Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지
DOI QR코드

DOI QR Code

Public Participation in the Process of Local Public Health Policy, Using Policy Network Analysis

  • Park, Yukyung (Department of Preventive Medicine, Graduate School of Public Health, Seoul National University) ;
  • Kim, Chang-Yup (Department of Preventive Medicine, Graduate School of Public Health, Seoul National University) ;
  • You, Myoung Soon (Graduate School of Public Health, Seoul National University) ;
  • Lee, Kun Sei (Department of Preventive Medicine, Konkuk University School of Medicine) ;
  • Park, Eunyoung (Seoul Metropolitan Government Public Health Policy Institute)
  • Received : 2014.07.01
  • Accepted : 2014.09.22
  • Published : 2014.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: To assess the current public participation in-local health policy and its implications through the analysis of policy networks in health center programs. Methods: We examined the decision-making process in sub-health center installations and the implementation process in metabolic syndrome management program cases in two districts ('gu's) of Seoul. Participants of the policy network were selected by the snowballing method and completed self-administered questionnaires. Actors, the interactions among actors, and the characteristics of the network were analyzed by Netminer. Results: The results showed that the public is not yet actively participating in the local public health policy processes of decision-making and implementation. In the decision-making process, most of the network actors were in the public sector, while the private sector was a minor actor and participated in only a limited number of issues after the major decisions were made. In the implementation process, the program was led by the health center, while other actors participated passively. Conclusions: Public participation in Korean public health policy is not yet well activated. Preliminary discussions with various stakeholders, including civil society, are needed before making important local public health policy decisions. In addition, efforts to include local institutions and residents in the implementation process with the public officials are necessary to improve the situation.

Keywords

References

  1. Jung JG, Choi JW, Lee CW, Jung JK, Jung GH. The theories of policy sciences. Seoul: Dae Myoung Press; 2003, p. 319-350 (Korean).
  2. Yoo JW. Expanding civil participation: participatory democratic view. Korean Policy Sci Rev 2003;7(2):105-215 (Korean).
  3. Bachrach P, Botwinick A. Power and empowerment: a radical theory of participatory democracy. Philadelphia: Temple University Press; 1992, p. 2-18.
  4. Kang IS. Impact analysis of local government participation systems on policy process and participation type: based on 16 metropolitan & provincial governments. Korean Public Adm Rev 2008;42(3):215-238 (Korean).
  5. Rawls J. A theory of justice. Cambridge: Belknap Press of Harvard University Press; 1999, p. 228-234.
  6. Lee HW. Public health policy and citizen participation. J Health Welf 2000;5(1):1-15 (Korean).
  7. Kim SO, Song KY. The impacts of community participation on regional health planning process. Korean J Health Policy Adm 1998;8(1):112-134 (Korean).
  8. Kim BK. Status of and influencing factors on public participation in the process of establishing the community health plan: a case study of one city of Gyeonggi provice [dissertation]. Seoul: Seoul National University; 2011 (Korean).
  9. Kim DS, Kang MA. Citizen participation in the local public health decision making: the water fluoridation program in South Korea. Korean J Local Gov Stud 2008;12(3):173-194 (Korean).
  10. Park Y, Park H, Ryu SY. Factors associated with active participation in health promotion programs at a public health center. J Agric Med Community Health 2010;35(3):287-300 (Korean). https://doi.org/10.5393/JAMCH.2010.35.3.287
  11. Lee T, Lee CY, Kim HS, Ham OK. Health behaviors between a health promotion demonstration health center and a general health center. J Korean Acad Nurs 2005;35(3):461-468 (Korean). https://doi.org/10.4040/jkan.2005.35.3.461
  12. Kim CY. Community health care and democratic publicness. A cooperation model for community health promotion: statement of open forum; 2012 [cited 2014 Nov 24]. Available from: http://www.cykim.pe.kr/CommPart2012Jun08.pdf (Korean).
  13. Paik JH, Kim KB. A structural analysis of safe community program using a social network analysis: focusing on safety doctor program of public health center in Songpa-district, Seoul. J Gov Policy 2014;6(2):5-49 (Korean).
  14. Cho BH. Development the measures for community capacity in Korea. Seoul: Korea Health Promotion Foundation, Seoul National University; 2010, p. 193-196 (Korean).
  15. Kim YH. Social network analysis. 3rd ed. Seoul: Pakyoungsa; 2011, p. 27-29 (Korean).
  16. Cyram. An education book on social network analysis using NetMiner. Seoul: Cyram Co.; 2012, p. 95-105 (Korean).
  17. Sa JM. An activation plan for the citizen participation on policy process. Korean Public Adm Policy Rev 2006;4(1):69-99 (Korean).
  18. Choi BD, Kim SG. An empirical analysis on the committee's roles in policy process: focused on the role of citizen committee for green Seoul on constructing golf course of Nanjido. Seoul Stud 2005;6(4):153-168 (Korean).
  19. Kim IS, Jang YS. An empirical research on the local communities popular participation and political culture: the case of Suwon-city. J Local Gov Stu 2004;16(4):31-49 (Korean).
  20. Niemeyer S. The emancipatory effect of deliberation: empirical lessons from mini-publics. Politics Soc 2011;39(1):103-140. https://doi.org/10.1177/0032329210395000
  21. Seoul Metropolitan Government, Seoul Metropolitan Government Metabolic Syndrome Care Program Institute. A guidebook on metabolic syndrome management of Seoul Metropolitan Government in 2011. Seoul: Seoul Metropolitan Government; 2011, p.13-18 (Korean).
  22. Lee HJ, Kwen SJ. A study on the networking among the aged health and welfare service institutions in Gimhae. J Community Welf 2011;37:165-197 (Korean).

Cited by

  1. Which groups of the poor are supported more by the law? Pro‐poor health policy network in Iran vol.34, pp.2, 2019, https://doi.org/10.1002/hpm.2744
  2. Integrative review; identifying the evidence base for policymaking and analysis in health care vol.75, pp.12, 2014, https://doi.org/10.1111/jan.14121