = 10.30 years). The overall FTND score among current daily smokers was 5.04 (SD: 5.05). FTND scores in the control and intervention areas were 4.75 (SD: 2.57) and 4.92 (SD: 2.51) respectively. The FTND scores increased with age and decreased with higher literacy and socioeconomic status. The average FTND score was high among smokers using both bidi and cigarettes (mean 6.10, SD 2.17). Internal consistency analysis yielded a Cronbach's alpha coefficient of 0.70 in a subsample of 150 subjects, a moderate result. The association of the scale was strongest, with the number of pack-years smoked (rho = 0.677, p < 0.001). Conclusion: A moderate level of nicotine dependence was observed among smokers in the current study. Tobacco cessation strategies could be made more cost effective and productive if a baseline assessment of nicotine dependence is completed before any intervention.
Background: Cancer screening rates in Japan are much lower than those in Western countries. This study evaluated the relationship between cancer screening rates and strategies used to improve screening rates, and determined which strategy is the most effective. Materials and Methods: All municipalities are responsible for conducting gastric, lung, colorectal, cervical, and breast cancer screenings in Japan. Of the 1,746 municipalities in total, 92-99% were included in the analyses for each cancer screening. Using national data in 2009, the correlations between cancer screening rates and strategies for improving screening rates of all municipalities, both large (populations of over 30,000) and small (populations of under 30,000), were determined. The strategies used were as follows: sending personal invitation letters, personal visits by community health workers, use of a clinical setting for screening, and free screening. Results: Of all four strategies used to improve cancer screening rates, sending personal invitation letters had the highest correlations with all screening rates, with the exception of breast cancer screening. The partial correlation coefficients linking this strategy with the screening rates in all municipalities were 0.28, 0.32, 0.30, and 0.26 for gastric, lung, colorectal, and cervical cancer screening, respectively. In large municipalities, the correlations between the number of examinees in a clinical setting and the screening rates were also relatively high, particularly for cervical cancer screening (r=0.41). Conclusions: Sending personal invitation letters appears to be particularly effective in improving cancer screening rates in all municipalities. All municipalities should implement a system that sends personal invitation letters for cancer screening. In large municipalities, increasing the availability of screening in a clinical setting is also effective in improving cancer screening rates.
The Korean film market has revved up against American movies and the movie industry has continued to grow even though Korea is a small country. However, most production staffs who are responsible for practical business of film production get wages that fall short of the inflation rate and minimum wages as temporary employees. And there's the atmosphere that they try to leave film sites on the first opportunity. This study finds that the cause to leave film sites is attributed to perception gaps about the hardworking character and labor which occur in the process that production staffs enter the movie industry and participate in film production as well as poor surroundings. And it should establish staffs' hardworking character and recognition as workers to them by reorganizing the current curriculums which approach movies from the only artistic viewpoint in the departments related to movies and images that hold a large majority in their majors, establishing the concept of work according to participation in film production to potential production staffs, and changing their recognition to improve the elements that they leave the sites.
The purpose of this study was to examine some of the most important factors for the development of information systems with today's fast-paced, ever-changing, and exciting information system environment. Especially, it was focused to investigate current information technology related to develop information systems, to find some important problems during the development process, and to suggest solutions for the problems. Case research methodology was used because a natural setting was needed and a focus was on contemporary events for this study. Similarly, research phenomena was not supported by a strong theoretical base. The case was the development of an integrated information systems in a specific university. Multiple-case designs were desirable, but single-case study was used because of limitations of site selection. Multiple data collection methods were employed in this study such as documentation, interviews, and direct observation. Some major problems were found during the system development. First, the schedule to complete a project was delayed over six months. Second, the system did not ensure to align organizational goals and information systems goals based on BPR (Business Process Reengineering). Third, there was a difficulty in evaluating request for proposal (RPR) returns and choosing a vendor. Finally, information technology is changing too fast. So, it was very difficult to get the transparency of new technology The study has suggested a few solutions: top management support, matching If planning with business planning, complete project plan and control, user participation, and training Finally, joint application development (JAD) is strongly recommended, which is a workshop that unites management, IT specialists, and knowledge workers to define and specify the logical requirements and technical alternatives for a proposed system.
Over the past decades, changes in economic, social and demographic structures have pushed the growth of care employment across countries around the world. Women's increasing labor force participation has squeezed the time so far available for unpaid caregiving and led to increased demand for paid care services. Population aging and increasing needs for pre-school education also have contributed to the growth in demand for care services. As a result, care workers now comprise a large and growing segment of the labor force in many countries including South Korea. But, there are not a few problems. Especially, we take underpaid and undervalued care work very seriously. care work has been generally characterized as underpaid and undervalued compared with other work in developed and developing countries alike. This study tries to show current situation of care work and estimate the wage penalty for doing care work in Korea using official employment micro-data and applying propensity matching analysis. Especially, recent expansion of social service is a big step up for Korean Welfare State. But, there are not a few problems. Especially, we take underpaid and undervalued care work very seriously. This presentation tries to show current situation of care work and estimate the wage penalty for doing care work in Korea using official employment micro-data and applying propensity matching analysis.
This paper examines the effect of trade liberalization or globalization, more broadly, on plants' growth as well as on "bi-polarization". To do so, we reviewed the possible theoretical mechanisms put forward by recent heterogeneous firm trade theories, and provided available micro-evidence from existing empirical studies on Korean manufacturing sector. Above all, the empirical evidence provided in this paper strongly suggests that globalization promoted growth of Korean manufacturing plants. Specifically, evidence suggests that exporting not only increases within-plant productivity but also promotes introduction of new products and dropping of old products. However, the empirical evidence also suggest that globalization has some downsides: widening productivity differences across plants and rising wage inequality between skilled and unskilled workers. Specifically, trade liberalization widens the initial productivity differences among plants through learning from export market participation as well as through interactions between exporting and R&D, both of which increase plants' productivity. We also show that there is only a small group of large and productive "superstar" plants engaged in both R&D and exporting activity, which can fully utilize the potential benefits from globalization. Finally, we also show evidence that trade liberalization interacts with innovation to increase the skilled-unskilled wage inequality.
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