DOI QR코드

DOI QR Code

A Study on Ex-Health Professional National Assembly Members' Influences on Health Care Policy Making in the National Assembly

보건의료전문가 출신 국회의원이 보건의료정책 형성에 미친 영향에 관한 연구

  • Ryu, Chang Ug (Department of Public Health, Gachon University Graduate School) ;
  • Lee, Jae Hee (Department of Public Health, Gachon University Graduate School)
  • 류창욱 (가천대학교 대학원 보건학과) ;
  • 이재희 (가천대학교 대학원 보건학과)
  • Received : 2015.09.11
  • Accepted : 2015.09.20
  • Published : 2015.12.31

Abstract

In most democratic countries, influential professional interest groups often become a part of the iron triangle in the policy making process. One of the typical methods by which professional interest groups participate in policy making process may be by having interest group members in the national assembly, who are sympathetic to the group, implementing policies through legislation. In this study we found that from the Constitutional National Assembly through the 18th National Assembly, 147 members of the National Assembly of the Republic of Korea have been ex health care professionals. The research analyzed the roles of these members in health care law amendments as requested by the professional organizations. This study analyzed 11 major cases that involved nullification or amendment of legislations in favor of the healthcare profession, against the basic policies of the government. The study showed that in the 11 major cases, policies were amended in the direction intended by the National Assembly members and other organizations with similar interests, which was against the policy stance of the government. However, these cases did not unilaterally imply that the National Assembly has been captured by the interest groups through the legislators with health care professional background; rather, they should be perceived to be influenced by the exhibited loss of governability by the government in respect to healthcare policy decisions, loss of initiative due to lack of controllability, and reversals and inconsistencies of the policies.

Keywords

References

  1. Jung JK. Theories of policy sciences. Seoul: Demeung Press; 1997.
  2. Kim HW. Social background of members of the National Assembly in Korea and its composition. Bulletin of the National Assembly in Korea. Seoul: National Assembly Secretariat;1996.
  3. Soek IS, Lee IH, Kwon KB, Choi HK. A study on the innovation of the legislation process in the National Assembly of Korea. Seoul: The House Steering Committee in Korea; 2006.
  4. Oh MK. Policy activities of ex-physician members of the National Assembly in the area of health care with focus on the bills of the standing committees. Seoul: Department of Health Care Management in Medical School of Seoul National University; 2009.
  5. Choi HK. Comparing policy lobbying of three major medical professions in Korea. J Policy Stud 2006;15(3):35-72.
  6. Kim KS. A study of social background of national assemblymen in Korea: focus on the 13-14th National Assembly. Seoul: Kyunghee University; 1994.
  7. Yu CS. A study on the social characteristics of the national assemblymen in Korea. SeoulL: Yonsei University; 1994.
  8. Mun HC. A study on the professionalism of the standing committee in Korean National Assembly: with a focus on the Health and Social Affairs Committee. Seoul: Seoul National University; 1989.
  9. Lee EH. An introduction to political science. Seoul: Kyohaksa Press; 1985.
  10. Nam HJ. Study on lawmaking activity determinants of members of the National Assembly: based on the seventeenth National Assembly. Seoul: Yonsei University; 2008.
  11. Kim KS. An empirical study on the major effect factors of the choice of policy tools: in case of health care policy. Seoul: Seoul National University; 2013.
  12. Kim SY. A comparative study on the conflict of group interests and the government intervention. Korean Polit Sci Rev 1994;28(1):375-402.
  13. Han SH. Interest groups and democracy: policy-process in separation of dispensary from medical practice. Seoul: Korea University; 2009.
  14. Kim JY. Role and influence of medical association on the revision of Health Care Law. Seoul: Seoul National University; 2009.
  15. Kang TP. A study on the usability of discoursive policy analysis in conflictive situations. Cheonan: Baekseok University; 2008.
  16. Kim BJ. A study on press report on conflicts between interest groups: centered on the report about herbal medicine dispute. Seoul: ChungAng University; 1994.
  17. Cho BH. Healthcare reform and medical power. Seoul: Nanam Press; 2003.
  18. Lee SK. A study on the history and procedure of health legislation in Korea. Seoul: Yonsei University; 2005.
  19. Jang SG. A study on press report on conflicts between interest groups: centered on the report about herbal medicine dispute. Hwaseong: Changang University; 2000.
  20. Lee SS. A study on effects of Pharmaceutical Association interest activities on the governmental policy decision. Daegu: Yungnam University; 1993.
  21. Lee EJ. A study on the role of interest groups in the legislative process of medical policies. Seoul: Yonsei University; 2002.
  22. Jee WH. A study on the policy making process of the division of prescribing and dispensing between doctors and pharmacists. Suwon: Sungkyunkwan University; 2004.
  23. Kim EK. A study on the legislation process of the nursing act: focused on the analysis of controversial issues among interest groups and solutions. Seoul: Yonsei University; 2008.
  24. Korean Medical Association. Korean Medical Association 85th anniversary. Seoul: Korean Medical Association; 1993.
  25. Korean Medical Association. Korean Medical Association 100th anniversary. Seoul: Korean Medical Association; 2011.
  26. Korean Dental Association. History of the Korean Dental Association. Seoul: Korean Dental Association; 2010.
  27. The Association of Korean Medicine. The Association of Korean Medicine 40th anniversary. Seoul: The Association of Korean Medicine; 1989.
  28. The Association of Korean Medicine. History of the Korean Medicine Association (1898-2011). Seoul: The Association of Korean Medicine; 2012.
  29. Korean Pharmaceutical Association. History of the Korean Pharmaceutical Association. Seoul: Korean Pharmaceutical Association; 1970.
  30. Korean Pharmaceutical Association. History of the Korean Pharmaceutical Association (1911-2001). Seoul: Korean Pharmaceutical Association; 2003.
  31. Korean Nurses Association. Korean Nurses Association 70th anniversary (1923-1933). Seoul: Korean Nurses Association; 1997.
  32. Ouk SD. Sources of nursing history in Korea (1886-1911). Seoul: Korean Nurses Association; 2011.
  33. Chu YJ. The role and social status of the proportional representation members of the National Assembly in Korea. Seoul: Evergreen Press; 1997.
  34. Baily SK. Congress makes a law: the story behind the Employment Act of 1946. New York (NY): Columbia University; 1950.
  35. Sin OS. A study on the health care in Korea around the Korean War, 1945-1959: laying stress on the period of the Korean War. Seoul: Seoul National University; 1994.
  36. Yoon IS. The petition. J Korean Med Assoc 1945;2:125-128.
  37. Ha YC. The role of the state in health policy-making: the case of 1993 Korea herbal pharmacy disputes. J Korea Polit 2005;14(2):33-68.
  38. Lee JC. Korea's health care policy of the twentieth century. Korean J Med Hist 1999;15(2):137-145.
  39. Baek HJ. New medical professionalism. J Rheum Dis 2012;19(6):316-325. https://doi.org/10.4078/jrd.2012.19.6.316
  40. Kim JD. A study on the petition procedure and its improvement trend in the National Assembly of the Republic of Korea. Seoul: National University; 1984.