As part of health reforms announced in April 2009, China plans to expand and strengthen primary care (i.e., provision of first contact, person-focused, ongoing care over time, and coordinating care when people receive services from other providers). Other nations of Asia continue to grapple with how to promote population health and constrain healthcare spending. What is the evidence about the effectiveness of primary care in improving population health and making healthcare accessible and affordable?

In this talk, Dr. Starfield will speak about the robust evidence of the association between primary care and better health outcomes at lower cost; ways of measuring the effectiveness of primary care; how selected Asian countries compare in such rankings; and the broader implications of primary care research for health policy in Asia.

Dr. Starfield, a physician and health services researcher, is internationally known for her work in primary care; her books, Primary Care:  Concept, Evaluation, and Policy and Primary Care: Balancing Health Needs, Services, and Technology, are widely recognized as the seminal works in the field.  She has been instrumental in leading projects to develop important methodological tools, including the Primary Care Assessment Tool, the CHIP tools (to assess adolescent and child health status), and the Johns Hopkins Adjusted Clinical Groups (ACGs) for assessment of diagnosed morbidity burdens reflecting degrees of  co-morbidity.   She was the co-founder and first president of the International Society for Equity in Health, a scientific organization devoted to furthering knowledge about the determinants of inequity in health and ways to eliminate them.  Her work thus focuses on quality of care, health status assessment, primary care evaluation, and equity in health. She is a member of the Institute of Medicine and has been on its governing council, and has been a member ofthe National Committee on Vital and Health Statistics and many other government and professional committees and groups. She has a BA from Swarthmore College, an MD from the State University of New York, Downstate Medical Center, and an MPH from Johns Hopkins University School of Public Health.

In this session of the Shorenstein APARC Corporate Affiliate Visiting Fellows Research Presentations, the following will be presented:

Jiecheng Cheng, “Knowledge Management of the Petroleum Enterprise”

Knowledge management as an effective tool to retain, capture, share and reuse organization knowledge.  This is important in dealing with the problem of lost knowledge caused by a company’s growth, employee turnover, retirement, and the quandary caused by information explosion.  Petroleum enterprises are more knowledge intensive and could benefit from knowledge management.  Cheng’s research presents the concept and theory of knowledge management, the needed technologies, the role of the people, the key practical issues, and the future of knowledge management. 

Yoshiko Moriguchi, “Demand Response by Smart Meters”

A smart meter is generally defined as a type of advanced electrical meter that enables to monitor the energy consumption at real time base or near real time base. It has the additional features more than simple automated meter reading and can provide customers with the feedback to encourage their actions for saving energy and money.  In North America and Europe, many studies have been conducted to address the relation of data feedback and customer’s behaviors. Japanese utilities just started to consider installation of smart meters, therefore, this research will address the topics that can be referred to demand response by smart meters for residential customers in Japan.

Boyoung Shin, “Korea's Public Policy Profile Amidst Regime Change: Analysis of President Noh's  Real Estate Policy”

After nearly half a century of conservatives in power, Korea’s center left party (the NCNP and the MDP ) won the presidential elections in 1997 and 2002 consecutively and became the ruling party until the beginning of 2008. This major transformation of power struggle structure in Korea subsequently led characteristic changes in the public policy making tendency of its administration. Yet, Korea still was in the midst of the Neo-liberalized way of economical and social structural reform that was guided by IMF since the1997 financial crisis.  In his research Shin examines the Noh administration’s challenge to compensate its supporters by exploring its particular public policy:  “Real Estate Policy of Noh Administration”.

Although South Korea has democratized, the weakness of liberalism there as a major political ideology and value system has prevented the full flowering of democracy.  This talk will examine the historical roots of liberalism's failure to take firm root in Korean politics and society.  The causes of such weakness are to be found, in both of the two major social and political forces in Korean society,  conservatives and radical/progressive forces; neither has been or is liberal.  The resulting problems include a strong, highly centralized state and its authoritarian tendencies,  the failure to create a stable party system, civil society's weak autonomy vis-à-vis the state, and inadequate constitutional checks-and-balances among the three branches of government exacerbated by a weak judiciary.  With democratic practice falling ever farther behind the Korean people's aspirations, enhanced liberalism will not solve all problems.  Nevertheless, Dr. Choi argues, it could point the way toward a richer Korean democracy.

Jang Jip Choi is Professor Emeritus of Political Science at Korea University, Seoul, Korea, and currently a Visiting Professor in the Sociology Department at Stanford University.  Specializing in contemporary political history in Korea, the theory of democracy, comparative politics and labor politics, professor Choi is the author of many books, scholarly articles and political commentaries on Korean politics,  including  Democracy after Democratization in Korea (2002),  Which Democracy? (2007), and From Minjung to Citizens (2008).  Professor Choi holds a B.A. in political science from Korea University, and  an M.A. and a Ph.D in Political Science from the University of Chicago. He was a professor in the department of political science at Korea University until his retirement in 2008.