Governing universal health insurance in Korea and Taiwan

This article examines policy responses to the rising costs of healthcare in the Republic of Korea and Taiwan from a governance perspective. It tries to answer why the two countries responded differently to a similar set of challenges facing their National Health Insurance (NHI). While Taiwan – in an attempt to contain costs – introduced a global budgeting system, Korea failed to do so. Governments in both countries attempted to establish a new mode of governance, bringing multiple stakeholders to health policy making in order to build social consensus. But the Korean government, as this article shows, could not resolve its policy deadlock because of a loss of trust between the government and the medical profession, caused by the separation reform of 2001. Even though Taiwan was better able than Korea to address the financial challenges of its NHI, the new mode of health governance is still on shaky ground. This article argues that because neither government now enjoys the exclusive power over health policy that they once did under the developmental state, it is essential to find a way in which different stakeholders can make the necessary compromises that will enable the NHI to run on a sustainable path for the future.     

Economic crisis and social policy reform in Korea

The economic crisis that broke out in Korea in December 1997 has had a chilling impact on social development in the country. Today unemployment is the highest that Korea has experienced in the past thirty years. This paper aims to examine the impact of the economic crisis on social development and the role of public policy to mitigate the problems caused by the crisis. The economic crisis has hit vulnerable groups harder, increased the proportion of part-time and daily workers, and reversed the trend of steady improvement of income distribution. The economic crisis along with the trend of aging population, globalization, and competition calls for an expanded role of social policy, which the Korean government has neglected for a long time. The main targets of social policy reform in Korea include the expansion of government programs and safety nets for the unemployed and redesigning the national pension and health insurance scheme to provide adequate income security as well as to improve the system sustainability.     

The effects of autonomy support and psychological capital on readiness for independent living through personal growth initiative among youth in out‐of‐home care

This study explored the effects of the factors on independent living readiness among youth under out‐of‐home care. Specifically, this study focused on the effects of caregivers' autonomy support and psychological capital on independent living readiness through personal growth initiative. A total of 215 youth who were expected to be discharged from caring institution within three years were gathered for the survey, and the final sample was 194 after excluding incomplete responses. Structural equation modeling with Mplus (version 7) was used to test research model and hypotheses in the study. Results showed that the research model was appropriated with several fit indices satisfied and that all the hypotheses were supported. Also, direct and indirect effects of independent variables were fully supported. However, the indirect effect of psychological capital was marginally significant. The results implicate that both caregiver's autonomy support and psychological capital are important for increasing personal growth initiative and that personal growth initiative served as a motivation to facilitating the readiness for independent living among children under institutional care.     

Order test for high-dimensional two-sample means

We propose a new method to test the order between two high-dimensional mean curves. The new statistic extends the approach of Follmann (1996) to high-dimensional data by adapting the strategy of Bai and Saranadasa (1996). The proposed procedure is an alternative to the non-negative basis matrix factorization (NBMF) based test of Lee et al. (2008) for the same hypothesis, but it is much easier to implement. We derive the asymptotic mean and variance of the proposed test statistic under the null hypothesis of equal mean curves. Based on theoretical results, we put forward a permutation procedure to approximate the null distribution of the new test statistic. We compare the power of the proposed test with that of the NBMF-based test via simulations. We illustrate the approach by an application to tidal volume traces.     

高校我推行全员聘任制的制约因素及思考

高校人事制度改革中推行全员聘任制是一项重大的举措。本文从观念、分配、考核等几方面对高校推行全员聘任制进行了必要的思考。     

Factors associated with the preventive healthcare service use among older adults in Korea: Focusing on age variation

The importance of preventive health examinations for older adults has been well emphasized due to an increase in chronic diseases associated with age. In this study, we estimated the preventive health examination participation rate and its associated factors among the elderly with specific focuses on the moderating effects between age and socioeconomic status. We used data drawn from the first to sixth waves (4164 people) of the Korean Longitudinal Study of Aging for the elderly aged 65 and over. A generalized linear model was used to address research questions. The results showed that the participation rate decreased as older adults age. The interaction between age and education was also significant, indicating that older adults with higher education were more likely to use a preventive health examination compared to those with lower education. There were no significant interaction effects between income and age. Based on the findings, implications for theory and practice were discussed with specific focuses on age‐specific approaches in preventive healthcare services for older adults.     

Causal Attributions of Dementia Among Korean American Immigrants

To better understand conceptualizations of dementia, this study explored causal attributions of dementia among 209 Korean Americans, using a self-administered questionnaire in Korean. Findings show that Korean Americans endorsed various causal attributions. Factor analysis yielded 3 dimensions of their attributions including psychological, physical/environmental, and cognitive/social. Bivariate analyses showed that younger age and higher education were related to more physical/environmental attributions, and younger age was related to more cognitive/social attributions. The study provides an understanding of causal attributions of dementia that practitioners need to understand to provide culturally competent practice and highlights a need to customize public education messages by specific ethnic groups.     

Production quantity allocation for order fulfilment in the supply chain: a neural network based approach

In the current global business environment, it is very important to know how to allocate products from the producer to buyers (or distributors). If products are not appropriately distributed due to absence of an effective allocation policy, the producer and buyers cannot expect to increase customer satisfaction and financial profit. Sometimes some buyers can order more than the actual demand due to inappropriately forecasting customer orders. This is the big obstacle to the effective allocation of products. If the producer can become aware of buyers’ actual demands, it is possible to realise high-level order fulfilment through the effective allocation of products. In this study, new allocation policies are proposed considering buyers’ demands. The back propagation algorithm, one of the learning algorithms in neural network theory, is used to recognise actual demands from the previous buyers’ orders. After excluding surplus demands included in buyers’ demands, products are allocated to buyers according to one of the existing allocation policies depending on the company's decision. In the numerical examples, new allocation policies reducing buyers’ surplus demands outperform previous allocation policies with respect to average amount of backorder.     

Korean corporate HRD in transition: issues and challenges

The purpose of this study was to explore the human resource development (HRD) practices of Korean corporations in order to highlight predominant concerns and issues. A comprehensive review of literature and empirical data indicated three recurring practices. The first was that Korean corporate HRD showed a tendency to transform informal communicative practices found in workplace settings into formally structured HRD interventions. By doing so, HRD extended its control throughout all possible types of training and learning experiences occurring in the workplace. Second, as host organizations requested HRD to play the role of strategic business partners, the function of HRD was found to be the regulation of organizational needs by focusing on the development of high potential individuals within organizations. Third, with today's demographic shift such as the increasing elderly population and the increasing number of women in the workplace, the monolithic interventions of HRD seemed no longer appropriate.     

中西部地区新型城镇化及其推进:湖南个案

中西部地区新型城镇化是我国推进新型城镇化战略的重点和难点。浏阳经济技术开发区在推进新型工业化过程中,实施了低成本战略,以"绝对成本优势"确定产业定位,以"比较成本优势"招商引资,以"低风险成本"助推产业扩张。在推进城镇化时,浏阳经济技术开发区从降低交易成本切入,亦实施了低成本战略。浏阳经济技术开发区的城镇化路径,为中西部地区城镇化提供了如下启示:城镇化发展要以工业化为依托、不可盲目造城;工业化发展必须因地制宜、立足本地优势;推动城镇化政府要有所作为,更要发挥市场决定性作用。