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http://dx.doi.org/10.4332/KJHPA.2008.18.2.107

Restructuring the Decision Making Process for the Korea National Health Insurance System  

Kang, Min Ah (Ewha Womans University, Department of Public Administration)
Kim, Tae-Il (Korea University, Department of Public Administration)
Huh, Soon-Im (Korea Institute for Health and Social Affairs)
Publication Information
Health Policy and Management / v.18, no.2, 2008 , pp. 107-129 More about this Journal
Abstract
The purpose of this paper is to critically examine Korean government's efforts in policy making and implementation regarding the Korea National Health Insurance System in the past and suggest a new paradigm for future policy changes. The structural and political characteristics of the Korea National Health Insurance, where health care services are provided almost exclusively by the private providers and funding for health comes equally from public and private sources, imply persistent difficulties in the operation of the system This may partially explain why the Korean system has continually experienced conflicts among stakeholders whenever there was an attempt to change policy. In this paper, we discuss four cases to illustrate such difficulties and barriers. We propose that in order to address these challenges and reduce policy errors as well as unintended results, it is necessary to restructure policy making process from being oriented toward 'quantitative expansion' to 'qualitative maturity', from a 'linear thinking' to a 'system thinking', from taking a 'top-down' to a 'governance and participatory' decision making process.
Keywords
System approach; New governance; Policy decision making process;
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Times Cited By KSCI : 2  (Citation Analysis)
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