Education
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Objective To investigate educational disparities in the care process and health outcomes among patients with diabetes in the context of South Korea's universal health insurance system.

Design Bivariate and multiple regression analyses of data from a cross-sectional health survey.

Setting A nationally representative and population-based survey, the 2005 Korea National Health and Nutrition Examination Survey.

Participants Respondents aged 40 or older who self-reported prior diagnosis with diabetes (n= 1418).

Main Outcome Measures Seven measures of the care process and health outcomes, namely (i) receiving medical treatment for diabetes, (ii) ever received diabetes education, (iii) received dilated eye examination in the past year, (iv) received microalbuminuria test in the past year, (v) having activity limitation due to diabetes, (vi) poor self-rated health and (vii) self-rated health on a visual analog scale.

Results Except for receiving medical care for diabetes, overall process quality was low, with only 25% having ever received diabetes education, 39% having received a dilated eye examination in the past year and 51% having received a microalbuminuria test in the past year. Lower education level was associated with both poorer care processes and poorer health outcomes, whereas lower income level was only associated with poorer health outcomes.

Conclusion While South Korea's universal health insurance system may have succeeded in substantially reducing financial barriers related to diabetes care, the quality of diabetes care is low overall and varies by education level. System-level quality improvement efforts are required to address the weaknesses of the health system, thereby mitigating educational disparities in diabetes care quality.

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Publication Type
Journal Articles
Publication Date
Journal Publisher
International Journal for Quality in Health Care
Authors
Young Kyung Do
Karen Eggleston
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The concept of "soft power" is central for the multi-dimensional rise of China as well as the evolving global strategy of the United States. Beijing is increasingly concerned with projecting soft power to neutralize perceptions of China as a threat while Chinese global influence grows. Washington, meanwhile, looks to employ soft power in remaking its post-Iraq international image, countering terrorist ideological extremism, and attracting the cooperation of international partners to deal with global challenges.

This seminar will address several key questions about soft power:

- What are the different implications when governments use "hard power" in "soft" ways versus when they try to use "soft power" in "hard" ways?

- How is soft power understood and operationalized differently in China than in the United States?

- What are the different visions for projecting soft power among various political actors in China?

- Can soft power be threatening? How can we disentangle capabilities and policies that may be threatening from those that are attractive to other states and encourage cooperation?

About the speakers

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Qinghong Wang
Qinghong Wang is currently coordinating the Education Exchange Program for the East-West Center in Honolulu. He received his Ph.D. in political science from the University of Hawaii at Manoa in 2010. His dissertation is entitled, Reinventing Democracy through Confucianism: Representation, Application and Reorientation of Western Transnational Nonprofit Organizations (WTNPOs) in Post-Mao China. Dr. Wang earned his MA in Asian studies from the University of Hawaii in 2003 and his BA in Chinese language and literature from Peking (Beijing) University in 1999. Dr. Wang is originally from Beijing. He was the Lloyd (Joe) R. and Lilian Vasey Fellow with the Pacific Forum at the Center for Strategic and International Studies (CSIS) from 2006 to 2007, and has since remained an adjunct fellow with the Forum. His research focuses on the development of civil society in China, U.S.-China relations, traditional and nontraditional security issues in the Asia Pacific, and comparative politics and philosophies of East and West.

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Leif Eric Easley
Leif-Eric Easley is the 2010-11 Northeast Asian History Fellow at Shorenstein APARC. Dr. Easley completed his Ph.D. at the Harvard University Department of Government in 2010, specializing in East Asian international relations. His dissertation presents a theory of national identity perceptions, bilateral trust between governments, and patterns of security cooperation, based on extensive fieldwork in Seoul, Tokyo, and Beijing. At Stanford, he is teaching a course on nationalism, contested history, and the international relations of Japan, China, South Korea, and the United States. Dr. Easley is actively involved in high-level U.S.-Asia exchanges (Track II diplomacy) as a Sasakawa and Kelly Fellow with the Pacific Forum CSIS. His research appears in a variety of academic journals, supplemented by commentaries in major newspapers.

With regional perspective commentary by:

Donald Emmerson, Director, Southeast Asia Forum, Shorenstein APARC

Daniel Sneider, Associate Director for Research, Shorenstein APARC

David Straub, Associate Director, Korean Studies Program, Shorenstein APARC

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Seminars
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The recent uprisings in North Africa and the Middle East represent one of the most dramatic global political developments since the fall of the Berlin Wall.  What factors and forces led to the sudden collapse of well-entrenched regimes and the emergence of democratic reform movements across a region long accustomed to hereditary succession and autocratic rule?  Does the current upheaval reflect unique circumstances in the Arab World?  Or should it be viewed in the wider context of governance issues and challenges that have arisen in Asian and other settings beyond North Africa and the Middle East?  As a governance specialist whose international career has spanned Arab and Asian societies, David Arnold will share his insights regarding these questions.  

David D. Arnold became the president of The Asia Foundation on January 1, 2011, after serving as the president of the American University in Cairo (AUC) for seven years. At AUC he superintended the construction of a new, state-of-the-art $400 million campus, including the region's largest English-language library; spearheaded a $125 million fundraising campaign, the largest in the University's history; and oversaw academic innovations including AUC’s first-ever PhD program and master’s programs in education, biotechnology, gender studies, digital journalism, and refugee studies.  Under his leadership, AUC also expanded its continuing education and community outreach activities and created new scholarship opportunities for its students.  Mr. Arnold’s earlier career included six years as executive vice president of the Institute of International Education and more than ten years of service in the Ford Foundation including stints in India, Nepal, and Sri Lanka.  He earned his Master’s in Public Administration at Michigan State University following a BA from the University of Michigan.

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David D. Arnold President Speaker The Asia Foundation
Seminars
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Europe dominated the 19th century. The 20th century saw the rise of the United States. Will the 21st century be "the Chinese Century"? Using a series of Harvard Business School Cases, this lecture will explore production, consumption, and education for China's new middle class, and think about China's future, in the light of its past.

William C. Kirby is T. M. Chang Professor of China Studies at Harvard University and Spangler Family Professor of Business Administration at the Harvard Business School. He is a Harvard University Distinguished Service Professor. He serves as Director of the Fairbank Center for Chinese Studies and Chairman of the Harvard China Fund.

A historian of modern China, Professor Kirby's work examines China's business, economic, and political development in an international context. He has written on the evolution of modern Chinese business (state-owned and private); Chinese corporate law and company structure; the history of freedom in China; the international socialist economy of the 1950s; relations across the Taiwan Strait; and China's relations with Europe and America. His current projects include case studies of contemporary Chinese businesses and a comparative study of higher education in China, Europe, and the United States.

This talk is co-sponsored with the Center for East Asian Studies (CEAS).

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William C. Kirby T. M. Chang Professor of China Studies at Harvard University and Spangler Family Professor of Business Administration Speaker Harvard Business School
Seminars
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About the seminar

As China's Internet population surges towards the half billion mark—double the United States—how are U.S. Internet companies faring in China? Google, Facebook, eBay, Yahoo and others have all faced challenges in China. These include external (competition, regulation/censorship) and internal (management, strategy). Can these firms find a viable position in China? Will emerging players such as Groupon fare any better? Although U.S. Internet companies have struggled, U.S. institutional investors have reaped rich rewards from stakes in leading Chinese firms such as Tencent, Baidu and Alibaba/Taobao. Is this approach a better bet than hoping that U.S. firms gain a foothold in China? If leading Chinese Internet firms continue to dominate their home market, do they stand a chance to succeed internationally including through expansion or M&A in the US?

About the Speaker

Duncan Clark is Chairman of BDA China, a company he founded in Beijing in 1994. Previously, Duncan was an investment banker with Morgan Stanley in London and Hong Kong, where he focused on telecommunications, media and technology (TMT) transactions.

He has guided BDA to become the leading consultancy servicing participants and investors in the TMT sectors in China and India. With a team of over 50 in Beijing and an office of 15 in New Delhi (opened in 2006), BDA has in recent years added to TMT an advisory capacity serving leading private equity firms investing in other fast-growing sectors in these countries such as education, retail and alternative energy.

Clark holds a B.Sc degree in economics with honors from the London School of Economics and Political Science, and currently chairs the school's alumni group in China. A UK citizen, Clark was raised in the UK, the United States and France.


Media X is the partner of this seminar.


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Duncan Clark Visiting Scholar Speaker Stanford Program on Regions of Innovation and Entrepreneurship (SPRIE)
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