Myoungsoon You

Outrage factors in government press releases of food risk and their influence on news media coverage

An appropriate level of risk perception should be a critical issue in modern “risk society.” There have been many studies on the influences on risk perception. This study investigates whether risk communication scholar Dr. Peter Sandmans outrage factors intensify journalistic attention to health risks from food consumption. A content analysis of a health institutions press releases was conducted to examine 15 outrage factors of food risks conveyed in the governmental risk communication. In addition, the news stories covering the food risks informed by the press releases were calculated to evaluate the relation between outrage factors of a risk and the number of news stories covering the risk. Results showed that controllability was the most salient outrage factor, followed by trust, voluntariness, familiarity, and human origin; the greater the outrage score of a risk, the more news stories of the risk. For individual outrage factors, a risk with an implication of catastrophic potential was associated with an increase of news stories. Food providers’ distrustful behaviors also influenced journalistic attention to the food risks. The implication of the findings to health message designers is discussed.

Cognitive and affective risk perceptions toward food safety outbreaks: mediating the relation between news use and food consumption intention

Much research on risk perception and health behavior has examined cognitive dimensions of risk but not affective dimensions. To address this gap, this study examines both cognitive risk perception (perceived risk of susceptibility and severity) and affective risk perception (worry) in the context of food safety risks in East Asia. We investigate their roles in independently and jointly predicting intention to consume outbreak-associated food products, as well as mediating the influences of news exposure and attention on intention. Data from a nationwide survey in South Korea (N = 1500) lent overall support for our hypotheses in both cases of processed food from China and seafood from Japan. Our findings show: (1) both perceived risk and worry were negatively associated with food consumption intention, and the association between perceived risk and intention was stronger among those higher in worry; (2) news attention had stronger associations with perceived risk and worry than news exposure, and attention moderated the relationship between news exposure and perceived risk; and (3) perceived risk and worry mediated the associations between news use and food consumption intention. Implications and limitations of the findings are discussed.

Policy Elites' Perception of Health Policy Governance: Findings from In-depth Interviews of Korean New Diagnosis Related Group Payment

Background: Engaging and Involving stakeholders who have different interests in changing health care policies are difficult task. As the literature on the governance in Korean health care field is rare, this study aims to provide empirical evidence of ‘governing health policy’-the ways health care policy is made, implemented, and evaluated from a political perspective. Methods: The authors of this study conducted interviews with elites in policy and clinical areas, which was considered to be the most effective approach to gather in-depth information about the background of changing payment policy as well as the barriers or contributors for making the policy sustainable. A total of 14 experts (3 government officials, 2 representatives from medical pro-fession, 3 professors form academic field, and 6 healthcare providers from New DRG pilot program hospitals) participated in 2 hour long interviews. Results: There was a perception gap of the feasibility and substantiality of new payment system among elites. The score was higher in government officers than those in scholars or clinical experts. Next, the interviewees indicated that Korean New DRG might not sustain without significant efforts to improving democratic aspects of the governance. It is also notable that all interviewees except healthcare providers provided negative expectation of the contribution of new payment system to increase administration effi-ciency. For clinical efficiency, every stakeholders perceived there was no increased efficiency after introduction of New DRG pay-ment. Like general perception, there was a wide gap between the perception of stakeholders in quality change after implementing the new payment system. Finally, interview participants negatively assumed about the likelihood of New DRG to remain a case of successful reforms. Conclusion: This study implied the importance of social consensus and the governance of health policy.Keywords: Governance; In-depth interview; New Diagnosis Related Group; Diagnosis Related Group; Prospective payment system

A Comprehensive Examination of the Determinants for Food Risk Perception: Focusing on Psychometric Factors, Perceivers’ Characteristics, and Media Use

ABSTRACT Risk characteristics within a psychometric paradigm have been of major concern in studies of food risk perception. This study compared the influence of psychometric factors, perceivers’ characteristics (i.e., risk attitude, trust, and favorability of the country of origin), and that of the news media on the levels of food risk perception. The interaction of news media with the other two factors was also examined. A nationwide survey (n = 1,500) was conducted. The foods under investigation were Chinese processed foods and Japanese seafood imported to South Korea. In both cases, hierarchical multiple regression analyses revealed that psychometric factors had the greatest influence on food risk perception, followed by perceivers’ characteristics and media use. In addition, our results showed that the effect of perceived benefit and dread in Chinese food were salient only for those with little media use. The implication of the interaction effect on food risk perception is discussed in terms of accessibility and limited capacity of information processing.

Perception of Korean Hospital CEOs on Organizational Accountability : Findings from In-Depth Interviews

As misalignments among images, identity, and legitimacy of health professionals and institutions have been on the rise, CEOs of health care organizations have been required to enhance organizational accountability. Despite the accumulation of literature on the conceptual discussions of accountability, only a few studies empirically investigated key barriers to accountability and its facilitators. To identify perception on accountability with key barriers and facilitators of organizational accountability, a semi-structured interview with 11 CEOs of Korean hospitals was conducted. A short survey was taken to get quantitative data on CEO`s perception on organizational accountability. To CEOs, accountability was very complex and unfamiliar concept, but understood as physician`s code of ethics by nature and basic principle of hospital management. CEOs thought accountability could be improved through ethical leadership, financial stability and learning climate of hospitals. Distrust of the government, which failed to provide economic incentives for hospitals to increase accountability activities, was emphasized as a serious barrier to hospital accountability. There was consensus among hospital CEOs as to the importance of accountability in management. However, there were concerns that, without policy instruments to motivate hospitals toward increasing community benefits as well as collective efforts among health professionals to rebuild moral climate for being accountable, greater accountability would not be achieved in hospitals.

Organizational Accountability in Health Care : Developing a Model for Analysis

Past studies on organizational accountability have had similar limitations. First, empirical evidence of organizational accountability is rare as the majority of research takes a conceptual approach of the topic. Only a few of these studies are applicable to health care organizations (HCOs). To fill these gaps, we attempted to develop a model for analysis of organizational accountability for HCOs. Accountability for HCOs was conceptualized by two axes: answerability(X, horizontal) and value-creation(Y, vertical). Our concept building could relieve competing accountability mechanism which past studies stressed. Four elements of accountability(legal, economical, social, and clinical) were applied to specify each of the two features of organizational accountability. And then four types of accountability behavior were coordinated by this x-y axis : high A/high VC, high A/low VC, low A/high VC, low A/low VC. Finally, a multidimensional model of HCOs` accountability, enabling an empirically testable multi-level analysis, was proposed.

Interaction of individual framing and political orientation in guiding climate change risk perception

Abstract There is a general agreement that climate change is a potential hazard threatening the global village. An appropriate level of risk perception should be a critical issue in coping with the global environmental risk. We examined the determinants of the level of climate change risk perception. In particular, we examined if individual framing of climate change interacts with political orientation in guiding climate change risk perception. The main effect of the two factors was also investigated. A nationwide online survey (N = 592) was conducted in South Korea by a professional survey agent. When self-efficacy, trust, and other demographics were controlled for, multiple regression analyses revealed that those focusing on what is happening (diagnostic framing) rather than what-to-do (prognostic framing) had higher risk perception. More importantly, only conservatives showed significantly different levels of risk perception according to their framing of the issue. Conservatives inclined to diagnostic framing showed higher risk perception than conservatives favoring prognostic framing. This difference disappeared when it comes to South Korean liberals, indicating an interaction between individual framing and political orientation. The significance of investigating individual framing, not media framing, and their interaction with political orientation are discussed.

Gist-based design of graphics to reduce caffeine consumption among adolescents

Background: Health message design plays an important role in knowledge acquisition and changes in attitudes towards a nutrient or substance, such as caffeine. To foster the effectiveness of health education, greater attention should be paid to the gist-based design of health messages that include visual representations. Fuzzy-trace theory indicates that gist knowledge can be influential in decision-making about health and medical problems. Objectives: The purpose of this study was to investigate the influence of different graphic types (i.e. gist, verbatim and decoration) on knowledge of gist and verbatim messages, which may in turn influence attitudes and intentions towards caffeine control. Method: Middle school students (n = 315) in South Korea individually studied reading materials on caffeine under three research conditions with respect to graphic types. Results: This study found an interaction effect between sex and graphic types when it came to student perceptions of gist representation and the visual design of graphics. Graphic types also significantly influenced gist knowledge but not verbatim knowledge. Gist and verbatim graphics were more effective in acquiring gist knowledge about caffeine control than decorative graphics. In addition, gist knowledge significantly influenced attitudes and intentions towards caffeine control. Conclusion: The main finding of this study is the importance of acquiring gist knowledge from health messages, which can be enhanced through the effective use of visual representations.

Preferring negative or positive news? A closer examination of journalistic negativity in a health crisis

ABSTRACT Negativity of news coverage is widely documented. We examined whether the news media’s preference for reporting negative events was salient in news coverage of the outbreak of Middle East respiratory syndrome (MERS) in South Korea, which was characterized by intensification or mitigation of viral spread. The daily number of news stories on the outbreak was compared with several viral spread indices to determine if the media responded to negative changes more than positive changes. At the aggregate level, the amount of MERS news coverage was associated with positive changes. When the number of newly confirmed patients decreased, the MERS news increased. However, a separate investigation of breakout and abatement stages showed that the media covered more negative changes during the breakout stage and shifted to more positive occurrences during abatement. These findings are discussed in light of the dynamics of journalistic attention to health crisis.

Emerging Infectious Disease Content in Newspaper Editorials: Public Health Concern or Leadership Issue?

We conducted a content analysis of newspaper editorials on the Middle East respiratory syndrome outbreak in Korea. Subject matter, social and personal efficacy information, and affective tone were evaluated using a mixed-methods approach. An analysis of 241 publications with the acronym “MERS” revealed that public health was the most salient, followed by leadership/governance, coping, medical system, and economic consequences. Societal efficacy information was more frequent than personal efficacy information, and a negative tone was predominant. However, leadership became the most frequent in the later stages. Personal efficacy information decreased over time and across content with a negative tone.