scholarly journals I Want an Omnipotent Doctor: North Korean Defectors’ Unmet Expectations of South Korean Medical Providers

Author(s):  
Soo Jung Hong

This study examines North Korean defectors’ unmet expectations of South Korean medical providers from the perspectives of both North Korean defectors and their medical providers. Seventeen defectors and 12 medical providers were recruited for focus groups and in-depth interviews. Grounded theory was used for data analysis. Data indicates the North Korean defectors were not satisfied with their providers because they (1) preferred human techniques over computerized technology, (2) expected the doctors to be omnipotent, and (3) expected to receive emergency medical service but did not expect to pay for it. Their medical providers felt that it was impossible to satisfy the defectors because they expected to (1) receive medical services based on self-diagnosis and/or nonmedical personal needs, (2) have the doctor listen to their stories, and (3) receive medical services without booking an appointment. The findings of this study suggest that more efforts for mutual understanding and effective communication are urgently needed for both providers and defectors.

Author(s):  
Jaeyong Choi ◽  
Tay Hack ◽  
Julak Lee

Although some studies have focused on immigrants’ fear of crime in the United States, it is important to point out that the number of North Korean defectors to South Korea has rapidly increased since the 1990s. Therefore, understanding factors associated with fear of crime for North Korean immigrants, especially female defectors, is important for ensuring their successful transitions into South Korean culture. The present study used existing survey data from a sample of female North Korean defectors to explore factors related to fear of crime. Results indicate that the number of North Korean friends, language proficiency, and patriarchal attitudes toward gender were significant predictors of fear of crime for the North Korean female defectors. Findings are described and discussed as a potential source for policymaking to reduce North Korean immigrants’ acculturative stress and fear of crime and to encourage smooth transitions into new cultures.


2006 ◽  
Vol 6 (1) ◽  
pp. 105-137 ◽  
Author(s):  
Andrei Lankov

This article deals with the problems of North Korean defectors currently living in South Korea. In the past, most such defectors came from privileged groups in the North Korean population, and their adjustment to the new environment did not pose a significant problem. However, from the mid-1990s, defectors began to come from the far less privileged groups. They experience serious problems related to jobs, education, crime, and social adjustment. Recent years have seen a dramatic but not always openly stated change in the official South Korean attitude toward defectors: from a policy explicitly aimed at encouraging defection, Seoul has moved to the policy of quietly discouraging it. There are fears that encouraging defection will undermine the policy of peaceful engagement with the North. There is also the perception that refugees are outsiders, not quite adjustable to the conditions of South Korean society and thus a social and budgetary burden.


First Monday ◽  
2021 ◽  
Author(s):  
Kyong Yoon

By analyzing YouTube channels of young North Korean defectors, this article examines the cultural meanings of social media in these marginalized young people’s resettled lives. The article focuses on four YouTube channels managed by four young North Korean defectors living in South Korea. The four channels show how defectors, a majority of whom remain almost invisible in the South Korean public sphere, use digital platforms to display their identity as real people. Moreover, these channels involve digital storytelling of how the defectors negotiate their inter-Korean identities and interact with South Korean viewers. Furthermore, the four YouTube channels reveal how creative labor is professionalized and incorporated into the digital attention economy. This article suggests that, with some restrictions, such as restrictive technological affordances and profit-seeking algorithm, digital platforms allow defector youth to engage with social media storytelling and question the dominant representation of defectors.


English Today ◽  
2020 ◽  
pp. 1-9
Author(s):  
Eun-Young Jang ◽  
Eun-Yong Kim

Mee-Soo was a good student in North Korea. She came to South Korea in her early teens, and South Korean state policy for North Korean defectors enabled her to gain entry into a decent university in Seoul. She majored in Business Management and, when she had to choose her sub-major, she chose Accounting over Marketing and Human Resources because she thought she could avoid English. Achieving CPA (Certified Public Accountant) status was the goal for Accounting majors. Passing a score of 700 in the Test of English for International Communication (TOEIC) was a requirement to take the CPA exam. Mee-Soo worked hard studying for TOEIC and took the test ten times. Her score rose from the 400s to the 600s, but she could not pass the 700 threshold and was left behind while other South Korean students passed the English requirement. She could not even begin to study for the CPA exam itself. She once sighed and told me (one of the authors), ‘I wish I could have a life without English.’ I responded, ‘I didn't think English would be so important to North Koreans in South Korea.’ To this, Mee-Soo exclaimed, ‘It is a matter of survival.’ Given there have now been over 70 years of separation between North and South Korea since the Korean War, it is unquestionable that North Korean migrants face and struggle with a variety of troubles in their attempts to settle into South Korean society. In this context, why does English constitute a ‘matter of survival’ for North Koreans when there are so many other critical issues for these individuals, who crossed several borders at the risk of their lives? This phenomena, that ‘English’ represents a major difficulty for North Korean defectors in their process of settling in South Korea (Jung & Lim, 2009), constitutes an interesting linguistic phenomena in an intra-ethnic contact. However, by itself, this statement somewhat simplifies how English actually affects the migrant group. Instead, its influence works in a surprisingly diverse number of ways across different ranges and layers within the North Korean population, depending on their regional and social background, age, time of migration, and possibly many other factors. A meaningful pattern we discuss here is the changing relations between English and North Korean migrants according to age; it is the North Korean young adults who seem to be particularly affected by English and disproportionately in need of English teaching. We also note, though, that this pattern itself is changing, as we are seeing the recent increase of children of North Korean migrants born and educated in South Korea or in China.


2020 ◽  
Vol 91 (4) ◽  
pp. 348-351
Author(s):  
Jung Ha Kim ◽  
Smi Choi-Kwon

BACKGROUND: The aim of this study was to evaluate the use of ground-based medical services (GBMS) by the cabin crew of a major South Korean airline for in-flight medical incidents involving passengers.METHODS: We conducted a survey of cabin crew to identify the anticipated use of GBMS in 2017. We compared the anticipated use to actual use as reported in cabin crew records submitted to the GBMS team and cabin crew logs from May 2013 to April 2016.RESULTS: Among 766 team leaders and assistant leaders, 211 individuals answered the questionnaire. A total of 915 instances of GBMS use were reported during the study period. There were no significant differences between anticipated and actual use in terms of the reasons for needing GBMS, with medication prescription being the most common reason. However, there were significant differences in the specific symptoms that triggered contact with GBMS. Pediatric and digestive symptoms were under-predicted, while neuropsychiatric and cardiac symptoms were over-predicted.DISCUSSION: Cabin crew tended to require GBMS to assist with pediatric and digestive conditions more often than anticipated. Furthermore, digestive and pediatric symptoms often require prescription medications.Kim JH, Choi-Kwon S. Ground-based medical services for in-flight emergencies. Aerosp Med Hum Perform. 2020; 91(4):348–351.


2021 ◽  
Vol 44 (3) ◽  
pp. 260-267
Author(s):  
Morgan M. Millar ◽  
Hilary A. Hewes ◽  
Andrea L. Genovesi ◽  
Michael Ely ◽  
Braden Green ◽  
...  

Survey response is higher when the request comes from a familiar entity compared to an unknown sender. Little is known about how sender influences response to surveys of organizations. We assessed whether familiarity of the sender influences response outcomes in a survey of emergency medical services agencies. Emergency medical services agencies in one U.S. state were randomly assigned to receive survey emails from either a familiar or unfamiliar sender. Both deployment approaches were subsequently used nationwide, with each state selecting one of the two contact methods. Experimental results showed that requests from the familiar sender achieved higher survey response (54.3%) compared to requests from the unfamiliar sender (36.9%; OR: 2.03; 95% CI: 1.23, 3.33). Similar results were observed in the subsequent nationwide survey; in states where the familiar sender deployed the survey, 62.0% of agencies responded, compared to 51.0% when the survey was sent by the unfamiliar sender (OR: 1.57; 95% CI: 1.47, 1.67). The response difference resulted in nearly 60 additional hours of staff time needed to perform telephone follow-up to nonrespondents. When surveying healthcare organizations, surveyors should recognize that it is more challenging to obtain responses without a pre-established relationship with the organizations.


Author(s):  
Rayner Kay Jin Tan ◽  
Vanessa Ho ◽  
Sherry Sherqueshaa ◽  
Wany Dee ◽  
Jane Mingjie Lim ◽  
...  

AbstractWe evaluated the impact of the coronavirus disease (COVID-19) on the sex work industry and assessed how it has impacted the health and social conditions of sex workers in Singapore. We conducted a sequential exploratory mixed methods study amidst the COVID-19 pandemic from April to October 2020, including in-depth interviews with 24 stakeholders from the sex work industry and surveyor-administered structured surveys with 171 sex workers. COVID-19 had a substantial impact on sex workers' income. The illegality of sex work, stigma, and the lack of work documentation were cited as exclusionary factors for access to alternative jobs or government relief. Sex workers had experienced an increase in food insecurity (57.3%), housing insecurity (32.8%), and sexual compromise (8.2%), as well as a decrease in access to medical services (16.4%). Being transgender female was positively associated with increased food insecurity (aPR = 1.23, 95% CI [1.08, 1.41]), housing insecurity (aPR = 1.28, 95% CI [1.03, 1.60]), and decreased access to medical services (aPR = 1.74, 95% CI [1.23, 2.46]); being a venue-based sex worker was positively associated with increased food insecurity (aPR = 1.46, 95% CI [1.00, 2.13]), and being a non-Singaporean citizen or permanent resident was positively associated with increased housing insecurity (aPR = 2.59, 95% CI [1.73, 3.85]). Our findings suggest that COVID-19 has led to a loss of income for sex workers, greater food and housing insecurity, increased sexual compromise, and reduced access to medical services for sex workers. A lack of access to government relief among sex workers exacerbated such conditions. Efforts to address such population health inequities should be implemented.


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