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Survey of Public Attitudes toward the Secondary Use of Public Healthcare Data in Korea
정준호,김형진,이승화,박정찬,임성수,양광모 대한의료정보학회 2023 Healthcare Informatics Research Vol.29 No.4
Objectives: Public healthcare data have become crucial to the advancement of medicine, and recent changes in legal structureon privacy protection have expanded access to these data with pseudonymization. Recent debates on public healthcaredata use by private insurance companies have shown large discrepancies in perceptions among the general public, healthcareprofessionals, private companies, and lawmakers. This study examined public attitudes toward the secondary use of publicdata, focusing on differences between public and private entities. Methods: An online survey was conducted from January11 to 24, 2022, involving a random sample of adults between 19 and 65 of age in 17 provinces, guided by the August 2021census. Results: The final survey analysis included 1,370 participants. Most participants were aware of health data collection(72.5%) and recent changes in legal structures (61.4%) but were reluctant to share their pseudonymized raw data (51.8%). Overall, they were favorable toward data use by public agencies but disfavored use by private entities, notably marketing andprivate insurance companies. Concerns were frequently noted regarding commercial use of data and data breaches. Amongthe respondents, 50.9% were negative about the use of public healthcare data by private insurance companies, 22.9% favoredthis use, and 1.9% were “very positive.” Conclusions: This survey revealed a low understanding among key stakeholders regardingdigital health data use, which is hindering the realization of the full potential of public healthcare data. This surveyprovides a basis for future policy developments and advocacy for the secondary use of health data.
“청정채소” 만들기 : 1950~1960년대 주한미군 군납경제와 토양매개 기생충 감염
정준호 대한의사학회 2023 醫史學 Vol.32 No.2
In the twenty-first century Korea, “Pristine Vegetables(청정채소, 淸淨 菜蔬)” refers to organic products grown without the use of pesticides and chemical fertilizers. However, the meaning of “Pristine” was radically different until 1970s. After the Korean War, the infection rate of intestinal parasite reached almost 100 percent in Korean population. Disruption in chemical fertilizers manufacturing pressured farmers to use night-soil, which was contaminated with parasite eggs, causing the vicious cycle of infection. At the same time, rapid urbanization increased the demands of fresh vegetables in the city, leading to a large amount of semi-urban agricultural practices. This was closely linked with the national economy; as most of Korean vegetable products were contaminated with parasites, they were deemed unsuitable for export. In 1957, US Army stationed in Seoul issued a guideline for producing local vegetables acceptable for US troop consumption. This gave rise to the concept of “Pristine Vegetables” that were free of any infectious materials. These practices continued well into the 1970s. Due to the lack of sewage treatment system, the waste of urban population provided necessary fertilizer for these farmers without much cost. In order to secure public health, the Korean government actively encouraged the use of chemical fertilizers, naming the vegetables “Pristine.” This effort included the ban of night- soil in urban and semi-urban farms and the establishment of Pristine Vegetable Shops. However, the rapid decline of parasitic diseases in the population and the rising concerns of environmental pollutions reshaped Pristine Vegetables from chemical to organic in the 1980s. Thus, Pristine Vegetable in Korea during late twentieth century exemplifies rapid transformation of the urban environment, showing shifted concept of cleanness and contaminants among the public and policymakers, as well as acceptable risk of the urban environment in Korea.
정준호 한국비교정부학회 2015 한국비교정부학보 Vol.19 No.1
Since the socialist regime was established in China, the cultural heritage has become the object of protection, and while in a time of turmoil the cultural heritage has become the object of breaking. However, with the changes in the domestic and international environment after the reform and opening up, the new patriotism emerged in recognition of the cultural heritage including the cultural relics and intangible cultural heritage of the change occurred. This paper analyzes how the new patriotism impacts the cultural heritage policy in terms of the concept of cultural heritage policy, the management system of cultural heritage, and the implementation of cultural heritage policy, and the results are as follows. First, due to the impact of patriotism, the cultural heritage has be come a key means to enhance the stability of the socialist regime and legitimacy of the Communist Party. Second, due to the influence of patriotism, the scope of the cultural relics has been expanded, and the intangible cultural heritage protection and management system have been established. Third, 356 patriotism education demonstration bases have been selected over four times since 1997, and actively develop initiatives to foster patriotism by utilizing a variety of intangible cultural heritage of each region.