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http://dx.doi.org/10.4332/KJHPA.2018.28.3.197

An Organization Theory Perspective on the Structural Reform of the Health Care Delivery System  

Han, Dal Sun (Department of Social and Preventive Medicine, College of Medicine, Hallym University)
Publication Information
Health Policy and Management / v.28, no.3, 2018 , pp. 197-201 More about this Journal
Abstract
There is a general consensus that many health care problems are attributable to the structural defects of the health care delivery system in Korea. The basic policy aimed to address these problems is to reform the delivery system so as that it incorporates two core principles: (1) stratification of medical care institutions into primary, secondary, and tertiary care providers according to the capability to perform specialized and complex services; (2) patients seeking care starting from the primary care provider and, if necessary, to be referred to the other provider step by step. This policy has been consistently pursued for about 30 years, but the achievement is far from success. Thus it is believed that the feasibility of the policy should be questioned. Starting from this question, based upon the observation of the current structure of the delivery system and its expected changes, the reform policy was discussed focusing on the assessment of its feasibility from both practical and theoretical viewpoints. The discussion leads to cast doubt on the policy for its possibility of making planned changes and producing expected desirable effects. Therefore it is advisable to investigate a wide range of alternative strategies and models for improving health care delivery.
Keywords
Health care delivery system; Organizational form of medical care institutions; Environment of medical care institutions; Relationships between medical care providers;
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